THIS BOOK IS DEDICATED TO PENNY,
MY GIRL SINCE AGE NINE!
Contents
Part I
Lose the Fat, Lose the Years Basics
Part II
Lose the Fat, Lose the Years Eating Plan
Part III
Lose the Fat, Lose the Years Exercise Plan
Acknowledgments
My amazing children, Brooke, Blake, and Chloe, for their respect and genuine enthusiasm. Thank you, Brooke, for your meticulous early edits; Blake for your inspiring artistic contributions; and Chloe for your intuitive opinions of the market. The late Elena Lyons, my mom, for aligning the stars for me. I feel her influence every day.
I would like to thank my patients. Your trust and hard work allowed me to develop Lose the Fat, Lose the Years nutrition and fitness programs to help each of you look your absolute best.
Eileen Cope, you are amazing! Without you, this book would not have happened. Thank you for two years of working it out with me and then brilliantly framing the concepts to produce Lose the Fat, Lose the Years . Your ability to connect the right people at the right time is simply magical.
Kathy Huck for your masterful editing and enthusiastic interest in Lose the Fat, Lose the Years . No one could have organized the principles better than you.
Sally Richardson at St. Martins Press for seeing the importance of this book from the start. Your acknowledgment of my ideas was a major turning point in this project.
George Witte at St. Martins for the opportunity to do this book.
John J. Murphy, Ann Day, and Tara Cibelli at St. Martins for making this experience an exciting one.
Karen Moline for your brilliant words. Your ability to connect to my thoughts and put them on paper was phenomenal. The passion you bring to your work is exhilarating. I look forward to our future collaborations.
Robert Gottlieb for recognizing the importance of this book from the very beginning and bringing me on board at Trident Media.
Maggie Robinson for your fresh approach to eating.
Cathy Cash for connecting me to Robert and Eileen.
Kathy Roberts, my assistant, for everything.
Rick Carbone for convincing me that it was okay to take time out for my own body.
Ken Wallach for your brilliant training and fitness ideas.
Christopher (Topher) Tornow for your personal training.
Alyse Diamond at St. Martins Press.
Alexandra for being so courteous and always making contact with Eileen so effortless.
Deborah Feingold for your artistry. You turned a tedious experience into fun.
Sara Branch, copy editor, for your meticulous attention to detail.
Dr. Bill Little for your incredible work on volume and the devolving face. Your words caused my epiphany on aging and fat distribution.
The olympic level surgical team: Dr. Robert Ljungquist, Dr. John McCarthy, Paula Martinka, R.N., and Pat Cobb, R.N. Thanks for making my Thursdays so efficient and for listening to my incessant discussion of brown and yellow fat.
Nancy Hancock for your long friendship and respect. They mean a great deal to me.
Ivyeyesediting.com for the incredible assistance with the first proposal.
Dolores Guarino, R.N., for eighteen years of incredible support. It is not forgotten.
Introduction
Let me tell you a story about fat.
Have you ever seen such a thing? asked my patient Lisa as she came in for an appointment one rainy day several years ago. Its worse than when I was pregnant. At least then I had a baby inside. But look at me now. This is just gross !
Lisa was sweet, sassyand seriously desperate. With one swift glance I immediately understood why. At the age of fifty-one, she was burdened with an absolutely enormous floppy and lumpy fold of belly fat. She patted it and grimaced as she shifted uncomfortably in her chair.
Dont worry, I have seen such a thing, I told her, and she visibly relaxed in relief. So many times before, in fact, that theres a name for it: a panniculus. Its caused by the kind of fat in your body thats yellow and unhealthy. I call it McDonalds fat.
I dont care if you call it Burger King fat or Wendys fat! she joked. Just get rid of it, please !
Because Lisas panniculus was so disproportionate to the rest of her petite frame, her only option, unlike for most of my patients, was a drastic one, and we scheduled a tummy tuck.
On the day of her surgery, after I made my initial incision, the surgical residents and the anesthesiologist watched benignly, expecting yet another routine procedure. Then they peered over at Lisas abdomen, and I heard them gasp aloud.
I have never seen anything like that before, the anesthesiologist told me, his eyes round with shock over his surgical mask as he looked at the mounds of bright yellow fat in Lisas abdomen. As I explained what it was, you could have heard a pin drop in that surgical suite.
The more I explained the difference between Lisas yellow fat and the good kind of brown fat that makes a body look and feel healthy and vibrant, the more I realized how many misperceptions there are about fateven in the well-educated medical community.
Contrary to popular belief, you see, fat is the key to a nice flat belly. And fat is the key to a youthful-looking face and body, as well.
But heres the crucial element to unlocking the power of fat. Not all fat is the same . The fat that keeps you looking and feeling vibrant is not the unhealthy old, soft, and mushy yellow fat like the astonishing amount ( ten pounds!) I plucked out of Lisa during her operation. I can tell you from my decades of surgical experience that there is a fat that is healthy and highly desirable. It is what I call brown fat. Brown fat is firm and resilient and gives our bodies a youthful shapeit keeps our cheeks round and our butts in place.
This book will prove to you that once you understand the difference between brown fat and yellow fat, you can make the changes in how you eat and how you move to get rid of the bad and replace it with the good, no matter what your age.
Lose the Fat, Lose the Years is the first book to show you how to use your own fat to dramatically rejuvenate your face and body.
Volume = Good Brown Fat = Youth
When you hear the words plastic surgeon, what immediately comes to mind? If youre like many consumers, you probably think about something like face-lifts or liposuction or even a television show like Extreme Makeover .
As a plastic surgeon, Ive realized that it takes a lot more than just expensive surgery for my patients to achieve the best results theyre hoping for. Ive spent my entire professional life looking at shape and contour, coupling this knowledge with a firm understanding of science and physiology so I can do the best job possible, moving fat around to create beauty and youth in the face and body.
As a physician, Ive studied nutrition and metabolic functions for over three decades. And as a bodybuilder for more than two decades, Ive learned how to literally confuse my metabolism so that my muscles continue to strengthen even while fat is never deposited in my body.
Ive also had many years of experience listening to womens hopes and needs, learning to understand them better so I can help them look and feel the best they possibly can. What I hear, over and over again, from these patients are statements like Im eating the same and exercising the same way as Ive done for the last twenty years, but my waist just keeps getting bigger, or I dont look the way I feel inside. In fact, Im starting to look like my mother.