Super funds for Cosmetic Surgery

Azurite is approved for SuperFunds early release for Australian clients and will assist you with your GP and our specialist to access your funds for surgery in Thailand and Malaysia.

Posted by Azurite Medical & Wellness on Sunday, 21 October 2018

Patients are using Super for Surgery for life-changing and life-enhancing surgical procedures.


Requests for early Super release for Surgery are typically made on compassionate grounds and are being used to address chronic and/or life-threatening health conditions. But they are also used for life enhancing surgeries, and the argument has been that quality of life impacts overall health, well-being and longevity.

The Seven Surgeries that Super Can Pay For include:

  1. Bariatric Weight Loss Surgery
  2. Breast Reduction Surgery
  3. Reconstructive Surgery
  4. Skin Reduction Surgery after Weight Loss
  5. Rhinoplasty
  6. Dental Surgery
  7. Orthopaedic Surgery

And many couples are using early withdrawal of their Super Fund (Superannuation) to help pay for infertility treatments, which are notoriously expensive over time.

More information is shown below on Australian trends in increases in patient requests to use Super for Surgery.


Why are patients wanting to use their early withdrawal of Super for Surgery?

One of the most notable areas of patients wanting to use Super Fund resources for life-changing surgery relates to the problem of Obesity in Australia.

Sadly, the current Medicare health system does not cover a surgical weight loss treatment for this chronic disease.  And not all patients have Private Health Cover. Even if they do, there is typically a gap that can be in the thousands of dollars.

In the case of the recurring problem of obesity and the effective treatment option of weight loss Surgery, many patients are left to fund their own surgery procedures, which can be very costly.

In cases like Obesity and weight loss surgery, patients have been known to request early withdrawal of Super Fund / Superannuation resources to have this surgery.  The scenario is that, for many patients who struggle with chronic Obesity, their lives would be cut short, without an effective treatment such as weight loss surgery.

A number of patients would simply not live long enough to use their Super anyway unless they first overcome the problems associated with chronic Obesity, that hasn’t been resolved by non-surgical approaches.


Using SUPER for Surgery: More on surgery that people may be able to use their Super Fund resources to fund.

  • Weight Loss Surgery to reduce obesity and life-threatening health conditions (Gastric Sleeve, Gastric Bypass, Lap band or Gastric Balloon can help reduce cardiovascular risks and diabetes)
  • Skin reduction surgery of redundant skin tissues to help return body contours after significant weight loss has occurred
  • Breast Reduction Surgery or Reconstructive Breast Surgery (such as Breast Lift Surgery) to reduce back pain, shoulder pain or neck pain
  • Abdominoplasty (Tummy Tuck) surgery to repair torn abs to strengthen the core abdominal muscles linked with back pain and urinary incontinence (e.g. to repair parts of the body damaged during pregnancy or childbirth or other abdominal traumas)
  • Corrective Rhinoplasty after a nose injury or to repair a deviated septum interfering with proper breathing
  • Blepharoplasty (Eyelid Lift Surgery) when sagging eyelids are impeding vision
  • Male Breast Reduction for Gynaecomastia
  • Infertility (helping to fund IVF treatments for couples who find themselves unable to get pregnant)



Early Requests for Super Fund Access for Surgery

Should you investigate the possibility of using Super for Surgery?  Each individual must decide on their own and it often is a last resort for most patients.  Also, whilst it is possible for some patients to gain early release for surgery, not everyone who applies will be able to gain early access to their super funds in Australia – even if they have compelling reasons for wanting to use their Super for life-changing surgery.

Here’s the history of recent requests for early release of Super for Surgery (Source: Department of Human Services)


In the year ending 2016, over $204 million Australian dollars were approved for early release from Super Funds.  This appears to have covered a variety of reasons, including medical costs and surgery costs, increased costs of living, financial disruptions or the current housing cost crisis.

How DO patients typically pay for their Plastic Surgery procedures?

Again, requests for early release of Super for Surgery are not as common as the news stories would have you believe, although request have increased lately in a changing economy.

Options for paying for desired plastic or cosmetic surgery generally include Savings Accounts, pre-paying on a house mortgage as a form of Surgery Savings that can also reduce interest temporarily or reputable low interest credit providers, as well as early withdrawal requests of Super Funds based on compassionate grounds.

It is important to do your homework on any of these options and to recognise that early withdrawal of Super for Surgery payment methods is always up to each individual Super Fund administrator. For other types of rebates or funds for surgery, certain criteria may also apply.


Getting payment method advice is a great idea before embarking on any of these options for Surgery.



Here are several reasons why our blogging team believes it’s important for patients with recurrent health problems to be able to request early access for Super to Pay for Surgery (when they have no other means to attain the surgery they require).

Common Reasons People request early release of Super Funds for Surgery

The rise in overseas medical – includes a surge of overseas surgery for Australians having happy healthier lifestyle.

Australians are finding overseas surgery is a far better option as these countries such as Thailand or Malaysia are considered some of the finest locations in the world for cosmetic or gastric sleeve surgery. With an emphasis on after care, ISO hospitals, which is an international standard, packages with hotel.  This option is considered far superior to the Australian hospitals which most are not ISO/JCI or have the breadth of experience of these overseas doctors.  But please do your homework on which service you use.



