14 months post pics. Technically, I would say it was worth it, but I will wait longer.

I want HIPS! I've never had them and I want 'em...

I want HIPS! I've never had them and I want 'em bad! I'm 5'8 and 136 lbs. Measurements- 36-28 1/2-36. I have a small frame. I'm generally slim, but have stubborn pockets of fat on my abdomen, flanks, waist and bra roll that won't go away even though I work out daily. Other than that, I have very little fat anywhere else. I'm not looking for video vixen hips, just rounder hips that go with MY body. I also want a slimmer waist and back. If I have enough fat I'll get some in my derriere too. I have a squarish butt that needs rounding out on the sides more than projection. I only want to do this ONCE. Dr. M has the proven track record and experience that I demand from a surgeon. His before and after photos clearly state how ago the patient had surgery. This is critical for me. Imo, everybody's butt looks great a week or a month post op. I demand proof of long term great results and patient satisfaction, and I'm more than willing to pay up for that. When Dr. Markmann does a BBL procedure, it is the only one he does that day. He works out of an accredited hospital, and I will be able to spend the first 24 hours post op there before returning to my hotel. I'm so excited that i have to remind myseld to eat so that I won't lose weight! I will consider posting photos at the three month post op mark. Anything before that does not reflect true results, IMO.

Can you tell me your cost and how long it took you to get an appointment?

Thanks
BEEPBEEP
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Thanks, Nicki, and gl to you on yours, too! November is right around the corner.
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hey girl

welcome to the bbl sisterhood, gl on your journey keep us posted.
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Well, I'm one week post op. Dr. Markmann did a...

Well, I'm one week post op. Dr. Markmann did a great job filling in my concave, non-existent hips, narrowing my waist, back and flanks, and sculpting my buttocks. I still have a lot of swelling, especially in my waist area, but I look so much better and curvier than before already. He took out 2400ccs. Of that, He put in 350ccs per hip area only, blended a little into my lateral buttocks. We decided that I already had enough projection, so he didn't inject any fat in my buttocks. He just sculpted the area underneath my cheeks a bit. i'm so happy, because I still look like me with a much better shape. So far, i am healing well. I have had some discomfort, but not nearly as much as I expected. The staff at Northwest Hospital was just wonderful. Just hoping now that I can hold onto my little fat cells.
Dr. Markmann is very easy to communicate with. He is throrough, thoughtful and accessible. You can be sure that he will do absolute best workand younare not just a number on an assembly.
I am giving him a five star rating based on this, but i will return to post my final results at the end of three months.

More to add: th e absolute worst moment was waking...

More to add: th e absolute worst moment was waking up the night of surgery in a tiny hospital bed with the sides up. All i wanted to do was get out of that bed! I was in pain, and felt overheated and claustrophobic . The nurses let down the sides of the bed and got me up and walking right away. The first couple of days were pretty painful, primarily around my midsection. The discomfort diminishes day by day. It's day 10 and I feel great. I have to remind myself to take it easy-which I will do. This is too big of an investment to blowmit by doing too much too soon. I'm enjoying the downtime.

Your face and eyes will most likely be very swollen and puffy for about three days- maybe a little bruised..I had a few minor abrasions on the sides of my face. It had somthing to do withnthe way I was positioned on the operating room table.

The one item I haven't been able to live without is my Grab-It device, as i cannot bend at all from my waist. Also, invest in a pair of Heelbo elbow pads. They'll protect your elbows from getting irritated when you lean on them.
I also meant to mention that you cannot bend from your hips at all!
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I didn't have a lot of fat to work with and I have a rather small frame. My lack of hips was my major concern. My butt already had good projection for my frame. I wanted any fat I had to go there. Don't worry about anything being too big. Dr. M will spend a lot of time discussing what YOU want to accomplish.
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I wish you a successful journey in your recovery. I have my sx date in three weeks with Dr. Markmann. I'm so excited I'm actually getting the BBL procedure. I have a great canvas but now I'm scared my butt is going to be too big. Did that decision to only accentuate your butt come before or during your surgery?
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Day 10 drains out ! Yay! Feeling great. This has...

Day 10 drains out ! Yay! Feeling great. This has not been as tough as I thought. Follow your surgrons orders without exception and you should do well. My mid section is really swollen, but I can see how sculpted is's been. I have the torso of a slender teenager!
I know those drains being removed is a sigh of relief. Do you have someone to help you around the house? I'm thinking of hiring a nurse or something. Did you buy the multi vitamins from Dr. Markmann's office?
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He told me that in our consultation. That I can do. It will be hard though. I have my pre-op next week. The clock is ticking and I am getting very nervous. How is your recovery going pain and all?
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I actually just red your last post and it seems you're great. I will go get that grabbing device and now that you mention it I will get the elbow pads. How much weight did you lose and measurement? I hope that's not too personal. If so please forgive me just curious.
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So far, so good. My tummy is flat as a board. I...

So far, so good. My tummy is flat as a board. I have no lumps, bumps or uneveness in the areas that were injected or lipoed. I've lost some volume in the hips, but that was to be expected. I have no hard areas. Dr. M's work is amazingly smooth and symmetrical. There is a lovely new curve to my hips, and my waist is shrinking daily, much faster than the hips. Some dull pain in my lower back, but I think that's more from lying on my tummy. Dr. Markmann has a very strict post op protocol that I am following to the letter.
Hope you're doing well.
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Must correct my pre op measurements to 36 (34C bra)-29-35.
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RNdom thoughts- I'm musing over the change in the meaning of what a true " hourglass figure" means. Many of today's woman confuse a pear shape with an hourglass shape. A true hourglass has the same hip and bust measurement, and a waist that is at least 9 inches smaller than the hips. I.e 36-24-36. 36-24-42 is not an hourglass, but a pear. Beyonce is a pear, Kim K is a pear. Nicki Minaj is a big time pear. They all have hips that are far larger and wider than their busts. IMO pears are just as sexy as hourglasses, but they are a separate body type.
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After 3 1/2 weeks in Maryland, I went back home by...

