{"id":12988,"date":"2026-04-28T01:10:24","date_gmt":"2026-04-27T23:10:24","guid":{"rendered":"https:\/\/drmarcoromeo.com\/?p=12988"},"modified":"2026-08-18T10:25:51","modified_gmt":"2026-08-18T08:25:51","slug":"plastic-surgery-and-fitness","status":"publish","type":"post","link":"https:\/\/drmarcoromeo.com\/en\/plastic-surgery-and-fitness\/","title":{"rendered":"Plastic Surgery and Fitness: When to Pause and Return to the Gym"},"content":{"rendered":"<div class=\"wpb-content-wrapper\" id=\"wpb-content-root\"><p>[vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_single_image image=&#8221;12998&#8243; img_size=&#8221;full&#8221; css=&#8221;&#8221; alt=&#8221;Dr. Marco Romeo, plastic surgeon specialised in rhinoplasty, warns about the risks of liquid rhinoplasty&#8221;][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column width=&#8221;1\/2&#8243; rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p>One of the questions I get asked most often in consultation isn\u2019t about the surgery itself, but about <strong>before and after at the gym<\/strong>. When do I stop training? How long am I out? Will I lose everything I\u2019ve worked for? Is having surgery cheating?<\/p>\n<p>These are legitimate and very common questions. That\u2019s why I dedicated an entire episode of the podcast <em>\u201cA Coffee with Your Plastic Surgeon\u201d<\/em> to this topic, with my personal trainer, <a href=\"https:\/\/www.instagram.com\/chrisfesc\/\" target=\"_blank\" rel=\"noopener nofollow\">Christian Fonseca<\/a>, who I\u2019ve been working with for almost two years. This article covers and expands on what we discussed in that conversation.<\/p>\n<p>If you prefer to watch the full conversation, you\u2019ll find the episode embedded in this post. If you\u2019d rather read on, here we go. We\u2019ll look at when to stop before surgery, when to return to the gym afterwards, the role of nutrition, and why I believe fitness and aesthetic surgery go hand in hand more than people think.<\/p>\n<p>[\/vc_column_text][\/vc_column][vc_column width=&#8221;1\/2&#8243;]<div class=\"gem-youtube gem-wrapbox gem-wrapbox-style-no-style rounded-corners gem-wrapbox-position-below\" style=\"width: 100%;\"><div class=\"gem-wrapbox-inner gem-ratio-style\" style=\"padding-top: 56.25%\"><iframe class=\"gem-wrapbox-element img-responsive\" width=\"100%\" height=\"300\" allowfullscreen=\"allowfullscreen\" frameborder=\"0\" scrolling=\"no\" marginheight=\"0\" marginwidth=\"0\" src=\"\/\/www.youtube.com\/embed\/3M1ZXclWOVA?rel=0&amp;wmode=opaque\"><\/iframe><\/div><\/div>[\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_custom_heading text=&#8221;Plastic Surgery and Exercise: Do They Complement or Cancel Each Other Out?&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23111111&#8243; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_column_text css=&#8221;&#8221;]The idea that exercise and plastic surgery are opposing worlds belongs to an era when aesthetic surgery was seen as a shortcut. \u201cIf I have surgery, I don\u2019t need to train.\u201d \u201cIf I train, I don\u2019t need surgery.\u201d That view is completely outdated.<\/p>\n<p>Today, the vast majority of my patients <strong>want to take care of themselves inside and out<\/strong>. They\u2019re not looking for shortcuts. They\u2019re looking to finish off what they\u2019re already doing. They come after months or years of going to the gym and watching what they eat, and they come to me because there\u2019s a specific area (loose skin after pregnancy, stubborn fat on the flanks, breasts that have lost firmness) where exercise can no longer reach.<\/p>\n<p>Seen this way, the question changes. It\u2019s not <em>\u201cexercise or surgery\u201d<\/em>, it\u2019s <em>\u201chow far can each one take you\u201d<\/em>. And that\u2019s where they start to go hand in hand.[\/vc_column_text][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_custom_heading text=&#8221;The Body in Service of Life: How I Plan Every Surgery&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23111111&#8243; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_column_text css=&#8221;&#8221;]The World Health Organisation defines health as <strong>physical, mental and social well-being<\/strong>, not just the absence of illness. That\u2019s the perspective I bring to every surgery.