Archives December 2025

Doctor using stethoscope for patient examination.

Preparing for Your Echocardiogram

An echocardiogram is a type of sonogram that uses sound waves to create an image of the heart’s function. In this way, echocardiograms are life-saving, medical marvels. This type of sonogram allows doctors to recognize how the heart is beating and pumping blood.

Using echocardiographic technology, doctors can better diagnose and treat patients with cardiovascular or heart-related conditions. Echocardiogram providers can assess the severity of your condition by examining the heart closely with an echocardiogram.

What Patients Should Know Before an Echocardiogram

Before receiving an echocardiogram, patients should know that there are a multitude of echocardiogram tests. Depending on your cardiovascular health and symptoms you exhibit, doctors will determine which echocardiogram test is best for you to undergo.

In addition, patients should understand that receiving an echocardiogram is helpful for early intervention. When caught early, doctors can help reduce the effects of cardiovascular issues. This can prove to be life-saving.

How to Prepare for Your Echocardiogram

Although you may feel nervous or anxious about your echocardiogram test, understanding how echocardiograms work will put you at ease. While tests may differ, each focuses on the heart, detecting any cardiovascular problems along the way.

To prepare for an echocardiogram, consider:

  • Providing a list of symptoms you experience to your doctor
  • Following your doctor’s instructions for eating and drinking before your procedure
  • Arranging a ride home if the procedure requires sedation
  • Avoiding wearing jewelry such as necklaces or rings
  • Wearing loose-fitting or comfortable clothes

According to the National Library of Medicine, preparations are minimal. On the day of the procedure, once you arrive at the designated location, you will be asked to remove clothing covering your chest. You may also receive cardiac monitoring stickers so doctors can monitor your heart.

Types of Echocardiogram Tests

Not all cardiovascular issues are the same. Heart-related problems vary from person to person. Thankfully, echocardiograms are available for a number of tests.

In fact, the following tests are offered to candidates:

  • Stress echocardiogram – A type of test performed after the heart is stressed. This typically involves the patient performing exercises or receiving a medication to make the heart beat more rapidly. This echocardiogram can help patients learn if they have issues with blood flow or coronary artery disease.
  • Doppler echocardiogram – A type of test examining the way blood flows through the heart, blood vessels, and heart valves.
  • Transesophageal echocardiogram – This type of test involves a probe passing down the esophagus instead of moving across the outside of the chest. As a result, patients receive higher-resolution photos of the heart.
  • Transthoracic echocardiogram – This type of echocardiogram procedure uses the heart rate obtained by moving the transducer to different locations on your chest.

The type of test your doctor assigns to you will depend on your condition and the cardiovascular symptoms, if any, you experience.

Why Echocardiograms Work

Echocardiograms are a non-invasive method for examining cardiac anatomy. Although there are different types of echocardiograms, the echocardiographic process provides thin cross-sections of cardiac structures, including the left and right atria, the left and right ventricles, and any other structures associated with heart valves.

Assessing cardiac muscles during contractions is a form of stress test. More invasive procedures may be needed if patients score poorly on the stress test. Thankfully, echocardiograms allow doctors to visualize the heart chambers and detect potential health concerns.

Schedule an Echocardiogram

At Apex Cardiology, our cardiologists provide high-quality care. We focus on every activity and treatment to offer quality care.

We have a long history of treating heart conditions. Whether you struggle with stress or an underlying condition, our team of experts can provide you with the healthcare you deserve.

For those experiencing cardiovascular issues, contact us today to speak with our cardiologists and learn about your treatment options.

Female thighs with cellulite.

Do Genetics Play a Role in Cellulite Formation?

Cellulite can appear on the body when fibrous connective tissue tugs on fatty deposits beneath the skin. This creates irregular skin patterns and a textured appearance. The lumpy and dimpled skin texture is commonly seen on the buttocks, abdomen, and thighs.

Genetics plays an important role in the development of body cellulite. Several factors can exacerbate the visibility and severity of cellulite, including a family history of cellulite.

The Role of Genetics in Cellulite Formation

Some individuals may have a genetic predisposition to cellulite. There are variants in genes related to tissue function, collagen metabolism, and inflammation.

Common genetic variants are associated with insulin resistance, obesity, and inflammation. These variants may contribute to the development of cellulite. When cellulite develops and skin texture changes, many seek treatment to help smooth the skin.

