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Q: Plastic Surgery ? ( Answered 3 out of 5 stars,   3 Comments )
Subject: Plastic Surgery ?
Category: Health
Asked by: smart26dude-ga
List Price: $30.00
Posted: 29 Dec 2002 19:31 PST
Expires: 28 Jan 2003 19:31 PST
Question ID: 134790
Hi I am a 27 year old male, I have very feminine looking body .And my
bone figure looks more like an hour glass. I checked up with an
Endocrinologist but seems my hormones are normal .I would like to know
,can any kind of surgery help me to change my bone structure so I can
look masculine.And if plastic surgery what exactly should I go for ?

Request for Question Clarification by easterangel-ga on 29 Dec 2002 20:20 PST
Hi! Have you had a thorough examination of your pelvic bone? Did it
indicate that it was abnormally structured for a male pelvis? Just let
me know. :)
Subject: Re: Plastic Surgery ?
Answered By: kyrie26-ga on 30 Dec 2002 00:58 PST
Rated:3 out of 5 stars
Hello smart26dude-ga!

Thank you for your question! I have good news for you - you don't need
plastic surgery! I know a friend who was exactly in the same
predicament as you - and he found the solution in the muscular
development of his torso, and in body sculpting through specific
weight training.

Firstly, let us analyze the problem of the "feminine figure" in males.
The factor at work here is the waist-to-hip ratio (WHR) :


Optimum body-mass index andmaximum sexual attractiveness

"The conventional measure of female body shape is thewaist/hip ratio,
which has become a major determinant of physical attractiveness."


Female judgment of male attractiveness and desirability for
relationships: role of waist-to-hip ratio and financial status

"Two studies were conducted to examine the role of male body shape (as
defined by waist-to-hip ratio [WHR]) in female mate choice. In Study
1, college-age women judged normal-weight male figures with WHR in the
typical male range as most attractive, healthy, and possessing many
positive personal qualities. In Study 2, 18-69-year-old women rated
normal-weight male figures with differing WHRs and purported income
for casual (having coffee) to most-committed (marriage) relationships.
All women, regardless of their age, education level, or family income,
rated figures with WHRs in the typical male range and higher financial
status more favorably. These findings are explained within an
evolutionary mate selection context."


Therefore, in simple terms, having a waist that is smaller than the
hips is attractive for females and undesirable for males.

As a male with a high WHR, you have two options : either decrease your
hip size, or increase your waist size.

Decreasing hip size is not an option because the pelvic bone is the
most important load-bearing structure in the human skeleton, and any
kind of artifical modification to it (ie. surgery) will have
structural repercussions that will cause your body many problems. Keep
in mind that in most cases, surgery causes more problems than it
actually fixes, all the more with something as crucial as your
"structural center". Also, since most men do not deposit fat around
the hips compared to women, we will not talk about losing weight in
this area.

The best way to increase your waist size, is through muscular
development by specific weight training and exercise. One of the most
neglected areas of the human body, especially if you lead a sedentary
lifestyle, is the torso (abdominals, or abs, obliques, intercostals,
lower back) :


Body Sculpting - Abdominals @ Galaxy of Health

"Introducing one of the most neglected parts of the human anatomy -
the abdomen."

"The obliques respond and thicken very rapidly when stressed with
heavy weights. And, if they grow, too thick, they can actually widen
your waist..."



"For Men: 
Small waist is not beautiful and perfect. By proper exercise and gym
workout, you may have a very good chance of making a masculine look
proportioned to your body."


CyberNet Gym - [ Welcome ]

"...abdominal muscles that widen the waist. In particular, these are
the muscles of the external obliques located in the lower outer
abdominal region."


Fancy Footwork

"after a certain point squats will add thickness to the waist"

"squats tend to add to many inches to my glutes and thicken my waist"



A quick look at this muscle group.


We can summarize by saying that the key to developing the waist is in
building the external obliques, and to some extent, by doing squat
exercises (squats).

