https://www.drmichaeldenk.com/blog daily 0.75 2024-08-07 https://www.drmichaeldenk.com/blog/ozempic-a-plastic-surgeons-perspective monthly 0.5 2024-08-07 https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/0c6afd4b-9000-43b5-8208-c62ec70f7e76/Untitled-1.png Blog - Ozempic: A Plastic Surgeon’s Perspective https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/a24c6895-671f-427e-90ff-29cbb370ddbd/Untitled-2.jpg Blog - Ozempic: A Plastic Surgeon’s Perspective - What is Ozempic? Ozempic is based on a naturally occurring human hormone called glucagon-like peptide 1(GLP-1), which plays an important role in regulating appetite and blood sugar levels. Its active ingredient is a molecule called semaglutide, which mimics the structure of GLP-1 hormone and activates GLP-1 receptors. Ozempic is typically injected every 7-10 days, and it “tricks” the body into feeling full, even after consuming a small amount of food. It actually slows the passage of food through the digestive system. In doing so, Ozempic (or any semaglutide) makes one less hungry and therefore less likely to overeat. Ozempic and other GLP-1 agonists differ in a keyway from the natural molecule they’re meant to mimic: They last a lot longer! Natural GLP-1 released in our gastrointestinal tract has a half-life of just minutes in the bloodstream, whereas semaglutide (and tirzepatide, another new medication) have half-lives measured in days. Ozempic is approved by the Food and Drug Administration ONLY for the treatment of Type 2 diabetes—a condition that accounts for ninety per cent of all diabetes cases—and has been available since 2017. Novo Nordisk, the Danish company that supplies the US with most of its insulin, developed Ozempic to control blood sugar levels in Type 2 diabetics. What happened next? Well, one side effect of treating diabetes with Ozempic is weight loss. And Ozempic has now become shorthand for the entire category of injectable weight-loss medications (Wegovy, Mounjaro, and 10 -12 others). https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/c7d697cb-7cab-4d56-a1ce-9659de7a6acf/Untitled-3.png Blog - Ozempic: A Plastic Surgeon’s Perspective - Downside? Is there one? Well, what’s the down side? While the vast majority of people —almost 85% — have a positive experience, what about the 15% or so that don’t respond to Ozempic or have unwanted side effects? https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/030d994e-9caf-4967-bd94-9a08c160ec99/Untitled-4.png Blog - Ozempic: A Plastic Surgeon’s Perspective - This fire is sure to keep burning. This class of drugs — GLP-1 receptor agonists — is rapidly expanding. We’re currently only witnessing the beginning. There has and will continue to be a proliferation of GLP-1s. Mounjaro and Zepbound are newer versions made by Eli Lilly (American pharmaceutical company). An oral form of semaglutide is soon to be out that works about as well as Ozempic or Wegovy, so does another pill containing a drug called orforflipron. Other reports hint that shots containing tirzepatide or survodutide or retatrutide may produce even better results than semaglutide, and with significantly less side effects. There are many more in development as big pharma is trying to capture the ever expanding billion dollar diet industry, not to mention the potential profits to be gained from tackling addiction. There is so much more to come. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/4045d294-d615-4ff0-b49b-d51d26c5d0e7/Untitled-8.png Blog - Ozempic: A Plastic Surgeon’s Perspective - Scarcity definitely fueled the buzz around Ozempic and Wegovy. And at $1,000 - 1,300 for a month’s supply, so did the out-of-pocket price tag. Shortages of Wegovy soon followed, leading doctors to prescribe Ozempic as an off-label alternative for weight loss. This off-label use triggered a shortage of Ozempic among Type 2 diabetics, who wanted the drug for its true FDA-approved purpose — lowering blood glucose levels. Suddenly influencers who had been promoting body positivity messaging were sharing their newly trimmed and thinner bodies. Elon Musk, Whoopi Goldberg, Sharon Osborne, Amy Schumer, and Oprah Winfrey are just some of the familiar names who have spoken about their experiences with taking Ozempic. More than a third of people taking Ozempic type drugs for weight loss have stated an influencer, celebrity, or a personal recommendation is why they got started. Ozempic quickly gained popularity and went viral due to one sought-after side effect: weight loss! Let’s get cut! Let’s get “pharma-cut”! In October of 2022, the Wall Street Journal reported that “Everyone is taking it” (Ozempic). One of my patients, who shall not be named, told me she actually stopped taking Ozempic in December of 2022! She had signed up via a Facebook post starting in March of that year and was immediately encouraged by the weight she quickly shed. However, she did share with me that the behavioral portion of the program is what helped her go on to drop over 70 pounds and keep it off. She’s now ready to undergo a mommy makeover — tummy tuck and breast augmentation. So as an aside, it looks as if Ozempic will not decrease the number of people requesting plastic surgery, it may very well increase it. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/1b0d2fa1-23c0-45dc-942e-81c039291944/Untitled-5.jpg Blog - Ozempic: A Plastic Surgeon’s Perspective - What happened next? For people living with diabetes and obesity, Ozempic and Wegovy were set up to be manna from heaven. However, this alone wasn’t enough to set off the wildfire that soon followed. What happened is a tale of innovative science meeting a cultural craving mixed with changing attitudes and the power of social media. That’s right, an unexpected side effect helped fuel a cultural shift, a monumental movement and potentially profound advancements in medical care and behavioral sciences. https://www.drmichaeldenk.com/blog/upper-blepharoplastyawake monthly 0.5 2024-02-13 https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/d5ac2ffa-1674-47b5-a04a-1433d40a0b63/bleph+blog-9-scar.png Blog - Upper Blepharoplasty…awake? - Hidden Scars in Natural Creases: One common concern among prospective patients is the visibility of scars after surgery. However, with an upper blepharoplasty, the incisions are strategically placed in the natural crease of the upper eyelid. This ensures that any resulting scars remain discreet, camouflaged within the eye's natural contour, and virtually imperceptible within a few months post-op. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/1707428353104-EHGBV4IV0WQDGXKR1P84/bleph+blog-8.png Blog - Upper Blepharoplasty…awake? - Ideal Candidate: An ideal candidate for upper blepharoplasty is generally in good health, does not smoke, and is bothered by the visible and functional signs of aging around the eyes. The procedure can be customized to meet the unique needs and aesthetic goals of each patient. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/33c7c37c-ce45-4b7b-9693-3a1aa38cd88f/bleph+blog-4.png Blog - Upper Blepharoplasty…awake? - Make it stand out Before and 1 year After an Upper Blepharoplasty https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/1707428353104-EHGBV4IV0WQDGXKR1P84/bleph+blog-8.png Blog - Upper Blepharoplasty…awake? - bleph blog-8.png https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/1707428392287-R5OGIC7NHVBZVHBPD1L3/BAEED.png Blog - Upper Blepharoplasty…awake? - BAEED.png https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/1707428393665-0YTU9NUZ3L75FUQVRLWK/bleph+blog-6.png Blog - Upper Blepharoplasty…awake? - bleph blog-6.png https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/1707429755722-QZ1JE10O9TDQSWFIKISL/bleph+blog-5.png Blog - Upper Blepharoplasty…awake? - bleph blog-5.png https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/1707491547900-6QZWY50JQ19BW9R2V7SL/bleph+blog-3.png Blog - Upper Blepharoplasty…awake? - bleph blog-3.png https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/1707491551537-3MENIR827FXI5Q0H4AK8/bleph+blog-10.png Blog - Upper Blepharoplasty…awake? - bleph blog-10.png https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/b1288ffa-a35e-4455-b7cf-be6ccce8687c/IMG_5397.jpg Blog - Upper Blepharoplasty…awake? - Benefits of Local Anesthesia: Reduced Risk and Recovery Time: Upper blepharoplasty performed under local anesthesia carries a lower risk compared to general anesthesia. Additionally, recovery time tends to be shorter, allowing patients to return to their daily activities sooner. Patient Comfort and Control: Local anesthesia provides patients with the advantage of being conscious during the procedure. This allows for better communication with the surgeon, ensuring the patient's comfort and facilitating any necessary adjustments based on their feedback. Avoidance of Potential General Anesthesia Side Effects: Local anesthesia eliminates the potential side effects associated with general anesthesia, such as nausea, grogginess, and a more extended recovery period. Oftentimes, patients that have upper blepharoplasties under local anesthesia actually drive themselves home. Cost-Effectiveness: Utilizing local anesthesia reduces an individual’s costs as it eliminates the need for an anesthesiologist and the associated fees. Generally more efficient: General anesthesia is accompanied by more steps and planning. Before surgery, there is more paperwork. During surgery, patients are required to change into a sterile surgical gown. And after surgery, there is a need for a caregiver. Local anesthesia eliminates everything except for a one page consent form.. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/d52aec2f-ba66-4db5-9d33-a9822bbc085d/bleph+blog-1-bleph+title+%281%29.png Blog - Upper Blepharoplasty…awake? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/1707428392287-R5OGIC7NHVBZVHBPD1L3/BAEED.png Blog - Upper Blepharoplasty…awake? Combining Procedures for Comprehensive Results: Upper blepharoplasty can seamlessly be combined with other cosmetic procedures, enhancing overall facial harmony. Many individuals opt for a comprehensive approach, addressing multiple concerns simultaneously to achieve a more youthful and balanced appearance. Oftentimes, I perform an upper blepharoplasty with a lower blepharoplasty and/or brow lift. Injectables: Botox and/or Filler may also prove helpful. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/3e81fd7c-9477-4b19-811d-f0f0af6c744f/BLEPH+BLOG+INFO.png Blog - Upper Blepharoplasty…awake? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/d287777c-08f3-4774-8941-79e248667998/bleph+blog-2.png Blog - Upper Blepharoplasty…awake? - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.drmichaeldenk.com/blog/dr-denk-onvaser-liposuction monthly 0.5 2023-09-26 https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/37c336a7-594f-48d9-b8b1-5180435645eb/IMG_2088.jpg Blog - Dr. Denk on VASER Liposuction - BEST SITES FOR FAT GRAFTING OR FAT TRANSFER: Buttock and Hips (BBL) Breasts Hands Face https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/43c09ef4-15ed-4a07-b5a6-714979598fbf/IMG_2084.jpg Blog - Dr. Denk on VASER Liposuction - VASER LIPOSUCTION IS MOST EFFECTIVE AND BENEFICIAL FOR: Arms Backs Lipo360 Waist Revision Cases Thighs https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/d38eb48c-6488-47c5-befe-5e06543c6332/Untitled.png Blog - Dr. Denk on VASER Liposuction - GOOD CANDIDATES FOR VASER LIPOSUCTION INCLUDE PEOPLE WHO: • Don’t have a lot of excess skin • Have good skin elasticity • Have good muscle tone • Have fat deposits that won’t go away with diet or exercise • Are fairly fit and in good overall health • Aren’t overweight or obese • Do not smoke https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/3bc50d97-0050-4c6d-b6f1-7c910cc6c960/FullSizeRender_%281%29.jpg Blog - Dr. Denk on VASER Liposuction “I do a lot of liposuction and have produced some wonderful results with tumescent and PAL(Power Assisted Liposuction)”, says Dr.Michael Denk. “But VASER liposuction is next level!” “I use the VASER on almost all of my liposuction cases and find it especially useful for tough revision liposuction cases”, he explains. https://www.drmichaeldenk.com/blog/plastic-surgery-is-bad monthly 0.5 2023-04-28 https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/2c20d58c-16de-45f5-b780-f37d44d95f65/abps+2.png Blog - Plastic Surgery is Bad! When searching for a plastic surgeon, the most important thing is that you go to a BOARD-CERTIFIED (ABPS) plastic surgeon. Most of the terrible stories making headlines involve cosmetic surgeons, physicians with little or no plastic surgery training, or take place in facilities that are not accredited to perform out-patient plastic surgery. The board certification process for plastic surgeons is MUCH more intensive and comprehensive than that of the American Board of Cosmetic Surgery (ABCS). The abbreviations get distracting, but the differences in training, experience and rigorous testing are significant. Consulting with a physician about liposuction, an abdominoplasty, breast augmentation or BBL surgery is a big step. Choosing a BOARD-CERTIFIED (ABPS) plastic surgeon can make all of the difference in the world, and won’t leave you thinking plastic surgery is bad. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/cd097df3-a30e-48d2-b5d7-7c73129175ee/My+project-1+%281%29.png Blog - Plastic Surgery is Bad! - Make it stand out Whatever it is, the way you tell your story online can make all the difference. https://www.drmichaeldenk.com/blog/welcome-looking-forward-to-meeting-you monthly 0.5 2022-02-04 https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/5b7974d3-2060-4c11-b66f-7e37ad40527a/IMG_5268.jpg Blog - Welcome, Let’s Have a Chat... So, is everything I post factual? Absolutely not. Is everything your doctor tells you factual? No, it isn’t. It’s authoritative. It’s based on his/her training, education, experience, and current mindset. The same applies here. What I express is based on my clinical experience-that’s nearly 27 years in private practice- continuing medical education, countless conversations, my own curiosity, and my perspective. I don’t think you’ll need to fact-check me, but you are welcome to. My website and blog should function in a continuum with my social media accounts. Honesty and integrity are important. Sharing my opinion and recommendations is a part of who and where I am. I’m an expert of a certain type…I know what I know, I’ve got decades of studying, observing, and performing plastic surgery behind me. I know a thing or two about liposuction, breast implants, HIPAA, tummy tucks, beauty, health, Botox, aesthetics, skincare, nutrition, fitness, exercise, and I’d like to start sharing some of it. Here’s hoping you’ll enjoy it. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/f9d5ef05-fd9e-4091-b8fb-3d423db50447/IMG_0610.jpg Blog - Welcome, Let’s Have a Chat... - Having plastic surgery is a personal choice, being a plastic surgeon was a personal choice I made, and one I wouldn’t trade for the world. I love my job, and if you didn’t already know that…I enjoy getting out of bed and going to work. I’m very fortunate. Also, I consider myself to be a sincere individual who doesn’t take himself too seriously. My intent is to create something different, something you can’t template, or write, or code for. The information and the opinions I’m sharing are mine. The content which is posted has been thought of, written, and edited by myself. It’s like so much of life, it’s my choice. It’s personal. https://www.drmichaeldenk.com/blog/why-botox-dr-denk monthly 0.5 2021-12-28 https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/0cb51d6e-e2cd-4e19-be9b-ed18c02d50a3/IMG_3287.jpg Blog - Botox: What’s the big deal?! When I first witnessed Botox being injected in patients as early as 1995 in New York City, I didn’t think it would amount to much. Dr. Joseph McCarthy, chairman of the Institute of Reconstructive Plastic Surgery (IRPS) at NYU, asked Dr. Andrew Turk and me, both plastic surgery fellows at the time, to go observe an Upper East Side physician spend half a day treating patients with Botulinum toxin. Interesting? Yes! Did I think Botox would be the No. 1 non-surgical cosmetic procedure on the planet? Definitely NOT! https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/1c1405af-e591-406d-904b-c8beffd2b952/IMG_3306.jpeg Blog - Botox: What’s the big deal?! Botox (Botulinum Toxin A), a neurotoxin protein: Was the first on the market Remains the worldwide market leader Has over 25 FDA approved medical indications Is the brand I trust! https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/701f3fcf-bb6d-4821-a493-2bd75a534ea0/facial+muscles.png Blog - Botox: What’s the big deal?! Full reveal: There are 21 muscles on each side of our face, and our daily expressions and well-earned creases (read: wrinkles) are a product of these muscles’ contractility. I think I’ve had almost every one of these muscles injected with Botox over the past 18 years. Not all at one time, mind you. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/a5afd6be-ae12-4608-affd-4c5e1e02f36d/IMG_3770.jpg Blog - Botox: What’s the big deal?! Bright natural dining room nook with vases plates and fruits on the table. https://www.drmichaeldenk.com/blog/why-the-sudden-fuss-about-butts monthly 0.5 2021-12-28 https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/bd4c7b58-6d65-46a8-a43b-73966ebd9601/IMG_5900+%281%29.JPG Blog - Why the sudden fuss about butts?! Pretty Caucasian woman at the beach smiling at camera. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/2c8812d2-e8b4-42a5-9d84-0fe9ef032663/female+glute.png Blog - Why the sudden fuss about butts?! Well, for one thing, the fascination ain’t new! The gluteal region (medical jargon for buttocks) has been emphasized throughout human history and serves as an important element of sexual attraction and beauty in most cultures. It is reasonable to surmise that a favorable gluteal area is close to the origin of human aesthetics. Hmmm…While you ponder that for a moment, I’m sure you'll agree that the “fanny” (more medical jargon) is a source of inspiration across multiple artistic disciplines: literature, paintings, sculpture, dance, and songs! Humans owe a fair bit of credit to the function of the derriere. Primates have a very small gluteus maximus muscle which helps them to climb trees, but they cannot maintain an upright position for very long. The human gluteus maximus muscle is very large and strong, is attached to our boney skeleton, and provides the support necessary to walk upright. Walk, run, dance, and even twerk, all thanks to our booty. How ‘bout that? https://www.drmichaeldenk.com/blog/the-anatomy-of-a-tummy-tuck monthly 0.5 2022-03-09 https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/e79e6fd9-fb5c-4403-8062-1f81ba503ece/tummy+abd+%281%29.png Blog - The Anatomy Of A Tummy Tuck Happy smiling woman with curly hair lounging on couch. https://images.squarespace-cdn.com/content/v1/61b00bb0cd43e17e439c3de8/cfbb0894-f2e1-4dc7-a56d-7fca00e552c0/abd+muscles.png Blog - The Anatomy Of A Tummy Tuck The structure of a person’s abdomen includes muscle, facia, skin, and fat. Oh, and a belly button (or umbilicus) if you will. An abdominoplasty should address each of these things in order to deliver a person the desired outcome. It’s all about results! Let’s face it. Not everyone can or wants to end up on the cover of Shape magazine, or the Sports Illustrated swimsuit edition, BUT I perform tummy tucks so that each person can have confidence when looking at themselves in the mirror. It’s all about their perception of themselves. And yes, a two-piece bathing suit is a wonderful construct and should be worn by anyone who would like to. 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