Risk Factors for Cellulite

Cellulite has a significant genetic component. Although family history plays an important role, other factors also contribute to cellulite development.

Some of these factors include:

  • Connective tissue or fibrous band weakness
  • Reduced antioxidant capacity
  • Inflammation
  • Weight gain
  • Poor circulation

In addition to this, other risk factors consist of the following:

  • Race
  • Age
  • Pregnancy
  • Increased subcutaneous fat
  • Gender
  • Diet
  • Sedentary lifestyle

Those who belong to any of the above categories may see an increase in cellulite development.

How Cellulite Develops Due to Genetics

The National Library of Medicine states that genetic predisposition is a significant factor in the development of cellulite. Individuals with a family history are more likely to develop cellulite due to how genetics influence the following:

  • Skin structure
  • Metabolic rate
  • Fat distribution

All of the above contribute to the formation of cellulite. The severity of cellulite present depends on the many variations in genes related to connective tissue and cellulite formation.

The higher prevalence of cellulite in women compared to men can be attributed to the variations in connective tissue structure, fat distribution, and hormonal variables.

Cellulite Removal Treatment Options

Health risks are not linked to cellulite, as it is not a severe medical condition. However, cellulite can be a significant aesthetic concern for people, affecting body image and self-esteem.

While treatment is not necessary for those with cellulite, if you are concerned about the appearance of your skin, consider speaking with a doctor or dermatologist to rule out any skin conditions or diseases.

Some of the cellulite removal treatment options include:

  • Injections to balance out the uneven texture of the skin
  • Ultrasound therapy to break down the fibrous bands that are a leading cause of cellulite
  • Radiofrequency therapy to provide skin tightening and collagen induction, creating youthful skin

If you are interested in having cellulite removed, any of the above treatments can be helpful. Results from treatment last months to years.

The Link Between Metabolic Syndrome and Cellulite

Just as with cellulite, genetics plays a significant role in metabolic syndrome, influencing factors such as lipid metabolism, fat distribution, and insulin sensitivity. Those with a family history of hypertension, cardiovascular diseases, or type 2 diabetes are more likely to develop cellulite.

Specific genetic variants are associated with metabolic syndrome and affect the body’s ability to manage energy, fat, and blood sugar. The severity of cellulite can vary due to differences in genes related to connective tissue structure and function.

Find Treatment at Epione

At Epione Beverly Hills, we provide clients with a state-of-the-art facility that offers a comfortable and safe experience. Our team of fully trained professionals can help you focus on your individual goals and tailor any treatment to your preferences.

Dr. Simon Ourian is the most sought-after, A-list, and aesthetic specialist in the world. Ourian is a cosmetic dermatology expert who can remove cellulite, helping you achieve the results you want. Reach out to us today to speak with one of our professionals and schedule a consultation to learn more about your options.

Female doctor examining eyes of a senior patient.

How Age Impacts Eyelid Surgery Results

Eyelid surgery can give you a refreshed appearance. It opens the eyes and leaves you looking years younger. Eyelid surgery provides long-lasting, highly effective results. However, it cannot stop the aging process entirely. It also cannot stop damage caused by poor lifestyle factors. Some of the most common causes of skin damage include sun exposure, poor sleep, chronic stress, and poor overall health. It is critical to live a healthy lifestyle and adopt habits that support the integrity of your skin. Below, you will find how aging impacts the look of your eyelids after surgery.

How Age Impacts Eyelid Surgery Results

Understanding how aging affects the eyelids after surgery is important. It can help manage your expectations about how long the results last. It can also help you engage in habits that protect your eyelid surgery results. Below are some common ways aging affects your surgical results.

Skin Elasticity Changes

The natural aging process reduces the production of collagen and elastin. This begins as early as your 20s. The reduction in key proteins affects skin firmness and elasticity. This impacts the skin around your eyes, as it is thinner and much more delicate. After eyelid surgery, the eyelids remain affected by reduced collagen and elastin. This does not mean that the surgery failed. It is just a natural part of the aging process. If you notice this after surgery, several skin treatments can boost collagen and elastin.

Muscle Tone and Support Changes

Eyelid surgery at the top plastic surgery center tightens up loose skin and removes excess fat. However, it also tightens the muscle that supports the upper eyelid. This leaves your eyes looking smooth and firm. However, the muscles that support the eyelids continue to weaken as you age. This does not stop just because you had surgery. Protecting your skin from damage can help reduce the impact of aging on the tissues and muscles around your eyes.