Here are some exercises you can do that will build your obliques :

Physical Therapy Corner Keeping Your Abdominal Muscles in Shape

"Oblique twist 
Lie on your back on a mat with both knees bent at a 90 deg. angle
(shins should be parallel to the floor). Fingertips behind the head
and elbows pointed out. Extend right leg out while pulling left leg in
toward your chest. Simultaneously raise your shoulders and twist your
trunk so your right shoulder approaches your left knee. Hold for one
second then repeat with opposite side.
Alternate for twenty reps (2 twists equals one rep)"


Tenzone - Side bends

" Side bends 
Stand vertically, hands behind head. Bend to the side, and return to
the vertical. Repeat for both sides.
Variation/Progression: Progression is usually by increasing number of
repetitions. But it is also possible to use dumbbells, around 1-3kg,
handheld either side of the neck.
Another very useful increase in intensity is to lean, and hold the
pose for a count of ten before returning to the vertical (increasing
as you get better at it). This is close to the timing and muscle use
needed for field archery on medium steep slopes, so it trains for
uphill and downhill shooting.
Muscles trained: 
Primarily abdominal obliques and spinal muscles. "

Side bends

"This exercise is used to develop the outer oblique areas. Begin
standing with a dumbbell in each hand. Bend slowly from side to side
without bending forward or backward."


Core Strength Training: The Importance of Balance and Stabilization

" The Side Bridge: The purpose of the side bridge is to develop
muscles along the side of the trunk that play a vital role in
protecting the spine.

Move to the side-lying position, supported by the elbow, forearm, fist
and foot of the top leg. The foot of the bottom leg is wrapped around
so as to be on top of the other foot. Firmly, press into the ground
with the supporting arm, then raise the trunk and pelvis straight
upward until they form a straight line with the legs. Do not let the
trunk rotate forward or back, nor should the hips move to the rear.
Hold this position 5 seconds while continuing to breathe. Both the
raising and lowering of each repetition should last 5 seconds. "


... and here is the squat exercise, which also affects the obliques :


Barbell Squat

Antagonist Stabilizers : Rectus Abdominis, Obliques 


One point of interest for you is the fact that most bodybuilders
actually WANT a narrow waist, and avoid doing waist-thickening
exercises. This is evident from most of the Google search results for
"widen waist exercises OR exercise". So you may not be too far off the
mark if you have a narrow waist relative to your hips. Conventional
wisdom says that to have a masculine body, a well-developed upper body
is also important, and may help to balance the appearance of having
large hips.

Smart26dude-ga, the best advice I can give you is to take a step back
and look at the big picture. Journalist-ga and Pinkfreud-ga gave some
very valid comments here. Your physical appearance should not
determine who you are, although taking care of your body and keeping
it in good shape is important, and should be part of a wholistic
approach to your health. Therefore, quick-fix and cosmetic approaches
like surgery should not even be considered! If you are currently not
on any weight training program, or worse yet, not getting regular
exercise, then this should be the first thing for you to address. The
general rule is, be proud of what nature has bestowed upon you, and do
the best job you can to be a good steward of your body. If something
is not right with your body shape, the first place to look is, "am I
taking care of my body?".

Google Search Terms :

waist hip ratio male attractiveness

obliques underdeveloped OR neglected OR underused 

widen waist exercises OR exercise

external oblique exercise OR exercises

side bends obliques

dumbell side bends

I hope this answer has been helpful to you. I wish you all the best in
solving this "problem", and want to encourage you that you have the
power to make a positive change. If there is any part of this answer
that is unclear, or if you have further questions, please do not
hesitate to post a Request For Clarification and I will be happy to

Thank you for using Google Answers!



Request for Answer Clarification by smart26dude-ga on 08 Jan 2003 08:26 PST
Hi ,Thanks for your answer ,The exercise what you have told can help
me change the shape of my waist but my thighs still would look very
curvish .And so its very embarrassing for me to were a tight jeans
with a shirt tucked in .
 I would be gladder to no if some kinds of surgery exist to solve that

Clarification of Answer by kyrie26-ga on 08 Jan 2003 10:17 PST
Hello again smart26dude-ga,

Can you tell me more about what you mean by your thighs being
"curvish"? Is it the bone structure? Or are you talking about the
amount/proportion of flesh on them? Also, it would help me if you told
me your height and weight. If you could describe more about why you
think your thighs are a problem, it would help me clarify the answer.
As much information as possible would be great. Thanks!



Request for Answer Clarification by smart26dude-ga on 09 Jan 2003 10:19 PST
Hi my height would be around 5 foot 9 inches.
and my weight is around 160 pounds .
When I meant curvish, I meant that my bone structure near my buttocks
is bulging outwards like any female bone figure structure.
So when I wear tight jeans and tuck my t-shirt in my jeans.
From behind it looks as if a woman is walking.

