Thursday, November 29, 2012

Liposuction - What You Should Know

Liposuction And Weight Loss

If you're thinking that liposuction is a great way to lose weight, forget about it. Liposuction isn't about weight loss at all. It's all about sculpturing and contouring the body to remove excess fat deposits that aren't willing to go away with diet and exercise no matter how hard you try. It's about looking good in that swimsuit AFTER you've lost all the weight that you're going to lose.

Women love liposuction, but men dabble in it too. Women tend to have it done on their abdomen, thighs, knees, hips, chin or neck while men usually treat their neck, chest, abdomen, and "love handles."

In all but a very few isolated instances liposuction is strictly cosmetic which means your insurance company won't be footing the bill for your new belly or butt. Your insurance company MAY get involved, however, if your treatment is prescribed for certain medical conditions including enlarged male breasts in men and certain fat deposits, such as "buffalo hump" which is caused by a hormone imbalance.

How Liposuction Works

Liposuction is a procedure whereby fatty tissue is literally sucked from under the skin using a hollow wand which is attached to a suction device. Local anesthetics and other compounds including saline, and epinephrine are administered to control swelling and bleeding.

Once the patient is prepared the doctor inserts the wand, called a "cannula" through small incisions which are made in the skin. They push and pull the wand through the fatty cells causing them to break up and to be suctioned off along with other body fluids. That's about as complicated as liposuction gets from the actual procedural point of view.

Different Types Of Liposuction

There are several different types of liposuction procedures in use. Each procedure is based upon the amount of fluid which is (or isn't) injected during the procedure.

Dry Liposuction uses no fluid and is rapidly falling from favor. Wet Liposuction is where the doctor injects six to eight ounces of ephinephrine. Superwet Liposuction uses the most fluid. Basically, the more fluid that is injected during the procedure, the less blood that is lost. The Risks

While the liposuction procedure is relatively safe when performed by a Cosmetic or Plastic Surgeon, it is not without its risks and side effects up to, and including, death in very rare instances (about 20 out of 100,000). Infections have been reported in some cases as well as "seroma" which is a pooling or oozing of body fluid.

Swelling, bruising and locally painful areas are almost a guaranteed side effect of liposuction and you can expect to lose a week or more from work during recovery. In almost all instances the procedure is performed on an outpatient basis and you'll be home the same day.

An unexpected side effect of liposuction is that the fat can return and, often times, it returns to a different area from where it was removed. This is believed to be caused by drops in leptin levels.

Leptin is a hormone that is made in fat. When the levels drop it signals the body to take in more food so that it can increase its fat levels to what it "thinks" is normal. This condition is most likely to occur in people who were overweight to begin with yet still sought liposuction as a hopeful "cure".

Caution

Any doctor can perform liposuction with as little as 30 minutes "training" on the equipment. However, since there is so much at stake, and the health risks are real, you should only consider treatment by a Board Certified Plastic Surgeon or Board Certified Cosmetic Surgeon who has additional specialized training in liposuction.

Plastic Surgery Advancements   

Hidden Franchise Construction Costs

The build-out construction process is often the most challenging component of any franchise startup. Blending design decisions, city review, landlord issues and financial concerns, the project culminates with the added stress of final details before the doors open for the franchise. Often if business owners had a mulligan, they would go back and rethink the actual costs in building out the demised space. Hidden franchise construction costs lurk behind each build-out, which after the lease is inked, become the responsibility of the unaware tenant.

One of the most important aspects of site evaluation is understanding the physical condition of the tenant space and how it relates to the franchisee use. A "standard" vanilla box condition, negotiated in most leases, may leave the incoming tenant with many required upgrades not known when the lease is signed. These are often facilitated by code requirements, poor condition of existing construction or design requirements brought to the project by the franchisee.

Consider the following brief list of common potential hidden costs:

