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What to know about chronic venous insufficiency — President Tump's health diagnosis
What to know about chronic venous insufficiency — President Tump's health diagnosis

Los Angeles Times

time7 days ago

  • Health
  • Los Angeles Times

What to know about chronic venous insufficiency — President Tump's health diagnosis

Earlier this week, President Trump was diagnosed with chronic venous insufficiency, or CVI, after he noted mild swelling in his lower legs. White House physician Dr. Sean P. Barbabella in a memo July 17 said the swelling prompted a full medical evaluation, including ultrasound tests and blood work. Those confirmed CVI, a condition the doctor described as 'benign and common — particularly in individuals over the age of 70.' Dr. Barbabella said he found no other signs of more serious cardiovascular issues like blood clots and declared the president to be in 'excellent health.' 'CVI is when the veins of the body do not work well,' said Dr. Mimmie Kwong, assistant professor of vascular surgery at UC Davis Health, when veins cannot transport blood effectively, causing it to pool, especially in the legs. CVI is one of the most common vein problems in the U.S. and worldwide, affecting 'about one in three adults in the United States,' Kwong said. That translates to more than 30 million people in the U.S., most often older adults, according to Dr. Ali Azizzadeh, a professor and director of Vascular Surgery at Cedars-Sinai and associate director of the Smidt Heart Institute. He noted the condition is more common in women. As people age, the veins, such as in their legs, may have a harder time returning blood to the heart, he said. The valves in the veins of the legs are supposed to keep blood moving in one direction: back toward the heart. But when those valves are damaged or weakened, they can stop working properly, leading blood to flow backward and collect in the lower legs. Individuals who stand or sit for extended periods, or those with a family history of vein issues, may be at a higher risk of developing the condition. 'When the calf muscles are active, they pump the veins that return blood from the legs to the heart,' Azizzadeh explained. 'With prolonged inactivity of those muscles, blood can pool in the legs.' While CVI isn't always painful, it can cause discomfort that worsens as the day goes on. The mornings may feel the best: 'The legs naturally drain while you are lying down and sleeping overnight,' said Azizzadeh, 'so they will typically feel lightest in the morning.' As the day progresses and blood starts to pool, people with CVI may experience swelling, heaviness, aching or a dull pain in their legs. The symptoms tend to worsen after prolonged periods of standing or sitting. If swelling worsens, thickening, inflammation or dry skin can result, with more severe cases developing wounds that do not heal and can even result in amputation, Kwong said. Ttreatment is more manageable when problematic veins are closer to the surface of the skin, Kwong said. It's more problematic when deep veins are affected. The first line of treatment is usually simple lifestyle changes. 'We suggest CEE: compression, elevation, and exercise,' Azizzadeh said. Wearing compression stockings can help push blood out of the legs; elevating the legs allows gravity to help drain blood from the legs toward the heart, and regular walking forces calf muscles to pump blood throughout the body. For people with more serious cases, doctors may recommend a minimally invasive procedure that uses heat to seal off the leaky veins. Common treatments include ablation techniques, surgical removal of veins (phlebectomy), or chemical (sclerosant) injections. 'All of these therapies aim to cause the veins to shut down, so they no longer cause the CVI,' Kwong said. In President Trump's case, the condition appears to be mild and manageable. His doctors emphasized there was no cause for concern and that he remains in good overall health. But for millions of Americans living with CVI, recognizing the symptoms and knowing how to manage them can make a big difference in day-to-day comfort and long-term well-being.

Plastic surgery trends take a surprising turn, as doctors see more patients 'sizing down'
Plastic surgery trends take a surprising turn, as doctors see more patients 'sizing down'

Yahoo

time08-02-2025

  • Entertainment
  • Yahoo

Plastic surgery trends take a surprising turn, as doctors see more patients 'sizing down'

