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3 Month Follow-up - All good, but chin healing is slow
I am really happy with everything, but the chin. However, I have not given up hope, and I am not completely disappointed.
The chest and waste look and feel great. I do not think the pictures do it justice, but you can see that there is more definition in my muscle structure without the fat. You can also see in the pics my stretch marks. Those are from when I gained a lot of weight in my 20s. I have since lost it and kept it off.
What is cool about the procedure is it seems to get better as your skin gets tighter as time goes on. It is great to feel the hard muscle under the skin at my waste instead of fat. Strange, but nice sensation. Very gratifying after workouts.
The chin is the area that continues to be of most concern. The fat is gone, but as you can see in the pictures, there is still a lump. It does look better, the picture of my torso gives you a better look at the change in my chin. The bump under my chin in the Pre picture is mostly fat. The fat was removed, but as I noted in my last post, the bump is now hard material the doctor says is from the damage due to the procedure. The damage has been decreasing very very slowly, but a lot of it is gone. Hopefully it will continue to get smaller. I want to give it at least 6 months like many doctors recommend, but it was unexpected. It seems massage has helped, especially in conjunction with a lotion. I have been using a CBD eucalyptus rub, not sure if it is the best thing to use, but it is working.
Overall I am satisfied. Been great feeling more comfortable at the beach and the pool!
The chest and waste look and feel great. I do not think the pictures do it justice, but you can see that there is more definition in my muscle structure without the fat. You can also see in the pics my stretch marks. Those are from when I gained a lot of weight in my 20s. I have since lost it and kept it off.
What is cool about the procedure is it seems to get better as your skin gets tighter as time goes on. It is great to feel the hard muscle under the skin at my waste instead of fat. Strange, but nice sensation. Very gratifying after workouts.
The chin is the area that continues to be of most concern. The fat is gone, but as you can see in the pictures, there is still a lump. It does look better, the picture of my torso gives you a better look at the change in my chin. The bump under my chin in the Pre picture is mostly fat. The fat was removed, but as I noted in my last post, the bump is now hard material the doctor says is from the damage due to the procedure. The damage has been decreasing very very slowly, but a lot of it is gone. Hopefully it will continue to get smaller. I want to give it at least 6 months like many doctors recommend, but it was unexpected. It seems massage has helped, especially in conjunction with a lotion. I have been using a CBD eucalyptus rub, not sure if it is the best thing to use, but it is working.
Overall I am satisfied. Been great feeling more comfortable at the beach and the pool!
PS to One Week Post - No Chin Mark!
I forgot to mention, one great thing about my chin is that there is no mark. Check out the picture. You can not see an incision mark at all! I have seen some pictures where there is a very visible scab or mark, but there is no visible mark on my chin. Yay! Thanks Dr. Shuell!
One Week Post - So Far So Good
First, I'll say I am happy with the results. I have been hesitant to get too excited, because there is a long way to go before I will know the full benefits of the procedure, but things are looking good.
Chest and Waist
You can see in the first picture that there is a significant reduction in my chest and waste. There was a lot of man boob fat to remove. You can also see that the holes are healing well and not very visible, and there is very little bruising left. This is great, because I have a cruise to go on in a couple weeks.
I know doctors advise differently regarding follow-up, but here is what I was told. I was told to wear the vest you see in the picture in the day after photo for one week, which I did. I then could move to a compression garment, like a Spanx shirt. I actually found a couple of them on Amazon at like $10 each that work very well. SUPER comfortable. I will need to wear it for a week or so. I actually had to wrap some bandage up near my armpits. There was swelling getting pushed up there in the gap between the vest and my pits. A few days compressing it with the bandage fixed that.
My whole torso was very sore, but after a couple days most of that subsided. However, the love handle area and my chest are still very sensitive to the touch. Both areas also felt numb, but that is also slowly subsiding. I was told the numbness could last a few months, though.
So these areas are doing great. I am sooooo excited to see what it will look like in a month or so. One of the hard things to deal with, though, is not working out. I am trying to eat well and not gain weight, but I was told to not work out for three weeks after the procedure. However, I was told to take daily walks, which I have.
Chin
This area is taking longer to enjoy the results, but the fat is gone. I was told to wear the head band for 48 hours straight after the procedure. I actually wore if for 72. I was told then to wear it nightly or as much as possible, when not at work. I have read some people wear it to work and in public, not me. hehe I did not leave the house for the first 72 hours. Of course, you don't really feel like doing that anyway. You really want to rest and take the occasional pain pill.
At first the chin was very swollen, but that subsided quickly. However, as you can see, there are some hard lumpy areas left over. I was a little concerned, but did some research and I found a great explanation in the Q and A on Real Self. I'll post it here..
Richard J. Bruneteau, MD wrote:
"It’s not uncommon for patients to develop lumps and bumps following liposuction of the neck. During the liposuction procedure a cannula is repeatedly passed through the neck subcutaneous tissue which removes cores of fat and creates a series of tunnels.
This process disrupts the neck lymphatics and also causes cellular injury. This predictably causes swelling, scarring, and bleeding which causes the lumps and bumps that are frequently seen following this procedure.
The vast majority of lumps and bumps have resolved in 2 to 3 weeks following surgery, but it’s not unusual for them to persist for several months. For this reason, we generally recommend the use of a chin strap and massage following neck liposuction.