<\/p>\n<p>When someone makes their body the absolute centre of their life and stops travelling, going out with their family or simply enjoying themselves, something has gone wrong in the equation. Your body should be in service of your life, not the other way around. I tell my patients the same thing when we talk about surgery. The goal isn\u2019t to put your life on hold for the postoperative period, it\u2019s to <strong>fit the postoperative period into a life that keeps going<\/strong>.<\/p>\n<p>That\u2019s why my approach to planning a procedure isn\u2019t purely technical. Yes, I have to put your training on hold for a while, but I want that pause to be the right one. Not a day less for safety, not a day more out of fear.<\/p>\n<div class=\"romeo-podcast-quote\">\n<p>People who want a physical change are also looking for a mental change. What is outer health worth if our inner health is broken?<\/p>\n<p><span class=\"romeo-podcast-source\">Dr. Marco Romeo \u00b7 <a href=\"https:\/\/www.youtube.com\/watch?v=3M1ZXclWOVA&amp;t=224s\" target=\"_blank\" rel=\"noopener\">Listen on the podcast (3:44)<\/a><\/span><\/p>\n<\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_custom_heading text=&#8221;When Should You Stop Training Before Aesthetic Surgery?&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23111111&#8243; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p>I see one mistake quite often. Patients who train at maximum intensity the day before surgery \u201cso they don\u2019t lose form\u201d. They arrive at the operating theatre with inflamed muscle fibres, a body in a state of stress, and a clearly worse recovery performance.<\/p>\n<p>My recommendation is straightforward:<\/p>\n<ul class=\"gem-list\">\n<li><strong>Last week before surgery:<\/strong> gradually lower the intensity. Keep mobility work and gentle cardio, avoid maximum loads.<\/li>\n<li><strong>Final 2 or 3 days:<\/strong> active rest. Walking, stretching, sleeping well, staying hydrated.<\/li>\n<li><strong>Day before:<\/strong> no gym at all. Your body needs to arrive at the operating theatre rested, not drained.<\/li>\n<\/ul>\n<p>This isn\u2019t \u201closing\u201d training. It\u2019s preparing the body for the small controlled trauma it\u2019s about to receive. Surgery is exactly that, a controlled trauma. The better you arrive, the sooner and better you\u2019ll recover.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_custom_heading text=&#8221;When Can You Return to the Gym After Aesthetic Surgery?&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23111111&#8243; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p>This is where you\u2019ll see the biggest differences between surgeons. Some colleagues recommend six months without training after a breast augmentation. Others, three. I defend what I call the <strong>\u201cFast Recovery\u201d philosophy<\/strong>, and not because it\u2019s trendy. Because of the evidence and clinical experience.<\/p>\n<p>Let\u2019s take the breast augmentation case, which is where the debate is sharpest. When you place an implant, your body forms a tissue envelope around it (the capsule) that continues to mature for a year, but which fully closes at <strong>30 days<\/strong>. From that moment on, you need to start moving again. Keeping the body still beyond that point doesn\u2019t add safety. It adds stiffness, loss of tone, and often pain caused by the inactivity itself.<\/p>\n<p>On the podcast I explained it using two characters I often refer to in consultation. \u201cDr. Fear\u201d and \u201cDr. Brave\u201d.<\/p>\n<ul class=\"gem-list\">\n<li><strong>Dr. Fear<\/strong> says: \u201cDon\u2019t do anything just in case.\u201d \u201cJust in case\u201d is a phrase I detest. It blocks the patient\u2019s progress without any real medical reason.<\/li>\n<li><strong>Dr. Brave<\/strong> says: \u201cDo everything now.\u201d That\u2019s the other extreme, also dangerous. Going back to maximum loads at 10 days is asking for trouble.<\/li>\n<\/ul>\n<p>The balance is in the middle. My orientative protocol, always adapted to the patient and the type of surgery, is this:<\/p>\n<ul class=\"gem-list\">\n<li><strong>First month:<\/strong> complete rest. Walking and very gentle mobility work, nothing more.<\/li>\n<li><strong>Second month:<\/strong> progressive return at 50% of the weights you handled before. Negative work, stretching, technique.<\/li>\n<li><strong>Unaffected muscle groups:<\/strong> can be resumed earlier with common sense. If you train legs, you indirectly hold weight, but it\u2019s controlled work.