Pacific Plastic Surgery Medical Weight Loss
Pacific Plastic Surgery is now offering a medical weight loss program. This program is structured around a 3 month course of medications and supplements, all of which are safe and established as effective components of a medical weight loss program. Initial consultation will be done with Jessica Barker, PA and if you are a candidate for the program, an EKG and some simple blood tests will be ordered. The medications and supplements will then be prescribed and you will be monitored weekly at the office for the first month, then monthly thereafter. We also urge our patients to take advantage of a complimentary fitness and nutrition evaluation by Wesley Wilson of Wesley Wilson Fitness.
Why a Weight Loss program at a plastic surgery practice?
For years I’ve seen patients come to me for consultation regarding body contouring. Usually these folks are candidates for liposuction or abdominoplasty (tummy tuck) procedures, and sometimes even for more extensive procedures such as lower body lifts and belt lipectomies. These more extensive procedures are done for patients who have had significant weight loss, usually after bariatric surgery.
Most liposuction and abdominoplasty patients tend to be near their ideal weight, or perhaps slightly overweight. They’re the best candidates for surgery. But then there are those patients who would really do well to lose some weight before surgery. Some may just need to lose weight period, and would not otherwise need any surgery. These are the patients that I have seen for years that are somewhat frustrating, because I often have felt that I couldn’t really help them. And if I did try to help with surgery, I knew the patient could have had a better result with some preliminary weight loss.
Many patients I saw had been through several diets, with varying success, but often ending in frustration. Some thought that surgery would be a quick fix. Occasionally I would refer patients out to nutritionists, fitness trainers, and in extreme circumstances to bariatric surgeons. I often never saw these patients again, and I’m not sure how many were helped, gave up, or went elsewhere to someone who performed surgery on them even if they were not good candidates for body contouring. So, there was a segment of patients that I realized could be helped with a medical weight loss program within our office, supplemented by fitness and nutritional guidance.
– Douglas J. Mackenzie, M.D., F.A.C.S.
Jessica Barker, PA has worked at Pacific Plastic Surgery for five years and has previous experience in medical weight loss, and is board certified in Anti-Aging Medicine by the American Academy of Anti-Aging Medicine. Jessica and Cassie Clara, RN direct the program, consulting with patients and monitoring patients’ progress.
Wesley Wilson is a certified fitness trainer and owner of Wesley Wilson Fitness in Santa Barbara. All patients enrolled in our Medical Weight Loss program will be asked to take advantage of two free fitness training sessions with Wesley, as well as free nutrition counseling and online nutrition monitoring. Continuing with fitness training will complement the weight loss program, help instill good exercise and eating habits, and is certainly encouraged.
Weight Loss Program Schedule:
The initial consultation will be a 45-minute visit. We will measure your weight, body fat analysis, BMI (Body Mass Index), and vital signs. An EKG and necessary blood work will be ordered. We will review the program schedule, and discuss your prescription weight loss medications. Included in your initial consultation will be an injection of a Vitamin B Complex and an amino acid formulation. Once the results of your EKG and blood work are obtained, we will call in your prescriptions to your local pharmacy.
We will see you weekly for four weeks for follow-ups. At those visits we will again be checking your weight, body fat analysis and vital signs. Once you are stabilized on your medications, we will see you monthly. Fundamental to our weight loss program is proper nutrition and exercise thus included in the program will be two fitness and nutrition training sessions with Wesley Wilson.
Weight Loss Medications and Supplements:
Phentermine: Indicated for patients greater than 16 years of age for short-term use in a regimen of weight reduction based on exercise, diet and behavioral modification. This FDA approved appetite suppressant stimulates the satiety center in the hypothalamus which is similar to amphetamine. It is contra-indicated if you are pregnant, breast-feeding, have advanced cardiovascular disease, hyperthyroidism or glaucoma. It is indicated if you have a body mass index greater than 27 kg/m.
Topiramate: (brand name Topamax) Originally marketed as an anticonvulsant (antiepilepsy) drug. This drug has been investigated for use in treating alcoholism, obesity and especially to reduce binge eating. It is contraindicated in pregnancy, breast-feeding, and may interact with other prescriptions medications. It can be used in low doses to help maintain your target weight.
Vitamin B12, Vitamin B6, and MIC (Methionine, Inositil, Choline): An injection of vitamins, minerals and amino acids that are essential to your health. Many of these nutrients are not absorbable by mouth and must be taken in an injectable form. They help increase your energy level as well as contribute to weight loss. These injections are generally given weekly.