Body by Shifrin – Circumferential Body Lift and Breast Reduction … and More to Come - Chicago, IL

A brief background on me. Due to a hormonal...

A brief background on me. Due to a hormonal imbalance, I gained a huge amount of weight in childhood/adolescence. My highest recorded weight was 287 pounds, and I am 5’2” on a tall day. At 18, I was diagnosed with PCOS and placed on medication that, among other things, made it possible for me to lose weight. Over the course of the next twelve years, I lost about 115 pounds. As you can imagine, my skin had very little elasticity and could not shrink down to its “previous size” partially because there was no “previous size” to shrink back to.
I had realized that I would need to have skin removal surgery several years ago and began saving for the surgery, but was under the mistaken impression that I still had a lot of fat to lose before considering surgery. In December 2013, I thought that it was time to get a feel for my options. I met with four plastic surgeons, and knew that I had to find someone with a lot of experience with massive weight loss patients because these surgeries are almost reconstructive in nature, and our skin and needs are very different than the average plastic surgery patient. Also, I was looking for someone I would be comfortable having do my full body – lower body lift, breast reduction, arm lift, and medial thigh lift. I was initially hesitant to set up an appointment with Dr. Shifrin because he is younger than most surgeons, but the before and after pictures on his website of MWL patients, breast reduction patients, and tummy tuck/ mommy makeover patients made me decide that I had to at least meet with him. I walked out of my initial consult knowing that he would be my surgeon.
One of the things that really helped me make my decision was that with respect to experience, he was actually much more experienced with MWL patient surgeries than many of the more seasoned surgeons. He indicated that roughly a quarter of his work at the time was with MWL patients, and one of his fellowships was under the tutelage of a renowned MWL specialist. Aside from the technical skill set, he was also very kind, and took the time to explain things in plain English without talking down to me. He also was very honest about what could and could not be done, and WHY it could or could not be done. For example, he told me that my stomach would be much flatter than I had originally anticipated, but that a lower body lift could not totally remove my mid-back love handles and showed me how that skin has connective tissues that would inhibit that. He was also very honest about likely “complications”, e.g. minor incision openings and popping stitches. My results were exactly as he had explained. Additionally, even before I had told him that I would like him to do my surgeries, he personally responded to all of my e-mails promptly, usually within 24 hours. That continued both before and after my surgery. At my request, he arranged to have two of his former body lift patients call me to answer some of my questions as I was finalizing my decision.
On to the actually surgery – my first surgery was a circumferential body lift and breast reduction, which ended up taking around ten hours on May 8, 2014. At my initial consult, Dr. Shifrin estimated that he would take off 20-25 pounds between the body lift and breast reduction. After the surgery, he told me that he took off about 22 pounds of skin from the body lift, and a total of roughly 3 pounds of tissue from my breasts. The countouring on my midsection is amazing. My surgery was only 2 months ago, so I am still quite a bit swollen, but my before and after pictures here are in the same pair of jeans (while my waist and hips would fit in smaller pants, my thighs which desperately need to be done will not allow that). I will let you decide for yourself about the quality of his work. Sorry, I have no breast shots… but I can tell you that I had very heavy, uneven, saggy breasts. One was an F and the other was an H. As I fully expected, I needed an anchor shaped incision for my breast reduction. I asked Dr. Shifrin to make me a full D, which translates to a 3 cup reduction on one side and a 5 cup reduction on the other. I finally went bra shopping this week, and bought two bras in a D and two in a DD, so he made me a very perky full D, which is exactly what I asked for. Best of all, my neck, shoulders, and upper back are no longer in one perpetual state of being completely knotted up.