After 3 1/2 weeks in Maryland, I went back home by train in a sleeper car. I highly recommend it if you are not far along enough post op to fly. Hubby picked me up at the station. I missed him so much! It was a happy reunion indeed. The change in your shape really hits you when you are back in familiar surroundings and look in the mirror at home. It hits you even more when you try on a few dresses that were too tight in the waist and too loose in the hips. For me, I think that the sculpting and lipo will make more of a difference than the fat transfer to my hips. I had no fat transferred to the buttocks. I can see a difference in the shape of my hips- the indentations are filled in so they are rounder. They are not going to be a lot wider. My torso, waist and lower back are dramatically slimmer and will continue to get smaller as the swelling sudsides. This has made my derriere look rounder, even though I didn't have any fat cells injected there. The lipo, combined with the small improvement in my hips, is bringing everything into a feminine, (fashion, not video) model type proportion. So far I'm quite pleased. According to MY tape measure, I'm 36-26 1/2-36 1/4 I have unintentionally lost some weight (5'8, down to from 136.5 to 133) Gotta go back to my daily protein shakes! I will update as my measurements change. My binder was cutting into me and caused some additional swelling in my waist. For the time being, I'm back to wearing foam under the compression garment and binder. This had helped a lot with the swelling.
Down to 132 lbs. My appetite is good, I'm eating plenty. I normally work out every day, and I've lost some muscle mass during this long period of inactivity. Well, I guess after the fat gets sucked out you're bound to weigh a little less! Tips : If you must climb stairs, go up backwards, slowly, putting most of your weight on the banister. That way, you are not putting pressure on or bending you hips. Also, those "As seen on TV " Genie Bras are very comfortable and look nice with the compression garment. You get good support and coverage without the underwire.
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I am glad to here your back home and doing well. Happy Healing
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I am, thanks for the happy healing wishes, everyone!
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I'm a little over six weeks post op. Healing has...

I'm a little over six weeks post op. Healing has been steady. I feel great! I'm still a little tender in the lipoed areas. Dr. Markmann and his staff are good at answering all of my questions. He has clearly done an outstanding job in improving upon what nature didn't give me. Dr. M. did everything that he said he would. Now, it's up to me and the vicissitides of healing. I am following his post op instructions to the letter. No cheating! I just sat for the first time at the 6 week mark, so I'm a little stiff. It hurts a little when I first sit, but after a few minutes I'm fine. My range of motion is returning a little more every day. I'm still not bending at the hip. No bending over to tie shoelaces, and I still go upstairs backwards. I've started back at the gym doing upper body work only. Not too much--I don't want linebacker shoulders to go with my new shape! My body is evolving almost daily as the swelling goes down in my waist, upper and lower back. I haven't lost any volume in my hips since week three. Though I'm not quite as thin, I'm sort of a cross between Naomi Campbell and Carolyn Bessette Kennedy- long legged, streamlined and narrow with a defined waist and hips and toned arms. That's what I wanted.; to still look like me, but more sleek and shapely. I doubt that I'll get any questions about what I had done. That makes me very, VERY happy. I was always able to dress to disguise my lack of hips and play up my good parts before. Now, I don't have to worry about hiding my figure flaws. I'm going to have to have almost everything altered because all of my clothes are too big in the waist. Remember, my RS BBL sisters, It takes at least 3 months to know whether your procedure was successful. I refuse to get too excited until at I am at LEAST ONE YEAR post op. if I still have my results at ONE YEAR, I will post that it was "worth it" Don't get caught up with what you look like 1, 5 , 12 or even 30 days post op and don't choose your surgeon based on anything other than their long term results. It's great to share your early excitement, but we all need to see more LONG TERM RESULTS on RS. Be realistic: the better your figure is pre op, the better it will look postop. Also, be aware that almost all of those Facebook wish pics I see on RS have been seriously PHOTOSHOPPED. Although I didn't choose to have wish pics, I understand why they are helpful to a lot of women. The closer your body resembles your wish pic, the more likely you will get your wish.
I didn't know about no bending at the hips! I sleep fine on my stomach, don't mind standing, but I do a lot of knealing so I'm slightly bent over. ugh.. I'm knealing as I type this.
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Omgoodness.. I didn't see this update. Yes, I made the same mistake when I came to RS. I would see updates of ladies 3 weeks post, and thought WOW, I had no idea how swollen those ladies were Lol!
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Great update belleisis. You are speaking a lot of truth here. We get caught up and forget that we are all looking for the same thing...a great figure that's permanent. Only time will tell. Some of the hottest docs are constantly being revisited for touch ups, which isn't what any of us really want when we pay the 1st time.
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I must correct my preop measurements to 36-29-35. ...

I must correct my preop measurements to 36-29-35. Current post op measurements, 36-26 (my waist on a good day when the swelling is down) 36 1/2. My waist, back and flanks are still quite tender, itchy and prone to a lot of swelling. My waist measurement can fluctuate by up to 2 inches! I hope it eventually settles at 25, but I'll settle for 26. My weight is back up to 135.

BTW, Dr. M says that it's normal for swelling to...

BTW, Dr. M says that it's normal for swelling to kick in again at the two month mark. It can continue up to six months, causing measurements to fluctuate. It can sometimes be a little frustrating, but all a part of the healing process. We just don't heal in a completely linear way!

To review, I only had 350 CCs fat transferred to...

To review, I only had 350 CCs fat transferred to each hip; nothing to the buttocks. For that reason, I don't have a dramatic increase in my hip measurement, but that inch and a half of additional width to the hips combined with very aggressive lipo to the waist, flanks and back makes my figure more proportional.
Happy healing
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Not all doctors recommend this. YMMV, but some docs believe that it's very important not to put ANY pressure on the hips if you had fat injected there. I'm bending some now at 8 weeks post. It's tough to keep from bending for so long, especially during the first 6 weeks when I didn't sit at all; no pedicures, hubby had to put lotion on my feet when I was laying on my tummy. I had to wear slip on shoes because I couldn't tie laces. I couldn't even shave my legs! I had to scrub my legs with a shower brush. It was challenging, but I have not lost any volume in my hips since week 3.
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I agree with this theory... your swelling is already putting pressure on the fat cells and if you're bending, that is additional pressure. I was doing all of the above early on in my recovery (bending over to wash lower calves and feet, putting on compression socks, on all fours bending to stretch lower back before getting out of bed etc.). I want hips, so If I go for round 2, I'm going to try to limit bending at the hips
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Here's an interesting interview done by the famous...

