Category Archives: Uncategorized

Getting Rid Of Your Baby Fat

One of the joys of conceiving becomes quite obvious as the months go by, and that’s showing off your bulging baby bump, a trend being made ever so popular by Hollywood’s hottest expecting leading ladies.

But, unless you’re one of the Hollywood hotties, you may not be able to shed that baby bump so quickly after delivery. In fact, if you’re over 25 and certainly over 30, losing the baby weight may seem like a losing battle.

Not only has our body packed on the pounds during pregnancy, but along with age, comes a natural tendency to favor fat and gain weight. Once a certain fat level is reached and maintained for an undetermined but specific amount of time, the body accepts this (level) as normal and works at conserving it.

So, as you start to purge those extra pounds, other physiological systems kick and foster
Re-gain. Hormones and neurotransmitters that control your activity level, your hunger level and how you metabolize food are also affected in ways that encourage fat to make its way back.

But, experts assert that there is hope, it just may take more time and conscious effort. And, they add, that it should be viewed and treated as a lifestyle change, and not a “temporary” diet plan geared at simply shedding some extra pounds.

Among the key factors to dropping the weight and keeping it off is the amount of exercise you do over the long haul. Experts suggest a few times a week if possible, but even that may not be enough. In fact, the ideal amount would amount to about 30 minutes per day, even if it’s done at intervals, which is also a great way to help you not only maintain a healthy weight, but stay healthy as well.

Furthermore, studies show that losing weight and keeping it off may mean up to 60 to 90 minutes of moderate exercise daily (for most), and they again suggest breaking it into intervals. You can also incorporate exercise into daily activities such as walking instead of driving, taking the stairs instead of the elevator, etc. And, they caution those who are or may be out of shape to start off slow and take it easy and build up gradually.

Overall they suggest sticking within your (daily) calorie and exercise range and finding a program that’s practical and easy for you to commit and stick to. And they suggest making small, achievable goals that will enable you to see results, which will in turn be a motivation for you to continue on your successful path.

Get A Healthier Tan With Tanning Beds

Most people, especially Caucasians who are prone to having dull and pasty looking complexions, envy those who have a year round tan. This is why a lot of Caucasians in the United States would want to trade in their washed-out look for something better, like a golden tan. Unfortunately, a lot of people have acquired all sorts of skin diseases or imperfections from basking under the sun too long (such as freckles), an uneven skin tone, dark spots and even skin cancer.

1. The Dangers Of Traditional Tanning

A lot of people do not realize this but tanning with the aid of the sun’s harmful ultraviolet rays is really not healthy. Even if you apply and reapply sunscreen, even suncreen with a UV protection rating of 50 or 75, you aren’t giving yourself enough protection. It may protect you from becoming physically burnt by the sun, but the sun’s harmful ultraviolet rays and radiation will still go right through. This is why there has been a sudden interest for tanning salons as well as other sunless tanning techniques. From tanning beds to self tanners, there are a myriad of tanning products and services that you can look into. Now it is simply the task of finding the right one that fits your schedule and budget.

2. Regarding Tanning Machines

There are two kinds of tanning machines. The first one is where you lie on a tanning bed that is a capsule. Inside the capsule, the tanning bed client will have to lie down on a sheet of Plexiglass. Bright UVA and/or UVB bulbs will tan the client evenly without the need to move or flip. The second kind of tanning machine is not a bed but more of a tanning booth. This tanning booth is often referred to as a stand up system. The idea for this originated from the tanning bed. The tanning salon client needs to step inside the vertical chamber where an ultraviolet spectrum of rays will mimic the effects of the sun to the color of one’s skin.

– UVB bulbs emit ultraviolet rays
– Achieve a sunless tan
– UVA rays are are seen to be a lot less harmful
– UVA rays penetrate the skin’s deeper layers, without causing damage to top layers

3. Things To Note

Heavy and prolonged exposure to UVB rays from tanning beds can cause various bad effects to the skin such as burns, cancer and it may even cause damage to one’s immune system. Still, a lot of people opt to use tanning beds since they prove to be the better alternative as compared to lying out in the sun. This is because even if both tanning techniques has the UVA and UVB rays to help them achieve that golden tan, with tanning beds, you can still control the amount of UVA and UVB rays that your skin will be receiving, unlike the direct heat from the sun, you really have no choice but to soak it all up.