Obesity: Weight Loss Surgery Saves Patient’s Lives

Sometimes, as in the case of Obesity and Weight Loss Surgery, the patient’s life is actually at risk. Obesity has many components – including misfiring brain synapses that prevent a person from burning body fat the way that others do. Without some form of change to their condition, such as via Bariatric surgery, a person suffering ongoing Obesity has a high risk of developing numerous chronic diseases that can lead to disability and an early death. So some patients who need weight loss surgery and post-weight loss body contouring (skin reduction) are using early release of their Super for surgery.



Skin Folds: Body Contouring After Weight Loss to Reduce Redundant Skin Folds that are causing problems and social discomfort

After losing weight through lifestyle changes or dietary changes, formerly heavy patients often have skin laxity (extra folds of loose skin). This excess skin causes recurrent skin infections for some patients as well as chaffing, social discomfort and back pain.

Having excess skin folds after weight loss also impedes a person’s ability to exercise comfortably.  So despite losing weight, the over-stretched skin that remains can still impinge on their ability to participate in cardiovascular exercises and to stay fit after losing weight after getting a Gastric Sleeve, Gastric Bypass, Lapband or Gastric Balloon procedure.


Large Breasts Causing Neck Pain and Back Pain: Breast Reduction Surgery can reduce physical pain and chronic skin conditions

Women who have heavy, large breasts are often plagued with a variety of problems, from balance problems to posture issues to back pain, neck pain and shoulder pain. But there’s also the skin issues of chaffing or bra-strap dig ins and social discomfort. Social, psychological and physical well being are all readily improved for most patients who choose Breast Reduction Surgery with a good Surgeon (it’s a highly complex procedure so you really want to get it right the first time).

Diastasis Recti (Separated, damaged Abdominal Muscles after pregnancy), Hernias and Skin Folds

Pregnancy and weight loss often leave redundant, sagging skin and a very changed abdominal region for Mums.  For some patients, there is a LOT of extra skin.  Skin folds and abdominal area sagging leave patients vulnerable to recurring skin infections as well as chaffing. This excess abdominal area fat, skin and weight also affects metabolism, mood and social well-being.  For some women, depression about their changed bodies leads to diminished quality of life; whereas the right surgery at the right time, with a caring Plastic Surgeon, can make a major difference for them in numerous areas of their lives.  Read our blogs about Diastasis Recti or the Abdominoplasty (Tummy Tuck) pages can provide information.

diastasis recti repair and using early release of super for surgery abdominoplasty tummy tuck criteria


We are a sporting country, and as such, accidents are common. Noses get injured or broken and deviated septums are more common than people realise.  Plus, some people are born with disproportionate nose sizes or shapes that leave them feeling unattractive.  To correct breathing problems or provide a cosmetic enhancement, a well-executed “nose job” surgery procedure (Rhinoplasty surgery) for men or women can really help.  Nose reshaping surgery is very complex, however, and can be costly to get a good Surgeon who can provide a satisfying surgical outcome. (Revision requests after Rhinoplasty are common, unfortunately, and many less experienced Surgeons can get this Surgery extremely wrong).

Eyelid Surgery to rectify Vision Impairment Caused by the sagging position of the ageing or injury-impacted eyelid

Sometimes ageing eyelids start to sag to the point they impact vision. When seeing clearly out of your eyes is made difficult due to sagging eyelid skin that covers some of your pupils, you may be eligible for a minor Medicare rebate on an Eyelid lift procedure (Blepharoplasty) (or a Health Fund rebate if you have private coverage).  Criteria apply and evaluations are a must. Please note: these types of rebates do NOT apply to patients wanting cosmetic enhancements to their eye area and who’s vision is not impacted.

Male Breast Reduction for Gynaecomastia

Some men – many men in fact – develop puffy looking breasts due to a variety of reasons. Surgery can help correct this and for more information, visit the Male Breast Reduction surgery for Gynaecomastia page.


So there you have it, what the news articles are reporting is that people who want surgery are seeking ways to payment methods or fund their surgery from a variety of means, including requesting early release of Super for Surgery on compassionate or medical grounds.

Body lift Thailand

Lower body lift, extended tummy tuck, buttocks lift, thigh lift with additional liposuction 21 day package with

Extended tummy tuck with butt lift and thigh lift with liposuction

Posted by Azurite Medical & Wellness on Friday, 28 September 2018

Thigh Lift Thailand

Thigh Lift

Posted by Azurite Medical & Wellness on Friday, 28 September 2018

Brazilian Butt Lift (BBL)


Brazilian Butt Lift with Thigh Lift  (50 year old woman)

The thighs have been liposuction as well as lifted and the butt we have lifted using her own tissue to give augmentation.  These two procedures together give a very natural uplifting result.

Tummy Tuck|Breast Lift|Thailand

Tummy Tuck|Breast Lift|Thailand


Abdominoplasty, known more commonly as a “tummy tuck,” is a major surgical procedure to remove excess skin and fat from the middle and lower abdomen and to tighten the muscles of the abdominal wall. The procedure can dramatically reduce the appearance of a protruding abdomen. But bear in mind, it does produce a permanent scar, which, depending on the extent of the original problem and the surgery required to correct it, can extend from hip to hip.

