Full TT, Bit o' Lipo, Medial Thigh Lift done June 2012 - so far so really really good!

I am 50 years old, 4 kids ranging from 24 to...

I am 50 years old, 4 kids ranging from 24 to nearly 8 (first one C-section, good scar; the rest VBAC), and family propensity for belly apron. Top weight was 235 in 1998 at 5'3" - morbidly obese BMI. Started Atkins several years ago and have slowly lost 80 pounds now. Apple body habitus so I know I will never have a lovely curvy shape but frustrating to lose all that weight and only a handful of inches in the waistline, lol. Now just shy 15 pounds to making normal BMI, and from what I can tell they're all sitting on my belly. :( So figured while my money is still of any value would use it to take care of this while I can still heal from it and enjoy it. :) There seems to be a limit on which doctors in the area do medial thigh PS so it narrows my choices but I don't mind, the choices are still good.

Dr. Keller in Lawrence Kansas is also very good. I am 57 and he did my bl/tt 8 weeks ago. Not a man of ,any words, but kind and gentle...and fun to look at! I think your legs are pretty, by the way. Your weight loss is inspiring!! Good luck!
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that should say "many" words...sorry
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try ku medical
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Thank you for the suggestions and encouragement. ...

Thank you for the suggestions and encouragement. Have been researching more in earnest lately - motorcycle riding season and paragliding training weather are rapidly approaching and I suspect I'm already going to be missing some, or will have to postpone PS until after summer... either way will not be a tragedy, I just didn't move on this fast enough. :) Have scheduled two consults - one at the end of February and one mid-March. Both are no charge. One other doctor has a *very* good reputation but charges for the first consult, and I guess I'm balking at that until after I visit with the first two. I suspect I would only pay for a consult if the complimentary ones didn't feel right.

Also making peace with my weight that refuses to go lower than 155 - according to some goofiness I read I really am big-boned (according to wrist and elbow measurements) even though I'm short plus I do have decent muscles soooooo... I *think* with TT and lipo and medial thigh lipo/lift there will be enough difference that I'll be satisfied, then maybe arm lift later. I think the breasts will be left alone, they're "udderly" out of shape it's true ;), but meh, just not worth the $ and pain to me at this point to change.

Not sure spouse is totally on board with this yet, but it doesn't matter. That "You're fine the way you are, I love you whatever you look like" just doesn't cut it, never really has, and it just sounds wrong although I doubt he means it the way it sounds. Tbh, it's not for him anyway, it's for me. And it may wind up being a mistake, but I'd rather give it a try than not and wish I had. :)
Oh, I haven't decided yet. I've not given the time to figuring out how to to that. (Setting account up and posting photos). I just happened to come across this website while recovering. I would trust any of the Drs. with that group. Regarding the typo.....I know!! Too funny. I was using my iPad. ???
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Hey looking, congrats on the weight loss, I did Atkins too and lost 150 pounds, I am going for TT next week! I have a review for my arms, I would not do arms and TT or thighs together. I want thighs that is turning out to be a harder task, difficult recovery, etc. I think each of these needs an opposing part to recover! The arms were not bad but I needed my legs, and core. Keep looking and get many opinions before you settle, and congrats!!!!
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APSofKC is the group I'll be seeing next week! :) Glad to hear you're happy with the results. I'll be seeing Dr. Rast as he had first available and I wanted a consult and ballpark estimate asap but will keep Dr. Cannova in mind as well - it may be my imagination but the first tummy tuck pictured on his group of "body" gallery pics looks so much like my torso and he did a fantastic job! The group was recommended by my primary care physician.

lol on the lipoprotein - sounds like your autospell was programmed by a medical transcriptionist! ;)

Thanks for the recommendation. Will you be documenting your procedure?
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First estimate for damages is $12,140 for full...

First estimate for damages is $12,140 for full tummy tuck and medial thigh lift, not including preop lab work and medications or $700 cost for overnight stay in hospital should I choose to take advantage of that. I have another consult with another physician with this practice (their policy) who specializes in PS after weight loss. Dr. Rast is extraordinarily nice - *everybody* in the office is! - I just want to see what a specialist in surgery for my particular situation has to say about it, and I left without asking a few questions I should have so will write them down this time. :) Like, is there any health benefit to getting this excess skin and fat off the midsection? And I should have asked for some different quotes - full abdominoplasty alone, abdominoplasty plus brachioplasty, abdominoplasty plus medial thigh, medial thigh alone. It may be better doing belly and arms now, then thighs in the fall when riding season is not such a big deal to me. If I get the thighs done now, it is possible I will miss a whooooole lotta riding time this year. Talk about PMS (Parked Motorcycle Syndrome)! ;)
If I had it to over again I would NOT have stayed overnight in the hospital as I was so much more comfortable at home in my electric Lazy Boy. I was given the go ahead to ride again after my 9 week check, but wowee my breasts really hurt with each little bump and my back gets tired/sore pretty fast sooo...I will wait till spring has "officially" sprung before getting on the bike again. I think Cassoday starts this month, though so hate to miss out on the first freezing cold early morning ride of the year! :-/
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That is good if you find pics you like, OMG your thighs look so good compared to mine, ughghg, I want it done so bad, I am just goign to have to save and look around for a really good doc!
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Dr. Rast was super nice, everybody in the office was, but I did schedule a consult with Dr. Cannova as I was really impressed with the work he did on the one patient pictured on their website who looked sorta like me (imho, she might not appreciate the comparison, lol).
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Picked up a new-to-me electric lift chair for $75...