4. Benefits

Contrary to what most people believe using tanning beds has lot of other more important, health-related benefits. Tanning bed clients who are suffering from the skin disease called psoriasis or the back-breaking bone illness called osteoporosis can greatly benefit from using tanning beds as the tanning beds will be able to help in improving their current condition. This is why some people go on regular tanning bed appointments so as to help them improve their health and hopefully later on, they will be able to cure their disease.

Changing Your Look With Colored Contact Lenses

The 21st century very well may be remembered as the point in history when people made rather drastic changes to their physical appearances on what might be considered something of a whim. Plastic surgery — once a relatively uncommon procedure — has become commonplace. However, such drastic changes really are not for everyone.

One avenue through which a person can make a less invasive and far from permanent physical change is the use and wearing of colored contact lenses. As technology in regard to contact lens coloration has advanced over the course of the past ten years, an individual desiring a striking physical change can accomplish his or her goal through the use of colored contact lenses.

When colored contact lenses first hit the market, they were designed in such a manner that only subtle eye coloration changes could be had. All of that has changed in recent years. In this day and age, it is now possible for a brown eyed person to sport blue eyes and for a blue eyed person to make the rounds about town with brown eyes.

In addition to changing a person’s eye color from one naturally occurring hue to another with ease, it is now possible to make even more drastic changes to one’s appearance through the use of what might be considered pretty unusually contact lens designs. For example, if a person were so inclined, he or she can now obtain contact lenses designed in such a manner that a person’s eye appearance can be altered to look like tiger or lion eyes. These types of contact lenses were first used on movies sets. In time, such lenses have become available to consumers generally.

While a person most definitely can make a fashion statement with colored contact lenses, it is important to remember that contact lenses are invasive. By that it is meant a contact lens — when all is said and done — is a foreign object on a person’s eye. With this in mind, it is vitally important that if a person is inclined to utilize contact lenses for fashion reasons, it is important for that person to visit a trained and licensed eye doctor. In obtaining contact lenses for fashion purposes, it is incumbent upon a person to undergo the same types of initial and follow up examinations that are necessary when contact lenses are obtained for matters relating to improving vision.

Cheap Home Alternatives To Off-The-Wall Bridal Makeovers

Every woman hits a crossroad when that fateful day arrives, and someone she loves puts a ring on her finger. As she peeks over the threshold at the daunting, exhilarating, endless year ahead, she’ll probably spend some time pondering how to fine-tune her look — for posterity, you know. After all, this will be her red carpet moment, and she’ll be paying the photographer an awful lot to capture it.

At this point, some brides will go totally over-the-top. By that, we mean bridal boot camps and personal trainers named Reinhold. Brides with even less of a rudder will apply to one of the emerging reality TV programs, such as Britain’s “Bride and Grooming,” where “lively couples” go under the knife, turning Roman noses into cute little Irish ones, lifting those baggy eyelids and of course, getting their teeth done.

Chances are, you’re not like that. You want to look your best, but you also want to look back on this year and remember your grip on sanity. And if you’re like me, you don’t have a lot to spend on “Exxtreem Makeovers” anyway. Which is fine, because a couple of bucks here and a couple of bucks there can pack quite a punch … without making you look like a stranger.

— Fuller Lips — the Reality TV Approach

Puff up your lips with various temporary injections, or more permanent Gore-Tex implants. Costs: $200-2000 for “injectables”; $1000-3000 for implants.

— Fuller Lips — the Sane Way

Almost all women — especially we hopelessly Caucasian types — wish we had fuller lips. We know this because of all the droopy “trout pouts” that show up on rising and fading Hollywood stars, no matter how goofy they look.

The sane bride can plump up her lips at home for a fairly small investment. No, we’re not talking do-it-yourself collagen implants. We’re talking CityLips, the only lip plumper we’ve tried that works.

Don’t get excited (or alarmed) — you’ll never get Angelina Jolie results with lip serums. And in fact, anecdotal evidence suggests that CityLips won’t work for everyone. But it works for us, unlike anything else we’ve tried. Yes, there are a number of effective plumpers that temporarily irritate and swell the lip tissue, but CityLips actually plumps the collagen through some mysterious mechanism instead of merely irritating your lips. It takes about 30 days to work.