These days, bigger isn't always better when it comes to cosmetic surgery. The so-called "Kardashian" look, which once popularized Brazilian butt lifts, breast augmentations and lip filler, is no longer the hot trend, some experts say. Plastic surgeons agree that they're seeing more patients sizing down their appearance, opting for breast reductions and dissolving facial fillers. Lindsay Lohan's New Look Sparks Curiosity About How New Celebrity Plastic Surgery Trend Board-certified plastic surgeon Dr. Stafford Broumand, of 740 Park Plastic Surgery in New York, confirmed that his patients are looking for "more natural results versus overdone." "Patients are looking for more natural and petite curves, smaller breast implants, and fat grafting to round out the buttock, not necessary to enlarge the buttock," he shared with Fox News Digital. "Patients want symmetry in their body and face, and soft, full lips – a youthful appearance." Read On The Fox News App The surgeon added that younger patients have been inquiring about facelifts more often, and more patients are looking for natural contours and removal of excess skin. Dr. Babak Azizzadeh, Beverly Hills plastic surgeon and co-founder of Persana — an online concierge that connects people with aesthetic physicians — said the biggest trend he's seeing is people dissolving fillers. "We are seeing this with fillers that were injected in the wrong place or with too much product," he told Fox News Digital. 'Six-pack Surgery' Gaining Popularity Among Men, Say Plastic Surgeons "Unlike Botox, which breaks down in three to four months, we have learned from recent literature and studies that fillers last much longer, potentially years, when patients had previously been coming in for more filler every six to 12 months." Azizzadeh added that patients are looking for a more "conservative aesthetic." "While patients are still utilizing fillers — and when done correctly, they can be fantastic — we are seeing patients requesting more fat grafting and surgical lip lifts to achieve their natural aesthetic goals," he noted. Dr. Lyle Leipziger, chief of plastic surgery at North Shore University Hospital and LIJ Medical Center in New York, shared that in his practice, patients are seeking a more "athletic, physically fit appearance." Cdc Issues Health Advisory Warning Of 'Adverse Effects' From Fake Botox Injections Leipziger also confirmed that there has been a "significant increase" in breast reductions and breast lifts with or without small implants. "Patients are now seeking facelifts, breast lifts and body contouring procedures in much greater numbers," he said. The growing popularity of weight-loss medicatiobfns like Ozempic for treating diabetes and obesity has "tremendously" impacted plastic surgery trends, according to Azizzadeh. When people experience significant weight loss, it changes the volume in the face, creating more laxity, the surgeon said. "Second, it impacts fat cells directly. As a result, we are seeing more facelifts, neck lifts, fat grafting, and we are also seeing this in younger patients than previously." Broumand agreed that the trend of semaglutides (the active ingredient in many weight-loss medications) has impacted the plastic surgery process. "Before Ozempic, we would be removing fat and contouring a patient's shape," he told Fox News Digital. "With the weight-loss drugs, we still have to contour, but we might need to add volume and remove extra skin." Leipziger agreed that Ozempic and other semaglutides have "significantly fueled plastic surgery procedures as well as injectables." Click Here To Sign Up For Our Health Newsletter "People who undergo rapid weight loss are often happy when they get on the scale and buy smaller clothes," he said. "However … they may discover their face and body appear to be aging and sagging prematurely." This has led to an increase in facelift requests and body contouring procedures, according to the doctor. "It is very important to discuss with any patient who comes in after their weight loss whether they'll be able to maintain their new weight before performing face or body contouring procedures," he advised, noting that this is especially important for those who have lost weight quickly. Social media has called attention to potential complications of plastic surgery, such as the phenomenon of "pillow face," which can occur when the face is appears puffy after too much filler. For more Health articles, visit "I think a lot of patients have learned that going to reputable, board-certified plastic surgeons and qualified injectors makes a huge difference in outcomes," Broumand commented. The plastic surgeon added that he's "always been a believer" in doing what's right for his patients instead of following the trends. "Trends should be for clothing," he said. "Patients who want to follow a specific body trend may have regrets later, once that becomes outdated and they don't have the ability to reverse the surgery." Azizzadeh also encouraged future plastic surgery recipients to prioritize picking the right doctor, as the same procedure can have "widely varying results" depending on the physician's ability, experience, skills and "artistic view." "Overall, the trend with all procedures is natural-looking results," the surgeon said. "The 'overdone' or fake appearance has fallen out of favor, with celebrities and influencers championing the no-makeup, clean-face look." "While people are getting more plastic surgery now than ever, the focus has shifted toward subtle enhancements that look effortless and natural."Original article source: Plastic surgery trends take a surprising turn, as doctors see more patients 'sizing down'

Plastic surgery trends take a surprising turn, as doctors see more patients 'sizing down'
Plastic surgery trends take a surprising turn, as doctors see more patients 'sizing down'

Fox News

time08-02-2025

  • Health
  • Fox News

Plastic surgery trends take a surprising turn, as doctors see more patients 'sizing down'