A tummy tuck, or abdominoplasty, is an operation performed to improve the shape and contour of your tummy. The operation can remove excess skin, unwanted scars, stretch marks, fat and can tighten the stomach muscles. There are a variety of different abdominoplasty procedures and depending on your particular problem(s), the operation will be individualised and tailored to suit you.

Younger patients who have not been pregnant before, who have good quality elastic skin and whose main problem is an excess of fat, are best suited to simple liposuction of the tummy. These patients typically have a little pot belly – a slight excess of fat in the lower tummy. Liposuction of the tummy is usually performed under sedation and local anaesthesia, although general anaesthesia may be used. These cases are usually performed as day case surgery. Often, other areas are also treated with liposuction simultaneously. Small incisions are made, excess fat is removed and the wounds closed. Not only will fat be removed, but some degree of skin tightening or shrinkage can be expected as well.

Slightly older or middle aged patients who might have had previous pregnancies (causing the muscles below the belly button to splay apart a little) and who have a slight excess of skin and fat, especially below the belly button, may be best suited for a mini-tummy tuck. Mini tummy tuck is usually performed under local anaesthesia and sedation, although general anaesthesia can be used. Surgery is usually done as day case surgery. A wedge or ellipse of skin and fat is excised from the lower tummy leaving a scar horizontally above the pubic hair, similar to the scar from a Caesarian Section. In addition liposuction is performed of the upper tummy and waist and the muscles below the belly button are tightened. No scar is left around the belly button which is stretched slightly to become more elongated and generally more appealing.

Some patients have an even greater degree of skin laxity, excess fat and splaying of the muscles. These patients require a classic tummy tuck. This operation is usually performed under general anaesthesia and usually requires hospitalisation of 2-3 days. An incision is made from hip to hip and around the belly button. A large wedge of skin and fat is excised from above the belly button to just above the pubic hair. Some areas may be treated with liposuction and the muscles above and below the belly button are tightened. Although this operation does leave the biggest scar, it does provide the greatest degree of improvement in shape. Patients still planning pregnancies should wait until completion of their family.

The best candidates for abdominoplasty are men or women who are in relatively good shape but are bothered by a large fat deposit or loose abdominal skin that won’t respond to diet or exercise. The surgery is particularly helpful to women who, through multiple pregnancies, have stretched their abdominal muscles and skin beyond the point where they can return to normal. Loss of skin elasticity in older patients, which frequently occurs with slight obesity, can also be improved

Patients who intend to lose a lot of weight should postpone the surgery. Also, women who plan future pregnancies should wait, as vertical muscles in the abdomen that are tightened during surgery can separate again during pregnancy. If you have scarring from previous abdominal surgery, your doctor may recommend against abdominoplasty or may caution you that scars could be unusually prominent.

The Abdominoplasty or “Tummy Tuck” is designed to remove excess abdominal skin and fat, as well as tighten loose abdominal muscles. The perfect candidate is a woman with prior pregnancies which have stretched her abdominal muscles past the point of repair by standard exercise. Poor candidates are those who are obese and simply have too much abdominal fat. Liposuction can be an alternative in these patients.

  • Pre-operatively patients usually need routine blood tests to be sure they are not anemic or pregnant. Photographs are taken to assess progress.
  • Patients should not smoke within three weeks of the operation. Of course, smoking is never a good idea and patients should quit smoking early and permanently.
  • No aspirin, ibuprofen, or similar drugs should be taken within two weeks of surgery. These medications can cause serious excess bleeding during, and after, the operation. If you have any questions about drugs you are taking, including over the counter preparations and natural herbs, please call the office.
  • Please shower the night before surgery and do not EAT or DRINK anything before your surgery or at least 6 hours before surgery. This prohibition includes coffee and juice in the morning. Oral medications can be taken with a sip of water.
  • 45 kilos gastric sleeve weight loss. Extended tummy tuck. Inverted t lift areolas reduction

    Posted by Azurite Medical & Wellness on Monday, 4 June 2018

Gastric Sleeve Malaysia

Gastric Sleeve Surgery

Gastric Sleeve Surgery

    10 Day Package $11,500- $12,500 AU-Gastric Sleeve
    Malaysia hotel and hospital package
    Gastric Sleeve Surgery – The Complete Guide

    Gastric sleeve surgery, also known as the sleeve gastrectomy, has become a popular choice for patients seeking excellent weight loss in a straightforward procedure that doesn’t require the maintenance and long-term complication rates of a Lap Band.

    Gastric sleeve procedure details.

    Super Obese individuals (people with a Body Mass Index over 45) have an increased risk during any surgery. And the longer the time under anesthesia, the greater the risk. Gastric bypass surgery can last over 2 hours. Duodenal switch surgery often takes over 4 hours.