Although for me personally, the quality of staff is down on the list of decision factors in choosing my surgeon for such specialized surgeries, Dr. Shifrin has really good staff. He has two offices. His downtown office currently handles cosmetic patients and his Oak Lawn office handles insurance patients. I happen to be both. My breast reduction was medically necessary and went through insurance, and my body lift (although medically necessary) was not covered by insurance. His Oak Lawn staff handled all of my insurance claims, and disability coverage requests quite well, and his patient coordinator Danielle was prompt in getting back to me when I had any questions about that process or the hospital where I was to have my surgery. I did all of my follow-up appointments at his downtown office. His downtown patient coordinator Adrian was great in coordinating all of that as well as my second surgery, including my request to change surgery dates after already booking. I needed to get a new compression garment the week of the July 4th holiday (Dr. Shifrin provides compression garments post-surgery), but was not able to get downtown on a day that the office was open because I live and work in the north suburbs. In the spirit of truly going above and beyond the call of duty, Adrian volunteered to take home a garment and meet me in the north suburbs to give it to me.
If you have read any of the blogs out there about body lift surgery, you know to expect the first several weeks to be torture, even with the best of surgeons and no complications. For the first two weeks, I couldn’t even sleep in my own bed and needed help even getting up from the couch to go to the bathroom. At four weeks, I was able to move around and do things including driving, but was exhausted by the end of the day even if I was only moving around for a few hours. My body apparently had a ridiculous amount of swelling because I didn’t get my last drain removed until week five, at which point it was still draining more than the recommended 30 cc, but fortunately I did not end up with any seromas. I had a couple of small incisions about an inch in length that opened and needed to be treated with Neosporin and covered with guaze but had completely closed up by week 7. So you never know which “complications” you will end up with. At six weeks, I was back to a pretty normal life, I could make it through a full day of work and get to the gym for cardio, but was definitely still swollen and taking it easy at the gym. Although I have been cleared to lift weights, for my own peace of mind, I am waiting until I’m 9 or 10 weeks post op to start. It is important to follow all of your surgeon’s instructions and to eat a healthy, protein rich diet. I had a protein rich diet, both before and after surgery, and strength trained heavily prior to surgery, both of which likely aided in my recovery. I am currently using biocorneum lotion on my scars to help those become less noticeable, but every medical professional I know who has seen my scars thinks they are healing wonderfully. I have included a picture of my scar from the front, so you can see how thin his lines are, and yes he has offered to revise the scar to make it lower and straighter on the right free of charge. The scar in the back is very low and straight, goes right along the top of my crack. Of course everyone’s scars heal differently which is a function of your own skin rather than the surgeon’s skill.
I am sure that Dr. Shifrin enjoys all of his work, but it is clear that he has a true passion for reconstruction post massive weight loss, and that his work in this sphere is truly a work of art. I believe that the greatest testament of my satisfaction with his work is the fact that I have already booked my inner thigh lift and extended armlift for this October. I will update this review after I heal from Phase 2.