<\/li>\n<li><strong>From the third month:<\/strong> progressive load recovery, always listening to your body and consulting if in doubt.<\/li>\n<\/ul>\n<p>What has caused me the most problems over the years hasn\u2019t been patients who go back to the gym early. It\u2019s been those who completely stop for six months. They come back to consultation saying, \u201cDoctor, it hurts here, is something wrong with the implant?\u201d And almost always the answer is the same. Nothing is wrong with your implant. You haven\u2019t moved for six months. That\u2019s the problem.<\/p>\n<div class=\"romeo-podcast-quote\">\n<p>Surgery is like a small controlled trauma. What do you do when you have an injury? You stop for a while and then you recover. The first training sessions after surgery are like a physiotherapy session.<\/p>\n<p><span class=\"romeo-podcast-source\">Dr. Marco Romeo \u00b7 <a href=\"https:\/\/www.youtube.com\/watch?v=3M1ZXclWOVA&amp;t=1276s\" target=\"_blank\" rel=\"noopener\">Listen on the podcast (21:16)<\/a><\/span><\/p>\n<\/div>\n<div class=\"romeo-medical-note\">Every patient and every surgery requires a different protocol. The recommendations in this article are orientative. Specific guidelines are always set during the personalised <a href=\"https:\/\/drmarcoromeo.com\/en\/postoperative-follow-up\/\">postoperative follow-up<\/a>.<\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_custom_heading text=&#8221;Postoperative Nutrition: The Foundation of Your Recovery&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23111111&#8243; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p>If I had to sum up the conversation with Christian in a single idea, it would be this. <strong>Nutrition is 90% of the equation<\/strong>. Both at the gym and during the postoperative period.<\/p>\n<p>After body surgery (liposculpture, abdominoplasty, mommy makeover) the body needs energy and repair materials. In the first days I ask my patients to eat well, without aggressive restrictions. Later, once the tissue is stabilised, comes the time to fine-tune in order to enhance the result.<\/p>\n<p>You don\u2019t need to be an athlete. You don\u2019t need an extreme diet. You need:<\/p>\n<ul class=\"gem-list\">\n<li>Enough protein for healing and to preserve muscle mass during rest.<\/li>\n<li>Constant hydration (key for postoperative lymphoedema).<\/li>\n<li>Reducing foods that promote inflammation in the first weeks (ultra-processed foods, excess sugar, alcohol).<\/li>\n<li>Sufficient total energy. Neither aggressive low-calorie diets nor binges.<\/li>\n<\/ul>\n<p>When this is done well, the results I see at six and twelve months are substantially better. Not by magic, but because the patient has given the body what it needed to build the result on top of my work in the operating theatre.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_custom_heading text=&#8221;Ozempic and Aesthetic Surgery: Are They Compatible?&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23111111&#8243; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p>It\u2019s impossible to talk about surgery and physical change today without mentioning GLP-1 drugs (Ozempic, Wegovy, Mounjaro and similar). More cases come up in consultation every day. Some patients have tried them, others wonder whether they should. The question keeps coming up: <em>\u201cDoctor, what do you think?\u201d<\/em>.<\/p>\n<p>My position, which I shared openly on the podcast, is one of caution. Not because they don\u2019t work for weight loss (they do), but because <strong>they don\u2019t address the root of the problem<\/strong>.<\/p>\n<p>The problem isn\u2019t carrying 20 extra kilos. The problem is <em>how<\/em> those kilos were gained. Eating habits, sedentary lifestyle, emotional management, life context. If those factors don\u2019t change, the drug acts as a sticking plaster. The day you stop taking it, the weight comes back. In fact, the data suggest that in the six months following the discontinuation of treatment, roughly half of the lost weight is regained.<\/p>\n<p>There\u2019s something else that worries me especially as a plastic surgeon. <strong>Skin quality<\/strong>. Very rapid weight loss damages skin elasticity. Patients arrive having lost a lot of weight in just a few months, with skin I cannot ask the same of as the skin of someone who has lost weight gradually while taking care of themselves.