These days, bigger isn't always better when it comes to cosmetic surgery. The so-called "Kardashian" look, which once popularized Brazilian butt lifts, breast augmentations and lip filler, is no longer the hot trend, some experts say. Plastic surgeons agree that they're seeing more patients sizing down their appearance, opting for breast reductions and dissolving facial fillers. Board-certified plastic surgeon Dr. Stafford Broumand, of 740 Park Plastic Surgery in New York, confirmed that his patients are looking for "more natural results versus overdone." "Patients are looking for more natural and petite curves, smaller breast implants, and fat grafting to round out the buttock, not necessary to enlarge the buttock," he shared with Fox News Digital. "Patients want symmetry in their body and face, and soft, full lips – a youthful appearance." The surgeon added that younger patients have been inquiring about facelifts more often, and more patients are looking for natural contours and removal of excess skin. "The 'overdone' or fake appearance has fallen out of favor." Dr. Babak Azizzadeh, Beverly Hills plastic surgeon and co-founder of Persana — an online concierge that connects people with aesthetic physicians — said the biggest trend he's seeing is people dissolving fillers. "We are seeing this with fillers that were injected in the wrong place or with too much product," he told Fox News Digital. "Unlike Botox, which breaks down in three to four months, we have learned from recent literature and studies that fillers last much longer, potentially years, when patients had previously been coming in for more filler every six to 12 months." Azizzadeh added that patients are looking for a more "conservative aesthetic." "While patients are still utilizing fillers — and when done correctly, they can be fantastic — we are seeing patients requesting more fat grafting and surgical lip lifts to achieve their natural aesthetic goals," he noted. Dr. Lyle Leipziger, chief of plastic surgery at North Shore University Hospital and LIJ Medical Center in New York, shared that in his practice, patients are seeking a more "athletic, physically fit appearance." Leipziger also confirmed that there has been a "significant increase" in breast reductions and breast lifts with or without small implants. "Patients are now seeking facelifts, breast lifts and body contouring procedures in much greater numbers," he said. The growing popularity of weight-loss medicatiobfns like Ozempic for treating diabetes and obesity has "tremendously" impacted plastic surgery trends, according to Azizzadeh. When people experience significant weight loss, it changes the volume in the face, creating more laxity, the surgeon said. "Second, it impacts fat cells directly. As a result, we are seeing more facelifts, neck lifts, fat grafting, and we are also seeing this in younger patients than previously." Broumand agreed that the trend of semaglutides (the active ingredient in many weight-loss medications) has impacted the plastic surgery process. "Patients who want to follow a specific body trend may have regrets later, once that becomes outdated." "Before Ozempic, we would be removing fat and contouring a patient's shape," he told Fox News Digital. "With the weight-loss drugs, we still have to contour, but we might need to add volume and remove extra skin." Leipziger agreed that Ozempic and other semaglutides have "significantly fueled plastic surgery procedures as well as injectables." "People who undergo rapid weight loss are often happy when they get on the scale and buy smaller clothes," he said. "However … they may discover their face and body appear to be aging and sagging prematurely." This has led to an increase in facelift requests and body contouring procedures, according to the doctor. "It is very important to discuss with any patient who comes in after their weight loss whether they'll be able to maintain their new weight before performing face or body contouring procedures," he advised, noting that this is especially important for those who have lost weight quickly. Social media has called attention to potential complications of plastic surgery, such as the phenomenon of "pillow face," which can occur when the face is appears puffy after too much filler. For more Health articles, visit "I think a lot of patients have learned that going to reputable, board-certified plastic surgeons and qualified injectors makes a huge difference in outcomes," Broumand commented. The plastic surgeon added that he's "always been a believer" in doing what's right for his patients instead of following the trends. "Trends should be for clothing," he said. "Patients who want to follow a specific body trend may have regrets later, once that becomes outdated and they don't have the ability to reverse the surgery." Azizzadeh also encouraged future plastic surgery recipients to prioritize picking the right doctor, as the same procedure can have "widely varying results" depending on the physician's ability, experience, skills and "artistic view." "Overall, the trend with all procedures is natural-looking results," the surgeon said. "The 'overdone' or fake appearance has fallen out of favor, with celebrities and influencers championing the no-makeup, clean-face look." "While people are getting more plastic surgery now than ever, the focus has shifted toward subtle enhancements that look effortless and natural."

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