- VASER Lipo® uses ultrasonic energy — high-frequency sound waves — to produce superior results

- Sublimis Argentina offers affordable prices on LipoSelection abroad

VASER Lipo uses a minimally invasive technique called LipoSelection® to selectively break apart and gently remove unwanted fat.

To begin the procedure, the targeted area is injected with a special saline solution known as “tumescent fluid.”

Tumescent fluid numbs the target area and shrinks local blood vessels. It also temporarily expands the volume of the targeted area, making fat cells easier to remove.

Small-diameter probes are then inserted into the body through small incisions. By resonating at a high ultrasonic frequency, the probes literally shake loose fat cells — while leaving blood vessels, nerves and connective tissues unharmed.

The loose fat cells mix with the tumescent fluid, which is then removed from the body using gentle suction.
After the surgery, patients are prescribed a recovery regimen to promote maximum skin retraction and smooth results. Your physician may recommend massage therapy to enhance results and speed recovery.

15 Frequently Asked Questions about Breast Augmentation Surgery

In Argentina, the breast augmentation surgery remains the most popular cosmetic surgery for women between 20 and 45 years of age. Despite of the vast information available, it is common to hear questions and myths. Here are the 15 most common questions:

1- Can I get pregnant and breastfeed after a breast augmentation surgery?
Breast implants do not cause any inconvenience to get pregnant or breastfeed since they had not demonstrated consequences, neither to the mother or baby. This is regardless of whether they are placed in front of or behind the pectoral muscle.

2- Do breast implants cause cancer?
Despite some alarms over 20 years ago, is scientifically proven that the implants do not trigger this type of illness and there is no confirmed relationship with autoimmune diseases.

3- Is it better to place the implants from behind the chest?
This is seen from aesthetic criteria and will be better or worse according to the characteristics of each patient and the surgeon’s criteria.

4- If I have sagging breasts, do I need prosthesis?
Implants only provide volume; they do not lift nor hold. For a breast lift (mastopexy) we must use techniques for this purpose, and if we also want to increase we will add a prosthesis.

5- It is possible to have my breasts more together?
Anatomically, in general, the breasts are located outside of the sternum. Therefore there must be a 2 or 3 cm between them. Usually we used as a parameter the distance between the midline and the nipple. This must be between 8 and 10 cm, according to the width of the chest and texture.

6- Round or “tear drop” shape?
Basically implants add volume. The form will depend on the pre-existing form. In general, the anatomic “tear drop”are used for cases of total breast reconstruction post-mastectomy.

7- Do you have to replace the breast implants or are they definitive?
The prosthesis does not have “due date” but over time they wear out as the same prosthesis. For this reason, manufacturers recommend changing them every 10 or 15 years. After that time, if they are in good condition and there have not been major aesthetics changes, you can proceed without problems. There are no definitive prosthesis but there are different qualities.

8- What happens if the breast implants break or encapsulate?
They can break or encapsulated for many reasons. However does not imply an alarm condition or disease. The current prosthesis have evolved in its production, stronger outer layers and filled with cohesive gel. If this situation occurs, does not constitute an emergency and a replacement should be scheduled.

9- Is it better a surgery with local anesthesia?
Usually, the type of anesthesia will depend on the surgeon criteria and anesthesia team. The anesthesia should be adapted to the type of procedure to be performed. It is important to be operated in a clinic, with appropriate authorizations, with appropriate technology and infrastructure and trained professionals.

10- Are the textured surface breast implants better?
Currently the most commonly used are the textured surface breast implants, as it is found to have less chance of capsular contracture. However, some surgeons still use smooth-surface when placed behind the muscle.

11- How is the breast enlargement surgery and its recovery?
The breast augmentation surgery is performed in the morning and you usually are discharged in the afternoon. You have to rest for 3 days and then you can do daily activities but you cannot practice sports or sun tanning for 30 days. You will need to use a special bra and stay in Argentina for at least 7 days for a close monitoring.

12- Do I need a pre-surgical check-up before a breast enlargement?
Yes, the medical tests that you will need to have done are blood test, urine test, electrocardiogram (ECG / EKG) and a mammography.