So where to buy your lip-plumping secret weapon? We tried eBay, but we didn’t get much of a discount. We did learn to avoid buying the mini tubes, since much of the serum gets stuck in the bottom.

Instead, we found the best deal was to sign-up for the newsletter at www.citylips.com directly. Every so often, they put out a “buy 2, get 1 free” deal that’s music to our ears, or they offload a less popular color at a great price. Sure, you might end up with psychedelic purple gloss, but who cares? It’s CityLips!

— Whiter Teeth — the Reality TV Approach

Plant your derrière in a dental chair. Prop your mouth open for one hour while the dentist turns your teeth into an approximation of the polar caps (pre-global warming) using a peroxide-based solution and a laser. Costs: $800-2000.

— Whiter Teeth — the Sane Way

Dentists have long given up the rap that you have hit the office to whiten your teeth. We all know you can do it at home. The best way?

The overwhelming consensus is Crest Whitestrips.

You have plenty of choices — peroxide-based gels and trays you fit to your teeth at home are easy to come by. But they’re uncomfortable, not very strong, and they make you drool. Crest Whitestrips have none of these drawbacks, and many people find they work better anyway.

Want to get them cheap? Buy them on eBay. Buy them even cheaper by choosing a slightly older product, like plain old Whitestrips instead of Whitestrips Premium or Premium Plus. They go for a song. What a deal. Forget the whitening toothpastes; they don’t work.

One more note on teeth — sometimes it does make sense to get a little work done. To wit:

— A Sad, Sad Tooth Story

When I was a child, I had a diastema — a gap between my front teeth, like Madonna. It was kind of cute. But my parents took me to an orthodontist for surgery. He fixed the gap, but didn’t use braces. So my formerly straight-as-an-arrow teeth lost the gap, but grew in crooked. My sadistic parents stopped there, leaving me with awful, inward-pointing front teeth until I left home.

In college, I found I could finally fix the problem with a few inexpensive veneers. Veneers look terrific, and if you only need a few, the costs can be reasonable. If you had sadistic parents or a few problem teeth, this stretch before your wedding might be a good time to look at veneers.

— Forehead Wrinkles — the Reality TV Approach

Botox, duh. Costs: $400 a session.

Forehead Wrinkles — the Sane Way

You’re young, right? You’re not a chain smoker or former tanning booth marathon champion. You shouldn’t have forehead wrinkles, yet you do. In fact, there’s this big one right in the middle, one that seemed to pop up the very day he popped the question. Where did it come from, and how can you punish its sender?

It’s likely it comes from your habit of indulging in pained expressions. Yes, pained expressions are appropriate when you’re planning a wedding. But they lead to hyper-developed forehead muscles and that weird line right in the middle, and you really don’t want to resort to bangs, right?

Train yourself to stop frowning. In the privacy of your own home, slap a big old piece of tape on your forehead. It will remind you. Don’t forget to remove it when you head to the gym or that upscale whole foods store.

— A Few More Champagne Tips for the Beer Budget Crowd

— The Hair
If you have a thick, umber mane like Cindy Crawford’s, just leave it alone. But if you’re a dishwater blond like me — and you know who you are — look into some coloring or a few subtle highlights.

Another tip: don’t try to look like someone else for your wedding day. If you wear your hair short and sporty, don’t grow it long “just for your wedding.” You’ll look much more fabulous as yourself.

— The Skin
Sometimes a glycolic peel is a great way to freshen up your skin and get an extra glow. You don’t need to book the dermatologist; you can do this at home.

Actually, brave brides can buy extremely strong TCA peels from eBay (at their own risk). I wouldn’t do this less than six months before your wedding, and I wouldn’t do it if you have a risk-averse personality. Oh, and the top layer of your skin will peel off a few days after you apply the product. This can freak out your friends.

It’s easy to find gentle glycolic peels on the shelves of any drugstore. I found L’oreal’s ReNoviste on sale the other day, and I liked the results.

— The Oddball Dietary Suggestion
Everyone knows you’ll look better if you exercise during the wedding prep phase, and strive to avoid the “french fries and diet coke” diet. But another trick you might want to try is dumping dairy. Many people have a lactose intolerance without even knowing it, and that can lead to indigestion, black circles under the eyes, and other subtle beauty-busters.

