SciTech

Suck The Fat Outta Me With That Thing, Doc. I Have My Teenaged Years Ahead.

MayorBob.

Posted to SciTech on Sat Dec 09, 2006 at 11:41:51 AM EST (promoted by port1080). RSS.

Brooke Bates of Pflugerville, Texas had weight issues. She weighed 180 pounds by age 11 and had ballooned to 220 pounds a year later.  She tried her darnedest to lose the weight: low carb diets, Weight Watchers, and Richard Simmons Deal-A-Meal, to name a few - all without success.  Then she found a weight program that worked, that removed pounds, and made her "about as happy as a little girl can be" in the words of her father, Joey Bates.  But, if Brooke and her father and mother are happy with the program, that doesn't mean that many other people are.  You see, Brooke literally had the excess pounds sucked out of her by liposuction.  That's a procedure the medical community says shouldn't be used for weight control and certainly isn't meant for young people.

When Brooke's story was reported in People and on TV, the reaction of people like Dr. Zachary Gerut was unequivocal.  Not only is liposuction "not a treatment for obesity" he likened it to: "cutting out a piece of skin for psoriasis. The problem is still there. The person is going to get psoriasis everywhere else."  Bottom line, it's for body sculpting, not weight reduction -- even the FDA says so.  And, although liposuction has become the top cosmetic surgery procedure in the US with 324,000 operations performed in 2004, it is still not widely performed on those under the age of 18 (a total of 3,084 procedures in 2004).  Rarer still is seeing it used on someone as young as 12.  According to Dr. Peter Fodor, a past president of the American Society for Aesthetic Plastic Surgery, there is almost no "experience with people who are 12, with that kind of surgery" cautioning "metabolically, her whole system is still growing."  That, plus there is always the possibility of complications coming from such a procedure.

So, what kind of plastic surgeon would perform liposuction on a 12-year-old?  That would be a plastic surgeon like Dr. Robert Ersek, who describes himself as "the biggest fat sucker in Texas."  He's also a man who seems to be unabashedly proud of what he does for mankind with a liposuction machine.  The doctor said he was initially opposed to using liposuction on Brooke but finally consented when he learned about her high blood pressure.  This reasoning didn't seem too compelling to some people in the fat acceptance community, however.

Ersek believes the bottom line answer on whether it was right to do it to Brooke being her current condition.  She's down to 155 pounds and, according to her parents, her self-esteem has gone through the roof.  No matter how Brooke feels about herself or the folksy charms of Dr. Ersek, many in the medical community are still troubled by this incident.  Dr. Ron Rohrich, past president of the American Society of Plastic Surgeons, says "teenage cosmetic surgery is very limited in this country -- especially liposuction -- to unusual circumstances."  Dr. Rohrich also notes: "I need to run and eat less to lose weight. Why would it be different for a kid?"

Tags: edited by Port1080, written by MayorBob, weight, medicine, plastic surgery, kids (all tags)

This story: 10 comments (3 from subqueue)
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1

Mind your own business

wetkarma.

Sat Dec 09, 2006 at 01:00:08 PM EST

5.00 (astute)

Parents ok with the surgery? Check.
Kid ok with the surgery? Check.
Doctor ok with the surgery? Check.

All systems go -- mind your own freakin business. I especially loathe the "fat acceptance community" over at bigfatblog  whose essentially ideology is "I'm ok with the way I am, therefore you must be too".

Memory is a strange bell, jubilee and knell.

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Re: Mind your own business

JimmyHavok.

Sun Dec 10, 2006 at 02:08:36 AM EST

5.00 (brilliant)

I'm sure the people at bigfatblog would loathe you, too, if they had the unfortunate experience of encountering you.  The difference is, they would have a good reason.

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Re: Mind your own business

MayorBob.

Sun Dec 10, 2006 at 07:27:21 AM EST

5.00 (funny, astute)

All systems go -- mind your own freakin business.

Ah, but when unconventional plastic surgical procedures are performed on the very young, it sort of invites questions.  Especially when it seems the problem could be addressed with less radical and invasive techniques.

I especially loathe the "fat acceptance community" over at bigfatblog  whose essentially ideology is "I'm ok with the way I am, therefore you must be too".