Picked up a new-to-me electric lift chair for $75 (craigslist) and got busy deodorizing it with Lysol and baking soda. It's not horrible but cigarette smoke is a migraine trigger for me so want to make sure it's ready to use when I need it. :)
lol, that *is* weird. :)

Re the thighs, thanks but it apparently depends on the vantage point. From where I stand, they often appear positively (sorry for the TMI) scrotal. Don't know why the camera was so kind to me in the pics above (I didn't edit my body, just the background) but the plethora of stretch marks above and below the bb don't show either. Yet, they are definitely there. Will try to get a pic up to show why I'm reconsidering my reconsideration of the thigh lift. ;)
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Finally got to read your whole profile and updates. You're going to love/hate this, I don't think your thighs look bad at all! I'm not just saying this, I think they look better than mine. Ultimately, it comes down to what we can live with...

This is really weird... I love to ride and my SO does not! Another 'separated at birth' moment.

Keep us posted. Good luck in your consultations. Good eye on the online reviews. IMO, it's usually the delighted or the disgruntled who provide online reviews of most anything.
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Great deal on the chair, my peice of crap one for $10 is too hard to raise and lower myself although the heat and massage is nice
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Second consult today, this time with Dr. Gary Hall...

Second consult today, this time with Dr. Gary Hall. Very nice place, office pristine and personnel very nice as is Dr. Hall. Asked more questions this time including how much improvement in my thighs could I expect with tummy tuck alone, and his response was "To be honest, not much." He has never seen much improvement in the thighs with a simple full tummy tuck. He would expect a lot of improvement in the pubic mons, but not the thighs. He did explain the full range of risks in the medial thigh lift including dehiscence of the wound, but he has seen that in 2 (partial, not total) out of 30 MTLs he has done in the past year, and none of those became infected, and both healed completely to the point where one could not tell which incision has dehisced. He recommended some lipo of the flanks to contour. Felt scar could be limited to front, but would be very low, into the pubic region. We discussed pain management since I can't take codeine or codeine derivatives; he recommended pain pump whether I stayed overnight or not, and I need to call my ortho surgeon to see what he eventually gave me (seems it didn't really work, but at least it didn't give me belly pain). I saw some before/after pics they showed me; none looked like me though. This office is further than the first place, and the price is pretty much the same, maybe a smidge higher. Also just the one physician in the office so no coverage if he's sick or off. Still, not bad.

I have one more consult scheduled at this point, with Dr. Cannova back at the first place. Still hoping somebody here on RealSelf will come forward with a review on him. ;)

Also uploaded a more accurate thigh pic to hopefully enlighten those wondering why I would bother. It's a relative thing I'm sure... just realize that what you aren't pleased with and are trying to change (with plastic surgery or makeup or hairstyle, etc) somebody else would probably be happy with too. ;D
I took my first long Harley ride yesterday with no problems! After the initial shock at how much more room I have back there now it was great! At about 3 hours my belly got a little tight but we had stpped at The Slow Ride in N. Lawrence for wings so could have been the sodium too. (best wings in the world by the way) Thought you'd be interested!! Ride on!!
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My PS here in Lawrence gave me demerol. Loved it. He also gave Valium as a muscle relaxant and phenergan for nauseau. Lawrence is just a short drive from KC and I highly recommend Dr. Keller here.
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oh, and it was $13,700 for BL & TT with lipo of flanks which included an overnight at LMH (would rather have gone home) and his nurse is a peach!
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Just back from third consult - Dr. Cannova at...