Fat Redistribution Over Time

Aging causes fat to redistribute or diminish. The area around your eyes is not immune to this. Changes in fat around the eyes can impact your results. Eyelid surgery reshapes the area during the procedure. However, changes in fat can occur after surgery. A skilled surgical approach is necessary to reduce the risk. Working with a plastic surgeon with experience in eyelid surgery is a top priority.

Effective Ways to Maintain Your Surgical Results

The surgery and the surgeon you choose are two very important decisions when it comes to eyelid surgery. Additionally, caring for your skin and health afterwards is just as important. Your daily habits can maintain your results for years, despite the natural aging process. Consider the following ways you can ensure your results last.

Protect Your Skin

Sun damage is one of the leading causes of premature aging. It especially affects the area around the eyes, where the skin is thinner and much more delicate. Harmful sun rays break down the collagen in the skin. This ultimately weakens your skin’s structure. The best way to combat this is to wear SPF 30 or higher daily. This is true even if you do not go outdoors. Avoid the sun during peak hours. If you do go outdoors, wear protective eyewear and a wide-brimmed hat for added protection.

Avoid Smoking

Smoking is one of the easiest ways to damage your skin. It reduces blood flow and damages collagen. This speeds up the aging process and impacts the results of your eyelid surgery. Avoid smoking altogether. If you cannot stop smoking on your own, consult with a medical professional. Quitting has so many benefits, including your long-term skin and overall health.

Healthy Sleep Routine

Sleep has a major impact on cell repair. Poor sleep or an inconsistent sleep routine can cause serious health issues. It can also impact the appearance of your skin. People who are sleep-deprived often have dull, saggy skin. Dark circles are also common, which can make you look tired and much older than you are. Aim for at least seven to nine hours of sleep each night. If you have been struggling with sleep for more than 2 weeks, consult a medical professional. There are serious long-term consequences to your health and appearance.

Top Plastic Surgery Center

The natural aging process can impact the look of your eyes. If you are unhappy with the way you look, contact Dr. Brent’s team today to schedule your consultation!

Sign of varicose veins symptoms on a legs.

How to Lower Your Risk of Arterial and Venous Ulcers

Arterial and venous ulcers affect millions of people every year, causing pain, mobility complications, and serious health difficulties when left untreated. Many seek help from a vascular treatment center only after ulcers have already developed. While you should definitely seek medical care when these types of ulcers present themselves, prevention is a far more effective approach than treatment after the fact. Consulting an ulcer and wound care specialist can help you determine your risk factors and intervene before wounds appear. You can significantly reduce your risk of developing arterial and venous ulcers by arming yourself with some knowledge and taking proactive steps to protect your vascular health.

What Are Arterial and Venous Ulcers?

Arterial and venous ulcers share many similarities, making identification tricky. Venous ulcers typically develop on the inner lower leg and are often shallow but large with irregular edges. Surrounding tissue may appear shiny, warm, or scaly. Wound care dressings are often necessary due to moderate to heavy discharge. Many patients report experiencing a dull, aching pain.

Arterial ulcers are caused by insufficient blood flow and most often occur on the foot, between or at the tips of the toes, at pressure points, and on the heels.  They can vary in size and have well-defined edges. The wound appears “punched out” and is often yellow, brown, or black in color. These wounds are often deep, but when caught early on, they can appear shallow. In contrast to venous ulcers, arterial ulcers have minimal drainage. Patients also report that these ulcers are excruciating, and elevation can increase discomfort.

Etiology & Risk Factors

When leg nerves sustain damage, it can lead to leg ulcers. Venous ulcers are caused by inadequate blood flow, which can pool in an area of your body. This can damage the vein and cause leakage of blood cells and fluid. Edema, or swelling, is often present, leading to poor blood circulation in leg tissue and, over time, the formation of an ulcer as the tissue dies. Common risk factors of venous ulcers:

  • Disorders involving blood clotting.
  • Varicose veins
  • Obesity
  • Heart failure
  • High blood pressure
  • Deep vein thrombosis
  • Injuries or trauma
  • Pregnancy

Arterial ulcers develop when blood flow to your lower extremities is impaired. This is commonly caused by peripheral artery disease. Passages narrow, restricting oxygen-rich blood from reaching leg tissues as fatty plaque builds inside arterial walls. Without oxygen-rich blood properly circulating to your lower extremities, fluid is secreted that drains into the surrounding tissues, triggering skin breakdown. Common risk factors of arterial ulcers:

  • Smoking
  • Diabetes
  • High cholesterol
  • High blood pressure
  • Age
  • Vasculitis thickening of the arteries
  • Kidney failure

Arterial and venous arteries may seem like they are the same, and in a lot of ways, they share great similarities. The difference lies in the direction of bloodflow. Arterial ulcers involve difficulties with blood delivery, while venous complications arise from issues with blood return.

