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Have you lost the weight, but still haven’t regained your ideal shape or figure due to remaining skin and pockets of superficial fat? Residents of greater Lexington and Georgetown, as well as the surrounding communities of Kentucky, count on Commonwealth Plastic Surgery for post-weight loss contouring. Contact us today to set up your post-weight loss contouring consultation!

We don’t believe in extreme calorie restriction, cutting food groups completely from your diet, depletion protocols that look to dehydrate you so you look good for about a day (the day of your photoshoot!) or training you to the point of injury or exhaustion. Instead we take a much more measured yet highly effective method that will yield fantastic results that are still visible months later.
I have tried every diet. I lost the weight but always gained it back. I even had gastric bypass and was not able to maintain my weight loss. My sister, Laura, made me an appointment at Ageless Medical Weight Loss and MedSpa. Four and half months later, I lost 60 pounds. But the most remarkable part of my story is that I have been able to maintain my weight loss.

Most nonsurgical weight loss programs are based on a combination of diet, behavior modification and regular exercise. Unfortunately, even the most effective interventions don't work for everyone. It's estimated that less than 5 percent of individuals who participate in nonsurgical weight loss programs will lose a significant amount of weight and maintain that loss for an extended period of time.

The way we do this is through metabolic resistance training that is designed to increase lean muscle tissue (which is metabolically active). One of the biggest myths we hear is that women don’t want to ‘bulk up’ but the opposite will happen with this type of training. Muscle takes up less space than fat (per unit of weight) and so adding muscle will lead to a decrease in fat as metabolism is elevated. We also end each session with metabolic afterburner’s – exercises that are designed to keep metabolism elevated for 24-36 hours after each session.
Sustained weight loss for patients who are morbidly obese—usually defined as being 100 pounds or more over ideal body weight or having a body mass index of 40 or higher—is even harder to achieve. And serious health risks have been identified for people who move from diet to diet, subjecting their bodies to a severe and continuing cycle of weight loss and gain known as "yo-yo dieting."
As you move through the program, you return to the facility to attend weekly one-on-one support meetings. At these meetings, your health is monitored and supplements, prescriptions, or injections are administered. This is also a time when you can ask questions and make any necessary modifications to your plan. You may meet with a nurse, medical professional, registered dietitian, or fitness trainer.
Phase 4: Maintenance: most people start this phase at week 12, though it does depend on how much weight you have to lose.  During this phase I work with you to make the programme become a long term way of life.  I show you how you can gradually expand your food list and explain which foods you should you should keep in moderation.  You will end up in a place where you will instinctively know how to stay in balance.
Combining multiple procedures allows for one anesthesia and one recovery period. Each body is different, and Dr. Nimtz will tailor his approach to your needs, concentrating on your specific trouble spots, while keeping you safe throughout the procedure and your recovery. Commonly combined procedures include the lower and upper body lifts. The lower body lift tightens the abdomen, back, buttocks, hips, and thighs. An upper body lift may consist of an arm lift, breast lift, and possibly breast augmentation. For men, a male breast reduction procedure may also be included.

A: After the UltraShape procedure, released contents of the broken-down fat cells are naturally cleared by the body over a 2-4 week period. Circumference and fat thickness reduction is usually seen within the first 14 – 28 days post treatment. Maximum results are seen about 28 days post the final treatment. Monitoring of your results will be performed using the InBody Analyzer and serial measurements.

“When I started the programme I had spent years trying different types of diet and exercise regimes but deep down I knew I would not be able to succeed long term if I didn’t change the way I think about food. Now, I finally feel back in the driving seat when it comes to my attitude towards food. I no longer feel like a prisoner in that respect and feel totally in control which is an achievement I am absolutely delighted with! I have not binged on food for a long time and I now feel I am much more the real me. I am a lot happier and more confident almost all of the time. This is the way I used to feel when I was going through a good patch but there are no patches anymore. For the first time I really feel like I have a fit, healthy future ahead of me!” (Thomas Greaves, IT Consultant, London) more…


However, if your life is chaotic it can be really difficult to focus successfully on the plan.  People who work extremely long hours; never do grocery shopping; hardly cook or prepare food at home; travel every week for business; spend most of their meals out socialising or at work events…..these situations make it really hard to do the plan well (although I have had clients in very demanding jobs who have made it work)
Weight-loss programs typically have a monthly fee and may charge for packaged food or drink supplements, from $18 a month for the least expensive online plan, to more than $700 monthly. Food delivery programs featuring fresh food cost more. The cost of medically supervised weight-loss programs varies upon the services offered. Health insurance companies may cover some or all of your costs if you have weight-related health conditions such as heart disease, hypertension or diabetes.
The London Obesity Practice at the London Bridge Hospital is pleased to announce the launch of an innovative obesity therapy aimed at patients with a BMI of 30+. The therapy focuses on healthy eating habits and portion control and consists of 2 parts. Firstly, an intra-gastric balloon, known as the ReShape Duo, is inserted endoscopically in an outpatient procedure, and remains in the stomach for a 6 month period, occupying space in the stomach making the patient feel full. Secondly, the patient is supported by a dietician for the 6 months while the balloon is in place and given advice on portion control and support to develop healthy lifestyle habits.

Psychology Today does not read or retain your email. However, a copy will be sent to you for your records. Please be aware that email is not a secure means of communication and spam filters may prevent your email from reaching the therapist. The therapist should respond to you by email, although we recommend that you follow up with a phone call. If you prefer corresponding via phone, leave your contact number.
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The price of your post-weight loss contouring procedure varies depending on the extent of treatment needed as well as other possible factors. After you meet with Dr. Nimtz, we will identify exactly what your procedure will cost, at which time we will give you an all-inclusive quote. We do offer CareCredit® as a financing option, and our office also accepts Visa, Master Card, American Express, and Discover as well as cash or personal checks.
Prior to your first appointment with the doctor, we will first need to establish your BMI ( body mass Index) as you need to have a BMI in excess of 30 (27 with associated comorbidities), not be taking any medication for conditions such as epilepsy or depression, and provide confirmation that you are over the age of 18 (ID required) before any appointment can be offered.
"I have spent much of my life on one diet or another and this is the first programme that has really made a long term difference.  I have stopped yo-yo-ing up and down and I have finally managed to stabilise. My weight is pretty much at the same level that it was at the end of my plan and that was nearly two years ago - that's what I call a result!"  
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After spending over a decade in the weight loss world and writing two best selling weight loss books, Dr. Joey Shulman has developed a unique approach to personally address your metabolism. At the Shulman Weight Loss Clinic, the programs are hormonally balanced in order to maximize your metabolism’s potential. The emphasis is on achieving blood sugar control (see diagram below) with personalized meal plans that contain the perfect mixture and type of carbohydrates, proteins and fats. The results? Maximum fat loss for life.
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The results as seen or read in the examples on this website are from real people. The results they’re sharing were achieved through their effort and participation in our program. You are a unique individual and your journey begins in a specific place. Your average weekly weight loss, results in six months, a year, two years, will also be yours alone. We believe our program is uniquely capable of helping you achieve meaningful and measurable weight loss results.
Eating healthily will become something you want to do instead of a sacrifice – by learning to value yourself and your body at a whole new level you will want to make sure that you are filling it with high quality fuel. You’ll discover how to balance treats and indulgences with a much healthier overall diet that helps to improve and maintain your health and energy levels without depriving you of all of the foods you love.
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