Just back from third consult - Dr. Cannova at APSPC. Quite excited. He specializes in PS after weight loss. He says underneath it all I'm probably not as apple-body as I think... hmmm, that would be nice. His plan would be abdominoplasty with lipo to trunk, wedge excisions of bilateral inner thighs. The lipo would include the upper belly skin that will be covering the abdomen (to thin it) and extend to back through nick incisions (I wasn't sure about this after reading all the comments about pain and he confirmed it wouldn't be fun postop but explained it would make a big difference, yet left the decision up to me). The TT excision would be hip to hip - my apron is wide as is obvious. He was honest and up front about the very low weird circular stretch marks in bikini area (I call them my blow-outs, lol), there are no guarantees on how much can be taken out, but *meh* that was never the point for me anyway. He felt the thigh lift would be minimally invasive, short incision lines in the groin, so I'm going for it. And the damage estimate was *get this* LESS than the other two - $9754 total not including preop lab and meds. I again think I'll skip the overnight stay, still on the fence about a pain pump, he is not sure it's worth the $300, thinks he can figure out something that will do better. I'm 99.9% sure I'll be scheduling with Dr. Cannova within a few days, for procedure near end of June (if there weren't so many scheduling conflicts I'd be doing it a lot sooner!). :)

P.s. - had to throw this in - last night I visited...

p.s. - had to throw this in - last night I visited youtube to watch an abdominoplasty being done (just as I'd watched acromioplasty done before my shoulder surgery, it wasn't that bad at all)... and in the middle of the pannus excision I started getting *really* lightheaded and had to stop watching! So very strange, because I want to see it done. Didn't feel barfy, just the room got bright and knew I needed to stop... maybe forgot to breathe, lol. Gonna try again later... morbid curiosity. :)

Well, that didn't take long. Scheduled for June...

Well, that didn't take long. Scheduled for June 20 (after out-of-town guest leaves). No bowel prep, just NPO after midnight the night before (I plan on liquid diet for at least one and maybe two days prior anyway, just makes sense). Only lab will be a hemoglobin check the morning of surgery. They'll call closer to the date for more info, but that's what I asked about and know so far. Time to stop obsessing for a while (I hope) and build up strength. :)

Okay, scheduler called and outpatient surgery...

Okay, scheduler called and outpatient surgery center was booked on the 20th already, the 22nd it is. :)
Love the comment, Mothera8, of "one day at a time". I was super HUNGRY yesterday (8 DAYS POST OP) and was scared my tummy tuck incision was going to pop after I popped reeses peanut butter cups :) LOL Today is a new day and yes, it's always 1 day at a time. Doing swell today. It's so mental, isn't it?

Have fun planting tomato seeds L4C! :)
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BTW - I saw Dr. Cannova the other day and he was kind of questioning some of my questions I had for him. My hubby explained that I've been learning lots on messaging boards, and he said "Oh no, you better stay away from those". We all laughed and I said I have not been able to stop raving about him and that I have been referring him to everyone and anyone and everyone has been so super duper sweet with their comments on my results. I told him how I've made a friend who's having her TT done by him this June. He instantly was like well "okay, then stay on those boards!...that's great!" :) He really is such a nice doc. He's so honest and will do everything during and after surgery to give the very BEST results. He takes so much pride in his work. Can't wait for your date to arrive! We are both very lucky women to have him.
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I type for cardiologists, and I can almost hear their eyes rolling when they discuss patients who have read this or that on the internet... I know what they mean, I researched LASIK *to death* before I had it done, and that was back in '98 before the marketing was so slick and searches so controlled, and all we had were patient results - some of them not good at all.

I had a great time planting tom. seeds, thanks! Now have five different kinds in buckets out, and threw some other miscellaneous flower seeds in dirt spots just to see if they would germinate. Pulled some weeds and lopped some volunteer trees, then later took depressed daughter (man trouble) out for some shopping therapy and bought some new shoes (am convinced the shoe designers and podiatric surgeons are in cahoots - what is with all the stiletto heels these days? Yes, I love the look, but dang... five minutes in those and my feet are broken... lol. Maybe I just need practice?

I am very much looking forward to surgery as well. Every day I see my belly and just fantasize about it being *gone.* I don't think I will be shocked at all when it really is, my body will simply match how I have felt inside all along, just not what I see in the mirror and pictures. Not sure that makes sense now that I type it, but it does in my head. :)
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One month out - thanks for the reminder...