Heh, sort of like those Libertarians whose essential ideology is "the government is stealing my money, therefore you should believe so too."

Illegitimi non carborundum.

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Re: Mind your own business

wetkarma.

Sun Dec 10, 2006 at 12:22:35 PM EST

none


Heh, sort of like those Libertarians whose essential ideology is "the government is stealing my money, therefore you should believe so too."

Libertarian ideology is nothing of the kind but if you feel the need to write such throwaway comments in order to make a snarky point, I feel no need to respond in detail.

Memory is a strange bell, jubilee and knell.

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Yeah, well.

MayorBob.

Sun Dec 10, 2006 at 01:00:22 PM EST

none

#1.  Note, I said those libertarians.  Are you trying to tell me the guys who claim "the income tax is particularly evil" aren't expressing the philosophy that the government is stealing their money?

#2. Does responding to me by saying you're not going to respond to me in detail count as responding to me?

Illegitimi non carborundum.

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Re: Mind your own business

Thalia.

Sun Dec 10, 2006 at 07:46:50 PM EST

none

You mean if heard about a kid who had one of those body morphic disorders and wanted to remove an leg to become an amputee & the parents agreed you'd think that was spiffy?  It seems to me that allowing a child who is still developing to have a major surgery for something that is not life threatening, is absolutely ripe for criticism.

As to the fat acceptance community, if they say they're OK, that's well within their rights.  You have the right to dislike them, but shouldn't you follow your advice and "mind your own freaking business"?

Thalia

3

health and liposuction

JimmyHavok.

Sun Dec 10, 2006 at 02:15:03 AM EST

5.00 (astute)

The latest data indicates that liposuction doesn't have the positive effects on health that other methods of weight loss have, so claiming he did it for her high blood pressure doesn't quite cut it.

It could be that once the weight is gone, Brooke will be able to make the behavioral changes that will keep it off.  Or maybe not...only time will tell.

The Hippocratic Oath says "First, do no harm."  Since the benefits of liposuction are problematic, and any surgery has a chance of going wrong, the chances of harm overwhelm the benefits.  That doctor needs a refresher course in ethics.

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Re: health and liposuction

ms sue.

Sun Dec 10, 2006 at 01:33:09 PM EST

5.00 (astute)

The latest data indicates that liposuction doesn't have the positive effects on health that other methods of weight loss have...

To say nothing of the fact that liposuction is not intended as a weight-loss remedy. It is primarily used to sculpt, to remove specific areas of fat for aesthetic reasons. Although I don't necessarily recommend gastric bypass surgery for such a young person, I do find it odd that the parents ruled out the procedure because they had a family friend who died from it. I bet it would not be hard for me to find examples of people who died from liposuction.

If the family addresses the root causes of their child's former morbid obesity, they may be lucky. But I didn't infer from the information in the article that the family was very swift about the causes:

"Brooke seemed to be the kind of kid who gained weight from just looking at food," says her mother, Cindy....

in hindsight, the Bateses think they could have been more vigilant. "Brooke would help with the cooking," says Joey, "and do lots of tasting, which canceled out the small portions when we sat down to eat."

No, she didn't gain such an enormous amount of weight just looking at food or doing lots of tasting during meal preparation. But here's hoping she can now beat the odds.  Her improved self-image may be the most important factor on her side.

9

Grease the wheels

3fingerspointback.

Wed Dec 13, 2006 at 06:55:26 PM EST

none

I wouldn't say this was a case of entirely treating the symptom.  A friend of mine who had gastric bypass surgery told me that she was a lot more active lifestyle after she lost several pounds.  As she put it, "Wouldn't you feel more energetic if you didn't have to carry around ten bags of flour everywhere you went?"  It sounds like the 155-lb Brooke* is doing a lot of things that the 220-lb Brooke never did.

*Why is everyone using her real name on this story anyway?  This kind of thing could come back to bite her in 15 years just like any molestation case.

(is 3fingerspointback)

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Re: Grease the wheels

ms sue.

Wed Dec 13, 2006 at 11:28:04 PM EST

none

But at least gastric bypass limits the amount of food one can eat.

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