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Steven Vath, MD
Board Certified Plastic Surgeon
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1 Year Later...A New Year for the New Me.

Hi all! It's been awhile since my last update, life got busy and then the holidays smacked me right in the face before I knew they were there. How cliché but true, the older we get the faster time flies. Anyway things have been great! I am at my year anniversary for the Big Day and I wouldn't change a thing. It's the best thing I have ever done for myself and I would do it again. I feel great and healing is complete.
I have been religious with the MyFitnessPal app and though it's been a big learning curve, I have successfully lost another 10 pounds (give or take 1 or 2 depending on salt intake)! I probably could have lost more by now but I'm thrilled with the progress. So that makes a total of 20 pounds less than when I had my surgery a year ago. Can't shake a stick at that! : ) I hope to lose another 10-20, although my body is completely different now so I'm not sure how much more would put me at that perfect size/shape. Still learning with this new bod.
I am also still dealing with salt and bloating. I don't remember feeling so sensitive to salt before the surgery. Anytime I eat too much of it, I puff up like crazy and it takes a few days to go back down. That's frustrating but teaching me to pay more careful attention. I also feel sensitivity in my stomach muscles when I've had too much salt, probably directly related to the bloating. It's just uncomfortable. I think the sensitivity to salt is a life change now, not just directly from the surgery. It must have something to do with removing all that excess skin and fixing all of those muscles. Maybe I just notice it all now, whereas before I didn't.
I still exercise 3-4 days a week. Not so much that I want to quit, but enough to make we motivated to get back in there every week. Netflix is a lifesaver, couldn't get through 50 min of cardio without it. I'm working on doing weights again, haven't gotten back into it every day yet, but consistently adding it back in.
My parents and brother came to visit over New Year's, haven't seen them since I started the MyFitnessPal. My mom commented on how skinny I looked (twice)! That's never happened before, it felt really good that I'm making progress that people notice.
My hubby and I always take a family picture with our kids at Christmas and I compared the one from this year to last year. What a crazy difference! I still catch glimpses of myself in glass or mirror reflections when I'm out running errands and such and I do a double take because I still haven't totally adjusted to how I look now. The mental me is different than the physical me. In a good way of course! I have so much more confidence and feel amazing about myself, I wish this feeling for everyone out there.
I just want to reiterate, because I feel so strongly about it, that I would do this all over again and again and again. It has changed my life for the better in so many ways. My hubby finds me completely irresistible (did before but not to this degree! ; )). I want to wear form fitting clothes that show off my body instead of hiding in giant sacks. I'm more outgoing, energized, healthy and in shape. Which in turn has made my family more healthy. It has spurred a life change for me that has been nothing but positive.
Wishing you all out there continued success pre, healing and post TT. Happy 2015!!

8 Months...Compliments....Swelling and MyFitness Pal

Hello Ladies! Hope you all are doing well. Things are going pretty great for me. The stitch that was left in my right breast that I spoke of last time came out. I literally pulled it out, didn't hurt at all and was nice to have gotten rid of it. I have a larger scar there and it feels kind of rough and thick. Don't know if I will do anything about it yet, it's not a really big deal.
Nerve pain in my hip is all but gone, it only zings when someone hits me in just the right spot. As in my 5 year old running head long into my side. Otherwise it's not much of a problem anymore!
I still look the same as I do in the photos. But I will try to remember to take a few with some cute clothes to show the new silhouette.
I haven't been as good about exercising the last couple of months as I was before. I got discouraged and went on a couple of vacations and just ended up bumping back to 3-4 days a week. I am mostly doing cardio, spin bike or interval treadmill. It feels good to do it which is keeping me going back. I haven't done as much strength training either, even though I know I probably should. I have relaxed about being super vigilant in efforts to lose weight. I have gotten more comfortable with myself and where I'm at. I'm just not one of those women who is meant to be itsy bitsy teeny weeny. And that's ok. I like having a curvy body and I am learning to flaunt it. And you know what, it feels great! I have bought a few more body hugging sundresses of late and have gotten numerous compliments whenever I wear them. That feels so good! I want to be noticed now instead of trying to blend into the wallpaper.
Speaking of losing weight. I have managed to hold steady at 180, sometimes gaining 1or 2 and then losing back down. But I haven't managed to break that number. So I have started MyFitnessPal. I have, so far, found it to be very helpful for keeping track of how many calories really are in the food we eat. I love the way it calculates what's left for the day, gives you extra calories for exercise and puts it all in nice diagrams. I've been pleasantly surprised with how easy it is to use. I have only been doing it for almost 2 weeks and lost a few pounds (started at 183) back to 180. At first I was stressed about my allotment being only 1440 calories a day, but I spoke to my brother (who has education in nutrition and personal training) and he said not to sweat it if I go over one or two hundred calories, as long as it's healthy food and not 2000 calories of french fries. Made alot of sense to me, so I stopped freaking out and obsessing over every calorie and tried to focus more on balancing everything out and staying as close to my calorie amount for the day. It's been working much better for me that way. I log everything I eat and am more mindful of what it is I am eating and make better choices. I do go over a bit but I don't beat myself up over it. This needs to be a lifestyle for me not just a diet. So if I lose some weight great, but I want it to help me better understand portions and calories for a better sense of health. The other upside is I have rediscovered my love of cooking. I haven't been cooking much for quite awhile but after I started this program I began really setting up meal plans and cooking a lot (all cooking light recipes). My family is loving the food (for the most part), I feel good feeding them food I know is healthy and it's easy to log! All my recipes so far are in the app already. I can see myself using this for quite some time.
Homeschooling has been going really great this year too. We decided to switch programs and are doing a curriculum primarily on the computer. It teaches using a lot of games making learning fun instead of tons of busy work. The kids are taking to it better than last year, which was with a more traditional curriculum (workbooks, workbooks and more workbooks). The other positive change is that my husband has been participating in the schooling. I have been the primary teacher for the past 2 1/2 years and was getting bogged down and burnt out. My amazing hubby stepped up and wanted to get involved. It's been a blessing and the kids love the way he teaches. Apparently he's better than Mom, or so the kids say. (not so sure about that myself...) Either way it's been a refreshing change of pace for all of us.
That's about all for me right now. Take care to you all, happy healing!!