    Studies like this one started to emerge (Randomized clinical trial of laparoscopic Roux-en-Y gastric bypass versus laparoscopic sleeve gastrectomy for the management of patients with BMI < 50 kg/m2). Complication rates were low and weight loss was as good, if not better, than gastric bypass. And because the surgery took less time and was less complicated to perform, surgeons liked it. Patient Feedback Patients also liked the procedure. After surgery and often for months after the procedure patients noticed they weren’t hungry. Some patients had to remind themselves to eat. Soon patients were asking their doctors about gastric sleeve surgery. Later, research showed that the hunger producing hormone ghrelin was significantly lowered in gastric sleeve patients. It’s believed that the area of the stomach removed during gastric sleeve surgery produces much of the hormone ghrelin. While gastric bypass patients experienced less hunger, it seemed to be more pronounced in gastric sleeve patients. Potential Benefits to Patients Gastric sleeve surgery has the benefits below: May reduce hunger. The hunger inducing hormone ghrelin is reduced by removing a portion of the stomach largely responsible for its production. Reduction of hunger occurs in most patients but not all. Shorter operating time compared to gastric bypass. Does not re-route intestines. No dumping syndrome. While dumping syndrome can be a tool to reinforce good eating habits, it’s very unpleasant. The pylorus remains intact and sugars have time to digest since the intestines remain untouched. No adjustments are needed. The Lap Band requires regular adjustments (doctor visits). No foreign objects are left in the body. The Lap Band leaves a silicone band around the upper portion of your stomach. Weight loss occurs over 18 months. Gastric bypass weight loss is very quick. The majority of weight loss occurs in the first year. Lap Band is gradual and requires major lifestyle changes for success. The majority of weight loss occurs over 3 years. Why Your Surgeon Prefers Sleeve Gastrectomy Over Lap Bands Surgeon getting ready to perform gastric sleeve. Guess what? Your surgeon may prefer gastric sleeve or bypass over Lap Bands. Surgeons want you to be successful. Most surgeons care about getting you healthy. But, they also know that you’re a future referral source. You are a future success story. If your surgeon has been performing bariatric surgery for long enough he or she has seen patients that lose little or no weight with a Lap Band. This doesn’t mean the band isn’t working. It just means that certain patients cannot implement the lifestyle changes (3 small meals a day, high protein, exercise, low carbs, etc.) that are needed to be a success with the Lap Band. The failure to lose weight is significantly less with gastric bypass or gastric sleeve surgery. Granted, after the weight comes off, it’s up to the patient to keep it off. For a surgeon that is trying to help, it’s difficult to identify patients that are truly dedicated to implementing exercise and healthy, nutrient dense foods into their diet. It’s a much better bet and ‘safer’ to recommend bypass or sleeve. Surgery Day Are you ready for surgery?So you want to know what to expect on the day of surgery? Expect to be scared, nervous, and expect everything to go well. Again, gastric sleeve surgery is a very straightforward procedure with low complication rates. When serious complications do happen, they usually occur the first few days after surgery. So rest easy for your procedure. You’ll likely be scheduled for an early morning surgery. However, this depends on the surgeon’s and hospital’s schedule. Prior to surgery you will have followed your two week pre-op diet. You should know what to bring to the hospital. And you’ll know that you can’t eat anything after midnight the night before. Don’t cheat! Surgeries get cancelled all the time because people eat or drink prior to surgery. And if you vomit during your procedure you can get pulmonary aspiration. This is when the contents of your stomach regurgitate and get stuck in your airways. This can be fatal or cause aspiration pneumonia. Don’t chew gum, drink water, chew tobacco, or take any medications not approved by your surgeon. These may cause your surgery to be cancelled. You’ll check into pre-op and meet your nurse and your Anesthesiologist. You’ll change into your hospital gown, removing any jewelry, watches, etc.. You’ll then sign the needed consents and get an IV. You’ll be given medication to help you relax. Your circulating nurse (the nurse that will be with you in the OR) will come meet you and wheel you back to the OR. Then you’ll be asked to breath in from a face mask and count backwards. When you wake up you’ll be in recovery and your family will be invited in shortly thereafter. Once cleared, you’ll be wheeled up to your room where the TV and your pain pump will be your new best friend for the night. Typically, within the first 5 hours after surgery, you’ll be asked to get up and take a few steps. This helps reduce the risk of blood clots and help alleviate some of the shoulder pain associated with the CO2 left in your abdomen from the surgery. Recovery Recovery from gastric sleeve surgery is painful for some and ‘not too bad’ for others. Each person experiences pain differently and different pain medications work better than others for different individuals. Some sleeve procedures are outpatient (you can leave the same day as your procedure) and many require 1 or 2 days in the hospital to recover. Some surgeons prefer 3 days while others are comfortable letting you leave the day after surgery. As always, it’s important that you follow the doctors orders. Below are some general guidelines after you are discharged from the hospital. You should have more specific guidelines to follow in your discharge instructions or post-op manual. Sip your liquids constantly. It’s easy to become dehydrated. You aren’t getting any liquids from food your first week post-op. Sip slowly, but makes sure you drink plenty. Bowel movements Bowel movements may be difficult or painful. This is normal. However, don’t hesitate to call your surgeon if you are having issues. Constipation is normal the first week post-operative. Your pain medications can increase constipation. Medications Don’t be a tough guy. Take your pain medication when you need them. You may receive a prescription for Protonix to decrease the acidity in your stomach. This helps with heartburn and may reduce pressure on your healing pouch. Unless otherwise advised by your surgeon, you can resume taking your medications. All non-time-released medications will likely need to