One month out - thanks for the reminder babyrainbo, lol! Time flies... ;) It's been a little eventful. I had gone off birth control pills at the end of February 2012 because they were not really working (breakthrough bleeding) and I knew I would have to anyway for surgery. Had a "pill period" (light, short" in March, and nothing in April, and got worried. Very slim chance of pregnancy (one exposure, used a sponge but discovered the failure rate is high - wth?) and nipple tenderness, got worked up and upset, nausea set in, I'm too old for this, some of you know the drill... lol. Very happy when period started April 30. Taking no more chances - no more whoopie, lol. Also gained 5 pounds within a week or two of all these body changes (when I thought I was pregnant), and they would not budge no matter what... finally coming back down. Read some people gain weight coming off BCP. Nothing I did on BCP was normal, so maybe that's what it was. Frustrating! Anywho, bought shower chair for $4 and toilet seat riser for $6 (no arms) at thrift store and cleaned them up *really well*... Lastly, got approved for 15 months interest-free credit card for half the surgery amount, and will pay cash for the other half, guess that's all due in a couple of weeks. I do have an annual check-up with my primary care physician next week, so if anything is amiss she can catch it before I'm locked in.

I find myself maneuvering my squishy bits around (now I know how Stretch Armstrong felt!) and seeing what the contours might be here and there. I want it to be gone already. :)
LOL - just re-read your last comment. You're so funny! I'm wondering how your tomato plants are doing and your daughter. :)

Happy 1 month out! :)
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Sweet mother of pearl, it is just a month out, isn't it... time's flying. Doing massive overtime this week, then coasting (working 20 hours/week and cleaning the house) until surgery date. The tomato plants have sprouted, will need to find homes for some of them, they did a little better than expected (fertile little things!) and hope they survive my down-time. ;) Daughter survived the drama, is doing well and will be helping as best she can. She and spouse are both squeamish so suspect I will be doing most of my own postop care, lol. 'Salright, I expected as much. :)
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Had last visit with my PS today, and paid for...

Had last visit with my PS today, and paid for surgery so I'm locked in now (surgeon's fees at one office, facility and anesthesia fees at the surgery site paid separately not far away) for June 22 at 8am, arrival at surg. cntr. at 6:45am.

Didn't have many questions really. There's a vessel or clot on one finger I wondered if he could deal with while I was under; he recommended taking care of it at a postop visit and I'm okay with that. The Flexees I have now might be okay some time down the road, but for now he said the binder they gave me will be best. The estimated time in surgery is 3.5 hours... not bad at all!

I've been under before for other stuff so not worried about anesthesia, but immediate recovery has me a little concerned; it's a crap shoot whether it will be easy or rough. Just going to be messy with the lipo to the back. Am going home right after but have a lot of equipment ready and a niece who is an OR nurse who's ready to help in case I need it (the two adults at home are squeamish and tbh not totally on board with this at this point, o well).

Soooo pain control is really my biggest worry. I get a terrible gut ache with codeine meds and derivatives, and they did prescribe Percocet which I thought was a no-no for me; I'm thinking I will try a half tab next week and see if it triggers a gut ache, so they can prescribe something else ahead of time if needed.

Not much more to buy, just some foodstuffs I guess. Will probably fix some Jell-O for when I get home, and try to find some low-sodium soup. They didn't really have any suggestions for foods, just diet as tolerated. It should be okay, I don't eat high-sodium and am already very low-carb. Just need to work on upping my water intake. Thankfully herbal tea is okay. :)

Will rate the doctor after all is said and done, but so far Dr. Cannova has been great!
pls let me know how u do with your doctor and stuff i am waitin on my hemgolhin to go up i have seen dr purra think iam spelling is name wrong but he is at ku medical center of kansas put isnt your dr from there also or in kansas
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Hi! Thinking of you a lot lately. :) Just wanted to send you warm wishes for a super surgery on Friday! Don't forget to ask for lots of anti-nausea stuff. I was not nauseated once and I can't imagine throwing up with a TT like many of the women on here did after surgery. I got anti-nausea meds put in me during surgery. I got an anti-nausea patch behind my ear. I also go anti-nausea oral meds prescribed for me just in-case. All was smooth sailing for me as it will be for you! SO SUPER STOKED for you! :)
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Thanks, brb! Have been thinking of you too - need to PM you a question, lol... aaaand, I'm already nauseated... was doing great until work politics and policies got involved, *now* I'm starting to get bonkers. But it's a good bonkers, so very ready for this, constantly reminded of the michelin-man belly and can't wait until Dr. C. takes it away. :)
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Night before surgery, probably last preop update.....

Night before surgery, probably last preop update... like every other surgery I've had, in total denial (lalalalala I can't hear you so it's not happening :D) - some things I did not get done, the yews out front did not get trimmed and unless grandson wakes up soon my last-for-now motorcycle ride won't happen :(

Have been consuming green tea, protein drink and jello all day to keep stomach empty. Electric lift chair has been squeezed into the bedroom just steps from the bathroom, with netbook, MP3 players and walker within arm's reach and a bucket on the floor next to it. Will be mowing my legs in an hour or so. Toilet lift seat will be clamped into place soon as well.

