My BBL Experience - Miami, FL

Today makes 6 weeks post op for me. (let's start...

Today makes 6 weeks post op for me. (let's start from day #1)

August 26, 2013....was my surgery day. OMG!!!!! When I tell u ladies that I was in so much pain from the time I opened my eyes, would be an understatement. I woke up in the recovery room (with my garment on) on my stomach. And I cried for more pain meds, which they gave me. Shortly after, I went back to sleep. The nurse woke me up, felt like 10 minutes later and advised me that my blood pressure was low and sat me up. About an hour later I was released into the care of my husband. On the ride home, I was in the back seat, on my stomach in an out of sleep ( in pain) I could barely move....y'all. I was not prepared for the amount of blood that was coming from the incision sites, although I had bed pads, I still messed up my sheets. The very next day, I had to return to the doctors office so they could change my garment. The only thing I was able to do was brush my teeth ( day 2 I couldn't even take a bath). At this visit, I was usable to walk so I was placed in a wheel chair. The nurses removed some pads that were stuffed inside my garment, that were filled with blood. It was a mission for them to unhook the garment....because I was in so much pain. It felt like they should have put me to sleep. At one point I screamed at the nurse...(telling her to cut the sh## off) I also remember grabbing the scissors myself and attempting to cut the garment off before they stopped me. After that visit, the next few days were HELL. Sleeping, walking, eating and using the bathroom was VERY difficult. Since removing the garment was not possible, I was urinating through the opening of the garment ( thank God I didn't have a bowel movement within the first couple of days). My first massage was scheduled 3days after my surgery. I tried to take my garment off to take a bath in preparation for my massage...and ( Nope, couldnt do it, had to take a bath with it on). Who knew that a massage would HURT sooooooo bad. (I cried like a baby). The following days were hard, but was better than the day before. I noticed that i would get winded very quickly from walking or doing anything that required movement. I asked the Doctor and was told that from the surgery i would be anemic for a while, and to take my iron pills. 2nd massage was during my second week of post op, although it did hurt....I didn't Once my 3rd and 4th massage came, I began to look forward to them ( they do help with the tightness within the lipo area making u feel much better). During weeks 3-4. Swelling has gone down a little, my butt isn't hard like a rock like it was early on and I'm walking around more,( although slow) ill take it. I can now sleep on my sides and lift my legs.....( thank God). I'm still in pain, but the pain is not as bad. I developed a blister on my butt, not sure why, but it's heeling.....

I'm doing this post a little late, just haven't been in the mood lately. Dr. Salama and his staff were great. I have no complaints in that area. It's been 6 weeks for me and I'm still recovering. I havent been able to return to work yet. I was thinking that I'll be up and running within 4 weeks..... :( . I hope to make a full recovery soon. I'm tired of being home, laying on my stomach,it's just depressing. If your reading this, just be prepared to be down for more than 4weeks. My ass hurt and I can barely sit down....STILL. I'll add photos later and write about my results soon

Fat Nacrosis.......

It has been 1 year and 2 months since my surgery. I have had some complications, which is; I've developed fat nacrosis. I started to notice that about 2 or 3 weeks after my surgery, I had a few hard spots in my buttock area. I spoke to Dr. Salama about it at which point he suggested that they try the ultra sound threapy ( which he wasn't sure if it would work) but felt it was worth the try. Of course I was for it because the mere mention of me having to go through this surgery again was unbearable. The first 3 treatments were free and I was expected to pay for anything after those were exhausted. I paid for about 4 more sessions at $80.00 each session. The massages were a bit painful and I got burned with the machine and decided,okay! that's enough, cause I didn't see much improvement and it was experimental. I went back in to see Dr. Salama and which point he saw no improvement. I had indentations, lumps and discolorations in the area that the fat nacrosis had formed. Dr. Salama was at a lost for words. He suggested that I try a topical creme, which was a bleaching agent to try to get the discoloration under control. I tried that for a while and that didn't work with the discoloration. I went back in to see Dr. Salama and this time he gave a creme that was used for varicose veins. I used the one tube he gave me and called into the office to get another tube about 2 weeks after (tube was very small) and was told that I had to pay $80.00, for a trial? something that probably was not gonna work... At this point I'm feeling like enough, is enough. I went back in to see Dr. Salama and advised him that nothing has worked and its obvious that a revision needs to be done. He agreed. Dr. Salama advised that he was not sure how he was gonna fix it, because my skin has stuck to the scar tissue meaning their is a spot on my ass that if you tried to pinch, you would be unable to, it has stuck to the tissue inside my ass. However, something has to be done, my ass is still sore and discolored because of the fat nacrosis. I still have to sleep with my boppy pillow. I look nice with cloths on, as long as they are not too tight, because you'll be able to see my indentation, however; I cringe when I see myself with my cloths off. Thank God I'm married. My hubby understands my story. Soooooo.....that same day ( a Wednesday) I was asked if I could do the revision surgery the following week on a Thursday......or on November 18. I told the ladies to give me a few days to work out the logistics with my job, because the first surgery I was down for 2 months. By the time I worked everything out. I called the office to confirm the surgery date and was told that the date was not available any!!!!!! So the next available date I was given was March 18 2015. I was later contacted and told that Dr. Salama's calendar for 2015 is being rearranged, so they will contact me sometime in December to let me know a final date. Needless to say; I am a little annoyed..... I really, really, really don't want to have this revision done, but at this point it's a need and not a want.
I hear some people complaining about the volume after the surgery wasn't enough. I was just happy that I woke up, so if my volume wasn't enough I would've had to just take it as it was......however I got fat

Side note: I do get ALOT of compliments and stares for both genders, but I am self conscious about it because I know the indentations are visible if you look hard enough. Although it might appear as my underwear is 3 sizes to small....