Clarification of Answer by kyrie26-ga on 09 Jan 2003 11:01 PST
Hi smart26dude-ga,

Have you seen any medical practitioners about this? Any x-rays? 

Would you say that you have an exaggerated curvature of your spine
that may result in this condition?



Clarification of Answer by kyrie26-ga on 09 Jan 2003 15:50 PST
Hello smart26dude-ga,

Please have a look at this link :

Does this picture describe your situation?



Request for Answer Clarification by smart26dude-ga on 10 Jan 2003 08:38 PST
Hi ,Well you might be partially correct as the image you had sent me
some what resembles my body.But also I have resemblence like the this
image link from the back
(Where the bone structure of legs and buttocks looks very femenized)
 I had checked with an endocrinologist to find out if I had
Klinefelter Syndrome but the test turned out to be negative.
I do not know what is the next step I should take to get rid of this

Request for Answer Clarification by smart26dude-ga on 10 Jan 2003 09:05 PST
Hi I also did a more research on internet for Lordosis .And I found
one image which resembles some what my structure
But I am still confused which doctor should I approach a Plastic
surgeon,Orthopaedic Surgeon or some thing else ?

Clarification of Answer by kyrie26-ga on 11 Jan 2003 20:24 PST
Hi again smart26dude-ga,

Looking at , I must tell you
that there are two factors that make that picture look "feminized".
Let's go with the assumption that the person in the picture is male.
Firstly, this person has neglected waist muscles (as mentioned in my
answer), and this can be corrected through the regular exercises and
weight training that I had suggested. Secondly, this person is
overweight (poor diet, lack of exercise) and the fat has accumulated
in his hips, making his hips appear larger relative to his waist.
Notice that the picture is labeled (lipo3), which implies liposuction,
a surgical method to remove fat. A two-prong approach is then
appropriate, working on developing those neglected obliques, as well
as embarking on a proper exercise and diet regimen to lose excess
fatty weight. A comprehensive exercise and weight training program
will also bring your body's "look" back into balance, including
shaping your lower torso area (thighs, buttocks).

As for the picture you pointed to at , this is something totally
different. This person has an abnormal waistline because of a spinal
deformity, a lateral (sideways) curvature of the spine. It is known as
scoliosis, and you can view a brief description at . Is this what
you have? Have you taken any x-rays that would reveal this?

Smart26dude, before you consider surgery I want to reiterate that it
should always be a last resort, because it is a quick fix solution and
in most cases does more harm than good, especially for something like

From my experience, a good chiropractor can start the ball rolling.
Chiropractors specialize in caring for the spine (including pelvis),
and a good practitioner will be able to tell you if there is anything
wrong with your spine/pelvis. I would recommending seeing one and
getting x-rays, for a diagnosis. Who knows, he may even recommend what
I had suggested in my answer with regards to exercise and diet.
Otherwise, the x-rays may reveal something useful and give you a clue
as to your next step.

Bottom line is, to take a big picture perspective, I wouldn't go to
see a surgeon right away, don't forget, these specialists may be very
good at what they do, but there is a danger of not seeing the forest
for the trees. I would start with a chiropractor.

Let me know what you think of my advice with regard to the picture at . If this is really your
situation, then you are normal, you just need proper exercise and a
good diet.

Let me know how else I can advise you, and if you have further
information for me. Would be more than happy to conduct further
research until we come to a satisfactory answer.



Request for Answer Clarification by smart26dude-ga on 19 Jan 2003 06:10 PST
Hi kyrie26,
 Recently I had been to a plastic surgeon and what I found from him is
that probably he can help me turn my shape more masculine, He told me
that probably by using  liposuction all the fat from the area which is
bulging outwards in the lower part of buttocks like in this image would be removed or SENT to
the upper part of the buttocks and lower part of the thighs .So by
distributing the fat evenly he would make me look more masculine .
He also claims that the surgery is permanent and the fat would not be
regained back.
What do you think is it really possible to change feminized posture to
a masculine so easily?

Clarification of Answer by kyrie26-ga on 19 Jan 2003 21:17 PST
Hi again smart26dude-ga,

I found you an excellent article that discusses everything about
liposuction, including pros, cons, and techniques. I've pasted an
excerpt below. Please have a read.