Here's an interesting interview done by the famous Dr. Roberts , one of the great pioneers of the BBL in thenUS. in the interview was done in 2001. He talks about what a surgeon must do to ensure a successful BBl. Fascinating!

Most patients right away tell me they know that injected fat is reabsorbed by the body so the enhancement doesn't last,” says Dr. Roberts. “But that's not true.”

Due to the extremely delicate nature of stubborn, human fat, surgeons who perform transplantation surgery must take caution.

Drs. Roberts and Toledo explain how suctioning shouldn't be too strong, or it will kill the fat cells; nor can the surgeon use too narrow a needle on the syringe to inject the fat cells back into the patient's tush. While bodily tissues, fluids and fat cells extracted during liposuction must be separated in a centrifuge, the device can't whirl too rapidly, least the cells become too damaged. Moreover, the surgeon should not deposit too many fat cells into any one place. Droplets are good – placed at hundreds of different levels – but fat cells the size of a teaspoon put into one place will perish. Also, fat cells cannot be exposed to ordinary air.

Drs. Roberts and Toledo 's study results, printed in a 2001 issue of Aesthetic Surgery Journal revealed that 50 to 75 percent of the grafted fat remains in the rear for the long term – after the operation is done very carefully.

“The fat that remains at one year after the operation, remains with you permanently,” Dr. Roberts says.

The study revealed about four percent of patient had problems – slight infection or small pockets of fluid retention – which cleared on their own. The other possible risks of buttock enhancement, such as lumpiness, bleeding and muscle or nerve damage, did not happen to any of the subjects who wore a compression garment for about six weeks; they were able to resume most normal activities in two to five days. Ten percent of the subjects later requested additional buttocks augmentation.

One possible downside: Not many surgeons perform the procedure due to its difficulty. According to Dr. Roberts, one surgeon, three nurses and six hours are required to properly prepare the extracted fat for re-injection back into a patient's rear.

“If you rush things, the buttocks enhancement can be gone in a year,” Dr. Roberts says. “There are simply too many ways the fat cells can die.”
Belleis do u know any tips on how to poop without bending over I'm scared of fat cells dying
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Can you post a preop pix and after im curious bc u said u had a similar shape to my body
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Thanks, PP. wish they would switch the photo editing option back to the old one. I wanted to post 3 month photos, but now I don't think that I will.
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'Amazing' tops annual vote for words that should...

'Amazing' tops annual vote for words that should be banned.
Stand with your legs wide open over the toilet and lean on the back of a chair or use a stool and extend your arms on the stool to secure yourself.
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Thanks so much ...I will do that ;)
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You have to stand up and aim carefully! It takes a little practice, but you'll get the hang of it. Don't bend! I didn't bend my hips at all for six weeks.
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I'll admit it, I am thrilled with my results--so...

I'll admit it, I am thrilled with my results--so far. Current measurements: 36-26-37. Most of that 37 inches appears as width in my hips. I do not have a huge behind, don't want one--just a butt that is proportional to my frame. I am of mixed race descent and my frame reflects that fact. Lipoed areas still smooth. skin is retracting nicely. A tiny bit of swelling remains in my flanks. I am no longer wearing my garment, but I am wearing a shaping camisole/bra to support the lipoed areas. I may post pics soon when I have reached at least three months post op. I am ambivalent about posting pictures here for reasons I have mentioned before. I feel no need to "prove" anything. i spent 17,000, and Believe me, if I was unhappy I would TELL YOU. My sensibilities are very different than most women here. I am a former fashion model. I am very slim. I LOVE being slim. No thickness allowed, whatsoever. At 5'8, 135 lbs is the heaviest I like to be. I was considerably thinner in my modelling days. I did not give a hoot about "projection". That kind of look just doesn't suit my body. I don't wear spandex mini dresses and go to da' club. I get plenty of attention--always have, that was not a problem. I wanted to remain thin and add curves. Markmann has done that for me WITHOUT A DOUBT. I refused to gain weight for ANY REASON. I am in my 50's and that would be a silly thing to do at my age and level of fitness. I do not have the body or face of a woman my age. I worked hard at the gym to have the body I had even before surgery. That's why I didn't have much fat. I would prefer that people tell me that I am a beautiful WOMAN rather than them telling me that I have a beautiful, huge butt, but, that's just me. I prefer an hourglass shape, as opposed to the exaggerated pear that is so popular now. I only really wanted hips and a slimmer looking waist and torso. Check!!!

Okay, y'all as much as posting pics goes against...

Okay, y'all as much as posting pics goes against my nature, here goes. I just want to show how much Dr.M was able to accomplish with only 350 CCs directly into each hip on my rectangular, nine year old girl hips. I had nothing injected to the buttocks. If I still have these results in a year, I wil post that it was "worth it" There was no way that I would gain weight for this surgery. He did the best with the little fat I had and that's what I wanted-- to stay thin with just a little more curve. BTW, I am 59 years old!
You look incredible for 59, wow!!
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You really look amazing. wow at 59 you look great. congrats.
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Thanks. ANM2012!
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That's it for now. I'll update with new pics at...

That's it for now. I'll update with new pics at the 6 month mark and again at the 1 year mark. I hope that all of my fellow BBL sisters will do the same. That's the only way to know how effective this prodedure really is over the long term.
Lookin good belle!! Glad u r please with your results :)
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Why thank you, Ff.
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I've honestly have been on this site for over a year & have never commented b4, however I felt compelled because the amount of work & commitment you must have put in over the years is inspiring, your enhancement is minimal & obviously well thought out but I'm most impressed with how youthful you look, even your skin is amazing, WELL DONE!! & no need to justify yourself AT ALL, it's obvious your a classy woman that has a different ideal then what's "in style" right now.... While a big a** can be appealing too, I always wonder what's gonna happen in 5-10 years when it's not the in look anymore... Remember huge breast implants of the 80's-90's.... Anyway Kudos to you for showing a variation of beauty & what other improvements this surgery can do:)
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Happy New Year, Everyone! Fascinating food for...

