In 2009, then Governor of California Arnold Schwarzenegger signed the Donda West Plastic Surgery Law, requiring health checks be conducted prior to all major plastic surgery procedures in the state. This was following the death of rapper Kanye West’s mother. It was later determined that her heart attack was spawned by a combination of numerous postoperative complications and pre-existing coronary artery disease. Today, women especially peruse Instagram and covet a perfect pout, perky derriere and firm breasts seen on Insta models. Just because you may desire cosmetic surgery does not mean you are physically or mentally fit for it NOW. Dr. Stanley Poulos is a board certified San Francisco area plastic surgeon who takes steps to ensure the health and safety of his patients during surgery and post- operatively. Here are some indicators Dr. Poulos looks for to assess patients for surgery.
Dr. Poulos stresses that it is essential for a surgeon to take a good medical history and exam of the patient. Current and past illnesses, especially cardiac or pulmonary problems, surgeries, and medications should all be discussed. Lab tests may be required on a case by case basis depending on patient history and planned procedures.
When it comes to preparation for a plastic or cosmetic surgery procedure, a urinalysis can inform the doctor if you have certain types of infections, like a urinary tract (UTI), bladder, or kidney infection. Urine tests are also effective in detecting high blood pressure and diabetes.
Blood Count Test
Also known as a complete blood count (CBC), this blood test literally counts your blood. It takes note of the number of red blood cells, white blood cells, and platelets. This tells physicians if you’re anemic (red blood cell deficiency) or have a blood clotting disorder like hemophilia. CBC tests also detect infectious bloodborne diseases like HIV or hepatitis.
Electrocardiogram (ECG or EKG)
Essentially, the ECG is a medical test that tells if your heart is in good condition through detecting any heart abnormalities by measuring the electrical activity of the heart when it contracts. Cosmetic surgery basically causes tremendous stress on the body, with the heart being one of the most important organs when it comes to stress response. That is why it is crucial for the doctor to assess whether your heart can endure the trauma during the operation.
The Chest X-Ray is also one of the tests that may be required for your procedure. This is usually carried out to check the condition of your lungs and see whether you have breathing difficulties when you are put in anesthesia. This test is especially requested if you are a smoker or have a history of smoking. Signs of pneumonia or any breathing disorder may result to the postponement or cancellation of your surgery.
Smoking Use and History
Mixing nicotine with plastic surgery can result in problems:
Loss of cheek skin, nipples or tummy skin after a facelift, breast lift, breast reduction, or tummy tuck surgery
- Death of fat cells (fat necrosis), causing hard lumps
- Delayed wound healing
- Thick, wide scars
- Blood clots, which can be fatal
- Increased pain
- Permanent small vessel damage adding risk even if you quit
- Loss of breast implants
- Life-threatening complications like stroke, heart attack, blood clots, and pneumonia.
The mammogram is typically required for women who want to get breast augmentation or breast lift done. This is to help detect signs of breast cancer.
Although there is no formal psych test to assess a patient’s readiness and motives for cosmetic surgery, Dr. Poulos takes time with his patients to learn their reasons for desiring cosmetic change. Immediate red flags include, having surgery to try to keep a wayward spouse, an exaggerated concern over a minor problem, someone who seems addicted to cosmetic surgery, or a patient with body dysmorphic disorder. This syndrome is most appropriately treated by psychological treatment not surgical intervention.
It is important not to drink alcohol before undergoing plastic surgery – or any type of surgery for that matter – as it can cause unforeseen complications and seriously impact final results and the way you heal. Alcohol, especially when consumed to excess, can dry out your skin, which can then result in cracks appearing. If you’re having a plastic surgery procedure where skin is stretched (facelift, breast augmentation or abdominoplasty for example) then dry, cracked skin will make it harder for the surgeon to staple or stich the skin together, resulting in a less than optimum result and possibly scar.
