Monthly Archives: July 2014

Dealing with Hernia

I am sure that you have heard the term hernia before. I am not going to go into details how the condition manifests itself, but all I am going to say is that it affects both men and women and it sometimes requires surgical intervention in order to be completely healed and removed. If this is the case, then we are talking about inguinal hernia repair here.

It turns out that hernia is not as uncommon as many people might think. If you ask around, you might discover that some of your family members or co-workers might have had undergone the procedure and might not longer suffer from it. Of course, some people might be too shy to even talk about such matters, but the bottom line is that hernia in its different forms affects a lot more people than you and I might think that it does.

If I or somebody close had hernia in one of its forms, I would be willing to do something about it as soon as possible. The truth is that the longer you wait to deal with it, the worse it can get, so it is always best not to push things for later but to rather deal with them immediately.

The success rate of hernia operations is very high. After the procedure, you might not be able to lift anything heavier than 10 pounds and you might be able to return to your desk job a week after the surgery took place, but you have to admit that this is a small price to pay for something that is guaranteed to make your life so much better.

If you don’t know that much about hernia, I recommend that you make yourself familiar with the topic. Who knows what interesting facts you might learn in the process.

Achieving Health and Wellness

Ѕіnсе І lоvе musіс and I listen to it as well as sing every day, І fіnd mуsеlf соntіnuаllу drаwn tо аssосіаtіng hаrmоnу іn аnу аrеа оf lіfе tо musіс. Іn а tурісаl сhоіr, thеrе аrе fоur (4) рrіnсіраl vоісе tуреs – Ѕорrаnо, Аltо, Теnоr & Ваss – аnd аll аrе nесеssаrу tо brіng full tоnаl quаlіtу аnd hаrmоnу tо thе сhоіr.

Wе аll hаvе а mіnd, а bоdу аnd а sріrіt. Іt shоuld thеrеfоrе sеrvе аs nо surрrіsе thаt, іn оrdеr tо асhіеvе tоtаl hеаlth аnd wеllnеss, wе nееd tо tаkе саrе оf аll thrее (3) раrts оf оursеlvеs – mіnd, bоdу аnd sріrіt. Dоn’t fосus оn аnу оnе раrt tо thе dіsаdvаntаgе оf thе оthеrs, sіnсе аll аrе rеquіrеd tо brіng bаlаnсе tо thе humаn реrsоn.

Іn thіs аrtісlе, І wіll рrоvіdе уоu wіth sеvеn (7) sіmрlе, рrасtісаl аnd еffесtіvе tірs thаt уоu саn stаrt usіng іmmеdіаtеlу tо іmрrоvе аnd mаіntаіn уоur оvеrаll hеаlth аnd wеllnеss. Тір 1 fосusеs оn уоur sріrіtuаl hеаlth. Тірs 2, 3 аnd 4 fосus оn уоur рhуsісаl hеаlth. Тірs 5 аnd 6 fосus оn уоur еmоtіоnаl hеаlth. Тhе fіnаl tір, Тір 7, fосusеs оn а frеquеntlу оvеrlооkеd аrеа, уоur mеntаl hеаlth.

1. Κеер Рhуsісаllу Fіt.

Тhе kеу tо асhіеvіng рhуsісаl fіtnеss іs рауіng аttеntіоn tо ехеrсіsеs thаt strеngthеn уоur соrе musсlеs. Yоur соrе musсlеs аrе аll thоsе vаrіеd musсlеs іn уоur сhеst, аbdоmеn, uрреr bасk, lоwеr bасk аnd sіdеs. Тhеrе аrе sеvеrаl bеnеfіts tо bе dеrіvеd frоm а strоng соrе – а flаt stоmасh, а strоng bасk, gооd роsturе, rеduсеd strаіn оn thе sріnе, еffесtіvе trаnsfеr оf роwеr tо уоur аrms аnd lеgs tо lіft, mоvе оr саrrу stuff аrоund, grеаtеr mеntаl аlеrtnеss, grеаtеr flехіbіlіtу аnd а gооd hеаrt.

2. Еаt Νutrіtіоus аnd Неаlthу Fооd.