Happy New Year, Everyone!

Fascinating food for thought fromwriter David Gauntlett.
"
"...One of the more key factors in creating the desire for a particular body shape – most notably for females – is the media, which has promoted a number of so-called “ideal” body shapes.[47] Fashionable figures are often unattainable for the majority of the population, and their popularity tends to be short-lived due to their arbitrary nature.

During the 1960s, the popularity of the model Twiggy meant that women favoured a thinner body, with long, slender limbs.[48] This was a drastic change from the former decade’s ideal, which saw curvier icons, such as Marilyn Monroe, to be considered the epitome of beautiful. These shifts in what was seen to be the “fashionable body” at the time followed no logical pattern, and the changes occurred so quickly that one shape was never in vogue for more than a decade. As is the case with fashion itself in the post-modern world, the premise of the ever-evolving “ideal” shape relies on the fact that it will soon become obsolete, and thus must continue changing to prevent itself from becoming uninteresting.[49]"...

To translate, the " hot " shape today will not be the one the media considers hot tomorrow. Moderation is something to consider. Just sayin'
Took photos down for the new year. Security and all that. Will repost in 3 months with a 6 month update
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Loving that and you are so right. Thanks for posting.
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*On thing that will ALWAYS be in fashion, though is a low WHR. Always, however small or large a woman is xxxxxxxx
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Here's a great explanation from RS PS Remus Repta...

Here's a great explanation from RS PS Remus Repta regarding the phenomena of "fluffing." I hope that it's OK for me to quote him here. The poster's question was not about fluffing, but this was part of the doctor's answer. If you couple his explanation with the idea that most of us will gain a few pounds post op, it makes perfect sense.

"...As time passes the tissues will relax and the swelling above and bellow the buttock will diminish and this can result in a rounder, more projected buttock appearance."

After looking at my review I realized that I left...

After looking at my review I realized that I left off information about what it was like immediately pre op! Anyway, for those of you considering Dr. Markmann I will fill in a few details.
My surgery was scheduled for 7 am, which meant that I was to arrive at 6 am. My hotel was about 12 miles from the hospital. I was driven there by the taxi driver I hired to drive me to my appointments. We arrived on time. The hospital was nice, fairly modern and in the process of being updated. I called of the phone in the hospital lobby, and was met by a patient coordinator who led me the prep area. I signed forms and handed over the $9.00 cash I had with me and my driver's license for safe keeping. A nice touch was that I was allowed to keep my wedding band on, they just covered it with tape. Ladies, leave all of your jewelry at HOME. Insist that your hotel provides you with either a safety deposit box, a room safe or space in their hotel safe for your credit cards, cash, and any jewelry you have. Most states require that hotels provide you with this under the Innkeeper's Act. After I changed into my gown, I secured my hair. It's long so I had to put it in a braid and bind it with a cotton band (no hair pins or clips allowed). A rather inept and loud mouthed attendant poked around my veins to start my IV. She kept blaming it on my veins. She was the only irritation in an otherwise smooth experience. I signed some forms, talked to the nurse anesthetist (a lovely and very chic looking AA woman.) When I mentioned that I had suffered nausea in the past, she placed an anti nausea patch behind my ear ( highly recommended). Then, I met the anesthesiologist. He asked the usual questions about my health and reactions to any anesthesia in the past. I was escorted back to a little waiting room off of the OR. Dr. M came in ON TIME and marked me up. We agreed that since I didn't have much fat it would all go to my hips. Next, off I go for surgery. The OR was HUGE, with what looked like half a dozen staff members. It looked like something from TV. Judging from what I could see, every possible piece of equipment was available. It was freezing in there, but I was shown to the table and covered with a warm blanket. The knock out doc started my IV and the last thing I remember saying was, "Here I go! ". I have no recollection of anything that happened during the procedure or of Doctor M coming in to begin surgery. I had requested that Dr. M call my hubby to let him know that all was well. He did this promptly after my surgery was over. I woke up that night in the tiny hospital bed I described above in an earlier post. That was the only time I felt a little anxious. That bed was soooo narrow! The staff at Northwest General was top notch. I never felt rushed or like I was being a bother. The nurses were ON POINT ; very patient, polite, and responsive to my needs. I was there for 24 hours. Of course, all meals were included in my hospital fee. I had filled the scripts for my meds at home and had the meds with me. My nurse attendant came to pick me up and was waiting in the patient pickup area downstairs. Just as I was about to leave, I met with Dr. M. In the hall. He was on his way in to see me. I was so out of it that I almost walked past him without seeing him in the hall! He told me how much fat was harvested and injected. I left on foot ( not in a wheelchair) and was escorted to the patient pick up area. Then, it was back to the hotel to begin my recuperation. Because I only had my hips done, my surgery took a little over four hours. This was less time than I had paid for. The hospital was very prompt in issuing me a refund check. I used HomeWatch Caregivers based in Columbia, MD for my after care. I had a FABULOUS caregiver named Catherine. I highly recommend this service. HomeWatch Caregivers is a national franchise. Their staff in MD was great. I had three followup visits wit hDr. M in his office. He has a very nice, elegant and spacious office with a number of exam rooms. You can lay down in privacy. Only once did I have to stand and wait for a while in the front waiting area. Ladies, try to get a hotel close to your doctor's office- say, not more than 10 minutes away. You will be less stressed and more comfortable. Good pre-planning will help you keep that roller coaster thing in check. I can honestly say that I never experienced any post op depression or anxiety. I also used a tape called " Preparing for Surgery", by Dr. Martin Rossman. It is a three part recording that uses visual imagery to guide you through the process and keep you calm and centered. I HIGHLY recommend that you download it and begin listening 4-5 days before your procedure. You should keep listening daily until you are sufficiently healed.

If I haven't already mentioned it, Dr. M HIMSELF...

if I haven't already mentioned it, Dr. M HIMSELF answers all of my post op questions. He is very responsive and answers emails promptly. I don't know when the man sleeps!
I hear he is great. Good decision on your doctor, u get what u pay for and i think he is one of the best and possibly the best legitimate surgeon.
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I'm in the gym, and just realized that of the 30...