No other animal drinks milk after its infancy … much less milk designed for a totally different animal. Only we do that. Try life without milk for a few weeks, and see if you don’t perk up.

Change Your Shopping Habits To Save Gas, Save Money, And Enjoy

Today, when I was filling up my car at a mind-boggling $3 per gallon, the truth of the moment hit me. Why are we still driving around town to buy the things we need when most of it is easily available online?

With online retail offering wider selection and lower prices than ever in history, doing your shopping at favorite web sites just makes sense. Almost all sites offer fast delivery with shipping costs dropping in recent years. It also makes a lot more sense for the environment and economy if one large truck delivers our purchases rather than all of us driving all over town individually. In the end we save money, save gas, and do our part toward lowering gas prices and improving the economy.

Of course, one of the main reasons we like to shop at our favorite stores is it’s fun! Nothing helps me relax like spending time picking out a lovely item for my home. I’m sure many of you feel the same.

You don’t need to forsake that enjoyment when you shop online. Today web sites offer vast selection that no “brick and mortar” store can. For example, the online store I founded specializes in LUXURY items for bed and bath. If you don’t want just the same old sheets, for example, you can come to my store to find a very large selection of luxury sheets.

And when I say “large,” I mean FAR bigger selection than any local store could ever offer. On my site, you can browse among over 200 name-brand products covering every style and color you can think of.

My store is just one example of what online shopping can be. The key to understanding this massive electronic shopping movement is to know online stores offer much more depth. Whereas Wal-Mart usually only offers 2 or 3 versions of a single product, online stores often specialize in a single area, offering hundreds of versions of a single product.

You can choose from different product versions that have come from all over the world, many with stylistic features and technological innovations that you may not have thought of.

Additionally, online stores let you use handy search features to quickly browse through their many offerings. Watch for links at the top of many pages that let you click to either more general pages or more specific information on a particular product.

Once you get the hang of online shopping — and by now most of us have — doing your shopping on web sites is fun and fast. Change your shopping to online retail sites. You’ll have fun, save money, get better selection, and do our nation and economy a big favor.

Bridal Lingerie Buying Guide

It’s your special day. You’ve probably thought about it for years, maybe since you were a little girl. But, how much thought have you given to the Wedding Night? When the wedding dress comes off, your bridal lingerie will tempt the groom (as if he actually needs any tempting) and help turn your special night into the romantic scene of your dreams.

Bridal lingerie has traditionally been white, ivory or cream colored. You can use pale colors, however never do this with a white dress as the lingerie could show through. If you have chosen a darker color dress, then darker bridal lingerie is fine.

When purchasing online be sure to order early to ensure the lingerie will arrive in time for your special night. Also, lingerie inventories and styles change often, so something you see one day might not be available the next.

Lingerie sets are always a good choice. They match a top (like a camisole or bustier) with panties or a thong. Remember, when you purchase as a set you also usually save money.

When buying your bridal lingerie, don’t forget garter belts.

Bridal Lingerie Fit

Whatever bridal lingerie you choose, be sure to try it on with your wedding dress. Bridal lingerie, especially a bustier or corset, may change your shape and make your wedding dress look different.

Babydolls are loose fitting and look good on everyone. Bustiers and corsets are more restrictive and will shape your figure into more of an hour glass figure.

Honeymoon Lingerie

Remember, on your honeymoon all bets are off. You might consider something a bit more risque.

Perhaps a sheer or see-through babydoll or teddy. You should also stock up on sexy clothes for nights on the town.

Bridal Lingerie Checklist

1. Lingerie in white, cream, or ivory if you are wearing a white dress or choose a color to match your dress
2. Purchase early so the lingerie arrives well before the big day.
3. Check out lingerie sets in order to save money
4. Be sure your bridal lingerie fits with your wedding dress
5. Don’t forget the extras – like garter belts
6. For the honeymoon choose whatever you want – go a little crazy

Feather Boa For A Girls Night Out

Girls night out is about being girly and about having fun with you friends. It’s about having a party and meeting people that are out to have a ball too. You feel free and outgoing. The city is not going to be the same after this night out.

You and the group of girls you usually hang out with have decided to meet down town for a girl’s night out. The big question arises, what to wear?

Depending on how you feel about dressing up, you can either put on something that is discrete so that you don’t get unwanted attention from guys who are out there too. Or you could dress up more relaxed and outgoing, saying, I am out to have a good time. Or, you could put on clothes full of color and signal to the world that here you are, ready to rock the city.