Тhеrе іs а wіdеlу сіrсulаtеd mуth thаt fооds thаt аrе nutrіtіоus аnd hеаlthу аrе nоt tаstу. Lіkе І іndісаtеd, іt іs а mуth аnd thе bеst wау tо еnsurе thаt уоur fооd іntаkе іs hеаlthу, nutrіtіоus аnd thаt уоu аrе gеttіng аll оf thе rеquіrеd vіtаmіns аnd nutrіеnts thаt уоur bоdу nееds іs bу:

(а) Еаtіng frоm thе 5 mајоr fооd grоuрs еасh dау – Grаіns, Vеgеtаblеs, Fruіts, Міlk, Меаt & Веаns.

(b) Еаtіng а “rаіnbоw dіеt”, thаt іs, оnе thаt соntаіns аs mаnу, іf nоt аll, оf thе соlоurs оf thе rаіnbоw – Rеd, Оrаngе, Yеllоw, Grееn, Вluе, Іndіgо аnd Рurрlе. Еасh fооd соlоur рrоvіdеs а dіffеrеnt sеt оf vіtаmіns аnd mісrо-nutrіеnts. Fоr ехаmрlе, grееn fооds suсh аs sріnасh, аrе а gооd sоurсе оf Vіtаmіn А, Fоlіс Асіd, Vіtаmіn С, Маgnеsіum аnd Іrоn. Rеgulаr соnsumрtіоn оf Ѕріnасh fіghts Аnаеmіа аnd іmрrоvеs еуеsіght.

(с) Usіng а gооd multі-vіtаmіn suррlеmеnt, tо sаtіsfу аnу nutrіtіоnаl dеfісіеnсіеs уоu mау hаvе.

(d) Drіnkіng уоur rесоmmеndеd еіght (8) glаssеs оf wаtеr еасh dау. Drіnk оnе (1) glаss аt vаrіоus іntеrvаls thrоughоut thе dау tо аssіst уоur bоdу іn thе еffісіеnt еlіmіnаtіоn оf wаstе аnd tохіns.

3. Таkе Gооd Саrе оf Yоur Ѕkіn.

Yоur skіn sеrvеs fоur (4) рrіnсіраl funсtіоns аs fоllоws:

і. Рrоtесtіоn frоm ехtеrnаl еlеmеnts.

іі. А sоrt оf sеnsоr wіth nеrvе еndіngs thаt саusе уоu tо rеасt аррrорrіаtеlу tо раіn, hеаt, соld, tоuсh, рrеssurе, vіbrаtіоn аnd tіssuе іnјurу.

ііі. А hеаt rеgulаtоr thаt ассоrdіnglу рumрs blооd tо уоur skіn’s surfасе оr rеduсеs blооd flоw.

іv. Yоur lаrgеst wаstе еlіmіnаtоr (surfасе wіsе) thrоugh swеаtіng оr реrsріrіng.

Аddіtіоnаllу, аs уоu аgе, уоur skіn nаturаllу bесоmеs drіеr, lеss еlаstіс аnd рrоduсеs mоrе wrіnklеs. Ноwеvеr, уоu саn sіgnіfісаntlу slоw dоwn thіs аgіng оf уоur skіn аnd hеlр уоur skіn іn іts еlіmіnаtіоn рrосеss bу kееріng уоur skіn соntіnuоuslу mоіst аnd hуdrаtеd thrоugh thе fоllоwіng sіmрlе skіn саrе rоutіnе.

Dental Care You Can Count On

When it comes to the health of your teeth, you want to find a dentist that you can rely on; a dentist that you feel comfortable with and who you know will provide you with outstanding results. When you choose one of the dentists from the Lexington Dental Center, you can be sure that your teeth will be well taken care of. Now, that’s something to smile about.

Reasons to Choose Lexington Dental Center

There are so many dentists in the area, so you may be wondering why this one is the best practice to work with. There are quite a few reasons why this dental center is the best of the best, and here’s a look at just a few of those reasons:

• Individualized Care. You aren’t just another patient; you are a person when you go to this dental center. Your dentist will assess your condition and will devise a plan that is customized to meet your specific needs. Dental care shouldn’t be a cookie cutter approach: Every patient has different needs, and what works for one patient may not work for another. Your situation will be completely assessed, and your dentist will device the best treatment plan for your needs.

• Comfort. Many people have a fear of the dentist. They fear that the experience will be uncomfortable, and they dread the idea of being in pain. Your comfort is a top priority at this dental facility. The dentists will do everything in their power to make sure that you are comfortable before, during and after your procedure.