<\/p>\n<div class=\"romeo-podcast-quote\">\n<p>The problem isn\u2019t that you\u2019re 20 kilos overweight. The problem is how you got to be 20 kilos overweight. The moment you stop the drug, it\u2019s automatic: you know that the moment you stop it, the weight is coming back.<\/p>\n<p><span class=\"romeo-podcast-source\">Dr. Marco Romeo \u00b7 <a href=\"https:\/\/www.youtube.com\/watch?v=3M1ZXclWOVA&amp;t=964s\" target=\"_blank\" rel=\"noopener\">Listen on the podcast (16:04)<\/a><\/span><\/p>\n<\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_custom_heading text=&#8221;Steroid-Induced Gynaecomastia in Fitness: Causes and Solution&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23111111&#8243; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p>Gynaecomastia, the increase of breast tissue in men, is one of the most frequent reasons for consultation in male aesthetic surgery. In the context of fitness and amateur bodybuilding, I almost always see it associated with three causes:<\/p>\n<ul class=\"gem-list\">\n<li><strong>Use of anabolic steroids.<\/strong> The misuse of exogenous hormones disrupts the balance between testosterone and oestrogens and triggers the development of glandular breast tissue. Once established, it doesn\u2019t reverse simply by stopping their use.<\/li>\n<li><strong>Hormonal transition processes.<\/strong> Patients who have started and then reversed hormonal treatments may retain established glandular tissue.<\/li>\n<li><strong>History of obesity.<\/strong> In patients with significant excess weight, adipose tissue converts part of testosterone into oestrogens, which can lead to glandular tissue development. After weight loss, the gland remains.<\/li>\n<\/ul>\n<p>The important message is this. <strong>Established glandular tissue cannot be eliminated through diet or training<\/strong>. No matter how much chest definition is worked on, the gland is still there and is especially noticeable when the patient is lean and in shape. The solution is surgical.<\/p>\n<div class=\"romeo-podcast-quote\">\n<p>There are three main causes: steroid abuse, hormonal transitions and a history of obesity. Once the gland is formed, it\u2019s done. Training won\u2019t eliminate it.<\/p>\n<p><span class=\"romeo-podcast-source\">Dr. Marco Romeo \u00b7 <a href=\"https:\/\/www.youtube.com\/watch?v=3M1ZXclWOVA&amp;t=1093s\" target=\"_blank\" rel=\"noopener\">Listen on the podcast (18:13)<\/a><\/span><\/p>\n<\/div>\n<div class=\"romeo-medical-note\">If you identify with any of these cases, you can find detailed information about the <a href=\"https:\/\/drmarcoromeo.com\/en\/gynecomastia\/\">surgical treatment of gynaecomastia<\/a> and the procedure I apply at my practice.<\/div>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_custom_heading text=&#8221;Bulking and Cutting: How They Damage Your Skin Long Term&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23111111&#8243; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p>There\u2019s a topic rarely discussed in the fitness world that I think is important to highlight as a surgeon. <strong>Repeated bulking (aggressive weight gain) and cutting (rapid definition) cycles leave permanent marks on the skin<\/strong>.<\/p>\n<p>The skin is an elastic tissue, but its ability to recover after repeated stretching is limited and depends heavily on age. Stretching and contracting the skin five or six times over a decade, combined with muscle development, has visible consequences:<\/p>\n<ul class=\"gem-list\">\n<li>Stretch marks, especially on shoulders, arms, chest and abdomen.<\/li>\n<li>Loss of skin tone and elasticity.<\/li>\n<li>In extreme cases, loose skin that no longer responds to exercise.<\/li>\n<\/ul>\n<p>At 20 the body tolerates these cycles better. At 30, less. At 40, much less. As a surgeon, my best canvas is healthy, well cared-for skin with good elasticity. When that canvas is damaged, I can still work with it, but the ceiling of the possible result drops.<\/p>\n<p>The advice for someone young in this world is clear. If you\u2019re going to make changes to your body composition, make them gradual. Your skin will thank you for it for the rest of your life.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_custom_heading text=&#8221;Is Aesthetic Surgery \u201cCheating\u201d If You Train?