13- After having a child, how long do I have to wait to perform a breast implants surgery?
To perform a breast augmentation surgery you have to wait 2 months after you stop breastfeeding. If you have never breastfed your baby, it wouldn’t be necessary to wait this time.

14- Can I have a breast augmentation with fat injection?
Breast augmentation by lipofilling (fat transplantation) is still in the experimental stage. One of the main problems is that the fat can produce calcifications that looked like breast cancer on mammograms. Nowadays, the only method to increase the volume of the breast is with silicone implants.

15- What are breast implants risks or side-effects?
The silicone implants have been used for over 30 years with minimal problems. Although this type of operation has virtually no side effects from the possible risks and complications include infection, fluid accumulation, swelling, skin discoloration, capsular contracture and implant leakage or rupture.

Extra:

16- How much does breast augmentation cost abroad?
The price for a breast augmentation surgery in Argentina is usually around USD 2,850 but this may vary according to the needs and requirements of each patient. Contact us to get your Free quote!

Bariatric Surgery in Diabetic Adults Improves Insulin Sensitivity Better than Diet

San Diego, CA — Gastric bypass surgery improves Type 2 diabetes by other mechanisms in addition to weight loss and does so better than a low-calorie diet despite achieving equal weight loss, a new study finds. The results will be presented Monday at The Endocrine Society’s 92nd Annual Meeting in San Diego.

“Our study shows that in the short term, weight loss by diet alone does not achieve the same improvements in diabetes as gastric bypass surgery,” said the presenting author, Judith Korner, MD, PhD, assistant professor of medicine at Columbia University College of Physicians and Surgeons, New York.

Korner and her colleagues found that gastric bypass surgery better improved insulin sensitivity, the body’s ability to successfully clear glucose sugar from the bloodstream into the cells. Insulin sensitivity is impaired in people with Type 2 diabetes, and obesity adds to this problem. The result is a buildup of sugar in the blood.

The study compared the effects on diabetic adults of a low-calorie diet versus Roux-en-Y gastric bypass, the most common gastric bypass procedure. Roux-en-Y gastric bypass decreases the size of the stomach and reroutes the digestive tract to bypass most of the stomach and part of the small intestine. After gastric bypass, many diabetic patients achieve normal blood glucose control or vastly improved control, and some may no longer require diabetes medications.

In the study, seven obese patients with Type 2 diabetes received a daily 800-calorie liquid diet and no surgery, while seven other obese diabetic adults underwent gastric bypass surgery. The study ended when both groups lost the same amount of weight: an average of 8 percent of body weight. However, the surgery-treated patients lost the weight faster: in about 3.5 weeks compared with 8 weeks for the dieters.

Surgical patients were able to discontinue all of their diabetes medications by the study’s end, but the dieters reduced their medication use by 55 percent, Korner reported.

The researchers found significant improvements in the surgery group in measures of insulin sensitivity and function of beta cells, the insulin-producing cells in the pancreas. Improvements in insulin sensitivity in the low-calorie diet group were not statistically significant and beta cell function improved to a lesser extent.

Korner speculated that hormonal changes may be responsible for the improvements resulting from Roux-en-Y surgery in individuals with Type 2 diabetes.

“It will be important to understand how surgery works to produce these results so that we can develop medical therapies of equivalent efficacy,” she said.

The National Institute of Diabetes and Digestive and Kidney Diseases funded this study.

For information about bariatric surgery abroad please do not hesitate to contact Sublimis Argentina.

Prompt Gallbladder Removal in Elderly Associated with Increased Survival, Lower Costs

New Research Findings in Journal of the American College of Surgeons Show Patients Not Treated during Initial Hospitalization Required Re-admission within Two Years

Chicago – New research findings published in the May issue of the Journal of the American College of Surgeons indicate that delaying cholecystectomy, the surgical removal of the gallbladder, in elderly patients with sudden inflammation of the organ often results in increased costs, morbidity and mortality.

