L’obésité centrale et la bonne approche de traitement

The primary cause of central obesity is visceral fat, which accumulates around the abdominal organs and causes severe metabolic problems. Addressing visceral fat is challenging as it cannot be resolved solely through willpower. Globally, the success rate of reducing visceral fat through diet and exercise is less than 8%, largely due to the difficulty in sustaining lifestyle and dietary changes. According to a study published in the International Journal of Obesity, long-term adherence to dietary and exercise regimens remains a significant barrier, contributing to this low success rate.

In particular, middle-aged men and postmenopausal women face unique challenges in managing central obesity. Middle-aged men often have well-developed muscle mass, making it harder to address visceral fat issues through exercise alone. Similarly, postmenopausal women experience hormonal changes that promote fat accumulation in the abdominal area, further complicating weight management. Without incorporating dietary changes, achieving meaningful results is difficult, making dietary improvements a critical task.

For individuals who find it challenging to maintain long-term dietary changes, drug therapies and the latest injectable medications can offer effective alternatives. Recently introduced injectables such as GLP-1 medications are highly effective in reducing visceral fat and facilitating weight loss. These medications enhance satiety and suppress appetite, delivering remarkable results in combating visceral fat.

Note: In the U.S., the monthly cost of Wegov- is approximately $1,300. A study published in NEJM reported that over 60% of patients who discontinued its use regained weight within a year.

At Evita Clinic, these cutting-edge injectables are available for purchase and integrated into treatment plans. However, these medications are costly, and there is a high likelihood of weight regain after discontinuation. Therefore, it is crucial to maximize the benefits of these treatments by combining them with sustainable dietary habits and regular exercise.

Le Dr Francis Jeon de la clinique Evita, un spécialiste très expérimenté de l’obésité et du remodelage corporel, souligne l’importance d’une approche par étapes lorsque l’on envisage une liposuccion abdominale.

Le Dr Jeon explique : « Si la liposuccion est effectuée sans s’attaquer à la graisse viscérale, un grand ballon de gymnastique deviendra simplement un ballon de gymnastique plus petit.

Pensez au Père Noël qui coupe son costume mais garde tout le rembourrage à l’intérieur, ce n’est pas tout à fait la transformation que nous visons ! La graisse viscérale joue un rôle central dans le processus de traitement global car elle est métaboliquement active et contribue à l’inflammation systémique, à la résistance à l’insuline et à d’autres perturbations métaboliques. En s’attaquant d’abord à la graisse viscérale, la base pour des résultats efficaces et durables est établie, ce qui rend les procédures ultérieures comme la liposuccion beaucoup plus percutantes. Il préconise de résoudre la graisse viscérale avant de procéder à la liposuccion.

1. Address Visceral Fat: The initial step involves improving dietary habits and utilizing injectables like GLP-1 medications to reduce visceral fat. This process transforms the firm gym ball-like abdomen into a looser, sack-like form. Addressing the underlying issue of visceral fat is a critical priority.
2. Remove Subcutaneous Fat: Once visceral fat has been significantly reduced, liposuction or a tummy tuck can be performed to remove sagging skin and subcutaneous fat. Liposuction helps sculpt a smooth and firm abdominal contour, and if necessary, a tummy tuck can eliminate excess skin. These procedures enable patients to achieve a six-pack, which not only enhances their physical appearance but also contributes to better core strength, posture, and overall metabolic health. By reducing abdominal fat and strengthening the core, patients experience improved physical function and reduced risks of obesity-related illnesses, making the transformation both aesthetic and health-focused. This transformative outcome boosts satisfaction and encourages long-term commitment to exercise and health management.

Related Academic Article: The effectiveness and indications of liposuction are comprehensively discussed in the Aesthetic Surgery Journal.

Le Dr Francis Jeon s’appuie sur une vaste expertise dans les procédures de liposuccion et d’abdominoplastie pour souligner comment l’obtention d’une apparence raffinée peut conduire à une boucle de rétroaction positive d’amélioration de la santé et de la confiance.

Avantages post-liposuccion

1. Augmentation du métabolisme de base : Une plus grande masse musculaire augmente la consommation quotidienne de calories, réduisant ainsi la probabilité de reprise de poids.
2. Confiance accrue : Des améliorations visibles motivent les patients à maintenir des habitudes d’exercice régulières.
3. Amélioration de la santé : L’exercice régulier atténue les troubles métaboliques comme le diabète et l’hypertension, améliorant ainsi la santé globale.

Ce cycle positif permet aux patients d’aller au-delà de la perte de poids, en maintenant un physique et un mode de vie sains et en forme. Ainsi, même le Père Noël pourrait échanger son sac de cadeaux contre un pack de six avec la bonne approche !