Lowering Your Risk

Your greatest advantage in reducing your risk of developing both ulcer types is to be proactive with preventive measures. Attention to circulation and overall health is a good first step to achieving better outcomes. Regular exercise, such as walking, builds strength and supports healthy blood flow. Quitting tobacco use is beneficial to your health in every way, including protecting your arteries from damage that can restrict blood flow.

If you have conditions like diabetes, blood pressure issues, or high cholesterol levels, effective management will go a long way in reducing your risk and preventing leg ulcers. Keeping a healthy weight reduces strain on both arteries and veins. Always be mindful of prevention and daily inspection of high-risk areas to spot early warning signs.

Protect Your Vascular Health

Arterial and venous ulcers cause significant pain and complications, but in most cases, they are preventable with the right steps. You can protect your vascular health by staying active, managing any underlying conditions, maintaining a healthy weight, and quitting tobacco use. Taking small steps leads to reaching significant milestones when you are consistent and sets you up for the best possible prevention.

Woman Sitting on Couch with Hot Water Bottle for Menstrual Pain Relief.

Recovery After Uterine Artery Embolization

Uterine Artery Embolization (UAE)—also commonly called Uterine Fibroid Embolization (UFE)—is a minimally invasive treatment that offers significant relief from fibroid symptoms without the need for major surgery. One of the biggest advantages of UAE is the relatively fast recovery time. Most patients return to their regular routines within a week, but that first week is an important window for rest, healing, and symptom management.

If you’re preparing for UAE or have recently had the procedure, understanding what to expect and how to care for yourself can make your recovery more comfortable. Here’s a helpful guide to navigating your first week after UAE with confidence.

What to Expect Right After UAE

Most patients go home the same day of the procedure. Because UAE works by blocking the blood supply to fibroids, it’s normal to experience some temporary symptoms as your body adjusts. These may include:

  • Cramping
  • Fatigue
  • Mild nausea
  • Low-grade fever
  • Pelvic pressure

These symptoms, known as post-embolization syndrome, are expected and typically improve over a few days.

Tips for a Smooth, Comfortable Recovery Week

1. Prioritize Rest the First 48 Hours

Although the procedure is minimally invasive, your body still needs time to recover. For the first couple of days, try to take it easy and avoid:

  • strenuous exercise
  • heavy lifting
  • keep your schedule light
  • rest as needed, even if you feel well

Most people start feeling more like themselves by day three or four, but adequate rest early on helps reduce discomfort and supports a smoother recovery.

2. Stay Ahead of Pain and Cramping

Cramping is very common after UAE, especially on the first day or two. Your provider will typically prescribe pain medication to help you stay comfortable.

  • Take pain medication on a schedule rather than waiting until discomfort peaks
  • Use a heating pad on the lower abdomen for additional relief
  • Stay hydrated to help minimize cramping

Managing discomfort proactively makes a big difference in how you feel throughout the week.

3. Keep Hydrated and Nourished

Good hydration and balanced meals support your body’s healing process. Try to:

  • Drink plenty of water
  • Choose easy-to-digest foods if you feel slightly nauseated
  • Incorporate fruits, vegetables, and protein for steady energy

Some people notice a slight decrease in appetite right after the procedure—this is normal and usually short-lived.

4. Use Gentle Movement to Promote Healing

While heavy exercise is discouraged during the first week, light movement is actually beneficial.

  • Short walks around your home or neighborhood
  • Gentle stretching
  • Avoid sitting or lying in one position too long
  • Movement helps stimulate circulation, reduce stiffness, and support a quicker return to normal activity.