The important conclusion from the article is, "Fighting fat may be the
number one battle for many Americans, but liposuction may not be the
best weapon to win that slimmer, trimmer body." They also suggest that
"the ideal liposuction candidate is a mature adult between the ages of
30 and 50 years old, male or female, in good health, who has dieted
and exercised to lose unwanted pounds, with good skin tone, with a set
of realistic expectations, and who wants a limited procedure for body
contouring." Note that liposuction is recommended as an option only
AFTER the person has tried improving their diet and getting more

Also note the long-term problems associated with removing fat cells
from your body. This is discussed at toward the end of the article.
The fat may show up at strange places on your body years later.

Beware of what the surgeon tells you. Remember the old saying "Give a
man a hammer and everything starts to look like a nail". A plastic
surgeon may not necessarily have your best interests in mind, he has
Mercedes payments to make.

This is an excellent article worth reading in full. I would advise you
to take the time to read it before you make a decision. Again, my
personal advice is to focus on improving your diet (lots of fruits,
grains and greens, less meat) and to exercise more (weight training,
cardio), and to be 100% natural! I could play along and find you
articles on all the positives of plastic surgery and tell you to go
for it, and you may be satisfied with my answer, but I'd rather speak
the truth. And sometimes the truth may not always be what you want to
hear, but I believe it was no coincidence that I ended up being your
"advisor" on this topic. I have your best interests in mind, and this
is the same advice I would give to a loved one. Decades from now you
will think back and be glad that you made the right decision, and that
you made the best of what nature gave you and respected your body.

Smart26dude-ga, we live in a society that is obsessed with quick
fixes. This is not sustainable. The world as we know it is falling
apart around us. Come back to the basics, look beyond the superficial.
I don't know if you believe in God, but try this, pray about this
decision, or at least, speak to your inner self and ask yourself if
this is right.

Again, if you still need further information or more thoughts, I'm
always here.

Take care,



Planning To Look Flab-u-less? Know the Facts About Liposuction 
by Alexandra Greeley

[begin excerpt]

But the rise in its popularity and changes in the techniques doctors
use to perform liposuction have raised concerns within FDA. There is
growing evidence that the increased aggressiveness with which the
procedure is performed--especially the amount of tissue sucked from
the body, the venues in which the procedures are performed, and the
amount of anesthesia used to sedate patients during increasingly
lengthy procedures--may be increasing the risk of post-surgical
complications and even death.

How Liposuction Works - Conceptually, liposuction (or lipoplasty) is a
straightforward technique in which excess fatty tissue is suctioned
from beneath the skin. Prior to surgery, doctors flush the targeted
area or areas with a solution composed of lidocaine (a local
anesthetic similar in its numbing effects to novocaine), saline, and
epinephrine (a drug that constricts blood vessels and thus reduces
bleeding during surgery).

Then doctors insert a hollow wand-like device called a cannula through
incisions in the skin. They push and pull the cannula around through
fatty deposits, breaking up the cells, which, along with other body
fluids, are suctioned out by an attached vacuuming device.

It's a simple system, says Stephen Rhodes, chief of the plastic and
reconstructive surgery devices branch in FDA's CDRH. "It's essentially
just a cannula and a vacuum." However, these products have only been
approved for body contouring, and are not intended for large-scale fat
removal, an increasingly popular use of liposuction.

There are several liposuction techniques available today. The amount
of injected fluid determines the technique used, explains Peter B.
Fodor, M.D., chief of plastic surgery at Century City Hospital in Los
Angeles and spokesman for the American Society for Aesthetic Plastic

In the "dry" technique, which few doctors use anymore, no fluid is
injected into the targeted area.

For "wet" liposuction, the surgeon injects only a small amount of
fluid, about six to eight ounces and usually containing small amounts
of ephinephrine, regardless of how much tissue is subsequently

The "superwet" technique evolved, says Fodor, because doctors found
that the more fluid they injected--up to a point--the less blood was
lost. "We found that by injecting one cc of solution for each cc of
aspirate [amount of tissue and fluid removed], the blood loss was
negligible." Although lidocaine is sometimes added when performing wet
or superwet liposuction, patients will also receive general or
epidural anesthesia.

In the tumescent technique, doctors inject up to five times as much
fluid as aspirate. Because the injected fluid also contains large
amounts of lidocaine, tumescent liposuction is generally performed
with only a local anesthetic.

