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The quest to find the next effective weight-loss drug available by prescription is a long road. Many drugs are submitted for approval, and many drugs are rejected by the FDA. According to a recent Los Angeles Times article it appears as though the weight loss drug Qnexa is up for approval again after the initial rejection by the FDA. The FDA had concerns that the drug could cause birth defects in women who became pregnant while using the drug. The manufacturer is submitting the drug for approval again while changing the labeling to advise women of childbearing age, not to take the medication. The weight loss drug claims to help patients lose on average 14% of their initial body weight. This figure is somewhat controversial in that other studies have shown the number to be closer to 10%. Either way, the question becomes whether or not assistance with prescription medications for weight loss is a good idea and does it produce long-term results? These are questions that can only be answered after long-term use and careful study. Dr. O’Toole explains to his patients that the value of maintaining a stable weight continues even after having plastic surgery. Breast augmentation patients who do not maintain a stable and healthy weight after surgery could find that their breast are larger than they desired. Some women gain weight in their breast and that weight would significantly increase the size of the patient’s breast. This could cause concern if the size increase is significant because the breast could in fact begin to sag. In some cases a breast lift may be needed to return to the original shape and contour of the breast following surgery. Body contouring patients including those who have had liposuction or abdominoplasty are also cautioned against weight gain and yo-yo dieting. These patients could also find that they have significant changes in their body contour and overall appearance. When this happens it can be particularly disheartening especially after the substantial investment that has been made. Dr. O’Toole encourages his patients to return for their one-year follow-ups after surgery so that he is able to help patients maintain their best results.

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