&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23111111&#8243; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_column_text css=&#8221;&#8221;]<\/p>\n<p>It\u2019s a comment I hear often in consultation and on social media. <em>\u201cSurgery is cheating\u201d<\/em>. I understand it, but I don\u2019t share it.<\/p>\n<p>Someone who reaches the operating theatre after years of looking after themselves isn\u2019t skipping a step. They\u2019re finishing off the job. As a surgeon, I cannot remove 10 kilos in the operating theatre. That would be dangerous and irresponsible. But you, no matter how much gym you do, can\u2019t correct loose skin with stretch marks or established glandular breast tissue.<\/p>\n<p>Where one ends, the other begins. That\u2019s why I always say that fitness and plastic surgery <strong>go hand in hand<\/strong>. They\u2019re not opposites. They\u2019re complementary. And the best results I see in consultation are those of patients who understand this and work on both fronts.<\/p>\n<p>In fact, the most rewarding patients for me are the ones who come back a year later saying, <em>\u201cDoctor, look at me now.\u201d<\/em> I almost don\u2019t recognise my own work, because they\u2019ve taken it to another level with discipline, training and nutrition. That\u2019s the perfect synergy.<\/p>\n<p>[\/vc_column_text][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_custom_heading text=&#8221;Plan Your Aesthetic Surgery Around Your Training Routine&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23111111&#8243; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_column_text css=&#8221;&#8221;]If you train regularly and are considering aesthetic surgery, it\u2019s essential to plan the training pause and return well. In your first consultation we assess your case, your goals and your current routine to design a realistic protocol that allows you to recover quickly and return to your activity without compromising the result.<\/p>\n<div class=\"romeo-cta-box\">\n<h3>Let\u2019s Coordinate Your Surgery with Your Active Lifestyle<\/h3>\n<p>Book a first consultation and we\u2019ll design the plan that best fits your routine and your goals.<\/p>\n<p><a class=\"gem-button romeo-dark\" href=\"https:\/\/drmarcoromeo.com\/en\/contact\/\">Book your first consultation<\/a><\/p>\n<\/div>\n<div class=\"romeo-author-box\">\n<div class=\"romeo-author-box-text\">\n<p>Article based on episode T1 E5 of the podcast <em>\u201cA Coffee with Your Plastic Surgeon\u201d<\/em> with the participation of <a href=\"https:\/\/www.instagram.com\/chrisfesc\/\" target=\"_blank\" rel=\"noopener nofollow\">Christian Fonseca<\/a>, personal trainer. Content reviewed and signed by <strong><a href=\"https:\/\/drmarcoromeo.com\/en\/dr-marco-romeo\/\">Dr. Marco Romeo<\/a><\/strong>, board-certified plastic surgeon based in Madrid.<\/p>\n<\/div>\n<\/div>\n<p>You can also listen to this episode in audio format on <a href=\"https:\/\/creators.spotify.com\/pod\/profile\/marco-romeo8\/episodes\/T1-E5--Cmo-Potenciar-tus-Resultados-de-Ciruga-Plstica-mediante-el-Entrenamiento-y-la-Nutricin-e3iaess\" target=\"_blank\" rel=\"noopener\">Spotify<\/a> and on all major podcast platforms.[\/vc_column_text][\/vc_column][\/vc_row][vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_custom_heading text=&#8221;FREQUENTLY ASKED QUESTIONS&#8221; font_container=&#8221;tag:h2|text_align:left|color:%23111111&#8243; use_theme_fonts=&#8221;yes&#8221; css=&#8221;&#8221;][\/vc_column][\/vc_row][vc_row][vc_column][vc_toggle title=&#8221;How long do I need to stop training before aesthetic surgery?&#8221; open=&#8221;true&#8221; css=&#8221;&#8221;]Ideally, gradually reduce the intensity during the last week and rest completely the two or three days before the operation. Arriving at the operating theatre with a rested body improves the response to surgery and the speed of recovery. There\u2019s no need to stop weeks in advance.[\/vc_toggle][vc_toggle title=&#8221;When can I go back to the gym after a breast augmentation?&#8221; css=&#8221;&#8221;]The tissue capsule that surrounds the implant fully closes at around 30 days. From the first month, a progressive return can begin, starting at around 50% of the usual weight and working with negatives and stretching. Exact guidelines depend on each patient and are agreed during the postoperative follow-up.[\/vc_toggle][vc_toggle title=&#8221;Is having aesthetic surgery cheating if I train?