Satisfied patients

I came to work today and was delighted to find a note from a recent patient. She made my day.
She writes:

Dr. Jabs, I could not have wished for a better surgeon! You are so personable and your results are exactly what I wanted. Words can not express how pleased I am with the liposuction of my inner thighs and my breast augmentation. I never would have guessed that I would feel so relaxed going into surgery but I did-thanks to you. I recommend you fully and without reservation!

Just a reminder that we should all compliment the people in our lives that please us. It doesn't take a lot of time and it can make such a difference in that person's life.

Dr. J

How are bioidentical hormones administered?

How are bioidentical hormones taken?

Four hormones are typically replaced when a woman goes on HRT (hormone replacement therapy). They are Estrogen (two types), Progesterone, Testosterone and DHEA a precursor to many hormones.

Typically women begin by taking a mixture of two estrogens (Estriol and Estradiol) in a transdermal gel that is rubbed on the skin in the morning after showering. It literally takes two minutes.

Progesterone is taken at night in the form of a pill that slowly dissolves, the products of which are breast and uterus protective as well as aid in sleep induction and maintenance.

DHEA (a hormone precursor) is taken orally as well. Some of the DHEA becomes testosterone. If the testosterone level is low after a few months then low dose testosterone may be added as well.

The effects of hormone replacement are felt within a week and the benefits continue as you take them. Adjustments are made once or twice per year as your body becomes accustomed to the normalization of your hormones.

Breast Reduction

In our society's focus on a woman's shape we often think only of breast augmentation when we think of breast procedures. Naturally this gets the most attention from our media because it is "sexy". But what about those women who have the opposite problem? Our ability to reduce too large a breast with less scarring has improved greatly over the last 20 years. We can now do the procedure with less than half the scarring that it used to entail.

A breast reduction can have several beneficial effects. It decreases the weight borne by shoulders as well as the stress that weight places on the lower back. It solves problems of skin irritation in the breast fold and often improves nipple sensation. By using a short scar technique we reshape the nipple/areola complex and usually maintain the ability to breast feed by not interrupting the ducts that carry milk from the breast tissue. To learn more please visit our website and be sure to check out our before and after photos.

Women's Bioidentical Hormone Safety

Is Hormone Replacement Safe?

We not only want to alleviate the suffering of menopause and give a woman her energy and femininity back, but we want to do it in a safe manner. It is of no use if the side effects of the treatment are worse than the disease.

Many people (including physicians) erroneously associate hormone replacement therapy with the medications used in the Women's Health Initiative (WHI) study from 2002 that led to the wholesale cessation of hormone replacement by many doctors due to the findings that the drugs that were being used were leading to blood clots, strokes and breast cancer increases in the test subjects. The medications that were used were estrogen and progestin (not progesterone). The synthetic progestin led to the problems associated with the hormone replacement. When estrogen alone was evaluated there was a decrease in breast cancer, heart disease, stroke and dementia. There was no change in mortality compared to controls.

A French study of 54, 548 women for 3 years put on different forms of hormone replacement found little to or no increase in risk in breast cancer when estrogens were used alone or with extended release progesterone.

The answer to the problem of safety is to use an estrogen and progesterone that is exactly like the ones found in your body. Bio identical.

Bio identical hormones have been studied extensively and found to be safe.

Lombardi Cancer Center Gala Donations

Each year the Lombardi Gala, an unparalleled celebration to benefit the Georgetown Lombardi Comprehensive Cancer Center raises thousands of dollars for cancer research at Georgetown University. You can help by donating some of that high quality plonk you have in your cellar that you won't possibly be able to get to before it goes bad without you getting a liver transplant.

Your donation will be auctioned and gross more than the money you paid for the wine and you can take it as a tax deduction. In addition your name will be known far and wide as a compassionate human being and wine lover.

Just shoot an email to Gina DeLuca (gmd34@georgetown.edu) with your donation and she will take care of the rest.

Don't put this off. Do it today. It will only take a few minutes and it really won't hurt that much. You won't have a headache in the morning either.

Thank you for your donation and for helping the Lombardi Center help those in need.

All the Best,

Dean Jabs, MD

Lombardi Gala Benefit Committee