Sometimes patients will enter a plastic surgeon’s office excited about a decision to finally move forward with breast or body contouring surgery, but then afterwards emerge having found out they are not currently a candidate because of excess body fat. This scenario is not only disappointing, but it can be an emotionally deflating and potentially embarrassing experience for patients. Dr. Poulos sympathizes with the emotional pain that such patients feel, and he wants to help them realize their goals. However, there are several specific reasons that your plastic surgeon might recommend weight loss prior to undergoing a procedure. In addition, the results that you can achieve are likely to be much better if your weight is in a better range. Consider an overweight woman who wants breast reduction surgery. Even when the breasts become smaller and more uplifted, it is extremely difficult for us to deal with the fullness lateral to the breasts (the “bra roll”), which significantly compromises the aesthetic result. In addition, it is much harder to get a beautiful transition between the breast and the abdomen due to the excess weight. On the other hand, let’s consider the patient that is overweight and wants a tummy tuck or liposuction. In this instance, the surgeon will not be able to remove all the excess fat in these areas, as it is technically challenging and can look odd as it is out of proportion to the surrounding fatty deposits. Even large volume liposuction cannot fully solve this problem. Body contouring surgery is great for shaping your body, but it is not a method or substitute for weight loss or weight control. At Dr. Poulos’ clinic there is a full-time wellness/weight loss coordinator who helps patients achieve a healthy body composition ( body fat percentage and lean muscle mass balance) prior to undergoing body contour procedures.
What is an option for those who need to lose weight to be a better candidate for cosmetic surgery?
There is an FDA approved “Gastric Balloon” procedure that Dr. Poulos performs. It is appropriate for patients with a BMI of 30 to 40 that have not had previous weight loss surgery. Patients diagnosed with bulimia, binge eating, compulsive overeating, high liquid calorie intake habits or similar eating related psychological disorders are not good candidates. Dr. Poulos has now treated numerous patients who have successfully lost up to 20% of their body weight with the balloon procedures and have gone on to aesthetic body contouring with much improved results.
How does the balloon method work?
This non-surgical outpatient procedure begins with a diagnostic endoscopy to ensure that there are no contraindications and that it is safe to perform. Once the patient is mildly sedated and comfortable, the procedure can begin. The deflated gastric balloon is inserted through the esophagus and into the stomach. A syringe is then used to fill the balloon with a sterile saline solution. Once the weight loss balloon has been filled with saline, it expands to approximately the size of a grapefruit. The entire procedure takes about 20 minutes. Patients can usually return home after the placement or removal procedures within 30 minutes. Over the last 20 years this procedure has helped over 277,000 people. The gastric balloon encourages portion control while patients make healthy changes to diet and lifestyle.
How long does the balloon stay in place?
The balloon remains in the stomach for the first six months after the procedure. With the stomach balloon and Dr. Poulos’ support team, patients usually see the most drastic results in the first six months. It is very important to use this time to develop healthy habits that will continue for not only the 12-month weight loss program, but for the rest of one’s life.
What to expect after the balloon placement
Over the first 14 days after placement, patients may experience nausea or vomiting. Dr. Poulos recommends a liquid diet for his patients during the first week to help manage these symptoms. Also prescribed are effective anti-nausea drugs to help the patient through the initial stage.
How is the balloon removed?
Once the stomach balloon has been in place for six months the balloon is removed. The simple and non-surgical procedure is very similar to the placement process. Once the gastric balloon has been removed, it is very important to continue working closely with Dr. Poulos’ team and coaches to follow the personal diet and exercise plan provided. This will help to keep you in a positive and healthy mindset while achieving your weight loss goals.
About Dr. Stanley Poulos
Dr. Poulos specializes in cosmetic breast surgery and body contouring procedures. He helped pioneer the quick lift facial rejuvenation surgery in California and is recognized as one of the leading plastic surgeons in Marin County and the entire San Francisco Bay area. Dr. Poulos and Plastic Surgery Specialists have extensive experience in body contour procedures. A graduate of the University of Texas Medical School, Dr. Poulos completed his internship and residency at UC San Francisco. He completed a plastic surgery fellowship at St. Francis Hospital in San Francisco and is certified by the American Board of Plastic Surgery. www.psspecialists.com
ANAUM WELLNESS & SPA AT ANDAZ MAYAKOBA RESORT RIVIERA MAYA LAUNCHES NEW MENU
~ Refreshing New Spa Menu Highlights Local Ingredients, Beauty Partners and Mayan-Inspired Treatments in Lush Natural Setting ~
Naum Wellness & Spa, the 10,000-square foot verdant wellness hideaway at Andaz Mayakoba Resort Riviera Maya, has just launched a new spa menu. The new menu, which incorporates many local and natural ingredients, brings in traditional Mayan rituals and offers a variety of spa services promoting health, beauty and inner harmony. The spa’s namesake, Naum, is the Mayan God of consciousness and mind. The Mayan-influenced spa, whose décor follows the same theme as the menu, is simply designed to blend into its lush jungle surroundings, immersing guests into the culture and nature of the region. The six open and airy treatment suites have oversized windows with beautiful decks and striking green views that bring guests a sense of peaceful relaxation.
