Diet change is therefore the magic word
Because if the patient gains weight again after the operation, this can put pressure on the fresh scars.
Follow-up operations are often necessary
Such an intervention also brings "not inconsiderable risks" with himself, says von Saldern. Large scars and wound areas can result: "There can be infections, wound healing disorders or secondary bleeding." Small sensory nerves on the skin are also sometimes severed during operations. "There may be places left where the feeling is no longer fully normalized." Repeated re-operations are quite common.
Not every cosmetic surgeon is a specialist
Therefore, one should choose the surgeon carefully: According to the DGÄPC, every doctor, regardless of his training, is allowed to do so "plastic surgeon", "Cosmetic surgeon" or "Aesthetic surgeon" call. It is different with the names "Plastic surgery specialist", "Plastic surgery", "Specialist in plastic and aesthetic surgery" or "Plastic and aesthetic surgeon".
It is also best to get detailed information about the course of the operation. The DGPRÄC advises that later seam courses should be illustrated with illustrations. In addition, it must be clear how long the inpatient stay will last, that some follow-up examinations will be required and that wound healing disorders may also be to be expected.
Health insurance rarely pays
Reimbursement of costs for such interventions is difficult. It depends on the assessment of the respective health insurance in each individual case, says Ann Marini from the National Association of Statutory Health Insurance Funds. If it is a medical problem with impairment of bodily functions, pay the cash register. In the case of a purely aesthetic problem, the costs would only be covered if it was a disfigurement "considerable materiality threshold" act.
Going slim through life, who doesn’t want that? However, it is not always easy to resist all the sweet temptations in the form of cakes, soft drinks, sugar or chocolate bars. Because they lurk for us every day in the supermarket. The supposed solution: instead of sugar, many consumers use sweeteners. On the one hand it is low in calories and on the other hand it can taste much sweeter than sugar. But the sweet substitute does not keep what figure-conscious consumers expect from it. "The good thing about sweetener is that it does not damage the teeth and has almost no calories", says Antje Gahl from the German Nutrition Society (DGE), "but it is only partially suitable for losing weight."
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Less is more
While sweetener is a reliable help for diabetics, it is only recommended in certain cases for overweight people. "The use of sweeteners in weight loss diets can be useful if the overweight person normally consumes large amounts of sugar", explains Gahl. In general, however, sweeteners should be used according to the minimum principle, otherwise the body will get too used to the sweet taste. According to the German Nutrition Society, anyone who just wants to lose a few pounds should simply eat less sugar. In this way, those willing to lose weight get used to the natural taste of food and the desire for the sweet taste experience is curbed.
Does sweetener make you hungry?
There are numerous hypotheses about the effect of sweeteners in the organism. One of them is that sweeteners trick the body into thinking that it is getting sugar to be broken down. When someone tastes something sweet, whether it is sweetener or sugar, the pancreas releases insulin into the blood. Since insulin cannot process the sweetener, it would affect the remaining sugar in the blood, which in turn leads to a lowering of the blood sugar level. The result: the organism reacts with hunger. The German Nutrition Society does not fully agree with this opinion: "It has not been scientifically proven that the blood sugar level drops and that the cells are undersupplied when using sweeteners"said the expert. She suspects that the feeling of hunger is more a psychological effect.
The psychological effect
"Those who use sweeteners or light products usually eat more than usual because they are low in calories"says Gahl. Instead of a wheel of sausage, for example, two or three slices of the light version are placed on bread. It is the same with substitutes for sugar. Some consumers soothe their guilty conscience with light products, but instead eat larger portions. For people who do not want to change their diet as a whole and simply replace sugar with sweetener, the chance of losing weight is therefore rather slim.
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Eating with pleasure and losing weight at the same time – that sounds too good to be true. But that’s exactly what should work if you follow a few rules. This is what Professor Ingo Froböse and radio chef Helmut Gote claim in their new guide "Let’s go."
With particularly good food made from carefully selected ingredients, it is easier to eat less and more healthily, the authors promise. In order to really shed the pounds, moderate exercise units complement the good food. In this way, the fat melts slowly but continuously.
Cook fresh and avoid sugar
Under "good food" Above all, the authors understand self-cooked dishes made from fresh ingredients. You do not use white flour, sugar and unhealthy fats. Vegetables, fish and whole grain products as well as nuts and smoothies are on the program.
Recipes "Let’s go"
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In a detailed recipe section, Froböse and Gote recommend, for example, avocado salad with mandarins or guinea fowl leg with pumpkin.
Eat slowly and take breaks
However, a few rules should be observed to prevent flab from all the feasting. For example, the authors recommend eating only three times a day and taking breaks of four to five hours in between. It is also advisable to eat slowly and consciously.
30 minutes of exercise a day
After all, exercise is also part of the gourmet diet. Because only those who boost their metabolism and consume enough calories will notice an effect on the scales. Fitness professional Froböse recommends being active for 30 minutes a day. Strength and endurance training should alternate, he advised. In no case should you overtax yourself.
It is enough to burn 200 to 400 more calories a day than you take in. Those who succeed, the authors promise, will slowly but continuously decrease. In this way, around 16 kilograms less per year are possible.
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"Let’s go", edited by Helmut Grote and Professor Ingo Froböse, was published by Becker Joest Volk Verlag 2015, 256 pages. 29.95 euros.