Many doctors are offering a modified version of the procedure that
calls for using ultrasound in addition to the injected solution and
the suctioning. Rhodes and others at the FDA are especially concerned
about this practice, which calls for using devices not approved for
liposuction--that is, special cannulas that vibrate at high rates and
emulsify fat tissue before its removal. The wand generates a great
deal of heat, and if doctors don't move it constantly, it can cause
severe burns. As Roxolana Horbowyj, M.D., senior medical officer in
CDRH, points out, a temperature increase of 20 degrees Celsius (about
36 degrees Fahrenheit) may encourage cell death. And, as FDA
epidemiologist Brown notes, "We don't really know the long-term
effects of ultrasound on tissues."

Understanding the Benefits vs. the Risks - In a society in which
beauty is often measured by slender bodies and youth, it is no wonder
that thousands of Americans chase the "perfect" look by means of
liposuction. Portrayed in upbeat tones and associated with Hollywood
glamour, liposuction seems to offer instant help for unsightly bulges.
Consumers checking out liposuction Web sites on the Internet are
further assured by the positive information they find.

"There are probably hundreds of thousands of patients who have had
body sculpting without complications," says Ann Graham, senior nurse
consultant in CDRH's Office of Surveillance and Biometrics. "But we
are concerned about the published reports of patients who have not had
a good outcome. They have undergone liposuction for weight reduction,
not just body sculpting. Liposuction, in general, is a purely elective
procedure. As such, our tolerance for an unsafe or harmful outcome is
extremely low."

Although many consumers think of liposuction as a quick and permanent
fix, it's likely that few understand its risks and frequently
temporary results. There is no national group of consumers, nor one
group representative of all clinicians, that is organized to oversee
liposuction procedures and results. Although FDA is aware of problems
published in medical literature and described by other sources, "very
few adverse event reports are coming into the agency through its
formal reporting channels" according to Anita Kedas, a nurse
consultant in CDRH's Office of Surveillance and Biometrics. But the
small number of reports may simply mean that negative outcomes aren't
being reported.

Office-based procedures may present the greatest reporting problem.
There's no requirement that adverse events from office procedures be
reported, and most procedures are done in offices, according to
Graham. Even if offices are well equipped, she adds, patients often
need days of continuous support such as rehydration, pressure
dressings, and good nursing care, while others actually need
resuscitation and hospitalization to recover. And if a patient goes to
the emergency room for care, FDA doesn't hear about it, adds Graham.

Whether reported or not, liposuction problems are real enough--though
some, such as wavy or uneven skin after fat removal, are not medically

But others are. Overworking the heart can be a serious side effect of
the tumescent technique. "Let's say they plan to remove 5,000 cc's of
aspirate," says plastic surgeon Fodor, "so they inject a dangerously
large amount of fluid. The patient would be practically 'drowning' in
fluids. The heart can't handle this fluid overload."

Another potential complication is infection, says Brown. Infections
can occur after any surgery. Sometimes, infections may be serious or
life threatening such as in cases of necrotizing fasciitis (when
bacteria eat away at tissue) or toxic shock syndrome, a serious
infection which has been associated with tampon use but may also be
associated with surgery, says Brown.

Other possible problems Brown lists are burns, embolisms, cardiac
arrhythmia, edema, and nerve compression, which are all reported in
the medical literature. Often, too, Graham notes, cannulas are
inserted in several different locations, resulting in puncture wounds
that need to heal.

A condition called seroma, or an oozing or pooling of serum, or body
fluid, may be a problem after the more aggressive ultrasound
techniques during which some skin is detached from underlying tissue
and fluid accumulates in a subcutaneous pocket.

Deaths and Liposuction - According to a survey conducted by the
American Society of Plastic Surgeons (ASPS) of more than 1,500 plastic
and reconstructive surgeons in January, 1999, the death rate of one in
every 5,000 (or 20 out of 100,000) liposuction patients between 1994
and 1998 was much higher than anyone anticipated--higher even than
death rates from traffic accidents. And higher than acceptable death
rates from other kinds of surgeries, admits Jack Bruner, M.D.,
associate clinical professor of plastic surgery at the University of
California, Davis, and chairman of the task force on liposuction for
ASPS. Although the survey data are not considered scientific
information, they are useful when establishing practice guidelines,
and they led ASPS to recommend some practice changes when performing

It is encouraging, Bruner says, that more recent statistics from The
Doctor's Company, an insurance company located in California, show
that no liposuction-related deaths have been reported there in the
last 18 months. However, he notes, this survey only addresses what's
happening among board-certified plastic surgeons, not with other
doctor groups performing liposuction.