be crushed. Any medication that is time-released should be switched, if possible, to non-time released. Do not crush time-released medications. Ask your doctor about your diabetes medication. Activity Walk, walk, walk. Walk as much as you can. This helps the healing process and starts you on the path to include exercise daily. Don’t lift anything heavy. This can put undue pressure on your stitches and torso which will be sore. You will feel fatigued and tired for up to a month after surgery. This is due to the reduced calorie consumption. Your body is adjusting. Showering & Bathing Don’t bathe or sit in a hot tub for the first 3 weeks after surgery. Showering is typically OK. Going back to work. You can typically return in 2 to 4 weeks depending on the physicality of your job. Most people return after 4 to 6 weeks at full strength. For severe complications call 911 emergency.When to call the ER? Fever over 101.5 with shaking or the chills. Pain that increases over time. Redness, warmth or pus draining from incision sites. Persistent nausea. Inability to swallow liquids. Remember, don’t hesitate to call your surgeons office if you are worried that something is wrong. You’re not bothering them. This article walks you through the details of recovery from gastric sleeve surgery. Pre and Post-Op Diet Your diet is going to change after gastric sleeve surgery. In fact, your diet has to change 2 weeks prior to surgery. So if you’re planning on having a ‘last meal,’ you’ll want to do it before you start the pre-op diet. Pre-Op Diet Your pre-op diet will start 2 weeks before your surgery date. The pre-op diet is important because it helps to reduce the size of your liver prior to surgery. This makes surgery easier for your surgeon and reduces your intra-operative risks. Details on a typical pre-op diet can be found here. Post-Op Diet Do not eat celery after gastric sleeve surgery.They say it takes tasting a food 20 times to develop a liking for it. Keep that in mind as you struggle through the first few months of adopting a new diet after surgery. With a small stomach, it’s utterly important that the food you do eat is nutrient dense. This means you should be eating foods like vegetables, lean protein sources and whole grains. Most doctors recommend you eat a good portion of your calories via lean meat. However, it should be noted that there are some very successful vegetarians that have had gastric sleeve surgery. Dr. Garth Davis at The Davis Clinic in Houston is a bariatric surgeon and a vegetarian. Many of his patients have become vegetarians with great success. Your post-op diet greatly depends on how far out you are from surgery. The stages below are typical recommendations after gastric sleeve surgery. For a more detailed look what you can and can’t eat after surgery, we recommend this article. Stage 1 – The first week after surgery Clear liquids only. These include: Water Decaf Tea Sugar-free Posicles Broth Stage 2 – Week 2 Full liquid diet with protein shakes. Stage 3 – Week 3 Soft-pureed foods. These include: Soups Scrambled Eggs Cottage Cheese Stage 4 – Week 4 Soft foods. Boiled chicken. Fish Cereal Mashed potatoes. Stage 5 – Week 5 and beyond Introducing real foods. Introduce small amounts of foods. Chew well and eat slowly. Eat 3 small meals a day. Eat a small, healthy, nutrient dense food as a snack if needed. Get your protein but don’t forget vegetables and fruit. Daily Vitamins & Supplements You’ll need to ensure you are getting enough vitamins after gastric sleeve surgery. This is also true for gastric bypass (slightly more supplements are required) and true for Lap Band patients (less vitamins are required). Below is a list of typical vitamins and protein supplements for a gastric sleeve patients. Bariatric VitaminsMultivitamin with Minerals – You’ll want to use chewable vitamins or patches for the first month after surgery. Follow the directions. You may need to take one in the morning and one at night (depending on the brand). Below are a few options for good bariatric multivitamins: BariMelts Bariatric Fusion One company is now offering vitamin patches. These patches eliminate the need to swallow pills. Your new stomach/pouch no longer has to process fillers and capsules. Just place a patch on your skin for 8 hours a day and you’re done. A decent option for a non-bariatric specific multivitamin is below: Centrum Adult Daily Chewable – you can find this at your local pharmacy (Walgreens, etc.). Iron – Iron may be recommended. It’s important to talk to your doctor and follow his or her recommednation. Check with your surgeon when to start iron post-operatively. Take on an empty stomach. Ferrous Fumarate 29mg – NOT the more typical ferrous sulfate (ferrous sulfate is not absorbed well after bariatric surgery). Do not take with your Calcium Citrate. Calcium Citrate – Taken 3 times daily. Begin 1 month after surgery. Liquid or chewable form and should be taken in 500 mg doses with at least one hour in between doses. Do NOT take Calcium at the same time as Iron. Wait at least 2 hours between taking your multivitamin/iron and your calcium. 1500 to 2000 mg daily. Vitamin B12 – May be recommended. Check with your doctor. Typically taken once per week. 5000 to 7500 mcg. Available in sublingual (under the tongue), injection, or nasal spray. Should NOT be taken in pill form after surgery. Protein Supplements Protein is important after gastric sleeve surgery. It’s recommended that you get at least 60 grams of protein per day after surgery. You can opt for protein supplements from Wal-Mart or other retailers. However, most physicians prefer a bariatric specific protein supplement. Below are some common options for bariatric protein supplements. Genepro Bariatric Fusion Unjury These can be purchased from bariatric supplement online stores, like the Baritastic Store. Complications You should have a good understanding of possible complications during and after your surgery. The most worrisome complication from gastric sleeve surgery is a staple line leak. Staple line leaks can occur during or after surgery. During surgery, they are typically noticed and fixed before completing the surgery – no big deal. However, if they go unnoticed, you will start to get sick shortly after surgery. Staple line leaks typically occur during the first month after surgery. They can be triggered by eating improper foods (always follow your post-op diet) or from the tissues of your stomach not healing. This, in turn, leads to the staples detaching from the thin, devascularized tissue which then leads to a leak. A staple line leak leads to a major infection as your stomach juices enter your abdomen. The signs and