• Quality Equipment. There are constant advances in the dental industry, and equipment is one of the things that are always advancing. At this facility, they use the most cutting-edge technology and equipment, which will ensure that you get the best treatment possible.

Being Healthy

Being and staying healthy is one of the dreams of every human being no matter how young or old they are. When you are healthy, you can do anything because your body allows you to do all those things for which it was designed. Sometimes, however, something such as an illness might impair your ability to perform your day-t-day duties. This is when you need to react to the situation to take steps to get back to health as soon as possible and resume your normal life.

When it comes to many illnesses such as cancer for example, when detected in their early stages they can be cured completely. This is why early diagnosis is so important here. If you suspect that you might suffer from an illness that might require your early reaction, grab some ELISA kits or ask somebody who has them to check your body for any possible early symptoms of the illness. As I always say, prevention is better than cure, but early diagnosis is better than late diagnosis. There are still many things that can be done in the early stages of many illnesses that cannot be done later. It is therefore very important to keep this truth in mind.

Various hospitals, labs and physicians can all benefit from a wide range of testing kits for all types of major illnesses, but also many minor conditions that many people usually don’t hear or talk about that often. Among them there are many names I personally have never heard about due to the fact that I am not a doctor myself, but if I am going to have some time later this afternoon, I am going to try to dedicate it to the topic of medicine. Since I already enjoy reading about fitness and health, I might as well read something about illnesses as well.

Yummy healthy treats for young ones

You are already tired of forcing your kids to have good food. After all for how long can run after your refusing to eat? He is growing thin and you are clueless of what can be your next option. You think it’s impossible to make your child have healthy meals? No not really. Yes you can make him have healthy stuffs constituting of fruits, vegetables and leaner protein.

You might not know but kids are also fond of whole foods. Once you get them taste these foods you just see them lick the spoon and bowls and want for more. Have you ever tried these easy recipes at home? Try it now.

Mini Sandwich: cut up the breads in orderly shapes. You can even opt for cookie cutters for the perfect shape. Fill them cheese and meat slices or you can even go for lunch meat. This is quite a wholesome option. Insert leafy vegetables into it.

Fruit Kebabs: Stick berries, melons, apples and banana chunks onto tooth picks. This lovely fruity dish is healthy and yummy.

Pizza: Yippy Pizzas are great to have. Use the English muffin or a Pita for the base. Now allow to pour tomato sauce, and sprinkle cheese over the base. You can either sprinkle vegetables or some chicken as toppings for the pizza.

Now look at your son enjoying peaceful bites.Like more healthy recipes click


What You Need to Know About Legal Marijuana in Colorado

It was only a matter of time until the government saw the benefits of legalizing marijuana. Just the monetary incentive was enough for the government to open up a few test markets, and residents of Colorado were the first to have the privilege of legally purchasing marijuana. This first month of legalization totaled more than 14 million dollars in sales. Roughly two million of that was collected by the state for tax purposes. These stats are for recreational marijuana sales. Medicinal sales were also up for the first month as well. There is a bright future for marijuana sales in the state of Colorado, but legalization came with rules. If you are a Colorado resident and you are thinking about making a purchase, then make sure you know these rules.

● Legal marijuana can only be sold to adults that are 21 years of age or older.
● Adults are allowed to possess up to one ounce of marijuana at any given time.
● A valid state or government ID is required to make a purchase.
● A list of retail stores selling marijuana can be found at:
● There are limits to the amount that can be purchased at a given time. Colorado residents are allowed to purchase one ounce of marijuana, while non-residents are limited to purchasing only ¼ of an ounce of marijuana.
● Adults are allowed to give or gift up to one ounce of marijuana to other adults. Selling is not allowed without an official business license.
● Just because it is legal does not mean public consumption is. It is against the law to openly and publicly consume marijuana.
● It is illegal to drive while under the influence of marijuana. If your blood level shows 5ng/ml, you can be arrested for driving under the influence.

Colorado is a testing ground for marijuana legalization. If things work out, the rest of the United States may see the same laws very soon.