I'm in the gym, and just realized that of the 30 or so women currently here, I am the ONLY one with a discernible WAISTLINE!!!! Thanks, Doc M!!!
I am so excited for you and even more excited that Dr.M is also my doctor. It is always refreshing to hear from his patients, because well, on realself, there are not a lot that are active anymore. I love Dr.M! For some reason, I just feel safe in his hands and believe that in his care, I will come out looking amazing and alive!!!! lol
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The 12 inch difference makes a big improvement in...

The 12 inch difference makes a big improvement in my slim shape. Measurements now, 34C bra (36 overbust) 25 waist, 37 hips.
Hi Heaven Sen!. Believe that you are in good hands with him. You have a great chance for permanent results and no redos. I will keep posting updates for the next few years because I think it's important.
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My extra 2 inches of hips means I need to get...

My extra 2 inches of hips means I need to get fitted for a new dressage saddle. That's goIng to be EXPENSIVE. Ah well, it's worth it. I think I'll wait for another three months before I get measured to have a new one made. By then my measurements should be pretty settled. At least most of my riding clothes still fit. I'll need a new show jacket, though.
I want you waist, it's so tiny.
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You look amazing!
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Do you have any post pics like your pre op pics? In the doctor office ?
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Since RS changed their interface a few days ago,...

Since RS changed their interface a few days ago, replies are now appearing out of order. This is bound to cause all kinds of mayhem. They need to fixit ASAP. In the meantime, it might be a good idea to add @ and name of whomever you are responding to.
Couldn't find a word for my little poem to rhyme with "lifetime"! PGS, I suspect that I have a somewhat broader definition of what constitutes "satisfactory" results. I realize that though many women may not look like they just stepped out of King Magazine, (or wherever you ladies find those perfect butt photos) their own bodies are TREMENDOUSLY improved by this surgery. That is why I never, EVER compare my results with anyone else's. it's a folly. My lifestyle and aesthetics inform many of my choices, too. I ride horses, and you simply cannot be a competitive equestrian with a huge, or even big butt. It would be like trying to be a ballet dancer with a huge donk bouncing around the stage. I grew up in a time when American women (and men) were generally much slimmer than they are now. I also have it easier than many of you because virtually ALL women in my age group have no shape whatsoever! I have ZERO competition!! Anyway, surgical TECHNIQUE is paramount to the success of this procedure. Very few surgeons post clear information on their before and after pics, and very few patients know or care much about their doctor's technique. I plan to periodically update my page for the next few years. I am flying in to see Dr. M in April for a followup. By then I will be 7 months post op. I'm bowing out of RS for a while. I've grown a bit weary of the whole thing. Will come back to post 6 month results. Good luck!
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Hey Belle-Thanks for being one of the few to remain committed to posting long term results. It doesn't happen that often, so I know that I can appreciate that. You mentioned that you are taking a break from RS for awhile, so definitely will miss your informative updates. After reading your reply, you make great points!! The 'satisfactory results' I have in mind arent necessarily pinpointed to a desired look, but I just feel that for the amount of money paid, the end result did not exceed my expectations. However, their bodies were tremendously improved from their initial shape. Basically a decent shape was given where there was absolutely no shape before. That's an improvement for anyone. I agree in also not comparing results to another. Each has its own individual story, surgery, and end result. Although doctors do ask that if you find wish pics and such, to try to find something similar to your body, but there is still no guarantee. I am in the entertainment field, so my choices revolve around that lifestyle. No, I don't want a huge butt either, just something a little more prominent. I've also realized from patients to doctors, that everyone's idea of a huge butt varies. Where some may think Beyonce or Jessica Biel have huge butts, I completely disagree. I come from a family where the women have larger behinds, but that's not what I desire. That's just what I am use to, even back when models looked more like sticks, IMO. We all have a different definition of what we define as beautiful or attractive and that's what I believe strongly determines a woman's desired look for this surgery. Sadly enough Belle, even at may age the competition is still very slim. Most girls my age, younger, and older unfortunately are overweight. I get teased all the time about being 'skinny' and 'needing to put some meat on my bones.' Regardless of clear information, before/after pics, and technique...I'm not sold on the fact that this surgery last a lifetime. From the most expensive doctor to the least expensive, none have promised 'lifetime' results. (Sorry, I didn't catch the poem in the beginning..lol!). I read a long article from a doctor who chooses not to perform this procedure to this day. He went into details about the 'specialists' who perform this procedure claiming that no matter what they do, fat will eventually deteriorate over time. He said in so many words the genetics of the body will take over and eventually take on its original shape. I truly wish I remembered where i stumbled upon this online article. I know he was based out of NY. The closing statement related to doctors promising results lasting for years or the most used term 'long lasting.' However, none of which equate to lifetime results. Anyway, I wish you the best on your recovery and look forward to you dropping in from time to time. Thanks Belle!!
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Actually, Dr. Markmann says without hesitation that what you have after a year will last for a lifetime. From what I can see, my post op instructions have been highly detailed, and very different from the norm. We'll see. There are many doctors who do not believe in the efficacy of fat grafting. If the body ultimately absorbs tissue transplants, I wonder why skin grafts have been so successful? The extra 5K for 24 hour care in a fully staffed and equipped hospital was worth every penny to me. My post op care has been superlative. That is priceless to me. But, each of us has our own priorites and must find our own way. Wishing you a safe and successful recovery as well! I will continue to answer PM's if need be, and I will respond to any comments made on my profile if necessary, but I'd rather just post periodic updates because IMO that will be most helpful to others. I don't have anything new to say. In the meantime, I will ENJOY my new body.
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Keep posting those long term results, ladies. ...

Keep posting those long term results, ladies. That will really help your fellow RSers. Now that I'm 4 months post, I'm going to post an updated profile pic. Then, I'll be back to post new pics at 6 months post.
U rock!!!!! I swear your body puts me to shame.
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MissMiami, you are a very smart woman. I think that after we go through this procedure our perspective changes a bit.
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To my fellow RSers, If you want to damn my surgeon, or any other surgeon with faint praise, please do it on your own comment page :D right here, on my page, I'm keepin' it positive for the Team Markmann minority. I YESSS!!! So far, so good. I have been stopped by four strangers in the last 6 days and been told POLITELY that I have a great body. No volume loss. no changes. Wooohoo!
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I clearly have more curves than I did before. And...