If you really want to stick out from the crowd, in a positive way, you should try on a feather boa around your neck to go with your outfit. A feather boa will for sure make other people notice you. But be warned; be prepared for maximum attention from guys who are out looking for a party girl like you. And don’t get surprised if you legs are sore the next morning because of all the dancing the night before.

Wearing a feather boa around your neck is the perfect accessory for a nightstand or dresser. It is easy to wear, weighs almost nothing, and will make you look fabulous and beautiful. Feather boas are that extra spice that really makes the difference for your party-look.

If you have doubts whether feather boas are suited for a normal night out, and not just for a carnival – don’t be; you will look great with it. Try one out. If it does not feel right for you, that’s okay. I am sure you look beautiful without it as well.

Have a great night out, and thank you for listening.

Getting Ready: For Women

Most women reading this are thinking that they already know how to get ready for a date, and this is a similar situation. While that’s true, you may want to read this over anyways to make sure that some little details are attended to.

When You’re In The Shower

You will want to take a shower because a bath might make you sleepy for the rest of the evening—and you don’t want that.

Before you get into the shower, make sure that you have a razor, shaving scream, face soap, and anything else that you normally need. With everything on your mind right now, you don’t want to have to keep getting out for things that you have forgotten.

Wash your body very carefully first. You can scrub with one of those poofy sponges and some bath gel for a light, clean scent. You will want to use lukewarm water so that your skin doesn’t dry out too much.

Wash your hair carefully and don’t use too much conditioner. If your hair is generally clean to begin with, you may even want to skip this step. Hair that is slightly dirty is much easier to style.

After you’ve been in the shower for a while, you’re ready to shave. Shave your legs completely and don’t forget the underarms. Of course, you can omit these steps altogether for personal preference.

Another Shaving Question

Most women want to know if they should shave their private area completely.

This is completely up to you and your comfort level. One thing to note is that if you’ve never done it before this night, it will not end well. This skin is very sensitive and you could end up with a nasty rash.

If you are planning on giving it a try, you will want to start the process out a few weeks a head of time. Start by trimming the hair down and then go ahead and use a razor, depilatory, or wax (ouch). Or you can go to a salon to have this done.

A lot of men like the ‘bare’ approach, while other men prefer a half and half layout. It’s interesting to note that the less there is, the more excited you can get. Just a thought.

Dressing It Up

Get out your best lingerie ladies. This is the time for the ‘fun’ stuff that’s been sitting in your drawer. Or maybe you want to buy something special for the occasion. A nice bra and panty set is best.

Wear a nice outfit that is revealing, but in a classy way. You may feel comfortable showing a little cleavage, but you may want to keep it subtle when you’re wearing a short skirt.

Makeup Or Not?

Since it’s going to be an exciting night, you do want to put a little makeup on to make yourself look fantastic. Like the clothes, you will want to play up your best features.

A nice dark lipstick (if it looks good on you) is best with softer makeup on the rest of the face.

You may also want to consider waterproof and smudge resistance makeup to keep the look on until you get home.

Can Women Build Big Muscles? Why Women Can’t Build Big Muscles Easily.

Why Is It Difficult For Women To Build Big Muscles

“I don’t want to workout lifting weights because I don’t want to build big muscles ” or “I just do aerobics and sit ups to lose weight because if I lift weights, I may build muscle and looked like a man.”

Ladies. Have you made these comments before? Awww… c’mon ladies, if you have ever uttered these words, you have just done a terrible disservice to yourself and are missing out on many great benefits that working out with weights can give you. Have you ever pointed to your belly or butt and sweetly proclaimed, “I want lose weight here.” So managed to convince yourself that sweating profusely is the answer to a slim and beautiful body and you hit the gym day in and day out just to sweat off your tummy or butt fats!

So you peddle away on your stationary bike in the gym just like little hamsters or frantically stepping away on the step up machine and then you woefully do crunches after crunches in the hope of having a flat belly and a well rounded shapely butt not realising that there is no such thing as spot reduction.

You never even bother take a look at the weight lifting machines or the free weights lying everywhere in the gym not to say even touching those weights. Gosh.this terrible myth of building big muscles on women is creating so much fear in women causing them never to train with weights at their detriment.