The waistband pinches and a glance at the scales causes concern: If you want to declare war on the extra pounds, you should know the pitfalls that lurk on the way to your desired weight. Otherwise you quickly give up in frustration. The ten biggest diet lies at a glance.
According to the Robert Koch Institute, two thirds of men and half of women in Germany are overweight. Most of them want to lose a few pounds. But many give up if the successes don’t come quickly enough. Because many weight loss strategies don’t keep what they promise.
Lie number one: light products are better
It could be so nice: Feast as before and still lose weight. But the supposedly light alternatives are not a good solution. It is true that they have around 30 percent fewer calories than the original product. But the missing fat is often compensated for with artificial flavors, sugar, sweeteners and binders so that the taste and mouthfeel are right. That is not healthy. It is better to enjoy the original in moderation.
Lie number two: pineapple burns fat
Even those who rely on pineapples will be disappointed and at most lose their good mood, but not weight. Pineapple is healthy, but not a fat killer. Although the enzyme bromelain is said to be able to boost fat burning, studies have not found any evidence of this. The only effect that the pineapple nutrition experts say has a diuretic effect, similar to that of asparagus. And other types of fruit are also not "Fat burner “.
Lie number three: fruit makes you slim
Too much fruit can even stand in the way of a successful diet, especially the consumption of fruit juices and nectars. Many forget that they contain large amounts of fructose. These are also calories that are noticeable on the scales.
It is better to use fresh fruit. It is rich in fiber, phytochemicals and vitamins, and because of its mass, it is good for filling. And if it should be a juice: Always drink as a spritzer with plenty of water. You don’t have to forbid yourself completely from juices.
Lie number four: Refraining from sweets leads to success
Bans are generally of no use if you want to lose weight. For example, if you set yourself the goal of strictly eliminating all sweets, you must expect frustration. By the third day at the latest, you won’t be able to think of anything else but sweets and chips. Because: when you don’t eat something in particular "may", the cravings are guaranteed. It is better to treat yourself to a little sin every now and then and to enjoy it consciously.
Incidentally, it is best to consume the small treats immediately after eating. Because snacks in between boost the blood sugar level and the risk of food cravings increases.
Lie number five: dark chocolate doesn’t make you fat
Anyone who thinks that they can strike dark chocolate especially should be careful. It’s not so much the ingredients that distinguish dark chocolate from milk chocolate. In a tart table there is usually a little less milk powder and sugar. The calorie content remains pretty much the same due to the cocoa butter.
The trick is the bitter taste: This sets a saturation brake in motion. Because the body always classifies bitter as risky and wants to prevent you from eating too much of it. So you automatically nibble less – and save a lot of calories.
Lie number six: fat makes you fat, so you better avoid it
Fat should also be allowed in moderation if you want to lose weight. It is true that fat has a high energy density and, at nine kilocalories per gram, is not exactly a lightweight. In comparison: just like carbohydrates, one gram of protein has four kilocalories per gram.
But the body needs fat. According to the German Nutrition Society (DGE), polyunsaturated omega-3 fatty acids improve the flow properties of the blood and thus prevent deposits in the blood vessels. They also support the immune system and inhibit inflammatory reactions in the body. Good sources are rapeseed, walnut, soy and linseed oils, as well as high-fat fish including herring, mackerel and salmon.
Lie number seven: skipping dinner lets you shed pounds
Those who go without food in the evening lose weight – this myth also persists. However, it is not dinner that determines the success or failure of a diet, but the total number of calories. All diet tips do not help if you take in more energy than you use up during the day. What the body does not process ends up in the fat deposits. With or without dinner.
Skipping dinner can only prevent you from eating more calories. But that too is usually short-lived. Because those who do without in the evening are usually particularly hungry the next day and quickly absorb the saved calories. The body demands what it needs.
Lie number eight: Those who eat little lose weight particularly quickly
If you eat too little and try to force your body to lose weight, you even put it on the alert. He feels threatened by the acute shortage and holds tight to his reserves. The scales are stagnating. In addition, after the diet, the body begins to bunker. After all, he wants to be prepared for the next hunger stretch. We feel this mechanism as a yo-yo effect. Anything that aims to lose weight as quickly as possible will only add extra pounds.
Lie number nine: Those who do sport are guaranteed to lose weight
It is better to eat normal amounts of healthy foods and incorporate exercise into the weight loss program as a plus. If you are active, you burn calories and strengthen your muscles, which in turn consume energy when you are resting. Sport is not necessarily a guarantee of weight loss. Particularly tricky: the feeling of being able to reward yourself. If you have a pizza after a jog, you add significantly more calories to your body than you burned. So sport only works if you don’t go overboard afterwards.
In addition, it is not enough just to be active after work. After work you can no longer catch up on what you have missed in terms of exercise during the day. Therefore, everyday movement also plays an important role. The lap around the block counts as well as climbing stairs or cycling to work. And: if you strengthen your muscles, you have to take into account when walking on the scales that they too have weight.
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Lie number ten: diets are the solution to weight problems
Those who place their hopes on diets alone will be disappointed. In order to lose weight in the long term, it is important to pay attention to a healthy diet. Diet change is therefore the magic word. Instead of short-term renunciation, it is better to opt for a permanently balanced lifestyle. This is not only more relaxed for you, but also for your body.