Gallstone disease is the most costly digestive disease in the United States, with approximately 20 million people having the disorder.  Annually, gallstone disease leads to more than one million hospitalizations, 700,000 operative procedures, and a cost of $5 billion. Furthermore, the prevalence of gallstones increases with age: 15 percent of men and 24 percent of women will have gallstones by age 70. As well, complications related to gallstones are more common in elderly patients, with the most common being acute cholecystitis, a sudden inflammation of the gallbladder, which can cause abdominal pain, nausea, vomiting, and fever.

Between 1996 and 2005, 29,818 Medicare beneficiaries were admitted to acute care facilities for a first episode of acute cholecystitis. Of these patients, 75 percent (n=22,367) underwent cholecystectomy. The inpatient mortality rate was 2.7 percent in patients who did not undergo cholecystectomy, and 2.1 percent in patients who did (p = 0.001).

For the 25 percent of patients (n=7,451) who did not undergo cholecystectomy upon first hospitalization, 38 percent required gallstone related re-admission over the subsequent two years, compared to only four percent in patients who did undergo the surgery (P<0.0001). Twenty-seven percent of patients who did not undergo definitive therapy (gallbladder removal) required subsequent cholecystectomy, often not performed electively, but associated with acute care re-admission. The gallstone-related readmissions were expensive for Medicare, leading to approximately $14,000 in total charges and greater than $7,000 in Medicare payments per readmission.

Additionally, patients who did not undergo cholecystectomy during initial hospitalization were 56 percent more likely to die two years after hospitalization discharge versus those who received immediate treatment (HR 1.56, 95 percent CI 1.47 to 1.65), even after controlling for patient demographics and comorbidities.

Source: American College of Surgeons

If you are interested in having a cholecystectomy abroad please don’t hesitate to contact Sublimis.

Evaluation of young adults conceived via IVF shows them to be “happy and well adjusted”

A study published on-line this month in the journal Fertility and Sterility shows that young adults conceived via IVF were generally as happy and well adjusted as their peers.

Researchers at Eastern Virginia Medical School’s Jones Institute of Reproductive Medicine questioned a cohort of young adults conceived in that program’s clinic between 1981 and 1990. The Jones Institute was a pioneering center for reproductive medicine, achieving the first IVF birth in the United States in 1981. Researchers contacted the young adults via their parents and received a 31 percent (n=173) response rate to their 90 item questionnaire.

The results showed that when compared to other young adults, the IVF conceived were found to be “healthy and well adjusted with no prevalence of increased susceptibility to chronic diseases.” However the reported incidence of clinical depression and especially ADD/ADHD were higher among IVF offspring.

“This is a significant study and one of a number of long term outcomes studies that are currently being done.” Said James Goldfarb, President of the Society for Assisted Reproductive Technology (SART). “It is comforting to see that the data bears out what we have believed, that children conceived via IVF are generally as healthy as other children, even as those children become adults. While the findings of increased depression and ADD/ADDH is notable, other studies have not shown these increases. We need to continue to do the research that will allow us to discover if there are any areas of concern for IVF children. ” Dr. Goldfarb added.

For more information about In Vitro Fertilization (IVF) please do not hesitate to contact us.

Today’s Economics of Fertility Treatment

Atlanta, GA – Since the beginning of the current economic downturn, everyone has been wondering how new financial considerations and constraints are affecting the decisions people make about a variety of reproductive medicine procedures. While there have been no national data collections, researchers have been evaluating their own clinics’ data and local data to arrive at some answers.

Many have speculated that more women would turn to compensated egg donation to try to supplement falling incomes and net worth in the downturn. To either confirm or disprove the reality of this phenomenon, researchers at Reproductive Medicine Associates of New York and Mt. Sinai School of Medicine undertook a comparison of egg donor applicant characteristics from the 2002-2004 time period and 2008. Fifty-four interview records from 2002-2004 and 46 records from 2008 from a single private oocyte donation program were reviewed and compared. During both periods, the same person conducted the interviews and the same questionnaire was used. No significant difference was found in the applicants’ demographic characteristics. The age of prospective donors, their history of previous donation cycles, their education level, marital status, distribution of religions and religiosity remained consistent from the earlier period to the later. The largest difference to emerge was in the donors’ plans for use of their compensation. In 2002-2004, 28% planned to use the money to pay for schooling. This increased to 57% for 2008. Differences in other planned uses for the money were smaller: from 2002-2004 to 2008, the number of women planning to use their compensation to pay debt decreased from 32% to 21% and the number planning to save the money decreased from 20% to 11%.

