McDonald’s, Government, or Parents?

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I have spent 30 years studying the habits that allow people to over eat, become fat, stay fat, and falter at repeated diets.  The present issue of the government controlling the McDonald’s happy meals is ridiculous at several levels.  First,  why should the government get involved in this?  We have a free enterprise system and last I noticed Americans were still allowed to make their own decisions as to what they want to eat.   So, politically, I see legal control of human behavior  as a very dangerous step…. a slippery slope that  feels “socialistic.”   The responsibility of teaching children about nutrition is NOT that of McDonald”s nor the government but of the parent(s).  Children cannot drive to McDonald’s.  They do not have the money to pay for a meal.  The parents do!   The subliminal messages they absorb from watching their parents’ behavior is much stronger than that of an occasional commercial on TV.

I agree that these meals and most fast food is unhealthy (from a “fat” perspective) and may be a major contributor to the obesity problem in America.  However, if parents took the time to have healthy choices available,  to teach good nutrition habits by their own behavior, this would be a non-issue.  The operative word here is time.   Time to plan, shop and prepare food.  Since the key to a healthy body is good nutrition, it is definitely worth it to invest this time. BTW an occasional treat of a Happy Meal in a child who knows good nutrition with a toy is perfectly OK!    In my books, THE BROWN FAT REVOLUTION and LOSE THE FAT LOSE THE YEARS, I recommend an occasional “cheat” meal so that a sense of deprivation is avoided.

The government cannot dictate what our choices are.  It is the parental responsibility to teach “body respect”  and the importance of nutrition.   Ironically, like alcohol and drugs, creating a forbidden McDonald’s Happy Meal might make it more inviting…. what a paradox!  Michelle Obama has declared “Childhood Obesity”as the centerpiece of her First Lady platform.  I wonder how /if this dictum to control McD’s little meal is connected.   It appears to me that the PR buzz of laws to control the little box is more enticing to a publicist than a McDonald’s Happy Meal is to a child!

Plastic Surgery Then and Now

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I have been in practice for 28 years and have seen a 180 degree change in the specialty of Plastic Surgery.    In 2010,  the term “Plastic Surgery” clearly misrepresents the specialty.   A better umbrella to cover all of the techniques now available to rejuvenate the face and body would be “cosmetic medicine.”    Not “cosmetic surgery”  but  “cosmetic medicine”  I  prefer the use of the term medicine. It underscores the multilayered approach that a good plastic surgeon takes to a patients chief complaint.  My first consideration after good general health is the nutritional investment each patient has in themselves.  Proactive involvement in the process of looking better/younger is mandatory! Are they overweight?  Have they made a commitment to their body by  eating what is natural and healthy.   Do they exercise regularly?  Are they psychologically stable?  Are the expectations appropriate for the selected procedure?  Can they  really afford the procedure without undue financial stress?   Only after considering all of these issues, should the “cosmetic medical” plan be “prescribed.”  It might be Botox in one patient, laser lipo in another  and a facelift in another, but at the end of the day, each case is customized.

The Brain and Body Image

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You might find this hard to believe but after 28 years of morphing my patients bodies with plastic surgical procedures and 20 years of an avid interest in body building, I continue to be perplexed on how people perceive their physical appearance, their body image.  I continue to study neurobiology since it is clear to me that the answer to most issues that seem so illogical is found in the uncontrollable and unpredictable chemical reactions in the brain.    The study of Neurobiology has  clearly improved my understanding of body image more than all of my experience in dealing with patients and friends who are devoted to “controlling” their images/bodies.  Basically, our brains are  hard-wired to see  shapes and contours.  These are stored in our brains.   Once registered , it is difficult to change  neural “impressions” or brain memory  despite a change in appearance that is clearly seen with the eyes.  Basically, the objective reality of the body is only processed by the eyes, and delivered to the brain for perception.  This is a pivotal mechanism in understanding the lack of positive feedback in some people who have lost significant weight,  or had extensive plastic surgery, or  dramatically changed their bodies with exercise/diet regimens.  I  now understand the genesis of the problem.  Modifying the brain is another issue!

BROWN FAT AND LOOKING YOUNGER

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It may seem evident to most that losing weight and looking younger are complimentary.  This is not usually the case in folks who lose weight with non-nutritional restrictive diets.  In The Brown Fat Revolution and Lose the Fat/Lose the Years, I make the case for eating well AND losing weight so that all tissues are rejuvenated.   Once  nutritional discipline sets in, why not seize the opportunity to not only achieve optimal weight but to restore your skin, muscles, bones and fat to look, feel and act younger?  All it takes is  attention to the  “natural” quality of what you eat.  So simple, yet so rewarding!  Your body needs fat  “on it” to look young.  It is the fat that creates the “volumes” of youth that we see in a young woman’s body and face.  But it must be high quality, well nourished fat that hugs the underlying bones and supports the overlying skin creating the three dimensional contours of youth.  Just as you can change your skin to look younger with stress control, diet, exercise and topical care….you can modify the quality of your fat with nutrition and exercise and look younger!