I clearly have more curves than I did before. And that's the goal after all, isn't it?
I will hit the BIG 6-0 this year! Not bad for an AARP member.
Hi Furfur, Thanks for your kind words. I have a stepson, but no birth kids. I go to the gym for an hour and a half every day and have for many years. I also ride horses, bike and swim. As for eating, I don't have a special diet, but I am a strict adherent of portion control. I eat four times a day and have small portions. I eat lots of olive oil, leafy green veggies, nuts and berries. Breakfast; turkey sausage, a piece of toast, berries. Lunch- a small amount of whatever was left over from dinner the night before, or a big salad with spinach, kale, and arugula. Hubby and I eat mostly poultry or fish for dinner. I'm not too big on sweets. I use stevia and try to keep my sugar intake low. I do loke dark chocolate, but just a little once in a while. I love CARBS and occasionally red meat; steak, ,ribs-- pasta, chips, pretzels...That's one reason why I have to work out every day! I don't deny myself the foods I love, I just eat small amounts of them.
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Honey, Truly incredible, there are no words, less is definitely more:) I have 2 questions if you'd be so kind to answer _what is a typical day of eating for you _ & do you have children? Thanks& you look absolutely Stunning:)
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u looking great sis!!
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This is to those ladies considering breast...

This is to those ladies considering breast augmentation. Now, I gotta say that I have not done it and don't plan to. But, just a word from one who knows. i was blessed with perfect though not huge 34 full C breasts. Even at almost 60 I can pass the pencil test. Please remember that natural, perky breasts tend to have a slight slope at the top. It is the rare surgeon that does not make breasts too full at the top-- a dead gIveaway to all of a breast job, no matter how subtle. Natural breasts do not look like that. Will it look good? Maybe, even prolly! Will it look real,? nu-huhhhhh. Look for the guy who can give you a slope if you want them to look real. Sadly, I'm not sure that he exists! ;)

Here is something that we should keep in mind. ...

Here is something that we should keep in mind. Here on RS, ladies will take a microscope to your results. They will measure and parse every nook and cranny that they can see, and some that they can't! Now, I'm not criticizing my RS sisters, it's just that it's the mature of this site. Remember, my RS Friends, 99.9 % of the people you meet in REAL LIFE will never scrutinize your results the way the women on here will! Do NOT judge your results solely by the reaction of the women on here. Get out there in the world that has little knowledge of BBLs and see how THEY react. THAT, and the way YOU feel is you answer to whether your procedure Is successful.
All I need is one of her cheeks!
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The woman with the 8ft hips (thats 96 inches!) is named Mikel Ruffinelli.
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hello! im 135 lbs 5'7...i did modeling as well my lowest weight being 118lbs...im am worried that my surgeon will not have enough fat to fill out my hips. my butt already has projection but i have no hips. where did you carry most of your weight before Sx?
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Although it's an important part of the dramatic...

Although it's an important part of the dramatic change that a well done BBL can accomplish, projection does not add to the impact of the frontal view of your WHR. To get a more accurate idea of the visual impact of your WHR. Look straight ahead in the mirror. Hold a yardstick or tape measure straight across the widest part of your hips. Write down that measurement. Then, do the same for the narrowest part of your waist. Divide your frontal view waist measurement by your frontal view hip measurement. This is your WHR from a head on view. This way, you are measuring the actual width of your waist and hips, rather than the circumference. You can use the same technique thing to measure the width of your bust and shoulders. You can also do a side view WHR measuring your behind at its most projected point from the side, and your waist at its narrowest from the side. Again, divide the waist by the bust to get your side view WHR.

Changing my "Worth It" rating because VERY LONG TERM" is Key for Me!

I am changing my rating back to "Not Sure" because I strongly believe that even one year is not enough time to really know the results of your lipo and fat transfer. Also, if you are like me and are very athletic with an extremely active lifestyle, it makes sense to wait at least a year to fully assess your results. I am back on my horse, back at cycling, back in yoga practice, back at the gym, and back in the pool. I can't imagine having to permanently curtail any activities in order to hold on tomy results., I want to see how this all holds up for me over the very long term. This is a difficult, very expensive surgery, especially for those of us who opt to go to US doctors. Almost all photos and reviews on here are based on results of far less than a year. I will not post that my results are worth it until TWO, entire years have past. So far, my measurements have not changed. I will periodically post updated pics .
is there a way I can mark someone as a favorite? I love looking at the pictures everyone post, it keeps me motivated to just do it!
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I'm not sure, Jessie. I know that you can "thank" someone for a post at the bottom of your review. I'm happy that the pics have been helpful to you!
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We only see beautiful butts here, not beautiful faces. That's why RS is not REALITY.

NO ONE on here will SAY this, but but let's "face " it. A great figure is a wonderful thing, but a gorgeous face, flawless skin, perfect teeth and a headful of beautiful hair (preferably growing from YOUR HEAD), a pleasant speaking voice and positive, feminine energy carry just as much weight in the beauty stakes. These are qualities that we cannot see here. That's why I can only take the BBL ( or any ) PS site dealing with truncated highly edited body parts with a big grain of salt. But by it's very nature, this is a superficial site. I'm not minimizing the pain and emotions many of us experience, I'm just sayin' --if we can't see the total woman we don't know whether you are truly, physically beautiful or a buttaface. In one way it's good, it makes RS the great equalizer. in another, the BBL board is based on a totally artificial premise. It's just not the way the real world works. For me, facial beauty is paramount as to whether I judge a woman to be physically beautiful. I am to alone. Men look for more than just a good body. In fact, a study done at a university in Texas showed that men looking only for short term sexual relationships focus on a great body, while men looking for serious, long term relationships prefer a beautiful face. As one man said, she can cover up a so-so body with clothes and improve it with exercise, but she can't go around with a bag on her head! We can get an idea of whether you have a positive feminine energy, though. That's why I take the time to actually READ our reviews rather than just look at the pics. Your writing tells me more about your character than a million pics of your butt ever could.
Wow, if you're really 60, you look great. You look really fit as well. Not sure how many people can say that.
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Hi Sam, Thanks! Yes, I am really 60. I've been working out daily since I was in my 20s. It pays off.
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Why are you guys giving this insecure woman attention! If she was so beautiful she wouldn't come on here saying,"I WANT HIPS". If her face was so beautiful she wouldn't want to fix her body. Beautiful woman get attention without saying a word and she is on here stirring up DRAMA cuz seems like her beautiful face isn't getting any attention. Stop feeding in to her drama and giving her attention. She's only going to keep the drama coming ignore it and she will go away!
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The dangers of doing a photo shoot too soon after your BBL...

