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Category: Weight Loss

On a GLP-1 and Booking a Tummy Tuck? What the Drug Changes Before Surgery, and When I Hold It

On a GLP-1 and Booking a Tummy Tuck? What the Drug Changes Before Surgery, and When I Hold It

October 24, 2026 | Patient Safety, Plastic Surgery Consultation, Weight Loss

A two-million-record study reported this week found slightly fewer heart complications and infections after surgery in patients on a GLP-1. Good news, and not the same as “ready.” About a third of my consults are now post-GLP-1 patients, and every one asks whether to stop the drug. Here is my two-week rule, why the stomach and the bowel both matter, why weight stable comes first, and what the study could not tell me.

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The Younger Facelift Patient in the GLP-1 Era: What I See in El Paso, and What I Tell Them

The Younger Facelift Patient in the GLP-1 Era: What I See in El Paso, and What I Tell Them

October 23, 2026 | Facelift, Fat Transfer, Weight Loss

Plastic Surgery Practice reports that facelift patients are arriving in their 30s and 40s after GLP-1 weight loss. I see the same thing: the face and neck are the first place the weight shows, I now do three or four of these a week, and the deep plane and ponytail lifts have become my most common post-GLP-1 operations. Here is what I tell the younger patient about timing, fat versus filler, and which lift fits.

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Protein After Surgery: How Much You Need to Heal, and When the Powder Earns Its Place

Protein After Surgery: How Much You Need to Heal, and When the Powder Earns Its Place

October 16, 2026 | Plastic Surgery Recovery, Recovery, Weight Loss

Recovering from surgery puts you in the small group of people who need more protein than a normal diet delivers. Here is the number I give my patients, why food should get you most of the way there, and the one case where a powder is the right call.

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I Write the Prescription and I Do the Surgery Two Years Later: What Everyday Health Asked Me About GLP-1s

I Write the Prescription and I Do the Surgery Two Years Later: What Everyday Health Asked Me About GLP-1s

October 07, 2026 | Body Contouring, Patient Planning, Weight Loss

I am in an unusual position: I prescribe GLP-1s, and I am the surgeon those same patients come back to about their skin. Everyday Health asked me about Saxenda for a telehealth guide. This is the part of the answer that belongs on a surgical site: what the rate of loss does to the operative plan, the scars and the result, and why that conversation has to happen in month one.

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