symptoms are tachycardia (rapid heart beat), fever, chest pain, and pain in your belly. Most staple line leaks occur within 14 days of surgery. See your doctor immediately if any of these symptoms are present. The risk of death from gastric sleeve surgery is low. The chart below shows the risk of the more serious complications with gastric sleeve surgery. This article is a full list of the most common complications along with their signs and symptoms. Graph showing gastric sleeve complication rates. Can it be Stretched? Stretching rubber bands.You can stretch your stomach after gastric sleeve surgery. The inside of your stomach is lined with rugae. These are folds of tissue that expand and contract in relation to the amount of food that enters your stomach. When they expand, your stomach sends a signal to your brain that you are full. When they contract, they push the food into your intestines for further processing. Once the stomach is empty, a hormone called ghrelin is released that triggers hunger again. These signals can get skewed when your stomach is constantly stretched from too much food. This article details how this happens and why it’s important to get back on track quickly after binging. Below are a few tips to reduce the risk of stretching your stomach. Drink water an hour before and an hour after you eat. This gives your body time to digest the food and make room for fluids and vice versa. Don’t eat and drink at the same time. Don’t drink carbonated beverages. The carbonation can put unneeded pressure on your stomach. Eat small, healthy snacks if you get hungry in-between meals. Plan your meals. Focus on small portions of nutrient dense foods. Nutrient dense foods keep you full longer and give you the nutrients that you need. Remember, if you overeat once, you haven’t ruined your new stomach. Get back on track as quickly as possible. Expected Weight Loss On average, gastric sleeve patients will lose about 60% of their excess weight. Excess weight does not mean total weight. If you weigh 300 lbs, you will not weigh 120 lbs after surgery. To calculate your expected weight after surgery, use our calculator. You should know that you can lose more or less than 60%. There are many examples of people that have implemented exercise (marathons even) into their daily lives and have far exceeded the 60% mark. Some people who revert back to poor eating habits lose less than 60%. The key to success (exceeding the 60%) is implementing the changes needed to keep the weight off. Below is a list of the mean average excess weight loss 5 years after surgery. 62.7% Year 1 62.7% 64.7% Year 2 64.7% 64.0% Year 3 64.0% 57.3% Year 4 57.3% 60% Year 5 60.0% Hitting Weight Plateaus Gastric sleeve surgery will make you lose weight fast. However, similar to any diet, you’ll hit a wall (plateau) at some point. This means you’ll lose weight, and you’ll lose it fast, and then all of the sudden you’ll stop losing. When the weight loss stops, often only 6 months after surgery, patients freak out (that’s the technical term). Why does it happen? Your body is constantly seeking something called homeostasis. Homeostasis is a process that maintains the human body’s internal environment in response to changes in external conditions. So when food decreases significantly (external condition), your body adjusts internally to create stability (stable weight). So, to counteract the lack of food in your environment, the body slows down your basal metabolic rate – your metabolism slows down and you hit a wall. You haven’t changed your eating or exercise habits and you hit a wall before you reach your target weight. How do you get past a plateau? To get past a weight loss plateau, you need to add a new external change. This is typically done by increasing exercise. But what if you are already spending as much time in the gym as possible? You need to look for other ways. Simply adding a couple of 30 second planks morning and night may be all you need. Can you take an extra walk before bed? Are you taking the stairs at work? It may be worthwhile to meet with a personal trainer and have them design a workout plan that you can maintain. Their plan should be more intense than your current workout. You may need consider adding a small healthy snack in between meals to speed up your metabolism. Have your bariatric dietitian review your weight loss. Download an app like Baritastic and start tracking all of your food intake. Share your food logs with your dietitian and ask him/her to review it and look for areas to improve. Learn more about weight plateaus and how to break them. Emotional & Mindset Changes Mood changes after gastric sleeve. This topic is often passed over for topics with clinical studies backing them up. However, it’s important to know that emotional changes do happen after surgery. And you should be prepared for them. Immediately after surgery, you will start to lose weight very quickly. Drastic weight loss leads to changes in hormone production. Changing levels of estrogen and testosterone results in mood swings. Let your family know that this is probable, particularly in the first 2 months after surgery. On top of the mood swings, you will be tired. Tired and moody people tend to be less than pleasant. Have faith, this goes away. And not everyone experiences mood swings. Personality Changes One other interesting, admittedly anecdotal change is related to personality. ObesityCoverage has a podcast where we interview patients after surgery. You can listen to it here on iTunes and here on Stitcher Radio. About 50% of our interviewees have mentioned that they noticed a change in their personality starting a few months after surgery. What kind of changes? After weight loss surgery patients tend to be less of a pushover. Is this a result of the required therapy/counseling sessions pre and post-operatively? Is it because of a new self-confidence? Or is it because weight loss surgery requires you to take a hard and honest look at yourself (everything from diet habits, lifestyle habits and relationships)? It’s probably a mix of all of those. Regardless what causes it, all of our interviewees have said the changes are a good thing. Relationship Changes If you read enough about weight loss surgery, you’ll notice a fairly high incidence of divorce. There are no clinical studies to back this up, so don’t assume this is going to happen to you. However, you should know that there are many stories of divorce after gastric sleeve surgery. From interviewing a number of patients (this podcast is about divorce after surgery) who have had weight loss surgery and subsequently found their marriage failing, below are some important