Posts Tagged ‘Dr. John Zannis’


Thursday, February 23rd, 2017

Liposuction is one of the top five most common surgical procedures in The United States, with approximately 363,912 operations performed each year.  While consumers may feel educated on the concept of of liposuction, many are misguided in terms of who is an appropriate candidate, how long the results last, and what the procedure can and cannot accomplish. Dr. John Zannis, a plastic surgeon from New Bern, North Carolina, sets the record straight.

MYTH:  Fat Will Return Somewhere Else After Lipo

The “fat return” fear is something plastic surgeons hear frequently.   “New fat does not ‘find its way’ elsewhere after liposuction. This is one of the most common liposuction myths out there,” shares Zannis. “Liposuction removes part of the fat in an area, but if the body is overwhelmed by a large amount of calories that are not burned they are stored proportionately in every remaining fat cell in the body.”  Fat cells are not distributed evenly throughout the body; after liposuction (or any type of fat cell removal procedure) they will not be redistributed evenly. “The more fat cells removed, the more the remaining fat cells will gain when you gain weight.”

FACT:  Liposuction Is Permanent

The results of liposuction are intended to be permanent.  “While the fat cells are permanently gone, you can once again find yourself with unwanted fat if you gain weight, so your healthy habits will determine whether you maintain your liposuction results,” explains Dr. Zannis. If weight is gained in the future, fat will accumulate in surrounding areas, enlarging the remaining fat cells in the treatment area.

MYTH:   Liposuction Causes Weight Loss

Liposuction actually has little effect on the number on your scale.  It is not intended to be a weight loss method; rather, it is a form of body contouring and a way to address specific areas of stubborn fat.  Liposuction is most effective when a patient has already achieved their weight loss goal; it then fine-tunes the appearance they have worked so hard to achieve.  In fact, “It is not effective, even as a last resort, for people who are unable to lose weight by dieting and exercise.”



Tuesday, January 3rd, 2017

When most people think of Botox the first thing that usually comes to mind is wrinkle reduction. Indeed, Botox is the world’s most popular treatment for eradicating wrinkles and fine lines, has been specifically FDA-approved for treating frown lines between the eyebrows (glabellar lines) and lines around the eyes (crow’s feet). Botox can also be used to treat a variety of issues, both cosmetic and non-cosmetic. Dr. John Zannis, a New Bern, North Carolina board certified plastic surgeon, shares his list of off-label uses for Botox.  *Please note that several of these have not been approved by the FDA.

ACNE  Botox can curb oil production, reducing breakouts. “To totally treat acne, you’d need to use doses of Botox so large they’d prevent you from constricting your facial muscles,” says Dr. Zannis. “But tiny amounts of Botox injected very superficially help reduce oil production, and you can still have facial expressions.” Though he’d recommend it for almost any patient struggling with acne, Zannis would likely advise trying another dermatologist-prescribed treatment, like spironolactone or birth control pills, first. And though it can technically be used to quell oil production anywhere on the face, he cautions against using it all over because of potential effects on muscular activity (a.k.a. frozen face). The most effective and common area for using Botox to curb oil production, he says, is the forehead.

GUMMY SMILE  A “gummy” smile, one that’s characterized by a smile that shows too much of the gums, usually results from “excessive lip elevation” (when the upper lip rises too far above the upper teeth when smiling). Injecting Botox into the upper lip weakens the upper lip’s retractor muscles so that it won’t raise as high and your smile will seem better-balanced. It can be done in about five minutes and typically lasts for four to six months. Costs range from $200-$300.  Dr. Zannis says, “This technique is not for the novice Botox injector. Too much, and your lip won’t raise enough, too little and you will need more, or if injected asymmetrically, you might have a funny asymmetrical smile.”

INCONTINENCE  Overactive bladder problems affect up to 20% of women over 40. For severe cases, where medications do not provide complete relief, Botox injections into the bladder wall may provide relief lasting up to 6 months. (more…)


Sunday, October 23rd, 2016

selfieSmartphones are vital to our daily lives; in fact, research has shown that the average person checks their phone 85 times a day and spends a total of five hours per day using the device to browse the web or use certain apps. For many, our smartphone is the first thing we look at in the morning and the last thing we check at bedtime. Although quick glances at our phone may seem harmless, it can in fact be affecting us physically, mentally and emotionally. We caught up with some experts who help explain the ugly side of excessive cellphones use.

Poor Posture:  When we look down at our cellphones we are straining our necks and slouching our shoulders. Doing this can cause some serious damage to our overall posture even leading us to lose up to an inch to an inch and a half of height. “I see up to 10 patients a week complaining of severe neck and shoulder pain. When asked how often they use their phones the typical response is all the time. When pain becomes chronic and severe, surgery has to be considered,” explains Dr. Richard Samperisi, Co-Founder of Campus Chiropractic Center at Florida International University. (more…)