Things to Consider When Choosing the Right Alcohol Rehab in Thailand

Medical tourism has allowed people to make good choices regarding their health. Thailand has turned into a popular destination for those who are trying to find help for their addiction problems. When it comes to alcohol addiction rehabs, the facilities offered in Thailand are far more luxurious than what is offered in other parts of the world. Alcohol rehabs in Thailand follow international standards of care while offering the flexibility that is not available anywhere else.

Naturally, Thailand is wonderfully exotic, and that should be another reason for you to choose this place as your destination for alcohol addiction treatment. If you are intending to visit Thailand to get rid of your alcohol addiction problems, or you are an expat who is already there and wants to get a treatment, here are some of the best pointers on choosing the right treatment facility for you.

• Inpatient Vs. Outpatient

Inpatient Rehab

Inpatient rehabs are also known as residential treatment centers. This choice can be good for those who are moderately to severely afflicted with the unnecessary abuse of alcohol. This kind of treatment costs a lot more than what you are supposed to pay for an outpatient treatment, for the reason that food and residential costs are included in the fees.

Outpatient Rehab

Patients that have opted for an outpatient program are required to visit the facility on a periodic basis for counseling and treatment. This kind of treatment turns out to be cheaper than inpatient treatment as the client will not incur the residential costs.

• The cost of the treatment

For those willing to have their treatment done in a luxurious facility, there are several options available in Thailand at a fraction of what you would pay in countries like UK and US.

• The duration of the program

There exists some evidence suggesting that the longer the program is, the better are the chances of permanent recovery.

• Aftercare support

Aftercare support is highly important when choosing a facility in a foreign location. You need to make sure that there will be support offered to you once you return to your home location. If you have had your treatment done under the 12-Step program, this support should come in the form of fellowship meetings.

• The completion rate of the program

A higher completion rate makes sure that the program that is going to be offered to you is strong and effective.

• The kind of treatments and therapies involved

It is necessary to know the content of the program in detail. Alternative therapies, skills workshops and group therapies are some of the essential ingredients of an effective alcohol addiction treatment program.

Some other considerations

* Make sure that the structure of the treatment program suits your needs.

* Make sure that the treatment center offers the best quality services (especially if you intend to go to inpatient treatment)

* Make sure that the kind of treatment program offered to you is the one you were looking for (a 12-step program or a non 12-step program)

These were just a few of the things you need to consider when choosing an alcohol rehab in Thailand. While the pain and destruction of life, alcohol addiction causes vary from person to person, the solution is almost the same: the need to get out of the cycle of addiction and to change your world. If you have tried your best to stop abusing alcohol, and you can’t, rehab is the way to go.


Best Testosterone Booster

As the name implies, testosterone boosters are designed to produce more testosterones than usual. Basically, these types of boosters are more like sport supplements that raise the energy levels and make you stronger. Testosterone therapy is also undertaken by men who are diagnosed with a disease called hypogonadism in which testosterone production falls below the normal level. Testosterone is basically a male sex hormone that governs the sex drive and help greatly with metabolism. Testosterones in addition to building strong muscles also help in burning fats. It is important to recognize the fact that not all testosterone boosters are good for health, so seek out the best. Secondly, be moderate in using T-boosters as increased intake may lead to heightened sex drive and high speed fat loss.

To begin with, natural testosterone boosters are considered best and safest to increase testosterone production for building muscles, burning fats, increasing stamina, recovering faster from workout and to have normal sleeping pattern. Herbs like Horny Goat Weed, Tribulus Terrestris and Tongkat Ali are considered the best. Furthermore, go for diet that is rich in amino acid, zinc, vitamin B6, Vitamin D, magnesium and protein. Also eat oysters and exercise regularly.

There are myriads of testosterone boosters available in market and all claim to have a magical affect. Keep in mind that D-Aspartic Acid and Vitamin D are the only ingredients that have been medically proven to accelerate levels of testosterones. So, seek out these two ingredients if these are not found in the T-booster then it probably won’t work. Moreover, the ZMA formula is mostly found in T-boosters that contain the trio: Zinc, Magnesium and Vitamin B6. Crazy mass products produce some of the best supplements for increased benefits, some of the best T-boosters are found to be:

Decka is considered one of the best T-boosters; it claims to bring about multiple benefits that include enhancing the development of lean muscles, building strength and faster recovery from pain, increasing nitrogen retention from explosive workouts, diminishing ultra-cellular bloating, resisting water retention etc. This supplement is both legal and safe and claims to present beneficial results in less than fifteen days.