5 1/2 Months Post Op

Feeling good! I met with Dr. Vath on Tuesday for my last post op appointment. He was very pleased with the results that I have gotten, as am I. He's thrilled with how flat my tummy is and had to be reminded that I don't have implants! Which is very flattering. : ) I have absolutely no complaints......not one. He had me do post op photos, which weren't nearly as uncomfortable to do as the pre ops let me tell ya. Dr. V. said I don't need to come back for any more post ops unless at around a year I have issues with my scar. (want something changed or revised) At this point I don't see that happening as I am very happy with everything.
The nerve pain in my left hip is still there, but it has gotten a lot better. It still tingles in a sore kind of way when I push on it, I'm hoping it will clear up all the way with time. Especially since there has already been improvement in the last month.
I have one stitch that hasn't completely dissolved, I can feel it kind of scratchy on the underside of my right breast, but it is only noticeable when I wash in the shower. Otherwise it doesn't rub on my ribcage or anything. Dr. Vath said it was a stitch and it would go away.
My breasts are in their permanent position, I asked if I should expect any further "settling" and he said nope. Eventually with age of course, but in terms of the surgery they are where they will stay. I must say that I am SO glad I did the breast lift, I have been able to wear a couple of cute sundresses with no bra, which I had NEVER been able to do before.
I wore the bikini in Mexico! At first I felt self conscious, but when we got down to the beach and I saw lots of other women that were bigger than me or the same size walking around with confidence, I thought "yeah, why not...I look GOOD." And the rest of the week I walked around in that thing like I owned the joint. : ) It was a great experience. And by the way, I spent the whole time napping, drinking and getting an awesome tan! An awesome vacation I hope to do again next year.
Still exercising 5-6 days a week. The one downside to our vacation was that when we got back, I had a hard time getting back into daily exercising (which took about a week to get in the habit of again) and my diet. Those awful chips and kids' birthday cakes, etc. I am working on getting my calories and diet under control again. I didn't go to crazy but I did gain 1.5 pounds, which is the wrong direction on the scale. Work in progress.
It's especially difficult to focus on losing more weight when my husband, exercises 2 days a week, drinks lots of beer and eats whatever he wants (pizza and fried chicken, midnight snacks of cheesy nachos) and LOSES weight. He looks great and has lost 7 pounds in 2 months. So UNFAIR. I know men and women lose differently, etc. etc. But REALLY, so frustrating.
I am working on getting myself to a place where I feel good about my body without it being a different size. I've always been curvy, with boobs and hips. Those aren't going anywhere anytime soon. Good days and bad days.
Shout out to HappySuzy, her update today really rang true for me, especially lately. Scale hasn't been my friend. But looking in the mirror feels great. Gotta focus on the right things.
Take care everyone, will update again soon!

Provider Review

Board Certified Plastic Surgeon
725 Heritage Rd., Golden, Colorado
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Dr Vath was great! I really appreciated his attention to my concerns before and after the surgery. He cares about his patients and their experiences. Awesome staff, the nurse who was getting me ready for surgery was fantastic as was every other person I dealt with from their offices.