takeaways. Your partner may become insecure as you start to lose weight and gain self-confidence. You may be less tolerant of certain behaviors from your spouse. Excessive drinking, smoking, anger, passive aggressive behavior, are examples of this. You may find that your husband doesn’t share the same desire to eat and live a healthy life. This can be fine if you find friends to help support you. As a result of your therapy sessions, you may find yourself taking a close look at your friends. The people you surround yourself with should make you a better person and help you reach your health and work goals. This doesn’t mean that you need to get rid of all of your friends. But it does mean you should try to surround yourself with people that want to make you better. Gastric Sleeve Maintenance Gastric sleeve surgery doesn’t require regular band fills like the Lap Band does. But it does require maintenance. There are no tune-ups with a gastric sleeve. Once it’s done, it’s done. However, you do have to ensure you are doing the right things to create lasting weight loss. Diet Maintenance It’s utterly important that you follow the new diet guidelines for the rest of your life. Falling back into old habits is easy. You can regain weight after gastric sleeve surgery. Exercise Maintenance You must ensure that you continue to workout at a minimum of 3 times per week. It’s preferable to workout 5 to 7 days a week for 30 minutes. Exercise can be walks, runs, fitness videos, etc. The goal is to get moving and increase your heart rate. In turn, you’ll burn calories. Mood Maintenance Maintaining a positive attitude 100% of the time is impossible. Everyone has bad days. For people with food addictions, a state of depression can trigger food cravings. When you’re depressed, food becomes comfort. Being healthy becomes secondary to finding immediate comfort. On a daily basis you should take notice of your mood. Are you motivated? Have you been spending time with friends? Are you abnormally tired? Losing the battle with food often starts with a sad or angry mood. Ensure you pay attention to your mood and actively manage it by implementing healthy activities to improve your well-being. While you will have bad days, don’t let those bad days become bad weeks or months. If you have a bad day and seek comfort from food, it’s ok. Tomorrow is a new day. Don’t let overeating become a vicious cycle that leads to a stretched stomach and weight gain. Recommended Books Gastric sleeve surgery is a big change. Learning as much as you can, implementing what you’ve learned, and then continuing your education is one of the best ways to reinforce your new healthy lifestyle. The books below offer advice and guidance. Some are specific to gastric sleeve surgery while others are geared towards healthy eating and living. Putting these on your nightstand is an excellent way to reference and reinforce healthy habits both before and after surgery. Wheat Belly, by William Davis Most surgeons recommend a high-protein, low carbohydrate diet after weight loss surgery. This book is written by a cardiologist and while not specific to weight loss surgery it outlines why wheat may in fact be adding to our obesity. My takeaway from this book was to eat more veggies, fruits, and lean protein sources. Reduce unhealthy carbohydrates (bread, pastas) wherever possible. It’s a good, easy to understand read. The science seems a little anecdotal, but many people have had great results reducing or eliminating wheat from their diets (also anecdotal). Eating Well After Weight Loss Surgery, by Pat Levine and Michelle Bontempo-Saray If you love good food and like to cook, you’re going to need new recipes after surgery. Part of success after weight loss surgery is getting your friends and family to support your journey. It’s much easier to get your family to eat healthy when you make delicious and healthy meals. And if you don’t have a family to cook for, most of the meals in this book are great as leftovers. Ultimate Gastric Sleeve Success, by Dr. Duc Vuong This book is written by a bariatric surgeon and I like his no-nonsense attitude. The real benefit of this book is the way he teaches you to appreciate food again. We have to retrain our taste buds to appreciate healthy eating. Dr. Vuong’s book is a short but highly recommended read. For more books about weight loss surgery, we recommend this article. Tools For Success There is a lot of information available online. There are apps to track your food, books to help you get and stay healthy. Below is a list of our 5 favorite tools for success. Different tools.Join a Forum It’s important to find friends, ask questions, and stay motivated. Our favorite forums are ObesityHelp, BariatricPal and Thinner Times This article discusses the forums and includes many others. Join a Facebook Group Facebook makes it easy and private to share your success with a real face (profile). There are some very active groups. And you must request to join them. Your current friends won’t know you’re part of the group and they won’t see your posts (they’re private). My favorite for gastric sleeve surgery is the Baritastic Social group. This group has supportive members and negativity is not allowed. Download the Baritastic App This is our app and we love it. We’re also always improving it. Track exercise, nutrition, water and more. Local Support Groups Don’t forget to attend these each month. Your surgeon will offer these either through the hospital or at his/her clinic. They are invaluable for making friends and staying committed. If you can’t find a support group in your area, check the OAC’s list of local support groups here. Document your progress in a public place. When you let your friends, family, and strangers know that you’ve had or will have bariatric surgery, you add a level of accountability. You can do this in a forum, Facebook group, or with your friends and family. Feedback on your journey will help you stay motivated and encourage you to become a superstar. Conclusion Gastric sleeve surgery is a long journey. On average, it takes close to two years to reach your target weight. It takes changing an entire lifetime of unhealthy habits to keep the weight off. It’s not the easy way out. It takes dedication, perseverance and daily work (forever). Keep learning, reinforcing good habits, and celebrating your small victories. The farther you get from surgery, the less you will think of yourself as a sleeve patient and the more you’ll consider yourself someone that chooses to be ‘healthy.’ Remember gastric sleeve is a tool. It helps you lose weight so you can implement the healthy changes that will forever change your life.