Deaths among liposuction patients can happen for a number of reasons,
Bruner says, including thromboembolism, or a blood clot that forms in
the deep veins of the pelvis or legs. "That can happen during any
surgery," he adds, "and I wish I could say that it is always
preventable, but it is not." Next, he cites perforation of the
abdominal wall or bowels, the latter being especially serious. "If you
perforate the bowel, there's a high mortality rate if it's not fixed
in the first 24 to 48 hours," he says. Physicians are essentially
blind as they perform liposuction because they can't see what is in
front of the cannula, notes FDA's Horbowyj.

Finally, Bruner notes that shock and hemodilution, or diluting of the
blood, may lead to a patient's death. This can occur when patients
have had large amounts of fluids injected and then both fat and fluids
removed, about 11 pounds worth in all during a larger-scale procedure.

Further, although virtually no hard data exist, says Bruner, he and
others worry that too much lidocaine may also lead to death. Lidocaine
use poses particular hazards, especially since experts do not agree on
safe injectable levels. "If you get too much lidocaine for too long,"
says Bruner, "the heart muscles become lazy. On the other hand, the
brain becomes very agitated at first, which may cause a seizure,
before coma sets in."

At least one study links possible lidocaine toxicity to liposuction
deaths, says Horbowyj, adding that people with less than normal liver
function or those who have been drinking alcohol may not be able to
metabolize lidocaine well.

After Surgery - Patients should expect discomfort post-surgery, says
Graham. "Patients are bloated, have wounds all over, and are feeling

Surgeons, says Bruner, should discuss such conditions with their
patients beforehand. "We talk about excessive bruising and chronic and
prolonged swelling," he says. Anytime there's an injury--and
liposuction surgery is really a controlled injury--body fluid rushes
to the site and the injured tissue becomes like a sponge, he explains.
With liposuction, doctors have gone under the carpet of skin and have
taken away the fat undercoating, so the raw surface oozes serum on the

To control the swelling, Bruner has his patients wear a garment with
elastic pressure, reaching from below the breast area to mid-thigh.
"This gives good compression, and if we don't do that, the body swells
up like the Michelin man," he says. The skin sticks to the
undersurface, and as it starts to heal the fluid stops oozing and the
swelling goes away. "At the end of three weeks, 90 percent of the
swelling and bruising are gone," he says, although patients may wear
the elastic garment for up to six weeks.

Is Liposuction for Everyone? - Many people develop stubborn fatty
deposits--like in the buttocks or upper thighs, or the so-called "love
handles"--that are resistant to dieting and exercise. And although
most people would admit to wanting to reshape their body in some way,
not everyone makes an ideal liposuction candidate, says Daniel
Morello, M.D., president of the American Society for Aesthetic Plastic
Surgery. Morello stresses that liposuction is for body contouring, not
weight reduction. "It is designed for removing localized areas of
fatty tissues--not as a substitute for proper dietary management and

But what happens to the mildly to seriously overweight people who want
and get liposuction? Sometimes after the surgery, these people may
face yet another unwanted--and possibly unexpected--complication: the
return of fatty deposits, but probably in other areas of the body,
says C. Wayne Callaway, M.D., an associate clinical professor of
medicine at George Washington University. Callaway, who is also an
internist, endocrinologist, and obesity specialist in Washington,
D.C., sees post-liposuction patients complaining of renewed
accumulations of fat.

Animal studies have shown that if you remove significant amounts of
fat from one area, body fat increases elsewhere, according to
Callaway. "The signal is leptin, a hormone made in fat cells," he
says. "The more fat you have, the more leptin is made ... and if a
large amount of fat is removed, there is a drop in leptin levels." In
animal studies, this drop in leptin levels results in an increase in
food intake and a decrease in activity until the leptin levels are up
again, according to Callaway.

Callaway says that the people who have the most trouble after a
liposuction procedure are the really obese who have had large amounts
of fat removed. "They have a compensatory increase in new fat cells,"
Callaway says. "And fat goes to areas where there are still a lot of
fat cells. So that means to the neck, above collar bones, and the
upper abdomen." Besides, he adds, abdominal obesity is controlled by a
whole other set of signals, so that even after liposuction, the
underlying causes for obesity remain. "Those causes are not addressed
by taking out fat cells." He points out that, contrary to recent
theories, "One can keep making new fat cells throughout life, so
little can be gained by liposuction."