Looks like her butt is on fire! Where is photoshop when you need it?
"Ladies", my RS notifications are always turned OFF. I do not check my blog responses daily, or even weekly. Unless someone pm's me with a ps related question, it's more like monthly. I respond to some comments when I have the time and the interest to do so. It has nothing to do with "fanning any flames". If you come here to MY BLOG and post, at some point you may get a response. What you won't get is me, on YOUR blog, posting to YOU and calling you out of your name because I don't like what you have to say. You ALL keep coming back here and posting. If you don't like my review and you don't want my responses, PLEASE GO AWAY.
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Wow. You look amazing. How do you keep your self looking so good. I am turning 40 next year and i want to get bbl and be in my best health. Hopefully look like you at 60 lol. Whats your eating and workout regime? Thanks for sharing your journey
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Hi onebootylove, Thanks! My doctors attribute much my relative "agelessness" to genetics, but there is much more to it than that. I take "extreme" care of myself and have for many years. The younger you start, the better. 40 is still young, so you still have time. Invest in everything early and often-- health, hair, skin, teeth, body, your spirit. A great dentist and a great dermatologist is a girl's best friend. I do resistance training, cycling, swimming, yoga and I ride horses. I exercise from 1 to 2 hours daily, without fail. As for diet, I eat every meal off of a small plate and I eat 4 small meals daily. I never eat until I am full. I stop when I am just satisfied. I keep my sugar intake low, but I do enjoy a sweet here and there. I never EVER drink soda or other sugared drinks. I eat pretty much what I like with a healthy dose of fruit and veggies. Most importantly, I am lucky enough to live a relatively stress free life, full of love and peace. Stress plays a huge part in weight gain and how we age in general. I NEVER expose myself to the sun without wearing sun block. No matter what your ethnicity, over time, sun exposure will age your skin. I never sunbathe. and I rarely use moisturizer on my face. Moisturizer makes the skin lazy and prevents the skin cells from renewing naturally.I cannot recommend the combination of RETIN A and glycolic acid highly enough. Every woman on the planet should start using these two products in her 20's. I did and I have 0 wrinkles. Nada. I have never had a facelift. I tried Botox for a while but I HATE IT, and would never use it again. I have had Ultherapy and it has helped keep my facial skin very firm. It is a noninvasive, miracle procedure with no down time. It does not alter your face or features in any way. In terms of my looks, I try never to compare myself with other women. I like a timeless style that does not rely on trends, fads, or what others deem, "hot" at the moment.
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A beautiful poem I once read...

"I am looking for a guy who calls me beautiful instead of hot, who calls me back when I hang up on him, who will lie under the stars and listen to my heartbeat, or will stay awake just to watch me sleep. Waiting for the man who kisses my forehead, who wants to show me off to the world when I am in sweats. Who holds my hand in front of his friends, who thinks I am just as pretty without makeup on. One who is constantly reminding me of how much he cares and how lucky he is to have ME. The one who turns to his friends and says, “that’s her”. The man who knows what integrity, honesty and manners are without using a dictionary."

Ohhhh yes.
You look great, hope to get my waist as small as yours.
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Thanks, Sam, I wore my garment for three months, 24/7. I think that helped a lot, although in retrospect I think that my second stage garment was a size too large.
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Hi Whoa, I don't live in Maryland. I had to travel to him. I would only say that for me, he was perfect because I did not want to gain weight and I did not want exaggerated results. He attracts a different type of patient than many of the other docs on here. He will give you as large a behind as you want with the fat you have available. He is certainly willing to do round twos for those who want them. Just make sure that you communicate clearly what you want. The only other docs I would have considered are Salzhauer and Mendieta. I didn't want to fool around with doctors who don't have much history. So far, my results meet my expectations. I had good breasts and legs, but absolutely nothing in the hip department. I now have a waist, hips and a 0.69 waist to hip ratio. I gained three and 1/4 inches in my hips and lost over 3 inches in my waist. To me, it's nothing short of a miracle. I was very realistic going into this. I do not have the extreme proportions that some ladies covet. I just look like a slim woman with a nice shape. It's a shape that is youthful and belies my age. That's all I wanted! He also did a spectacular job of sculpting my flanks. I have noticed that I get lots of compliments on having a small waist-- that rarely happened before. Your 20's is a great time to get started with Retin A. Glycolic acid is also great for use during the day, as is vitamin C serum.
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Best body in the history of womanhood, bar none, IMO, of course

Wonder Woman ! Lynda Carter.

Best body I have ever seen-bar none. Wonder Woman !

A TRUE hourglass.
It's funny you should post this pic of Wonder Woman, me & my sis were just talking about her last week stating she had a banging body and she could probably still play the role. I loved Wonder Woman as a kid I used to imitate her and I still love her as a grown-up she was the best. My dad liked her too, LOL.
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The actress they hired to do the TV remake cannot touch Carter and yes, she still looks great.
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My two favorite icons, and the women to whom I am most often compared...