5. Know What Symptoms Are Normal—and What Aren’t

Most side effects improve within several days, but it’s important to know what’s expected versus what requires medical attention. Normal symptoms include:

  • Fatigue
  • Pelvic pressure
  • Mild spotting
  • Cramping
  • Low-grade fever during the first 48 hours

Contact your provider if you have:

  • A fever above 101°F
  • Intense pain that is not reduced by pain medication
  • Heavy vaginal bleeding
  • Persistent nausea or vomiting
  • Signs of infection at the catheter insertion site

UAE has a strong safety record, and complications are rare, but staying aware helps ensure a healthy recovery.

6. Know When You Can Resume Normal Activities

Depending on how you feel, you can usually return to your daily routine within a couple of days, if not sooner. General guidelines to follow:

  • Driving: As long as you’re not taking narcotic pain medication, you can drive within 24-48 hours
  • Work: You can typically return to work within 3 days
  • Exercise: Wait at least one week before reintroducing workouts, starting gently
  • Sexual activity: Typically after 1–2 weeks, or as advised by your provider

It is best to follow your providers’ instructions for the safest recovery timeline.

Consult with a Specialist

A smooth first week of recovery after UAE can set the stage for excellent long-term results. With rest, good symptom management, and a little preparation, most patients recover quickly and begin noticing improvements in their fibroid symptoms within weeks.

Schedule a consultation with ProFibroid MD to learn more about UAE and get personalized guidance for a safe, comfortable recovery.

Woman taking sanitary pad from table, suffering from menstrual pain, closeup.

How Fibroids Affect Your Menstrual Cycle and Daily Life

Fibroids are a common condition that impacts women. They are noncancerous tumors that form in or around the uterus. The impact of fibroids can range from mild to major, depending on the person. Understanding fibroid symptoms is important so you can seek help from a specialist. You may notice symptoms impacting your daily life, including your energy levels and monthly cycle. Below you will find how fibroids affect your menstrual cycle and daily life.

How Fibroids Affect Your Menstrual Cycle and Daily Life

Fibroids often develop during the reproductive years. This is often why many people notice symptoms of fibroids during the menstrual cycle. Fibroids can vary in size and location. Both factors play major roles in how the condition affects your period and daily life.

Impact on Menstrual Cycle

There are several ways fibroids can impact your menstrual cycle. If you experience any of the following, it is important to consult with a medical professional.

Heavy or Longer Periods

Fibroids can put pressure on the uterine lining. This can increase bleeding during your menstrual cycle. Periods may also last longer than usual. Both of these issues can impact your daily life. You may notice large clots and bleeding that lasts more than one week. The frequency at which you change your pads or tampons may increase substantially. These are signs that it is time to consult with a fibroid specialist. They can assess your symptoms, run labs, and determine the best course of action.

Severe Cramping

Pressure from fibroids can make cramps unbearable. Many people experience stronger and more intense cramping before and during their cycle. This can make sleep and daily life difficult. If you have severe cramping during your cycle, you should be evaluated. A skilled fibroid specialist can provide you with options to improve your quality of life.

Irregular Bleeding

Fibroids can cause irregular bleeding. This includes spotting between periods and unpredictable cycles. This can make it challenging to track your cycle. Many patients with fibroids experience such painful cycles that they need to plan their daily life around them. Irregular bleeding can make this exceptionally difficult. If your cycle has been irregular for more than two to three months, consult with a medical professional right away.

Impact on Daily Life

You may notice several ways that fibroids impact your daily life. If fibroids lead you to experience one or more of the following, consult with the top fibroid specialist for support.

Pelvic Pressure

Many women report feeling pelvic pressure or fullness in the lower abdomen. It is often described as feeling bloated. This occurs even if you have not eaten yet. The pressure can make sitting for long periods extremely uncomfortable. It can also make it difficult to find clothes that fit and feel comfortable.

Frequent Urination

Fibroids can press against the bladder. This reduces the volume of the bladder. The pressure can lead to frequent urination throughout the day and night. This can disrupt your daily life and sleep. This can lead to a vicious cycle of sleeplessness and daytime fatigue. It is important to consult with a medical professional due to the impact on your life.

Fatigue and Lower Energy

Heavy menstrual bleeding caused by fibroids may lead to low iron levels. Lower iron levels make you feel tired, short of breath, or lightheaded. Fatigue can impact your daily life, including work, school, and relationships. Feeling tired all the time can make even the smallest tasks difficult.

Top Fibroid Specialist

Fibroids can impact your health and daily life. If you need treatment, contact the team at ProFibroid MD today to schedule your consultation!