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Welcome to Valencia Town Center

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Town Center Surgery is a comprehensive plastic surgery practice headed by board-certified plastic surgeon Marc Lussier, M.D. The facilities and operating room are certified by the Accreditation Association for Ambulatory Health Care (AAAHC), signifying quality patient care that complies with nationally recognized standards. The LAP BAND Surgery program comes under the leadership of Dr. Michael Feiz, M.D., FACS, board-certified in general surgery and a member of the American Society for Bariatric Surgery.

Town Center Surgery provides a multi-disciplinary approach in order to deliver the highest standards of medical and surgical care for patients who are fighting morbid obesity and trying to lose significant amounts of weight. The goal of our program is to help you in gaining a healthier lifestyle and a slimmer physique with procedures and programs designed to be safe and effective. We utilize bariatric, nutritional, and mental health counseling, plus routine monitoring of your progress to provide assistance and support during all stages of the weight loss surgery process – before, during, and after the procedure.


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Getting Started

Dr. Lussier and Dr. Feiz are committed to helping you change your life. Learning about Lap Band Surgery can be an overwhelming experience and we want to help you every step of the way. While there is a great deal of information available on this procedure, we are here to explain every aspect in detail. Be sure to view the information below to get a better understanding of what Lap Band Surgery is all about. If you have any questions regarding weight loss surgery, Lap Band included, don't hesitate to call us now. Our customer service representatives are always available and willing to answer any of your questions!

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What is Lapband?

The LAP BAND System is an FDA-approved weight loss surgery technique that has become very popular over the last several years. Known for its safety and effectiveness, the LAP BAND Surgery involves the placement of an elastic band around the stomach, forming a smaller stomach chamber for food intake. The surgery consists of just three small, lentil sized holes that are hardly visible and minimally invasive. The LAP BAND, designed to help you feel full after a smaller portion of food, is completely adjustable and removable according to your needs, and has led to many patients losing 1 to 2 pounds per week.



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Do I Qualify?

Lap Band surgery can change a person’s life and get them on the road to healthier living with a slimmer physique. However, this type of surgery is not for everyone. Our bariatric team will evaluate you in an initial consultation to determine whether you meet the candidacy requirements for weight loss surgery, and advise you on the best procedures for your specific needs. If you are not a candidate for Lap Band surgery, our weight loss surgeon will discuss alternative options and dietary plans that can help you achieve your goals. Candidacy requirements include:

  • Body Mass Index (BMI) of at least 40
  • Body Mass Index (BMI) of 30-39.9 for patients who suffer from medical conditions likely caused by morbid obesity such as type-2 diabetes, sleep apnea, heart disease, osteoarthritis, fatty liver disease, hypertension, acid reflux disease, cancer, and others
  • Must be between the ages of 18 and 65
  • Must have exhausted other attempts at losing weight, such as diet and exercise
  • Must not be dependent on drugs or alcohol
  • Must be psychologically and physically able to have the surgery and commit to the changes in lifestyle habits required to achieve effective results

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How Do I Prepare Myself?

Lap Band Surgery is like other major surgeries in that you can best prepare by knowing the benefits and risks of surgery. Closely following your doctor's instructions is extremely important. Here are a few tips!

Mentally prepare yourself:

  • Understand the surgical process and what to expect afterwards.
  • Keep in mind that you’ll never be able to eat the way you did before, and that you’ll have to watch the way you eat for the rest of your life.
  • Talk to people who have had bariatric surgery. You can hear the stories of other patients in the Voices of Experience section.

Physically prepare yourself:

  • We gain wait on the inside too - specifically the abdomen - leading to a "fatty liver"
  • The same is true when it comes to losing weight - we lose weight inside as well.
  • Prepare your liver by losing around 5-10 pounds prior to the surgery.
  • This can often be achieved by replacing one meal a day with a low carbohydrate protein shake.
  • Losing the "inside fat" can facilitate a faster surgery and may decrease postoperative pain.

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The Day of Surgery

These are general guidelines. You must discuss these instructions with your physician to insure that they apply to you!

  • Please stop all Pain Medications that can thin your blood at least 7 days before surgery. These include: Ibuprofen (Advil, Motrin), Aspirin, Naproxen (Naprosyn, Aleve), Midol, etc. Pain medications that have Tylenol or Acetaminophen are okay.
  • Stop ALL Herbal Medications at least 10 days prior to day of surgery.
  • Start a Clear Liquid Diet 48 hours prior to the day of surgery. Clear liquids include apple and cranberry juice, broth, jello, popsicles, and most sodas.
  • Do not drink or eat anything, beginning midnight of the day before the day of surgery.
  • Most medicines can be taken the day of surgery, just with small sips of water (contact your doctor regarding specific medications).
  • Bring your CPAP breathing machine, if you have one, for use in the hospital.
  • Arrive early! Some hospitals and surgery centers require patients to arrive two hours early.