Liposuction for obese patients is "a prescription for disaster,"
according to Gerald Imber, M.D., a plastic surgeon in New York City
and clinical assistant professor of plastic surgery at Cornell-Weill
Medical College. The greater the volume of fat and tissue fluids,
including plasma, that are sucked out, the greater the chance of
severe dehydration and electrolyte imbalances. "When you remove six,
eight, or ten liters of mixed fat and water, you are courting
disaster," he says. "Liposuction is not meant to change a size 16 to a
size 8."

According to a consensus of the experts, the ideal liposuction
candidate is a mature adult between the ages of 30 and 50 years old,
male or female, in good health, who has dieted and exercised to lose
unwanted pounds, with good skin tone, with a set of realistic
expectations, and who wants a limited procedure for body contouring.

Fighting fat may be the number one battle for many Americans, but
liposuction may not be the best weapon to win that slimmer, trimmer

Alexandra Greeley is a writer in Reston, Va.

Buyer Beware - Anyone considering liposuction should consider all the
options, and consumers need to be very careful when selecting a
doctor. The saying "caveat emptor" (buyer beware) has never been
truer, says Morello. Liposuction sounds so deceptively simple, but in
the hands of unskilled doctors, it poses a real threat to people's
health, he adds. To complicate matters, anyone with a medical degree
can perform liposuction, even with only the briefest weekend training

[end excerpt]

Request for Answer Clarification by smart26dude-ga on 20 Jan 2003 03:54 PST
Hi kyrie26,
 Thanks for your advice but I would just like to add that I have been
doing regular exercises and cardio, but as I told you problem is that
I have very feminized body line .Which still remains after I reduce
fat from the body. I need some body who can distribute my fat evenly
so I can look more proportionate and masculine .To tell you frankly
today in life I have lost complete interest and my morale is running
very low towards life .(Up to the extent where I cannot even ejaculate
   One more thing I wanted to tell you is that I had recently been to
a chiropractor and he said that I do not have lordosis or any spine
related illness.
 If liposuction can boost my confidence then why not? Should I go for
it ?
I would also like to know can the plastic surgeon really change
femenized bonular structure to masculine ?

Clarification of Answer by kyrie26-ga on 20 Jan 2003 17:19 PST
Hi smart26dude-ga,

I am slightly confused. On the one hand, mentioned that the fat on
your hips/buttocks is making you look feminine. On the other hand, you
are wanting to change your bone structure. You've also seen medical
practitioners who tell you that you are normal. However, you seem
pretty convinced that the solution to your problem is in surgery.

I think I haven't been asking enough questions. Let me try to
understand your situation better. How long have you had this problem?
Or how long have you considered it to be a problem, negatively
affecting your life? What makes you so certain that this "problem" is
the one reason that things are not going well for you right now? Are
you single or married, or do you have a girlfriend? Do you feel
lonely? Has anyone made fun of you, or could you have been too

I want to help, but I feel that there are plenty of missing blocks of
information in the puzzle. The reason I am asking more questions, is
that I want to avoid the situation where you go for surgery, and then
realize that it still doesn't solve your problems. Maybe you can also
tell me all the reasons why you think your life will improve if you
get successful surgery.

I hope you don't think I am making fun of you or trying to be
difficult. Often times what may appear to be a problem has a root
cause that when dealt with, is a lot more effective than just treating
the symptoms. Do you know what I mean?



Request for Answer Clarification by smart26dude-ga on 21 Jan 2003 05:05 PST
Hi I am a single man, 27 yrs old .never been in a relationship with a
I become very conscious  wearing tight garments or undressing myself
in front a male or female on the beach. At the same time I have become
very introvert and have very less friend circle due to this reason. At
this point I cannot even fantasize or ejaculate as I feel my own
structure is much feminized

Clarification of Answer by kyrie26-ga on 21 Jan 2003 17:48 PST

Let me tell you a true story. There was once a boy who fell asleep in
class. The teacher gave the class a math assignment, and told everyone
that the problem could not be solved. The sleeping boy did not hear
this. When the class ended and school bell rang, the boy woke up and
hurriedly wrote down the math problem from the blackboard. The next
day, to the teacher's amazement, the boy presented the answer to the
teacher - fully solved. Nobody else even tried, because they thought
the problem could not be solved. But the boy, who thought it could be
solved, went ahead and did it.