A. New or reworked fire suppression system.

B. Additional egress requirements.

C. HVAC system modifications.

D. Demising wall fire rating.

E. Electrical service entrance adequacy.

F. ADA modifications.

G. Asbestos or hazardous material abatement.

H. Water or gas service size deficiency.

I. Additional toilet rooms required.

J. Fresh makeup air requirements or exhaust systems.

K. In-wall blocking, sound attenuation insulation needs.

L. Underground plumbing, fixture requirements, drinking fountains, mop sink, floor drains, etc.

M. Floor prep, waterproofing membrane requirements.

N. Health department finish requirements beyond Vanilla Box specifications.

O. Fire alarm systems.

P. Required use of Landlord's roofing contractor for warranty.

Q. Adequacy of storefront construction, location of doors, glass areas, energy efficiency, etc.

R. Location of landlord provided work not compatible with plans.

S. Adequacy of site to stage construction, parking, dumpsters, deliveries, etc.

T. Excessive building permit fees, bonds, insurance costs.

U. Stringent landlord required construction site policies and procedures.

V. Union labor requirements or landlord contractor use requirements.

W. Tap fees for utility connections.

X. Hidden or unforeseen conditions in walls or under floor slab.

Y. Complexity of demolition activities - removal of debris from jobsite.

Z. Additional emergency / exit lights required by building department.

The list stretches from A to Z. The best advice is to know the physical attributes of the space you are leasing. It may have a profound effect on your decision when you are considering various locations. Combining various expertise at the outset can be very beneficial: a general contractor for demised space review, a financial planner for business plan review, a real estate agent for site review and a real estate attorney for lease review. Directing a bright light at these hidden issues before you commit can make all the difference.

Hotel Remodeling - Renovation And Interior Design Setting New Trend In Hotel Construction Management   Hotel Remodeling - Renovation And Interior Design Setting New Trend In Hotel Construction Management   

Hotel Remodeling - Renovation And Interior Design Setting New Trend In Hotel Construction Management

The past three years have been the best for the hotel industry in more than two decades and is expected a boom in coming years. Revenue per available room has jumped to 10% approximately as compared to last year, the biggest increase since 1984.

Hotelier who wanted to capture the market share, increase the revenue per available room of their hotel and enhance their guest's experiences it is suggested to get some remodeling, interior design or hotel renovation work done to make their success their priority.

Just keep in mind hotel remodeling also accounts complete hotel renovation services, such as restaurants, spas, golf courses, marinas, casinos etc.

The hospitality industry relies heavily on the ability to achieve superior ratings from guests. Defining the guest experience depends on many subtle factors such as the bed quality, fabrics, linens, mirrors, the completed hotel interior is essential for success. And it is very necessary to tailor and cater carefully as per the tastes and demands of individual guest.

To feed this emerging demand to hotel industry, professional companies are stepping forward to provide complete Hotel Construction Management services inclusive of Hotel Remodeling, Interior design and Renovation services.

These Hotel Construction Management companies do not offer hotel operation services; they are only concern with the hotel operation and work deliberately with the property management team to insure on time completions with little or no guest inconveniences. These companies are having trained staff that manages and accomplished their job smartly and insures hardly or no trouble to hotel customers.

If you are hotelier is interested to reinvent his / her brand start, it is suggested to refer such a Remodeling and Renovation cum Construction Management service provider. As they can provide you a quality work which can definitely prove a cost effective strategy for your hotel brand.

Hotel Remodeling - Renovation And Interior Design Setting New Trend In Hotel Construction Management   Hotel Remodeling - Renovation And Interior Design Setting New Trend In Hotel Construction Management   

Hidden Franchise Construction Costs

The build-out construction process is often the most challenging component of any franchise startup. Blending design decisions, city review, landlord issues and financial concerns, the project culminates with the added stress of final details before the doors open for the franchise. Often if business owners had a mulligan, they would go back and rethink the actual costs in building out the demised space. Hidden franchise construction costs lurk behind each build-out, which after the lease is inked, become the responsibility of the unaware tenant.

One of the most important aspects of site evaluation is understanding the physical condition of the tenant space and how it relates to the franchisee use. A "standard" vanilla box condition, negotiated in most leases, may leave the incoming tenant with many required upgrades not known when the lease is signed. These are often facilitated by code requirements, poor condition of existing construction or design requirements brought to the project by the franchisee.

Consider the following brief list of common potential hidden costs:

