Abdominoplasty is plastic surgery a surgeon performs on the abdomen of a patient. Pregnancy or weight loss typically results in extra skin in the stomach area. The loose skin lacks elasticity, stretches out and cannot tighten up. Abdominoplasty procedures improve the contour or shape of the abdomen. A limited abdominoplasty or mini-abdominoplasty removes excess skin along the abdomen via a small incision at the bikini line. Abdominoplasties do not affect the belly button of a patient. In a standard abdominoplasty, the doctor first separates the abdominal skin from the muscular layer. To do so, a surgeon makes an oval incision around the belly button or umbilicus. The doctor tightens the muscles by corset-type sutures. The physician stretches the skin over the new abdominal shape and removes the excess loose skin. A surgeon creates a new hole to serve as the belly button. An abdominoplasty procedure therefore reshapes the abdominal region by tightening the muscles and removing the excess skin. Endoscopic abdominoplasty is a new technical advancement in abdominoplasty procedures. In an endoscopic abdominoplasty, Dr. Sayah makes small hidden incisions at the belly button and the pubic regions. Dr. Sayah then releases the skin from the muscles and tightens the muscles using corset sutures. He re-drapes the skin over the newly tightened abdomen without any skin excision. Not every patient is a qualified candidate for this particular abdominoplasty technique. Patients who have loose muscles caused by pregnancy or weight loss without much loose skin benefit from an endoscopic abdominoplasty because the scars are extremely minimal.

Chemical Dependency Counseling and Relapse Prevention

Counselors want to help each patient understand the physical and mental consequences of substance abuse and teach patients ways to restore physical health while learning to recognize and stop behaviors and symptoms that can lead to relapse. Doctors motivate patients to accept and enjoy long term recovery through supportive individual and group education. Psychologists offer education about alcoholism and addiction. During treatment, patients learn various methods of healing and find what technique works for rehabilitation including: Cognitive Behavioral Therapy, Motivational Interviewing and general education around staying sober. Occasional meetings with alumni afford the patients the opportunity to hear success stories and learn about the experience of sobriety. Before leaving treatment, doctors give patients an individual relapse prevention plan, including helpful techniques and a comprehensive list of appropriate support systems to help maintain sobriety.

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Genital Warts

Genital warts often occur in clusters and can be very tiny or can spread into large masses in the genital or penis area. In women, they occur on the outside and inside of the vagina, on the opening (cervix) to the womb (uterus), or around the anus. They are approximately as prevalent in men, but the symptoms may be less obvious. When present, they appear on the tip of the penis. They also present on the shaft of the penis, on the scrotum or around the anus. Rarely do genital warts also can develop in the mouth or throat of a person who has had oral sex with an infected person. Genital warts may disappear without treatment, but sometimes eventually develop a fleshy, small raised growth. There is no way to predict whether they will grow or disappear. Genital warts (or Condyloma, Condylomata acuminata, or venereal warts) are a highly contagious sexually transmitted infection caused by some sub-types the human papillomavirus (HPV). HPV spreads via direct skin-to-skin contact during oral, genital or anal sex with an infected partner.