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As America struggles with the obesity epidemic, finding the source seems to be an important component to finding a cure. According to Channel 2 news fat is hereditary. About half our propensity to gain weight or not is inherited," says Dr. Steve Smith, an obesity expert and scientific director of Sanford-Burnham Translational Research Institute for Metabolism and Diabetes, in Orlando. Though genes haven't changed much in thousands of years, we have seen a rapid change in the environment, and that has interacted with our genetic propensity toward obesity. "Your genes won't make you fat unless you put them in the wrong environment." In other words, obesity is a result of the way certain genes interact with an environment stacked against them. This information concerning genetics can seem very depressing when patients believe that they have no control over whether they ultimately become fat or not. Obesity experts are quick to add that just because you've inherited a tendency to put on pounds doesn't mean you have to feed that tendency. Everyone can build lean-muscle mass through exercise, especially weight training, to boost metabolism. That will help you burn more calories even at rest. Dr. O'Toole helps patients to understand that taking their genetics into consideration is a part of making good health decisions. Genetics should also be considered when making cosmetic surgery decisions. For example, when a patient has a genetic predisposition to a certain shape and size of their nose, and are considering rhinoplasty, it is important to look at the genetic facial structure of the patient to determine the best options for cosmetic surgery. Dr. O'Toole is able to achieve excellent results because he approaches his plastic surgery procedures while taking into consideration the patients genetic structure. In some cases  Dr. O'Toole may recommend chin augmentation combined with rhinoplasty to help patients achieve a more aesthetically pleasing profile. As an experienced, and exceptionally talented plastic surgeon Dr. O'Toole understands that the best  cosmetic surgery results come from enhancing the genetic features rather than attempting to drastically change them.

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