Introduction: Despite efforts on the part of patients, some are not able to achieve significant weight loss because of poor compliance with balanced diets and exercise programs. The tongue patch is a means of ensuring that the patient abides by a strict low-calorie diet plan to achieve maximal weight loss, while engaging in a moderate exercise regimen. Materials and Methods: A retrospective chart review was performed on patients who underwent the tongue patch procedure from 2009 to 2013. All patients had a piece of marlex mesh affixed to the tongue using prolene sutures. At the 30-day mark, each patient's weight was recorded. Data were then tabulated. Complications were also identified from the patient charts and analyzed. Results: A total of 81 patients received the tongue patch. Mean weight loss was 7.26 kg (16.0 lb; range = 0–16.8 kg/0–37 lb). The total weight lost by all participants was 501 kg (1104.5 lb). The average starting body mass index was 32.4 kg/m2 (range = 24.3–45.3 kg/m2) and average change in body mass index was 2.9 kg/m2 (range = 0–5.1 kg/m2). No serious complications were noted. Conclusions: While maintaining a strict low-calorie diet plan and adhering to a regular exercise regimen, patients using a tongue patch can achieve significant weight loss over a 30-day period with relatively minimal procedural risk.

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Introduction: Over the past several decades, there has been increased interest in creating a fuller-appearing and more well-defined calf region. The primary method for augmentation is use of a semirigid silicone prosthesis as it produces reliable results and an aesthetically pleasing calf contour. Materials and Methods: A retrospective review of patient charts was performed to identify patients who had undergone calf augmentation from 2007 through 2011. The charts were reviewed for patient satisfaction, size of implant, and observed complications. Results: A total of 202 calf augmentations were performed over the 5 years studied. The overall satisfaction rate was 92.1% (186/202). Patients who were unsatisfied with the procedure were primarily dissatisfied with the amount of augmentation achieved or by hypertrophic scarring. Conclusions: Calf augmentation is a procedure that can nicely enhance the physique in a reliable fashion. The overall satisfaction rate is excellent as long as care is taken to ensure that the right implant is chosen to meet the patient's expectations, that meticulous attention is paid to dissection of the pocket to minimize implant migration, and that a layered closure is used to minimize hypertrophic scarring.

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Objective: Reality, documentary, and makeover programs have all helped to eliminate certain taboos previously associated with cosmetic surgical procedures. As a direct result of this phenomenon, men have expressed greater interest in cosmetic surgery. Over the past 5 years, Dr Chugay and colleagues have been working to promote the use of a bicipital prosthesis for aesthetic augmentation of the biceps muscle. This article is designed to further elucidate the complications that have been encountered with the procedure to date and changes in technique that have made this a viable option for male muscular enhancement. Methods: A retrospective review of prospectively collected data on 94 patients was undertaken to determine the cosmetic improvements and complications seen in the patient population. Silicone prostheses were placed below the biceps muscle in each case to provide greater definition and fullness in the region of the biceps. Results: Over a 5-year period, 94 patients underwent bicipital augmentation. Of those cases, there were 3 major complications. One patient developed a large seroma due to poor compliance with postoperative instructions for compressive garment use. A second patient suffered a dislodgement of the implant with protrusion of the implant from beneath the muscle. The third complication encountered was that of compartment syndrome in a patient who underwent both biceps and triceps augmentation. Conclusion: Despite the risks inherent in performing surgery in the upper extremity, the bicipital augmentation procedure is a means by which the male physique can be enhanced with minimal risk of complication when performed using our technique.