&#8221; css=&#8221;&#8221;]No. Aesthetic surgery and training are complementary. Exercise works on muscle mass and body composition, but it can\u2019t correct loose skin with stretch marks, breast asymmetries or established glandular breast tissue. Where exercise reaches its limit, surgery can finish the job.[\/vc_toggle][vc_toggle title=&#8221;What does a plastic surgeon think about Ozempic and GLP-1 drugs for weight loss?&#8221; css=&#8221;&#8221;]GLP-1 drugs are effective for reducing weight, but they don\u2019t act on the cause of the weight gain. Therefore, after stopping treatment it\u2019s common to regain part of the lost kilos. In addition, very rapid weight loss damages skin elasticity, which can limit the result of subsequent body surgeries. My recommendation is always to assess each case individually and never use them as a replacement for a real change in habits.[\/vc_toggle][vc_toggle title=&#8221;Can gynaecomastia be eliminated through training or diet?&#8221; css=&#8221;&#8221;]No. Once glandular breast tissue is established, it doesn\u2019t respond to training or diet. Muscle definition can mask it in some cases, but the gland remains and tends to become more visible when the patient is lean. Effective treatment is surgical.[\/vc_toggle][vc_toggle title=&#8221;Why do some surgeons recommend six months without training after surgery?&#8221; css=&#8221;&#8221;]That guideline can make sense for patients who have surgery far from their surgeon and won\u2019t have close follow-up. In that case, caution takes priority. With personalised, close follow-up, the timeline is adjusted to the biological reality of healing, which in procedures such as breast augmentation allows for a controlled return at one month.[\/vc_toggle][vc_toggle title=&#8221;Does nutrition affect the outcome of plastic surgery?&#8221; css=&#8221;&#8221;]A great deal. Adequate protein intake, proper hydration and reducing pro-inflammatory foods improve healing, preserve muscle mass during rest, and help the final result look noticeably better at six and twelve months. Nutrition is, alongside rest and follow-up, one of the pillars of the postoperative period.[\/vc_toggle][\/vc_column][\/vc_row]<\/p>\n<\/div>","protected":false},"excerpt":{"rendered":"<p>[vc_row rt_row_background_width=&#8221;fullwidth&#8221; rt_row_content_width=&#8221;default&#8221; rt_row_style=&#8221;default-style&#8221; rt_row_borders=&#8221;&#8221; rt_row_shadows=&#8221;&#8221; rt_row_paddings=&#8221;true&#8221; rt_bg_effect=&#8221;classic&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;cover&#8221; rt_bg_position=&#8221;right top&#8221; rt_bg_attachment=&#8221;scroll&#8221; rt_bg_video_format=&#8221;self-hosted&#8221;][vc_column rt_column_shadow=&#8221;&#8221; rt_bg_image_repeat=&#8221;repeat&#8221; rt_bg_size=&#8221;auto auto&#8221; rt_bg_attachment=&#8221;scroll&#8221;][vc_single_image image=&#8221;12998&#8243;&#8230;<\/p>\n","protected":false},"author":5,"featured_media":12998,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_lmt_disableupdate":"no","_lmt_disable":"","_joinchat":[],"footnotes":""},"categories":[340,296,373,320],"tags":[],"class_list":["post-12988","post","type-post","status-publish","format-standard","has-post-thumbnail","category-aesthetic-medicine","category-cirugia-plastica-en","category-podcast","category-safe-surgery"],"modified_by":"Curro de la Torre","menu_order":0,"_links":{"self":[{"href":"https:\/\/drmarcoromeo.com\/en\/wp-json\/wp\/v2\/posts\/12988","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drmarcoromeo.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drmarcoromeo.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drmarcoromeo.com\/en\/wp-json\/wp\/v2\/users\/5"}],"replies":[{"embeddable":true,"href":"https:\/\/drmarcoromeo.com\/en\/wp-json\/wp\/v2\/comments?post=12988"}],"version-history":[{"count":6,"href":"https:\/\/drmarcoromeo.com\/en\/wp-json\/wp\/v2\/posts\/12988\/revisions"}],"predecessor-version":[{"id":13050,"href":"https:\/\/drmarcoromeo.com\/en\/wp-json\/wp\/v2\/posts\/12988\/revisions\/13050"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drmarcoromeo.com\/en\/wp-json\/wp\/v2\/media\/12998"}],"wp:attachment":[{"href":"https:\/\/drmarcoromeo.com\/en\/wp-json\/wp\/v2\/media?parent=12988"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drmarcoromeo.com\/en\/wp-json\/wp\/v2\/categories?post=12988"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drmarcoromeo.com\/en\/wp-json\/wp\/v2\/tags?post=12988"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}