Head hurts, probably means period will be starting soon... o well, why not, lol.

Let's get this party started. :)
Good luck I cant wait to see the outcome, I pray you have an easy go of things!!! Will be thinking of you!!!
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Hi! Will update as soon as I can postop - my doc is closer to Menorah - Joseph Cannova at Associated Plastic Surgeons of Kansas City. He's been great so far personally, and his pre/post pics are really good, plus kctummytuck (near top of page) gave him a good review here.

I found a Satish Ponnuru, MD, at KU Med in the Plastic Surgery Department; could that be your doctor?
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Thanks for the encouragement. You went through a lot, and you do look great. I said it earlier and still say it now sincerely, hope I at least wind up with what you had in your "before" pics. :)

Hoping for a last-ride-for-now today, though it rained last night and might not be a long one - not too fond of wet roads, lol.
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*blinks and looks around* So this is what the...

*blinks and looks around* So this is what the flat side is like? Not bad so far, not bad at all. :) Nucynta and Valium seem to be working, surprisingly did just now have to take a Zofran for nausea at home, maybe too soon for jello? I keep looking down at my shirt-covered bandaged front and.... just... *smh*.... yay! :) I'm *sitting* here, and there is no shelf to put anything on!

I heard 3 pounds of mess came off there, and some other number lipo'd. The drainage from lipo is impressive, I must say, and my two TT drains are also producing. Hope the lipo drainage stops soon, I didn't buy that may puppy pee-pads, lol. The drains can keep producing all they want, I know it's a good thing ultimately. Drained them myself here at home (SO has a cold which I don't wish to catch); got a bit lightheaded but finished in good time, back in the lift chair now.

Spent a little more time in recovery than planned, body did not want to pee for some reason, but eventually produced enough to make RR nurse happy. *Dang* those people at the surgical center are sweethearts! If I get anything else done, will be there. :)

Will keep clicking "undecided" until I have a little more postop experience until my belt, but this is not horrific for me so far. Uncomfortable yes... but not unbearable at this point. :)
hope u start feelin better
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yahoo!! Now, take it easy...really easy! NO lifting etc. and this will be the hardest part for you...just sit and recover!! Gripe and whine on here, no one cares and we all understand. Write down when you take your meds so you don't get cornfused. I am a little worried about you being so alone. Stay in touch
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Thanks - definitely keeping the chair warm, primarily because being up I'm still pretty lightheaded but it's getting better. Did barf, but was not as bad as I expected - sat in my chair, held a rolled up towel to brace abdomen again, and thar she blew... Not much, not as much as I had taken in, which was good. Felt better at least. :)

Daughter prepped jello and tea for me, husband says he will do drains, but I don't want to pick him up off the floor if things go wrong and I'm able to do it myself, plus getting up and over to the bathroom to work on it seems to get them to drain better. He's in the house so not *alone* alone, and it's all working out okay. If he were hovering, I'd just bite his head off. This way, I can listen to my music (he hates it), watch vids he won't, chat with y'all, or whatever. Sort of a staycation just for me, lol. Thanks for caring though. I do appreciate it. :)
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Today overall is better, barfing stopped, finished...

Today overall is better, barfing stopped, finished a whole packet of low-salt crackers and now snacking on almonds so hopefully will get the gut moving again soon. Finding comfortable positions in the chair is a challenge because of the thigh lift incisions reaching around to under the buttock cheeks but it can be done, and sleeping 2 hours at a time sometimes. No headaches (Nucynta sometimes causes that) and pain is bearable. Was given Valium for muscle relaxant, not sure how effective that is compared to Flexeril that I've used in the past, if I run out and abs are still sore, will ask about switching. Supposed to be able to shower tomorrow. Might or might not, would like to wait until I can stand for longer periods of time even though I have the shower chair. Still pleased with what i see so far although have not seen belly button or below, just upper abdomen and side view. I know there is bruising to flanks and back, have started arnica montana, hope it works for me. :)
Hang in there, each day does get better, take the drugs!!! LOL
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Thanks, beje... definitely keeping track of the drugs, finally have them in sync so we're not getting up at stupid o'clock. Funny how it feels better being out of the chair than in it. lol.
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I am, thank you SJ1404. Stomach has settled down and pain meds are keeping it bearable. It's still uncomfortable most of the time but that's expected. I think the end results will be well worth it. :)
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Had a bowl of low sodium chicken noodle soup,...