Sade and Audrey. Although her forehead is higher than mine, I have often been mistaken for Sade, especially when I am in Europe. My mom looked a lot like Audrey Hepburn and had the same classic style, one that I inherited from her. Obviously, neither women had a BBL, but to me, they are and always will be the epitome of beauty, grace and femininity .
What, there is one thing that I would do differently if I could . I would never have joined the BBL board, because technically I did not have a BBL. I had fat transfer to the hips only. As far as I know, I am the only RS member on the BBL board who has done this. Since many women on here do not bother to read reviews and only look at pics, they assume that I have had fat injected into my butt. The vast majority of women on here are of similar height and build, and want a very large behind post op. It's gotten to the point where everyone looks exactly alike to me- both pre and post op. Yup, the fat transfer board would have been a far better option!
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"What" should read "Whoa."
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For new Markmann Patients, two more pics

I know that there are mot many Markmann patients who stick around. Sorry that my ipad takes bad photos. As you can see, I do in fact have a behind that is not flat and goes well with my frame, height, ethnicity (I am biracial) age, (I am 60 )and lifestyle. I will repeat that I had fat transfer to the hips ONLY. My butt is my own, original one. I will leave these up for a short while. Measurements 36-(34C) 25-38 1/2. Once I returned to my preop weight my hips went from 36 to 37 to 38 1/2, a total gain of 3 1/2 inches. My waist went from 29 to 25. If you want a phatty, Dr. M can surely give you one. That is not what I wanted.

One before pic, clothed

I'm putting this one back up briefly for new Markmann patients. If you don't likely results, stay off my blog and keep it to yourself.

Before clothed pick

Measurements, 36-29-35
Wow, great results!! You have a great figure, yay for choosing Markmann!!!
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Only post what YOU are comfortable with. It is YOUR journey...

While catching up recently, I read some posts in which the women criticized Real Selfers who do not post many nude before and after pics at various angles. Otherwise, they seem to feel that you have no right to express pleasure with your results: that your results are somehow less valid than the women who post many graphically nude pictures. There are some of us who are modest and have very strong feelings against posting naked pictures of ourselves online. We don't want our photos to be leered at, copied and pasted all over the net. We also understand that we can be easily identified by our urls, and that there is NO REAL PRIVACY online. Every woman on this site has a right to post her story and her pictures as she sees fit. The Remember, no one on here OWES us anything. This is simply a site to record your feelings and your REVIEWS. Do not allow yourself not to be pushed, put down, bullied or criticized into fulfilling some kind of imaginary duty that an online stranger has deemed essential to their satisfaction.
Hey Belleises, it's been a while! I had a quick question for you about the help you got after surgery. I read that you used Home Watch Caregivers. How did that work out? Did someone stay 24/7 for the first few days and then come every so often after that? Did they help you shower, go to bathroom, and make food? Thanks in advance :)
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Also, how much did that cost you roughly?
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Hi WhoaNani, I had a wonderful woman named Catherine pick me up at the hospital and stay with me for the first 24 hours after that,she came every other day for a week or so. The toughest thing was not being able to bend to put on the compression stockings. She also went to the market for me. If I recall, the first 24 hours was around $300 . After that, it was 15/hr plus a small amount for mileage when she did errands. She came every other day for from 2 to 4 hours for a couple of weeks. My total cost was around $800
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One Year Post! Will Update This Week- Moving to the Fat Transfer Board...

I'm keeping it moving to where I should have been all along! I will no longer participate on the BBL board. All future posts will be on the Fat Transfer board. I will see my friends there!

14 months post. Not bad for 60.

This surgery will be worth it if my results are PERMANENT. I will say this, I look better in my clothes and have 3 more inches of hips at a lower weight. I'll update again at 2 years.

14 month post pics w/ before pics

I look way better in my clothes, still have my own butt that goes with my thighs, and now have three inches of new hips. Okay by my standards! Will check in again at TWO years post. No nave gazing here. Because of what I paid Dr. M, ONLY at that point will I say that it was "worth it."
Hi. You seem to be one of few people who has had successful fat graft. I hope you still pick up your messages. I have really narrow hips from front view and want to get some fat grafting carried out on my hips. I've read quite a few reviews here where the fat hadn't survived past a year. What measures did you take to ensure optimal fat survival post surgery and onwards?
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Hi Pancake, Sorry for the delay. I don't visit as often as I used to. Dr. Markmann has a very strict (if somewhat variable) post op protocol . I went above and beyond it and did not sit or bend my hips for 6 weeks. I was also very careful in returning to my exercise routine. I did it very gradually over a six month period. The main thing is to pick a surgeon who is confident about fat transfer to the hips and who can show you many long term result photos. Not many can do this. I also think that it's important to have realistic expectations. My results are not absolutely perfect. I have a small area on one hip where I had a bit of resorption. Fortunately, it is not noticeable at all in clothing. Naked, depending on the lighting, it is either not noticeable or it looks like a bit of cellulite. There is no way that I would go through that ordeal again for such a minor flaw. It has not effected the improvement in my overall shape.
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Looking beautiful. He did change your overall silhouette!
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Just checking in...all is still well at 1 year 7 months post

I won't post pics until exactly the two year mark due to PRIVACY CONCERNS. Suffice it to say that I have retained most of the fat Dr. M injected. I continue to be very happy with my results. Are my results absolutely perfect? No. But Dr. M's aggressive lipo and my regular workouts have kept my tummy flat and his post op instructions helped me retain the fat. The only problem is that clothes that fit my butt tend to be too small in the waist. I do not have an exaggerated figure, just a nice, more proportionate one with a defined waist and more curvaceous hips. That's all I ever wanted. See ya in a few months, my RS friends.

Oops, meant to say that clothes that fir my butt tend to be too LARGE in the waist!

CORRECTION- Clothes that now fit me in the butt tend to be too LARGE in the waist.
Baltimore Plastic Surgeon

Research, research, research, and my interaction with the doctor and his staff. Real Self was also very helpful. I'm waiting a full TWO years before noting that it is worth it. I want these results to last FOREVER. NO REDOS. Background: i did not sit for 6 weeks. I did NO lower body work until 3 months post. At 3 months post, I started slow walking on the treadmill. This was the only lower body exercise I did for the next 3 months. At 6 months, I gradually began adding more lower body work and returned to horseback riding. At 9 months I notched it up a bit, adding more weight to my workouts. I was super careful to follow Dr. M's instructions to the letter. Technically at 6 months, I had been instructed that I could do whatever I want. I erred on the side of caution. I waited until almost 1 year post op to return to my previous level of workouts. My hips have gained and retained 3 1/4 inches, a remarkable transformation for a very slender person. Bottom line: Dr. Markmann is a gifted surgeon and a very nice man.

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
5 out of 5 stars Wait times
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