The new spa menu, which has been carefully curated by Spa Manager Daniel Escalante, is inspired by native Mayan traditions known as “rituals”, which are reflective of the mind, body and spirit. The new treatment Rituals on the menu include the Ritual Sac Ki, which frees the body of harmful toxins and reveals fresher and brighter skin with a dry exfoliation using “Sac Ki”, the Mayan word for white henequen considered the green gold for the Mayan culture. This is followed by an invigorating massage with the anti-inflammatory power of the sacred copal oil. The second Ritual is the Ritual de Ixi’im y Chia, which offers the antioxidant power of the exotic Blue Corn and the purifying power of “Chia”, the Mayan word for “Strength”. The treatment also includes a nourishing massage with shea butter enriched with the regenerative benefits of calendula extract. Couples can reconnect with each other and renew their love through one of the Lovers Retreat rituals including the Eternal Romance Ritual which combines Swedish massage and hot stones with the exquisite aphrodisiac synergy of clove essential oil and wild roses. Rituals range from 90 to 120 minutes and are priced between $349 for a single treatment to $539 for the couple’s treatments.
The Naum Rituals were created to pay homage to oneself and the Mayan Gods, and to find harmony based on the guest’s selected area of wellness intention – whether that be Clarity (Tsoolik), Rest (He’lel), Strength (Muuk’) or Connection (Molcintah). Each Ritual is a three-part experience, alluding to the balancing nature of the number three with a beginning, middle and end. The Rituals begins with a Mayan Time of Reflection, followed by the treatment experience itself, and concludes with a Mayan Celebration to help guests balance and reconnect with themselves and the universe.
Apart from the traditional Rituals, spa guests can also choose from a selection of facials, massages and body treatments, many of which feature local and natural ingredients. Valuing the importance of the science of beauty care, Andaz Mayakoba created specific treatments in partnership with innovative beauty brands such as Naturopathica and Barbor, renowned for their high-quality formulas that contain natural plant extracts mixed with technology to combat a variety of skin problems. Highlights from the new menu include the following:
Naum Signature Treatment, 90 minutes, $316
This unique four-hand sensory treatment combines Volcanic Stones, Swedish Rhythmic techniques and a custom synergy of essential oils to stimulate the vital energy of the body, and brings all muscles and senses to maximum relaxation reaching the connection between mind, body and spirit.
Mayan Stone Massage, 60/90 minutes, $167/$237
This Mayan-influenced massage induces the flow of vital energy through the stimulation of each of the body’s centers, harmonizing mind, body and spirit, in addition to improving the circulatory system and releasing toxins from the skin.
Vitamin C Facial by Barbor, 60 minutes, $192
The Vitamin C Facial by Barbor is a true cosmetic jewel that contains a fresh texture and revitalizing citrus aroma for all skin types, including the most damaged. With an active concentrate of 20% Vitamin C, the treatment increases the production of collagen and the luminosity of the skin for a smoother complexion and firm and bright skin tone, protecting the skin from the sun.
Gentleman’s Facial by Barbor, 60 minutes, $192
The Gentleman’s Facial is a barber style facial designed for the demanding male skin, which is subject to stress. Taurec, the powerful exclusive active ingredient of the series BARBOR MEN, soothes the skin and enhances its energy and vitality.
Anti-Aging Facial by Naturopathica, 90 minutes, $264
In partnership with Naturopathica, the anti-aging facial is a reparative, regenerating and corrective treatment that combats the signs of aging. Active ingredients Argan Plant Stem Cells, Matrixyl synthe’6 and a Tri-Retional blend work together to help reduce fine lines and wrinkles while improving skin tone and firmness.
Xoco – Tequila Body Wrap, 60 minutes, $187
This locally inspired treatment revitalizes the skin and combats stress with powerful Mexican antioxidants. Chocolate and tequila, in addition to being delicious delicacies, have the ability to preserve beauty and youth while relaxing the mind and senses on a path to emotional well-being.