Had a bowl of low sodium chicken noodle soup, first real meal since Wednesday, and it was good! Still taking stool softeners, that milestone hasn't been reached yet but having taken in mainly liquids all this time I'm not surprised and not worried, I do feel bubbles rolling around so it'll happen. :) Period also started today, lol. Showered after the soup, that was quite nice, helped get the gauze and tape off, finally got to see things and I'm pleased so far. Definitely swelling involved but when it resolves this body will look like I feel - normal. Dressed in a body shaper top and underwear under the binder. Have the drains pinned to physical therapy elastic bands around my neck. Trying to increase fluids, I think I'm getting behind on that. Okay, time to upload pics of the aftermath. Could not get a shot of the thigh incisions to save my life, I know they're odd-looking though. Maybe next time. :)
You look good! Looks like minimal swelling and a nice overall shape is already emerging. You lucky girl!! I didn't get to shower for almost a whole week...I so loved my first one p.o..It is a slow ride from here for the next few weeks, just relax as best you can and check off the days! Keep the water right by your side and drink as much as you can.
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you look good happy healing keep us posted
i wish i can hurry up w/ my hemgolhim
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Looking good, your scar is nice and low and your BB looks really good, just keep healing, it does get easier
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First postop doctor's visit today with Dr. Cannova...

First postop doctor's visit today with Dr. Cannova. First thing the nurse said was "You are really pale, are you taking any vitamins?" Shoot, I'm on Topamax, I'm lucky I remember to breathe every day. So will be adding a multivitamin with iron to the daily regimen.

Did not expect to get drains out, still draining 20 to 30 cc fluid 3 to 5 times a day, and I was right, the little buggers came home with me. The three lipo stitches in my back were taken out though. Very pleased so far with results at this point. Even though there's a lot of swelling, I still fit in my old clothes so really curious to see where I land when the swelling is gone.

For anybody considering whether you can do this without traditional help of a significant other, you probably can - as long as you get all your supplies and meds bought before hand and a taxi ride home, and maybe rent a nurse the first day. The person I (halfway) planned to depend on came down with bronchitis, and between me not wanting him to be anywhere near me and him not wanting to see any of my ickiness it's been pretty much me taking care of myself. Even if you do have somebody in mind for support, have a back-up plan. :)

Next opportunity to get the drains out will be next Thursday. Probably sleep until then... airbus, I do not know how you managed to be so active postop, I am just plain sleepy. :)
Just thought I would let you know that I am thinking of you. This has to be the worst bike trip we have ever had so be glad for your comfy chair there! Touring the gulf coast during hurricane season is ill advised and has bee an emotional and physical challenge from day one. We are heading north as fast as we can...
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hey...did you fall into a big hole? Hope the pain is tapering down?
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lol, in a way... getting just the beginnings of depressed about these flipping drains - steady as she goes, they flip back and forth between 30 and 20 or 25 cc output per day, and from what I'm reading they need to be under 20 cc per day at least two days in a row although I never heard an actual number from my own PS office... I called them with my numbers Thursday before I was scheduled to go in (output was a bit higher then, I was certain they would not pull the drains, did not want to waste the gas on unnecessary trip) and they told me not to bother coming in, neither drain would be removed. So, getting more bummed every day regarding that, seems like if those were gone I could be more mobile - so bored here at home! I have reduced the narc to one at night, and two ES Tylenol with four ibuprofen in the morning. Sleeping less, but not much to do when I'm awake. Have sat on the bike a couple times - those leg incisions sites are waking up and I feel them, lol... I want them to heal in the right position for riding ;) I don't think I will make it 8 weeks, to be honest, lol. Hope your trip is going well.
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Nearly three weeks postop and finally got the...

Nearly three weeks postop and finally got the bellybutton stitches and one of my two drains out today - the right one, the most bothersome of the two (it itched sometimes). Finally saw a drop at the scales this morning too, down about 5 pounds from baseline preop, and waist is down some 3 inches. Dr. Cannova tells me I am still swollen and the waist will be smaller and tighter still; this is hard for my mind to grasp. He was right, I am less apple-bodied than I thought. :) I knew the drain pull was not going to hurt based on y'all's testimonies, but still experienced vasovagal response (lightheadedness) all morning in anticipation of it. Stupid really - I felt absolutely *nothing* when the drain was removed. :) Plan to post new pics after the second drain is gone, hopefully Monday 07/16/12.

So now wearing the remaining drain like a pendant with my rehab band. Tried on my size 11/12 preop jeans (no muffin top!), and the drain tube comes out the zipper hole (not completely zipped up). I wear one of the huge shirts over it, can't tell the drain is there. It's funny these jeans fit even over the thick binder and another shirt, *and* the swelling. Will be interesting to see what size I land in when all is said and done. :)

I am getting off the fence and rating this "worth it" today. It was never *not* worth it but I don't like to rush into things... ;)
Awwwww.... sorry to hear about the rain - firstly because you're riding in it, and secondly because it isn't *here.* Seems to be everywhere *except* here. Hope things dry out and weather cooperates for you soon.
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Free at last! Finally got the last of two drains...