Do you see what I'm getting at? We usually judge ourselves more
harshly than other people judge us. I want to ask you to go easy on
yourself and give yourself (and others) a chance.

I speak from experience. I used to think I was unlovable. For whatever
reason - too skinny, not smart enough, not popular enough, whatever.
And because I held this belief, it became true. I didn't give people a
chance to know me, to love me, and so I withdrew and became an
introvert. But then I realized that I was trapping myself in my own
prison. Does this make sense? I gave myself a chance and found that I
had been seeing myself inaccurately. There is nothing wrong with you.
Don't buy the mainstream brainwashing that goes on in the movies and
on TV, where your value is based upon how you look or what you have.
Yes, there are real people out there who will value you regardless of
how you look. It's how you treat yourself that matters.

Masculinity, manhood - this is more than just how you look. What
defines a man is not how manly your body looks, but it is your courage
to do what is right and to respect yourself, that speaks louder than
your physical appearance. When you have found yourself, when you can
love yourself, then you will find your manhood, and your body language
will be more powerful than your body shape. When you have courage and
integrity, you will respect your body, feed it right and maintain it
well, and it will naturally look good. You cannot build the roof of
the house without the walls. Build on a weak foundation and it will
collapse eventually. Come back to the basics.

In my opinion, surgery will not solve the problem. You may think so,
but it may resurface in some other way. Perhaps you'll feel you're not
rich enough. Or not famous enough. When will it ever end?

I don't know if you believe in God, but I do. I know that He cares for
me, and that's why I'm still alive today - I have a reason to live. I
know I was put on this earth for a purpose, and that purpose goes
beyond how I look. I want to encourage you to search your spirit and
see if you can find your purpose.

In any case, if you still believe that surgery is the way to go, then
my only advice is to seek more than one expert opinion. I can't give
you any specific medical advice, as you are well aware of.

I hope this concludes your question. If I can still be of any help
though, do let me know.


smart26dude-ga rated this answer:3 out of 5 stars
The answer did add my confidence from the psychological side but was
really looking something for more from point where I could change my
physical appearance  side  where I cloud get a practical answer .As
this a problem I face in day to day life while living between a
society which expects other males around you .

Subject: Re: Plastic Surgery ?
From: journalist-ga on 29 Dec 2002 19:59 PST
Dear Smart26dude:

I once dated a gentleman who had what seems to be a similar waist area
as you describe your own.  He had actual hips, unlike most men!  I
just wanted you to know that I found his physique to be very appealing
and very masculine.  In fact, I was very much in love with him but he
did not feel as strongly for me and so we parted friends and have
remained so for over 20 years.

Speaking as a woman, and without speaking sensuously, I just wanted
you to know that he is a very appealing man in all ways.  I would
wager you probably appear very masculine to women, too, although you
may not to yourself, and women may find you even more appealing
because of your natural curves.

I wanted to comment with the above and to add that if you will be more
specific about the areas of your body that you wish altered, it will
help a Researcher locate the exact information for that type of
plastic or cosmetic surgery.

Good luck in your quest.
Subject: Re: Plastic Surgery ?
From: pinkfreud-ga on 29 Dec 2002 22:12 PST
When I was a young and single, I dated quite a few men of various
sizes and body-types. Some were short and chunky, and some were
willowy and slim. There are many pleasing shapes. Few women demand
that their men resemble beefcake pin-up guys.

Experience has taught me that masculinity resides more in the contents
of the cranium than in the contours of the corpus. The same, of
course, is true of femininity. Our bodies are just nice-looking
containers for our true selves.
Subject: Re: Plastic Surgery ?
From: sian-ga on 30 Dec 2002 20:49 PST
a superb answer and excellent comments by the brilliant pinkfreud and
journalist-ga. It's somewhat difficult to imagine, though, journalist
experiencing unrequited love, for she's not only very intelligent, but
quite attractive,too.

in my opinion, when you see ugliness or imperfection in yourself, that
is merely a preconception, which will eventually change over time
since nothing is immutable. It seems to me that the more adept you
become at experiencing oneness with all that exists, the more you
realize that who you think you are is in actuality nothing more than a
conceptual invention, a convenient illusion, based on the apparent
solidity and cohesion of the body and the ego.


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