Jade Oro y Plata Body Wrap, 60 minutes, $187
This natural body treatment embodies mineral and dazzling wisdom with this ancestral elixir of jade, gold and silver, stimulating cell regeneration, blood circulation and bringing luminosity to the skin.
The spa offers an array of additional services ranging from hand and feet rituals to wellness experiences including yoga, meditation and personal training. Access to Naum Spa’s Hydrotherapy services are complimentary with the purchase of any spa ritual.
“After seeing the success of our Naum Wellness & Spa in our first year of opening, we are excited to debut a completely refreshed menu for our valued guests,” said Spa Manager Daniel Escalante. “We have partnered with innovative beauty brands that share our values of sustainability and holistic well-being and have introduced new treatments and rituals that incorporate indigenous methods and local ingredients that are native to Mexico. From the moment they step in the spa, guests will have a completely immersive and authentic experience into the region’s nature and culture.”
For more information, visit: https://mayakoba.andaz.hyatt.com/en/hotel/home.html.
About Andaz Mayakoba Resort Rivera Maya
The newest addition to idyllic Mayakoba, Andaz Mayakoba Resort in Rivera Maya, Mexico invites guests to a hidden paradise – a place where style meets nature in an innovative hospitality experience. The resort’s breathtaking design reflects the native Mayan culture and features 214 guestrooms, including 41 luxury suites. Stimulating upscale experiences entertain guests, whether immersing in a lushly preserved mangrove environment, sunbathing in one of two outdoor pools, relaxing in the 10,000-square-foot Naum Wellness and Spa, experiencing the state-of-the-art Kimbo Kid’s Club, or unwinding on the pristine white sanded Caribbean beach. For meetings and events, the property offers 14,000 square-feet of versatile indoor and outdoor meeting space. Additionally, four unique restaurants and bars offer the distinguished culinary experiences for which Andaz® hotels are known for, and all with stunning views of the pools, lagoon, and ocean. Andaz Mayakoba Resort brings to life locally inspired and indigenous experiences and authentic Mexican hospitality. For more information, please visit andazmayakoba.com and follow at facebook.com/andazmayakoba, twitter.com/andazmayakoba, and instagram.com/andazmayaoba.mx.
Global in scale while local in perspective, Andaz hotels weave the sights, sounds and tastes of their surroundings into each property for an experience that truly immerses guests in the eclectic culture of each local destination. Through personalized, unscripted service, Andaz creates a barrier-free environment where guests are encouraged to explore their personal sense of style and become inspired by the spirit of the culture around them. Sixteen Andaz hotels are currently open: Andaz 5th Avenue and Andaz Wall Street in New York, Andaz San Diego, Andaz West Hollywood, Andaz Napa, Andaz Scottsdale Resort and Spa, Andaz Savannah, Andaz Maui at Wailea, Andaz Ottawa Byward Market, Andaz Mayakoba Resort Riviera Maya, Andaz Peninsula Papagayo in Costa Rica, Andaz London Liverpool Street, Andaz Amsterdam Prinsengracht, Andaz Delhi, Andaz Xintiandi in Shanghai, and Andaz Tokyo Toranomon Hills. For more information, please visit andaz.com. Follow @Andaz on Facebook, Twitter and Instagram, and tag photos with #WhenInAndaz.
Step 1: Daily Micro-Scrub
Exfoliants I’ve used in the past have either been like sandpaper, or the opposite, where I can barely feel any results. This is just right. It doesn’t feel too rough, but you can tell it’s getting rid of that dead layer of skin. Smells good too!
Step 02: Dual Cleanse & Shave
I’m a minimalist, so I love anything that does double duty like this. It’s a thicker cream, so it takes getting used to when using it as a cleanser. But it’s great to be able to wash your face and then shave at the same time!
Step 03: Oil Free Moisturizer
This is also pretty thick, and you can see the coverage before it blends into the skin, which is great to know your whole face is protected. After it absorbed into my skin, my face felt soft and seemed to be glowing. In fact, after I did this video, someone came to the door, and they commented how refreshed I looked!https://the360mag.com/wp-content/uploads/2017/09/POLISHED_ANDREW.mov