Penis Enlargement

Penis Enlargement Thailand


1. Liposuction and lipofilling

This is a penile shaft enhancement procedure that is simple, safe and designed to increase both the LENGTH and CIRCUMFERENCE of the penile SHAFT. No foreign material or implant is used. This procedure does not interfere with sensation or function. Healing is quite rapid and you are up and about the next day and back to work in a day or so; as a rule.

Penis enhancement surgery is a relatively simple, safe operation performed under light general anesthesia. Surgery actually involves two separate procedures. Both are completely natural and do not involve the introduction of implants or other foreign materials.

2. Penile Lengthening

In the lengthening procedure, the doctor releases the suspensory ligaments that attach the penis to the under surface of the pubic bone. This allows access to the section of the penis hidden behind the skin wall. He is then able to extend the length of the penis in proportion to the length of the internal portion.

The increase in length varies depending on a patient’s anatomy. However, results generally range from 1-1/2″ to 2.” The limiting factor is the patient’s own anatomy. There is no way to predict what that length gain will be prior to surgery. Post-operative stretching is essential to success.

In this procedure, no actual length is created, rather, the internal portion of the penis is “advanced” or “externalized,” exposing greater length. This is accomplished by resecting (cutting) a portion of the suspensory ligaments which hold the penis against the undersurfaces of the pubic bone between your legs. (A 1″ incision wound and the ligament is detached.)

Actually, another 3-4″ of the penis is located INSIDE the body. This penile root actually arches upward inside the body and by resecting the suspensory ligaments, this upward arch is extended forward. A simple 1″ curvilinear incision in the pubic area is all that is required to gain access to the ligaments. For overweight men, removal of some of the fat in the pubic area will also add to the perceived length increase of the penis. There is a small percentage (3-4%) of men who get no length gain at all in the erect state and rarely may even lose a bit of length due to scar tissue formation and retraction.

  • No aspirin, ibuprofen, or similar drugs should be taken within two weeks of surgery. These medications can cause serious excess bleeding during, and after, the operation. If you have any questions about drugs you are taking, including over the counter preparations and natural herbs, please call the office.
  • Do not eat or drink anything after midnight of the night before your surgery. This prohibition includes coffee and juice in the morning. Oral medications can be taken with a sip of water.
  • The genital area will also require shaving prior to any of the operative

FTM sex change Buttonhold surgery

FTM sex change Buttonhole technique-Thailand


FTM sex change Buttonhold surgery

Buttonhole Technique Top Surgery

Buttonhole Technique SRS sex change

Buttonhole Technique Top Surgery

The Buttonhole Technique is an ideal FTM Sex Change Surgery procedure for trans men who prioritize nipple-areola size, positioning, sensation and pigmentation. FTM

Popularized by Dr. Theeapong, the Buttonhole Technique enables the removal of larger amounts of breast tissue and skin than the Keyhole and Peri-areolar methods, making it a good choice for medium- and large-chest trans men. Using this new technique, Dr. Thee also re-sizes and re-positions the nipple-areolar complex (NAC) without the additional vertical incisions used with Inverted-T, while preserving appropriate nipple projection and pigmentation, and providing a level of sensation not possible with free nipple grafts.

How It Works: Similar to Double Incision Top Surgery, two horizontal incisions (curved, straight, or oblique) are made at the top and bottom of the pectoral muscle and breast tissue and excess skin are removed. Instead of using free nipple grafts (as in Double Incision) the NAC is re-sized and left attached to nerves and blood supply via a thin dermal pedicle, which preserves sensation.

Buttonhole Technique Top SurgeryTo re-position the NAC, a circular incision is made in the chest wall at the appropriate locations for male nipples, and the NAC is brought from under the skin through this opening—like a button through a buttonhole—and stitched into place. This approach helps to avoid the extra incisions required by the Inverted-T method.

The result is a masculine looking chest with nipples that retain sensation and pigmentation, have appropriate projection, and have a more natural appearance than free nipple grafts. The Buttonhole Technique also has the potential for fewer complications as it avoids the risks of free nipple graft infection and/or loss.

The cost of Buttonhole Technique Top Surgery is the same as Dr. Thee’s Double Incision surgery: $7000 U.S. 14 day hotel/hospital package After Buttonhole Technique Top Surgery, patients stay in the hospital 3 days.