When you arrive, you will undergo a few preparatory steps. You will change out of your clothes and into a hospital gown. You will see your nurses, anesthesiologist, and often you will see your surgeon . An intravenous (“IV”)line will be started to keep you hydrated and to administer medications such as antibiotics. Soon thereafter, you will be taken to the operating room.


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How Fast Will I Recover?
Recovery takes effort. The diet is strict. Your body is trying to heal. Your weight is beginning to adjust. The recovery stage of the process becomes easier once you start to see positive changes. The timing varies by patient. Some patients begin to lose pounds within days of their surgery. For others, a couple of months go by before they see noticeable weight loss. With courage and a circle of support, you will make it through recovery and start to do things like never before.

What do I need to do to be successful after surgery?

  • Immediately after bariatric surgery, review the dietary instructions received in preoperative education.
  • Begin liquid diet, and after a period of time, move on to semisolid foods. When deemed appropriate, patients can begin eating solid foods.
  • Ease slowly into a solid-food diet to allow time for proper healing of your new stomach pouch.
  • When the patient is able to eat solid food, he or she should eat two to three meals per day.
  • Recommended sources of protein are lean meats (chicken, turkey, and fish), lean ground beef, and other low-fat sources.
  • To help avoid dumping syndrome, you may want to cook foods without using fat and season food to taste.
  • Eating between meals is often not suggested. Drinking flavored beverages, even diet soda, between meals is not suggested.
  • Staying hydrated with plenty of water is generally recommended. Avoid caffeine until 64 ounces of water can be consumed in a day.
  • Exercise aerobically every day for at least 20 minutes.


What if I'm not hungry after bariatric surgery?
Normal not to have an appetite for the first four to six months after bariatric surgery. Continue to drink liquids, and contact your bariatric surgeon or primary care physician if you are having trouble eating two to three meals a day.

Is there any difficulty in taking medications?
Most pills or capsules are small enough to pass through the new stomach pouch. At first, your doctor may suggest that medications be taken in crushed or liquid form. As a general rule, ask your surgeon before taking whole pills/capsules if they are bigger than a small peanut. Some liquid medications (sorbitol, maltitol, xylitol) may cause dumping syndrome because of their excessive alcohol sugar content.

How long will I be off solid foods after bariatric surgery?
Most bariatric surgeons recommend a period of four weeks or more without solid foods after bariatric surgery. A liquid diet, followed by semisolid foods, may be recommended for a period of time until necessary healing has occurred. Your surgeon will provide you with specific dietary guidelines.

Why can't I snack between meals?
Snacking usually involves high-calorie and high-fat foods. This can add hundreds of calories a day to your diet, possibly slowing your weight loss or even leading to weight gain. Snacking and uncontrolled eating may lead to less success with long-term weight loss.

What are the best choices of protein?
Best choices include eggs, low-fat cheese, low-fat cottage cheese, tofu, fish, other seafood, chicken (dark meat), turkey (dark meat), lean ground beef, canned low-fat meats (tuna or canned white chicken), and thinly sliced deli meats.

How can I be sure I am eating enough protein?
Most experts suggest 30 to 65 grams of protein a day. Check with your surgeon to find the right amount for your type of surgery. Too much protein is not beneficial, as it is used as a calorie source instead of protein for the body. Not having enough protein will result in fatigue. Without protein supplements, the average protein intake is 20 to 30 grams a day from regular food alone. Some programs recommend protein supplements, while other programs do not.

Will I be able to eat "spicy" foods or seasoned foods?
Most patients are able to enjoy spicy foods after the first six months following surgery.

Will I get a list of suggested eating patterns & foods after surgery?

Surgeons provide patients with materials that clearly will describe a suggested diet and dietary expectations. After surgery, health and weight loss depend on following these guidelines. You must do your part by limiting high-calorie foods, avoiding sugar, snacks, and fats, and strictly following the diet set by your surgeon.

CALL US TODAY TO GET STARTED

(877) 905 4554
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Dr. Feiz & Associates offer many options to people interested in solutions for weight loss in Los Angeles. The highly experienced Dr. Michael Feiz and his team provide gastric sleeve surgery and the Lap Band in Los Angeles. They also provide gastric sleeve surgery and the Lap Band in Beverly Hills, Oxnard, Huntington Beach, and a variety of other convenient office locations.

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