Read the rest of this entry »

USA and International Trends in Assisted Reproductive Technology (ART)

Atlanta, GA – Data released at the American Society for Reproductive Medicine Annual Meeting in Atlanta compares ART trends in the US with those around the world. Using data collected through the International Committee Monitoring ART (ICMART), investigators examined data from 2000- 2004. They found that delivery rates in the US were stable at 31% while they improved in Europe from 16% to 22%.

The delivery rate was maintained in the US even as the number of embryos transferred declined from 3.0 to 2.7 embryos per transfer, and the US triplet rate was cut in half from 4.3% to 2.6%. Only Sweden saw a marked reduction in its twin rate over the period, going from 21.8% to only 5.6%.

The same investigators used 2004 data to examine how economic factors influence the risk and benefit calculations of patients and physicians. They found that in countries where government provides free access to Assisted Reproductive Technology (ART) treatment, the utilization rate for those treatments is much higher. For example, in France there were 2,008 cycles for every million inhabitants, while in the US there were only 357 cycles per million people. Improved access not only raises the utilization rate, but changes outcomes, as well. The number of embryos transferred per cycle and the resulting high order multiple births are highest in those countries that do not provide free access.

This relationship was seen within countries, as well. In the USA, individual states with mandatory insurance coverage for IVF treatments saw different results than states without such a mandate. Researchers at the Yale University School of Medicine found that the number of embryos transferred per cycle, cancellation rate, twin rate and multiple live birth rate were all higher in mandated states than in non-mandated ones.

“These studies make it clear that policies that promote access to infertility treatment also promote making those treatments safer and more effective,” stated Elizabeth Ginsburg, MD, President of the Society for Assisted Reproductive Technology (SART).

Contact us for more information about Assisted Reproductive Technology (ART) treatment; Doctor Andrés Juárez Villanueva and Doctor Gustavo Gallardo will be glad to help you.

Reproductive Health Findings for Bariatric Patients: Obesity at Young Age Increases Likelihood of Infertility and Polycystic Ovarian Syndrome; Chances of Pregnancy and Live Birth Are Good

In an observational study of the reproductive health of women undergoing bariatric surgery, researchers analyzed data from 1,538 patients treated at six US clinical sites participating in the Longitudinal Assessment of Bariatric Surgery (LABS) study, supported by the National Institutes of Health.

The participants were measured for height and weight and answered questions about their sexual history, pregnancy history, infertility history, history of polycystic ovarian syndrome (PCOS), history of contraceptive use, and plans for future pregnancy. The participants also completed a validated self-administered weight history, giving their weights at 18, 25 and 30 years.

The researchers found that women who became obese by age 18 were more likely to have a history of infertility and polycystic ovarian syndrome and less likely to become pregnant than women who became obese later in life. However, the overall percentages of LABS-2 participants who had at least one pregnancy (79%) and at least one live birth (74%) were comparable to the general US population.

While about half of the women surveyed between ages 18 and 44 and not reporting menopause, sterilization, partner sterilization, or other impediments to pregnancy said that they would never try to become pregnant after bariatric surgery, 30% of women in this category thought the possibility of future pregnancy was very important. Of those women, almost 33% planned to get pregnant within two years of having bariatric surgery.

“As the incidence of obesity increases in the United States, women’s health care practitioners are likely to care for a substantial number of patients who will undergo bariatric surgery. Studies like this one are extremely useful to help us determine how to advise these patients and best meet their needs,” remarked William Gibbons, MD, President-Elect of the American Society for Reproductive Medicine.

For more information about bariatric surgery and Assisted Reproductive Technology do not hesitate to contact us.