Body By Poly Podcast

GLP-1's & Surgery Risk

Ozempic & Surgery: Why One Shot Can Raise Aspiration Risk Under Anesthesia Dr. Alain Polynice explains that GLP-1 medications like Ozempic can delay gastric emptying, causing food to remain in the stomach longer than expected and increasing the risk of reflux and aspiration during general anesthesia, which can lead to serious, potentially life-threatening aspiration pneumonia. He emphasizes stopping GLP-1 medications before any surgery to reduce this danger, noting that the American Society of Anesthesiologists recommends discontinuing them at least one week prior, while he takes a more conservative approach by advising patients to stop all GLP-1 medications two to three weeks before surgery to minimize the chance of aspiration during anesthesia. 00:00 Ozempic Surgery Warning 00:24 Why GLP-1 Slows Digestion 00:32 Fasting Risk Under Anesthesia 00:39 When to Stop Before Surgery 01:04 ASA Guidelines Update 01:20 Conservative Two-Week Rule 00:00 Final Safety Takeaway https://www.bodybypoly.com https://www.youtube.com/@bodybypoly

Peptides Explained: Benefits, Risks, and What to Know Before Using Them

Peptides Explained: Benefits, Risks, and What to Know Before Using Them Dr. Alain Polynice explains what peptides are—short-chain amino acids that can regulate body functions—using insulin as an example. He discusses the growing use of peptides among patients, noting that some are controversial due to limited human research and lack of FDA approval. He highlights peptides like BPC-157 and TB-500 for potential tissue, gut, and soft tissue healing after surgery, and mentions growth hormone–related peptides such as CJC and ipamorelin. He cautions that peptides are easy to buy online but quality is uncertain, urging “buyer beware.” He recommends discussing peptides with a qualified physician, obtaining them as prescribed medications, and sourcing them from an FDA-approved compounding pharmacy while doing thorough research. 00:00 Peptides Explained 00:44 Benefits and Examples 01:04 Growth Hormone Peptides 01:12 Safety and Sourcing 01:24 Doctor Guidance 01:44 Final Cautions https://www.bodybypoly.com https://www.youtube.com/@bodybypoly

Ozempic Body & Skin Laxity: Plastic Surgery Considerations After Rapid GLP-1 Weight Loss

Ozempic Body & Skin Laxity: Plastic Surgery Considerations After Rapid GLP-1 Weight Loss Dr. Alain Polynice discusses Ozempic/GLP-1 medications, rapid weight loss, and the resulting “Ozempic body” skin laxity seen in many patients who lose large amounts of weight quickly and dislike the loose skin in areas such as the neck, arms, breasts, abdomen, buttocks, and thighs. He explains that skin often cannot retract fast enough, leading to a need for tailored combination or staged procedures like tummy tucks, lower body lifts with thigh lifts, arm lifts, and breast lifts. He also notes GLP-1–related muscle loss as an important factor in surgical planning. Key pre-op guidance includes being weight-stable for 3–6 months on a maintenance dose and stopping the medication 2–3 weeks before surgery due to delayed gastric emptying and increased reflux/aspiration pneumonia risk. 00:00 Ozempic Body Explained 00:23 Loose Skin After Rapid Loss 00:53 Combination Body Contouring 01:20 Muscle Loss Considerations 01:50 Timing Surgery Safely 02:16 Stopping GLP-1 Pre Op 02:43 Wrap Up Key Takeaways https://www.bodybypoly.com https://www.youtube.com/@bodybypoly

Postoperative Pain: What is Normal? When to go to the ER

Dr. Alain Polynice explains what postoperative pain is normal after surgery and when it may signal an emergency. While incision-site pain, tightness, and muscle-related discomfort (such as after a tummy tuck with muscle tightening or breast implants placed under the muscle) are expected, pain should generally improve over two to three days. Pain that continues or worsens by day three or four may indicate abnormal swelling, fluid collection, wound-healing problems, or skin necrosis, including concerning purple or black skin changes, and should prompt contacting your doctor, calling 911, or going to the ER. He also highlights calf pain as a serious warning sign for possible DVT, which can lead to pulmonary embolism. 00:00 What Pain Is Normal 00:47 When Pain Becomes Emergency 00:58 Wound Issues And Necrosis 01:36 Calf Pain And Blood Clots 02:02 When To Call Doctor Or ER https://www.bodybypoly.com https://www.youtube.com/@bodybypoly

Post-Op Fever After Plastic Surgery: When to Worry About Infection

Post-Op Fever After Plastic Surgery: When to Worry About Infection Dr. Alain Polynice discusses postoperative fever after plastic surgery, noting that a mild temperature rise right after surgery can be common, but fever around day three or four may signal infection—especially with spreading redness, significant warmth, purulent drainage, or pus. He explains that slight warmth or redness limited to the incision can be normal, but redness that spreads and is increasingly warm to the touch should be monitored daily (including taking pictures) and may indicate worsening infection that can progress to sepsis. He highlights warning signs after breast surgery such as tender redness or markedly increased swelling on one side. Although patients receive antibiotics during and after surgery, infections can still occur, including infected sutures; prompt treatment is important, particularly with implants. He advises contacting your doctor immediately or calling 911 if needed, as IV antibiotics or minor suture removal and dressing may be required. 00:00 Post Surgery Fever Basics 00:24 Normal vs Concerning Temps 00:49 Incision Redness Warning Signs 01:16 Breast Surgery Infection Clues 01:29 Antibiotics and Infection Risk 01:51 When to Call or Go ER 02:16 Prevention and Final Takeaway https://www.bodybypoly.com https://www.youtube.com/@bodybypoly