Ladies! If you are listening, I want to say this loud and clear. There is no way women will build big huge muscles unless you are on special supplementation and specially designed training system. Some of those muscle bound ladies you have seen may even be taking steroids which are banned and obviously harmful. never never touch steroids to build msucles.

So the, why is it difficult for women to nuild big muscles? Well, it is simply because you do not have enough of tetosterone, a male hormone that encourages your muscles to grow. In fact, women have ten to thirty times less of bodybuilding hormones, tetosterone than their male counterparts. Women who accept the myth that they will build big muscles if they workout with weights will miss out on all of the benefits that weightlifting and bodybuilding can offer. This myth is so ingrained in women’s psyche that even after explaining the facts to my women clients, they are still afraid to lift weights. So will women who lift weights in their workouts build more muscle tissue? Yes, of course, but it will not be those big huge muscles like those of bodybuilders. Your muscles will just tone your body shape resulting in a tight, firm, healthy, attractive and desirable body. The body shape that is ever so sexy and healthy. Yes, you may have noticed an increase in weight when you step on a scale. This is because muscles weigh more than fat. Thus, as you increase your muscle tissue, your weight will increase but your fats will be reduced giving you a well toned sexy body which most women can only dream of.

Muscle burn calories naturally even when you are sleeping. In fact, research has shown that for each kilo of muscle you build, you will burn 70-100 more calories per day. So, if you gain 2 kilos of muscle and lose 2 kilos of fat, you will burn about 75 more calories per kilo, which equates to burning 150 additional calories per day, which translates into 4200 additional calories per month and ultimately results in a fat or weight loss of 7-8 kilos a year without doing anything! One kilo is 2.2 pounds. Doesn’t that sound great?

Another reason that women should do weightlifting is the benefit it can have on your bones. Weight training is a powerful preventive action against osteoporosis, a disease caused by porous bone and low bone density. Women has a much higher risk than men to suffer from osteoporosis. In fact, most women will suffer from this disease as they age. Those plagued with osteoporosis have an increased susceptibility to fractures. These fractures can even be fatal. So, women should exercise with weight to strengthen and increase bone density. Research has shown that six months of weightlifting may increase bone mineral density by as much as 15 percent. As you increase your muscle tissue, your bones must adapt to accommodate this increase in your muscle mass . So your bones respond by increasing in density. The result? You will own a stronger skeletal structure and a reduced risk for osteoporosis.

So, don’t completely swear off weightlifting fearing that training with weights will build big muscles and turn you into an Incredible Hulk! You won’t and you can’t. Period.

OK girls, the weights are over there. Let’s lift them now! Have the last laugh when your girl friends tell you that they don’t want to lift weights and yet watching you transform your body that will make heads turn when you are in your bikini.

The Spotlight of Every Human Being

At present, large breasts have turn out to be the spotlight of every human being. In this male dominated society women’s beauty is always judged by the shape and size of her breast not by face. And for this women are becoming more aware of their breasts. Women who are already blessed with larger bust are really luckier. But women those who have small bust, just needs to give little more endeavor to enlarge it.

For that breast enlargement has become the new look of this present generation. Whether women may be teen or adult, all are trying out this latest fashion. Breast enlargement is simple and faster to attain and it needs constant care and good maintenance. Breast enlargement can be done by breast augmentation surgery. Obviously, this is the fastest method and the results are fast too.

In this surgery the surgeon will place implants in the breasts and two of the implants are common. One is silicone gel implant and the other saline implants. Silicone gel implants are entirely composed of silicone gel and gives elasticity to the breasts. But at present silicone gel implants are banned because it may cause cancer. Well, saline implants are broadly used these days. Saline implants contains saline gels inside and silicone cell that is purely risk-free to human body.

These implants are designed basically into two shapes. One is round shape those are too common but the most popular ones are teardrop. Teardrop implants are widely used because due to its look when it fits the breast. Round implant surgeries are much cheaper than the teardrop surgeries. In spite of what the cost may be women favor augmentation mammo-plasty, as it is quick, effective and takes less time.

If you are not interested for surgery then you can try other Breast enlargement methods like herbal massage, crème massage, oil massage, medicinal pills and etc. But before undergoing breast enlargement you need a true guidance from your physician. It is necessary to gain confidence before breast enlargement surgery.