Link to more thorough before and after pictures

http://www.davidshifrinmd.com/patient-5-2/

I'm not going to re-post the pictures here, but my surgical before and afters for the body lift are posted on the link above. It's really rather mind-blowing how much the difference is in my rear and lateral thighs. One of the reasons I was willing to let Dr. Shifrin post my pictures is that in researching surgeons and results, it was practically impossible to find before pictures that looked like me. Most people must have carried more of their weight in their midsection, but I carried much more in my lower body. In fact, Dr. Shifrin removed as much skin from the back as he did from the front. He does offer augo-augment options included with the body lift for people who are concerned that they will have a pancake butt after skin removal. We went back and forth on it, but decided day of surgery that we would not auto-augment because in the words of my trainer, even after surgery I've "got a** for days". So even though I was concerned after surgery that I had completely lost my butt, 14 weeks out, I am happy we decided not to auto-augment.

I did get copies of my breast reduction photos, and I will create a separate post for the breast reduction, but for those that are following my journey here, I will go ahead and post. I never, ever thought I would ever allow pictures like these on the internet, but I know how insanely difficult it is to find good surgeons in this type of surgery when you can't see what their results look like on more extreme examples. So if this helps anyone, here you go.
Chicago Plastic Surgeon

Dr. Shifrin is a body-contouring genius. I am sure that Dr. Shifrin enjoys all of his work, but it is clear that he has a true passion for reconstruction post massive weight loss, and that his work in this sphere is truly a work of art. I believe that the greatest testament of my satisfaction with his work is the fact that I have already booked my inner thigh lift and extended armlift for this October.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
4 out of 5 stars Wait times
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Great Review! Glad you found a good MWL doc! Best of luck on the thighs!
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Thanks! i actually totally would love to pick your brain on the thighs. Your reviews were one of the reasons I asked my doctor for a j extension when I do the arms. Based on your before before pictures, my thighs are similar to where yours started, but I don't need the calves bad enough to bother messing with them. I'm doing the lipo and long-line incision at the same time. He said that he plans on just doing a long-line, but if in surgery, he thinks he needs more, he'll loop the incision towards the back rather than the front. How well were you able to manage the swelling with the compression garments on the thighs the first time around? My doc expects around a liter and a half of lipo from each leg. Do you know how much Dr. F did on you?
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Let me preface this by saying this is my thoughts only......You didn't post any full length leg pics - but i WILL say, i consulted with Dr. Agha (again speaking of MWL patents), and his coordinator told me (prior to seeing my nightmare thighs) that they can "get away with" a spiral only on 70% of their MWL patients. the reason i bring this up? It left an impression. I knew immediately i was not in that lucky 70% but i WISH i was......i had to have the long incision, but many of my MWL sisters do not...and I have not seen your whole legs but it looks as if you carry your weight very high on your legs (not quite like mine with fat and skin everywhere) - typical female pattern - so when i saw your pics, i did find myself wondering if YOU could get away with a good spiral only? But i have not seen your knees - this is where the spiral falls short....if you have too much fat/skin on knees. i just would get a few opinions on that (maybe post a Doc Q&A)- would LOVE not to have the long scar if i didnt have to! Yeah, my legs were quite "exceptional" in the corrections required....! My doc was pretty dead set on doing the lipo as a first stage to "decompress" the fat. by the time i came back for the thigh lift, he was quite pleased as he just had skin to deal with and said he can get me a better result with the result on the thigh lift with the reduced fat. I am sure i would not have the result that i have if he had done it as one stage - the staging just made sense to me! He removed ~4 liters from the thighs - and this was the whole leg liposuction. most docs do a "L" towards the front (if you see my front markups you can see what i mean) - "T" junctions like i have are dicey to heal i think. I cannot believe it goes SO FAR under by butt cheeks, but it seems like it will be OK - those incisions are so smooth! (the groin incisions are another story...). The first time, from the lipo, my whole legs were in systemic SWELL HELL - i had to wear compression almost clear to my toes in the form of calf length support hose 20-30mmgh compression and a ankle length compression garment on top of those (let me know if you want the make/model - it is ideal for the long incisions as it will not "pull" on them to get it on) - however a 5'7" (not THAT tall) the darn thing stops 5" short of my ankle bone! I was quite swollen - doc even gave me lasix when he saw my poor ankles - but you are not going down that far. Another bud just had Dr. Fisher remove 6 liters from calves 3 weeks and i can tell you she is **quite** swollen. So yeah...just expect it...buy either larger size yoga pants or maxi dresses...nothing will fit for a while. Hope that helps? PM me if you want to talk more! Happy to help!
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Congrats! Your results are very drastic and Beautiful. TGIF
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Thanks Bella! TGIF to you too.
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It's good to hear successful reviews and HAPPY patients LOVIN' their results. :) Thanks i will try,i am a little under the weather.
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You look really great! I'm in awe of your before and after pics.
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Thanks so much. He's great at what he does. You look great too. I was quite a bit heavier than you, so my after plank shots will probably be closer to your befores than afters, but I'm still thrilled. Swelling more now that I started strength training again but that should pass.
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Congrats! Happy Healing.
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Thanks!
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Have TGIF and a wonderful weekend :)
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Congratulations, you look amazing and you've obviously worked really hard!
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Congratulations on your weight loss and surgical results! When I have mine, I plan on being off 3 weeks before I return to a desk job. Hopefully that will work out. Look forward to more pics in the future.
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Good luck to you. For some people, 3 weeks is enough to fight through it. I would have been able to go back in 4 if I absolutely had to, but my surgery was on the more extensive side.
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I LOVE a great transformation story! You look absolutely wonderful, and clearly found a fantastic surgeon. I also had a LBL as well as an arm and breast lift after a 100lb weight loss, it really has changed my life in so many wonderful ways! You put in the hard work, now enjoy your new amazing body!
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Thanks! Congratulations to you too. You look great. I am amazed by all the little things that are different and can't wait for phase 2!
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It is indeed an awesome experience!
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