Free at last! Finally got the last of two drains out today, feel really human for the first time (again, never felt this to be not worth it, but those drains were a drag!). Also more stitches taken out but some still remain from the thigh lift. I think I may be really feeling the swelling now, hadn't really noticed it before, but it seems more obvious. Completely off prescription meds now, taking extra-strength acetaminophen and ibuprofen once in AM and once before bed and that takes care of all discomfort (pretty much). Started using Bio-Oil today, that feels good. Bought a swimsuit today, top is size 12, bottom is a 10; they are snug but not tight, and I figure after swelling goes down will be perfect. It's not a bikini, was left with too many stretch marks for that, but thought it was cute in the mirror. Still think I look like a short sausage in photos :/ but at least not a tied sausage any more. Maybe I have more issues than I first thought ;) Really liking that belly button. :) Pics were taken in the mirror, I have no paparazzi... SO still has not seen the results; did not help in the care and did not ask to see. *shrugs* lol.
Thin and crispy...the "original" Pizza Hut!! Pictures really can't capture how good you really look.
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oh my goodness...I had Pizza Hut for the first time in 6 months and is my belly ever tight!! You are so brave (crazy) to get back on the bike so soon! Isn't it fun to look in the mirror and LIKE what you see?
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It is :D ... my cousin once made a comment about doing something like this but being afraid of becoming vain, and I see what she means. Family is getting sick of me subtly asking them to take my picture... ;) Re the ride: Brave/crazy/desperate... all the same, I *had* to ride, was going nuts at the time; and I did feel it but it wasn't awful. Then again, I only had TT; imagine it would be different if the girls had been worked on at the same time... ouch. Mmmmmmm, Pizza Hut. I just eat the tops, but still. Mmmmmm.... :)
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Today went for my 9-week postop visit. Dr....

Today went for my 9-week postop visit. Dr. Cannova and staff great and punctual as usual. He evaluated his work and decided he can improve on it: What I presumed was still swelling in the front (a la Ken-doll anatomy below the belly button in the pubic region) he said is residual tissue and he will do a wedge resection to remove it. At the same time, he will take care of the dog-ears. This will be done on September 25 early afternoon, local anesthesia, no extra charge. I could have lived with how it looks now, but... yeah, with the dog-ears gone and the Ken-bulge disappeared, will be even happier. Am hoping to drop some pounds beforehand, I consider this my second chance to get it *just right* before he makes the final cut. ;D Still numb in a lot of areas, doesn't bug me but thought I'd mention it. Belly button is a different color inside than the rest of my stomach; was told it is healthy tissue but I could use skin bleach if it bothered me - might, might not.
Thinking of you...I bet your legs look so beautiful that you will wear heels on the Harley! Lol.
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thanks iam so happy hope the pain goes by fast am a baby when it comes to pain
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I am glad things will be perfect for you, I hear you on the Ken Doll!!! LOL I still have my pouch there, he says he will lipo it eventually, probably when I get my boobs done. How are your legs feeling? are you pleased with that? You look great!!1 Sorry that the SO has not been more supportive, this is a hard surgery and very tough mentally, you need a good support system for sure! Hang in there!!!
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Posting pics before touch-up on Tuesday where Dr....

Posting pics before touch-up on Tuesday where Dr. Cannova will take care of the dog-ear on the right (not sure there is a dog-ear to take care of on the left), and the left-over Ken-doll package on the front. Will be a procedure done in their office's surgical suite, arrival at 2:15 (supposed to eat lunch)... will bring my Valium and Nucynta with me, and take them when instructed after I sign the consent forms. The belly is still rather numb (although itchy) but more anesthetic will be injected. Weight is still about the same as preop - work still begging me to sit on my arse more hours, yet walking more than before. *shrugs* Pants fit looser, went down one size from preop and all my shirts fit a lot better, wish I could figure out how to get a waistline to show up facing frontwards but I think I would have to grow a few inches taller in the torso. The biggest difference is from the side; still extraordinarily satisfied with that. :) Scar is red but smooth. Some areas are fading, and I have faith it will all continue to fade further. Time heals. Will post pics after touch-up as I can.
u look great my time is almost here does doin the dog ear [ainful were do the doctor do this at office or hospital
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Thanks! Hope to improve further with the touch-up on Tuesday (haven't had it yet, will let you know if it hurts, I sure hope not) and working on losing some more weight, I haven't been working on it as much as I should. It's done in a surgical suite at their office building. Not the same place as the original surgery was done (surgery center), and not in a hospital.