Dianobal, produced by crazy bulk is proven to have effective results for muscle building. It helps in boosting stamina, gaining lean muscle mass, reducing muscle fatigue and increases nitrogen retention. The supplement also contains fat burners that help greatly in metabolism. Read the crazy bulk review before buying these products.

How To Identify HPV: Signs And Symptoms

HPV stands for Human Papilloma Virus. This is a virus responsible for causing genital warts and the cervical cancer in women. Unfortunately, the presence of this virus can go unnoticed for long periods of time till the signs of the infection are detected.

On the other hand, the warts are noticed physically though they cause no pain or harm to one’s health and wellness such that sometimes they are just ignored for a while.

Both males and females can carry the virus and can acquire it without being aware hence spreading the virus through different means unknowingly.

Here are some of signs and symptoms as well as ways of recognizing their presence.

Predisposing Factors

Predisposing factors are the ways through which the virus is spread from one person to the other. This is grouped among the signs and symptoms of HPV as it is spread easily through them. One of them is new sexual partner. Once you have a new sexual partner, have it at the back of your mind that you are also getting into contact with all the people the person has had a sexual relationship with.

This opens a way for the HPV virus to get into your body. Also, having multiple sexual partners is a warning sign for HPV presence in your body. This is because you have high chances of getting the virus from any of the individuals or a mixture of strains from them.

In addition, sharing of combs, nail files, shavers, towels and other private items predisposes you to the HPV virus. If this is common in your life, it is a warning sign for the possible presence of the virus in your body systems.

Presence Of Warts

Presence of warts in any parts of the body is an eminent sign of the presence of the HPV virus in the body systems. The ones on the upper and lower limbs as well as on the face are harmless and just need a wart removal remedy to have them cleared. On the other hand, genital warts should raise concerns over other possible health risks. These warts can be recognized in both men and women in different ways. These are:

Genital Warts In Men

These warts appear in men few weeks after sexual contact with an infected individual. They commonly appear on the penis, thighs, groin, and scrotum as well as on the anus. They are usually painless hence can easily be ignored. They can either assume a cauliflower shape, flat or even a lump on the skin. These warts appear as single or in clusters.

It is important to note that the HPV virus is responsible for anal cancer in male individuals. In this case, an anal pap smear is important in order to detect it early.

Genital Warts In Women

Genital warts in women are painless hence many times they are ignored. However, they are a real cause of concern as they are a prime indicator of the HPV in the body system and an indication of a possibility of the individual getting cervical cancer.

These warts can be acquired even without actual sexual intercourse or from protected sexual intercourse as they are spread by skin to skin contact. Thus contact with the scrotum of a partner may lead to genital warts.

These warts appear most of the time on the vulva which is the outer genital part of a woman, the groin, and anus together with the area around the virginal opening.

Presence Of Protrusions On The Skin

The presence of any protrusions on the skin is a real cause of concern. This is because they might be warts developing on the area. Instead of ignoring it, visit your doctor for a early diagnosis as they might be warts caused by HPV.

Key to Healthier Life

Even though I am considered by many to be a healthy person, I am always on the lookout for ways to improve my health even more and feel better and healthier. For example, I exercise regularly, I try to eat healthy, I don’t smoke and I am an optimistic person. But one question I have been asking myself for some time is this really enough to keep my body healthy? Do I still need something more to make sure that my body is in the shape I want it to be considering my age and my gender? Exercising is always good for the body, but I am not completely sure if the food I choose to eat every day is rich enough in vitamins and minerals. Maybe I have to look for vitamins and minerals somewhere else. I guess this is the way to do it. Because of this, I will try to find wholesale prices on 4life Transfer Factors at

One thing that I still have to do is to find vitamins and minerals that would do the trick. I am still wondering which supplements are the best for me in my case. I might want to include some digestive enzymes in my diet just to help my body a little with digesting. To be honest, I have never tried anything like this before, but I have a good feeling about such supplements. Having a healthier digestive system has always been one of my main goals, especially due to all this unhealthy food that I can find in the supermarkets in the area. I am sure that you would agree with me that most food you buy there is loaded with preservatives and fat. How are human bodies supposed to digest something like that? Only digestive enzymes can prove to be the answer.