Massage is easily accomplished by gently rolling your fingers across the area. In some cases, warm compresses can be utilized to facilitate this process. The majority of patients respond to these maneuvers with flattening of the areas of bumpiness.
When patients fail to respond to massage, residual fat may be the cause. Under these circumstances, additional liposuction may be necessary.
It’s important to be patient and maintain good communication with your surgeon. Your surgeon should be able to help manage your lumps and bumps and alleviate your anxiety."
At my one week followup with Dr. Schuell, he said this was actually a good sign, but I forgot why. He advised that I wear the head strap as much as possible when I am at home and at night for one more week. He also suggested I take an NSAID, like Alleve, daily to help reduce the inflammation. He also suggested that I put a warm wash cloth in a sandwich bag and hold that against the area for little awhile every night.
He was not concerned and says there should not be an issue with the lumps going away. As you can see in the pictures, there is no visible improvement in my chin yet, due to these lumps, and because they are irregular, look weird up close. Needless to say, I am anxious for the lumps to go away, but I trust Dr. Shuell and the post from the doctor I pasted above.
I will update you all in a few days to see how the chin goes.
Chest and Waist
You can see in the first picture that there is a significant reduction in my chest and waste. There was a lot of man boob fat to remove. You can also see that the holes are healing well and not very visible, and there is very little bruising left. This is great, because I have a cruise to go on in a couple weeks.
I know doctors advise differently regarding follow-up, but here is what I was told. I was told to wear the vest you see in the picture in the day after photo for one week, which I did. I then could move to a compression garment, like a Spanx shirt. I actually found a couple of them on Amazon at like $10 each that work very well. SUPER comfortable. I will need to wear it for a week or so. I actually had to wrap some bandage up near my armpits. There was swelling getting pushed up there in the gap between the vest and my pits. A few days compressing it with the bandage fixed that.
My whole torso was very sore, but after a couple days most of that subsided. However, the love handle area and my chest are still very sensitive to the touch. Both areas also felt numb, but that is also slowly subsiding. I was told the numbness could last a few months, though.
So these areas are doing great. I am sooooo excited to see what it will look like in a month or so. One of the hard things to deal with, though, is not working out. I am trying to eat well and not gain weight, but I was told to not work out for three weeks after the procedure. However, I was told to take daily walks, which I have.
Chin
This area is taking longer to enjoy the results, but the fat is gone. I was told to wear the head band for 48 hours straight after the procedure. I actually wore if for 72. I was told then to wear it nightly or as much as possible, when not at work. I have read some people wear it to work and in public, not me. hehe I did not leave the house for the first 72 hours. Of course, you don't really feel like doing that anyway. You really want to rest and take the occasional pain pill.
At first the chin was very swollen, but that subsided quickly. However, as you can see, there are some hard lumpy areas left over. I was a little concerned, but did some research and I found a great explanation in the Q and A on Real Self. I'll post it here..
Richard J. Bruneteau, MD wrote:
"It’s not uncommon for patients to develop lumps and bumps following liposuction of the neck. During the liposuction procedure a cannula is repeatedly passed through the neck subcutaneous tissue which removes cores of fat and creates a series of tunnels.
This process disrupts the neck lymphatics and also causes cellular injury. This predictably causes swelling, scarring, and bleeding which causes the lumps and bumps that are frequently seen following this procedure.
The vast majority of lumps and bumps have resolved in 2 to 3 weeks following surgery, but it’s not unusual for them to persist for several months. For this reason, we generally recommend the use of a chin strap and massage following neck liposuction.
Massage is easily accomplished by gently rolling your fingers across the area. In some cases, warm compresses can be utilized to facilitate this process. The majority of patients respond to these maneuvers with flattening of the areas of bumpiness.
When patients fail to respond to massage, residual fat may be the cause. Under these circumstances, additional liposuction may be necessary.
It’s important to be patient and maintain good communication with your surgeon. Your surgeon should be able to help manage your lumps and bumps and alleviate your anxiety."
At my one week followup with Dr. Schuell, he said this was actually a good sign, but I forgot why. He advised that I wear the head strap as much as possible when I am at home and at night for one more week. He also suggested I take an NSAID, like Alleve, daily to help reduce the inflammation. He also suggested that I put a warm wash cloth in a sandwich bag and hold that against the area for little awhile every night.
He was not concerned and says there should not be an issue with the lumps going away. As you can see in the pictures, there is no visible improvement in my chin yet, due to these lumps, and because they are irregular, look weird up close. Needless to say, I am anxious for the lumps to go away, but I trust Dr. Shuell and the post from the doctor I pasted above.
I will update you all in a few days to see how the chin goes.
Provider Review
Dr. Shuell is great. He is focused and helpful. He works and moves quickly, but takes the time to address all of your questions and concerns. I appreciate that he moves quickly, because you know you are not wasting your time, and when you are getting the procedure done, the less time on the table the better. Dr. Shuell and his staff are very pleasant, amusing and fun to be around - the best kind of company you can have in this sort of situation. Everyone at the office has been very helpful and very nice. I have also met with his partner at Infini, Dr. Hall, a couple times, and he is great too. Overall, I had a great experience and would definitely recommend Infini to anyone seeking liposuction.