Looking forward to hearing how yours goes, a little over a week to go! :)
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lol... *that* would be interesting... can't walk in heels, maybe I could ride in them. ;D Did test ride a sport bike last week and a dual sport earlier this week now that the gut is out of the way :) ... hands absolutely could not stand the posture on the sport bike (Honda CBR 250, it was kinda wimpy anyway), and the dual sport was just plain wimpy (Kawasaki KLX 250SF - the KLR is just too tall for me dangit!) but it *was* still fun to ride! I didn't drop as many sizes as you (don't think I ever will, not built that way, but there is room for improvement :) lol), I know I need to lose more weight, gotta redouble my efforts. You still doing well?
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Touch-up procedure today is complete - not...

Touch-up procedure today is complete - not completely pain-free but I could do it again if I had to :) I signed the consent forms, took some Valium and a Nucynta, got gowned up, and Dr. Cannova got right to work marking me up. I then took my place on a table in the office's surgical suite and was draped and the operative sites cleansed. Dr. Cannova let me know he was going to start injecting Lidocaine, and then started some idle chat (good idea, keep my mind off the stinging feeling, lol). Topics ranged from how it feels to change people's lives with plastic surgery, to dissecting animals in high school. :) He told me any time I felt any discomfort during the procedure to let him know. This did happen a few times, and every time more Lidocaine was applied, and the discomfort was relieved. I did feel sensations of tugging, and I knew when he started stitching. :D The procedure itself didn't take long, probably no more than 15 minutes (I'm just guessing). The results are clearly visible to me although I won't be surprised if there is swelling in the coming days/weeks (as happened with initial surgery). Follow up appointment in two weeks.
The ends f the scars are high up like a W. it showed when u wore underwear in the pics. How can u wear a bikini then? Wondered why it was so up high.
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Well, I'll see if I can explain. When I say he did a good job with what he had to work with, I mean I had lost 80 pounds, have a short torso (it's not high, I'm just wide and low, lol), and had a *lot* of stretch marks and a wide belly apron he had to deal with, not just a little skin as I see you mentioned in one of your posts, so he had to go all the way across, like a smile, to work it into the area he was not excising. The scars color-wise have all but disappeared. Still, there's only so much any surgeon could have done with the mess I gave him, and I'm happy with what he did. It is *not* symmetrical, and I can't stress enough that any time *anybody* cuts on your body for any reason there is a good chance your body is going to take it personally and will heal in ways you don't expect it to. They can only take their best shot and estimate based on their anatomy studies and intuition, and it's up to us to have a reasonable expectation of what we're going to get. I wanted that belly bag gone and the leg wrinkles vanished, and they are. :} So many problems with unhappiness in plastic surgery results involve the self-image issue and unrealistic expectations. I hoped for the best but expected the worst (that's the way I do things), and it was a very pleasant outcome because of it. I am no beauty queen, I don't wear bikinis, after four big babies and all that weight, was left with too many stretch marks for that and I am still not to my ideal weight (o well, gives me something to work toward), but again the postop silhouette is not symmetrical and a nice one-piece swimsuit or low-cut underwear smooths it all out just fine... I know you are frustrated and also know the cost of airfare is ridiculous which surely adds to your tension. i did see your question regarding your past TT; will tell you that the doctors really like pictures if you can send them so they can see what you're talking about, don't know if you have that option or not; thought I'd mention that. Also Dr. Cannova's office was really helpful, if you haven't contacted them and it's not too late to investigate in case you want to switch away from Dr. Hansen (as in, if you haven't already paid him), email them, send them pictures and see what they say. He is a TT specialist and I personally liked him better than Dr. Hall, can't explain why, just that gut feeling. He was always a very kind man. If I have anything else done, it'll be by him. Good luck. :}
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Sorry, not Dr. Hansen, meant Dr. Swanson. And I never did meet him, met Dr. Hall who has his own office, and Dr. Rast who is in the same office as Dr. Cannova. Dr. Rast is a hand specialist and is nice, but Dr. Cannova specializes in TT and body work.... and that's what I needed plus his work cost less (I guess because he does it more often?) so chose him. Sorry for the confusion. :}
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Joseph Cannova MD

Associated Plastic Surgeons of Kansas City was referred to me by my primary care physician. Although at the time there were no mentions of it or Dr. Cannova here at RealSelf, I did get positive reviews from others. Dr. Cannova specializes in breast reconstruction (in case that's what you need), and tummy tuck/body lift after weight loss, which is what I needed. He did a great job on my belly, exceeded my expectations, and has a great personality to boot. Never demeaning, never made me feel uncomfortable with myself or him, never gave me false hope, just told me what his plans were and what the results would likely be. Seems to genuinely care.

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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