I have always had a bigger waist and muffin top even at a size 6 and 5'10. I work out 3z a week doing weights and cardio. My arms and legs and butt have little fat at all. I finally convinced myself to get lip of the upper and lower abs and flanks. I was soooo scared as I had never had surgery before. But am so glad I did it.
I took arnica tablets from vita medica 3 days before and 10 days after. I had little to no bruising which was a nice surprise. I took Bromelain for swelling and I had only minimal swelling. Once I switched to a stage 1 surgical garment from marina vs the bulky binder I could wear the clothes I wore the day before surgery. I am now day 14 and am a size or two smaller on my waist. No muffin top. And I still have some swelling...and a few hard lumps. I know eventually those will go away but even with I am super pleased. When I bend forward there is no fat hanging down that you can grab!!
Pain wise - I had General Anesthesia with LMA and Percocet right after. Then took lortab round the clock for 3-4 days. Had surgery on Fri morning and went to work Tues. I could have went Monday but it was a holidy. I was glad I had the extra day. Sitting made my abs hurt...standing was much better. At day 14 discomfort is minimal.
My sister is a RN and I stayed with her most of the weekend. I highly reccomend that you have someone with you for atleast 24 hours and ideally 48 hours.