Guitar Fun

I am going to listen to some music when I get home later today. I cannot wait for this to happen as I have been wanting to relax with the help of music for some time now but never really had a chance to do so. Another way to relax a little is to do it with the help of a guitar which I can order now. I know some people for whom playing their guitar is a great way to unwind after a tiring day at work.

How to Feel Better about Yourself

Since our society has become more liberal, plastic surgery in Singapore is definitely getting accepted by the society at large. The press performs a big role these days in why individuals are ever more prepared to accept cosmetic surgery these days, as they quite simply expose the people far more to the particular various plastic surgery procedures. With escalating coverage in media of cosmetic surgery procedures and people who have undergone cosmetic surgery, everyone is traditionally increasingly prepared to take cosmetic treatments techniques. With the number of TV super stars today telling what they’ve done to their own bodies, everyone is much more prepared to undergoing the surgeries themselves. With all of these factors leading to persons extra accepting of cosmetic surgery, it’s not necessarily something to cover up these days.

Several on-line authors in addition have written and published on-line the particular surgical treatment treatments that they currently have gone into surgery. They don’t seem to be worried to display society their procedures, and in fact they want to show the amazing conversion process wherein they’ve put their overall body through to be able to look more wonderful. With all the increase of such variables, plastic surgery in Singapore is fast becoming mainstream. The particular judgment connected with plastic surgery seriously isn’t like in earlier times. Aesthetic surgery feature several aspects of our body, and in general it is usually to be able to improve and boost the appearance of your body. The breasts, ears, nose area, eye and facial area are generally areas of the body that undergo essentially the most plastic surgery processes. Plastic surgery is going to boost one’s appearance and figure, which help you to definitely gain in self-confidence.

Nevertheless, mainly because plastic surgery involves modifying your visual appearance and also altering your body parts, as a result there are several factors to consider. Typically the very first key to consider will be your expectations, where if you want to resemble a superstar right after cosmetic surgery, that might be very difficult. Typically the subsequent to take into account stands out as the amount of money that one plans to fork out when they choose these kinds of procedures. Simply because plastic surgery is not covered with insurance, you are going to need to estimate the whole cost cautiously, even the post-surgery costs. Subsequent point to contemplate will be the hazards involved with the actual operations, from the bad results to the recovery process from the surgical treatments. Because of this, the final results may differ from just what one may desire as being the outcome. Do at the same time take into account the process of recovery, where a couple of months may be needed in the much more complicated cases to totally recover from the operation.

In the event that you’re planning to go for surgery treatment, a big aspect to consider is the choice of plastic surgeon. First of all, be sure that the surgery you intend to go through is really an operation recognized by the Ministry of Health, plus the plastic surgeon is licensed by the Singapore overseeing body.

Just about every health practitioner may work in many different medical centers, and you will have to complete your homework to see if the medical facility is actually satisfactory in the event of a medical crisis. Be sure that this facility is actually identified by the ministry in order that you have peace of mind going through your cosmetic surgery operation.

Once you have decided on the aforementioned, in addition to chosen your own surgeon, do check with them regarding the objectives which you have, as well as your health record and drugs which you are receiving, and also the aim and objective of the operation. In the event that you’re not comfortable with the doctor, do move around and talk to different plastic surgeons. An individual should be extremely certain about your own plastic surgeon of choice prior to deciding to undertake any medical procedure.

You will need to consult the doctor if you are suited to the operation that you may have under consideration to consider. Based on your body, you may very well not be considered a great prospect for that specific procedure. While consulting your current cosmetic surgeon, check in case there are non surgical alternatives to choose from instead. Quite a few operations is possible without having surgical procedure, including botox injections or filler injections.

Check with your current medical specialist how effective he or she is with this particular course of action and in addition in regards to the various instances he has got done this surgical procedure. Bear in mind, the conclusion to undertake plastic surgery is yours and your own exclusively.

Individuals from all-around Southeast Asian countries arrive at Singapore to complete their own plastic surgical procedures as the medical doctors here are perfectly controlled by the authorities. Cosmetic plastic surgery in Singapore is starting to become perfectly recognized because Singapore has attained a top industry-standard of heath care treatment. The truth is, numerous individuals overseas and native truly feel safe receiving treatments done in Singapore. Because of so many great advantages of the recognized standard associated with medical care in Singapore, Singapore is the best place to consult with for cosmetic plastic surgery.