A. New or reworked fire suppression system.

B. Additional egress requirements.

C. HVAC system modifications.

D. Demising wall fire rating.

E. Electrical service entrance adequacy.

F. ADA modifications.

G. Asbestos or hazardous material abatement.

H. Water or gas service size deficiency.

I. Additional toilet rooms required.

J. Fresh makeup air requirements or exhaust systems.

K. In-wall blocking, sound attenuation insulation needs.

L. Underground plumbing, fixture requirements, drinking fountains, mop sink, floor drains, etc.

M. Floor prep, waterproofing membrane requirements.

N. Health department finish requirements beyond Vanilla Box specifications.

O. Fire alarm systems.

P. Required use of Landlord's roofing contractor for warranty.

Q. Adequacy of storefront construction, location of doors, glass areas, energy efficiency, etc.

R. Location of landlord provided work not compatible with plans.

S. Adequacy of site to stage construction, parking, dumpsters, deliveries, etc.

T. Excessive building permit fees, bonds, insurance costs.

U. Stringent landlord required construction site policies and procedures.

V. Union labor requirements or landlord contractor use requirements.

W. Tap fees for utility connections.

X. Hidden or unforeseen conditions in walls or under floor slab.

Y. Complexity of demolition activities - removal of debris from jobsite.

Z. Additional emergency / exit lights required by building department.

The list stretches from A to Z. The best advice is to know the physical attributes of the space you are leasing. It may have a profound effect on your decision when you are considering various locations. Combining various expertise at the outset can be very beneficial: a general contractor for demised space review, a financial planner for business plan review, a real estate agent for site review and a real estate attorney for lease review. Directing a bright light at these hidden issues before you commit can make all the difference.

Hotel Remodeling - Renovation And Interior Design Setting New Trend In Hotel Construction Management   Hotel Remodeling - Renovation And Interior Design Setting New Trend In Hotel Construction Management   

Commercial Construction Costs - The Importance Of Planning

When designing, planning as well as constructing a commercial property the costs involved are of paramount importance. Unfortunately this is even more true today than it was 10 years ago for the simple fact prices of materials etc., are continually increasing. However a great way of ensuring that the costs are kept to a minimum during any project is through using a commercial construction costs management service.

This is an establishment which is able to realistically look at the capital costs for any commercial construction project. They not only look closely at the planning costs but also cost control services. Plus this service will also ensure that the bids provided on the construction project are documented as well as being completed within the pre-arranged framework of costs and time. They will also look at finding the most economical ways of ensuring that the project does not run over budget.

Each construction project should employ an independent and professional cost manager or quantity surveyor who can police as well as have a clear overview of everything that is going on in order to protect the financial interests of the person who is having the construction project done. Generally these people will use their engineering judgment and experience which they then apply to scientific principles and techniques to allow them to analyze and develop the best action that should be taken in order to provide a good estimation of the costs involved as well as being able to control the commercial construction costs once the project starts on site.

By using a good set of cost management principles the cost manager or quantity surveyor will ensure that the construction project stays within the budget limits and still meets performance and quality targets.

In fact when a commercial construction project is being prepared the cost manager or quantity surveyor is an integral part of the team and can bring added value to any construction and design team.

However if there are any problems relating to commercial construction costs especially if they exceed the budget then this may well cause problems for the person who was asked to control the costs initially.

Hotel Remodeling - Renovation And Interior Design Setting New Trend In Hotel Construction Management   Hotel Remodeling - Renovation And Interior Design Setting New Trend In Hotel Construction Management   

Hotel Remodeling - Renovation And Interior Design Setting New Trend In Hotel Construction Management

The past three years have been the best for the hotel industry in more than two decades and is expected a boom in coming years. Revenue per available room has jumped to 10% approximately as compared to last year, the biggest increase since 1984.

Hotelier who wanted to capture the market share, increase the revenue per available room of their hotel and enhance their guest's experiences it is suggested to get some remodeling, interior design or hotel renovation work done to make their success their priority.

Just keep in mind hotel remodeling also accounts complete hotel renovation services, such as restaurants, spas, golf courses, marinas, casinos etc.

The hospitality industry relies heavily on the ability to achieve superior ratings from guests. Defining the guest experience depends on many subtle factors such as the bed quality, fabrics, linens, mirrors, the completed hotel interior is essential for success. And it is very necessary to tailor and cater carefully as per the tastes and demands of individual guest.

To feed this emerging demand to hotel industry, professional companies are stepping forward to provide complete Hotel Construction Management services inclusive of Hotel Remodeling, Interior design and Renovation services.

These Hotel Construction Management companies do not offer hotel operation services; they are only concern with the hotel operation and work deliberately with the property management team to insure on time completions with little or no guest inconveniences. These companies are having trained staff that manages and accomplished their job smartly and insures hardly or no trouble to hotel customers.

If you are hotelier is interested to reinvent his / her brand start, it is suggested to refer such a Remodeling and Renovation cum Construction Management service provider. As they can provide you a quality work which can definitely prove a cost effective strategy for your hotel brand.

Hotel Remodeling - Renovation And Interior Design Setting New Trend In Hotel Construction Management   Hotel Remodeling - Renovation And Interior Design Setting New Trend In Hotel Construction Management   

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