My current pic

Revision is set for 2/20/2015

Boy I'm nerves, but I'm hopeful......I pray that
God sees me through this surgery.

Revision done on Feb 20th 2015

Let me start off by saying that I deliberated a long time prior to me updating my review, because Dr. Salama is an amazing person in general. I do not know him outside of the professional aspect, but he has been with me every step of the way. Trying to make this experience as painless as possible. He has went above and beyond. He has came to the office on weekends on his day off to see me, which I really appreciate. He responds to text within minutes and he is really working with me to rectify this very unfortunate complication. So because I appreciate his professionalism it was extremely hard for me to come on here and update my review. However; my experience can aide with someone else's recovery or situation. There are not a lot of reviews on RS like mine on here, I looked. So this might help someone else.

My BBL revision was done on February 20, 2015 with Dr. Salama. The cause for the revision was due to extensive fat nacrosis that developed within the buttock area (both of my cheeks). Let me just say, the nacrosis was very severe. The day of the surgery Dr. Salama examined me, noting that due to the severity of the necrosis that he will be extracting he don't think that it would be safe or wise to input or transfer any fat into that area the same day (meaning) I may have to undergo another revision ( I was devastated). He explained that he would have to cut my buttock, which will leave a scar (OMG), I took a deep breath, closed my eyes asking the lord why me and said ok, let's do it. So I signed the paper acknowledging the scar. We then commenced to surgery. I Woke up in pain (burning sensation) and was given more pain meds. Although the next couple of days hurt like hell, It was not as bad as what I went throught the first time.

Oh, I also had to have two drainers, one from each cheek. (Sucked)

Fastward...More complications........

February 24, 2015 I removed my drainers. February 27, 2015 I started to leak fluid from an incision under my left butt cheek. Me thinking, okay! that must be extra fluid draining (no biggie). My husband started dressing the site to catch the fluid. This lasted for about a week. I saw Dr. Salama during this time, he checked to make sure it wasn't infected and told me to keep dressing it, to apply silver dine and add compression, which I did. On May 9, 2015 all hell broke lose..... Now the incision (stitches) on my left butt cheek was profusely leaking....(wtf!!!!!!!) after collecting a bowl full of reddish orange fluid that was seeping from me, fearing that he may have to take me to that hospitals my husband called Dr. Salama and describe to him what was going on. He sent him a picture and Dr. Salama said that I should come in to the surgery center the next morning( I nearly fainted hearing the news). The next day May 10, 2015 I had to have surgery again to reopen my left butt cheek. Woke up to my ass on fire. That same day I was contacted by a company called KCI notifying me that my doctor ordered a machine called a (wound vac), so at this time I'm still not fully aware of what's going on, cause I was just leaving the surgery center and still in and out . I gave the lady my insurance info, scheduled a home delivery and hung up. Dr. Salama also called me before I even arrived home to check on me. He was saying something about my wound, but I was hardly coherent. May 11, 2015 had to return to the surgery center to remove and change the bandages. Dr. Salama entered the room and asked my husband if he was Squamish????? ( at this point I'm like, huh?)...So I lie on the bed on the belly and Dr. Salama begins to remove the husband face was like....OMG!!!! I try to look but my husband holds my face to keep me from looking at what he saw. From the corner of my eye I see Dr. Salama pulling and pulling and pulling gauze from the wound, like I'm a box of Kleenex, then I felt it start to sting...(omg) is all I can say. I had a hole in my buttock bigger than my fist ( you could actually see part of the gluteal muscle). He packed it with silver dine and rebandaged it. Dr. Salama explained the wound vac and the benefit to applying it. The next day I went to the Aventura office so Dr. Salama could put it on. The PAIN I had to endure to implement the wound vac is indescribable. Due to the pain the dressing changes had to be done while I was under local anesthesia.... (Just Imagine). I had to get dressing changes twice a week for about four weeks. I must say that although it was painful, uncomfortable, annoying and very draining, it definately helped to close that gaping hole in half the time. I was able to removed the wound vac on April 17, 2015. Although the wound is not closed in its entirety, it pretty darn close. Due to the fact that it can not be stitched closed because the skin is weak and it can get infected , it have to close on its own. Pictures are very graphic, not sure if I'm going to post them.. For more info inbox me.

Uphill Battle!!!!!!

From the date of my first revision surgery (2/20/15) until the date of the removal of the wound vac (4/17/15), it has really been a emotionally, physically and financial trying time for. Those of you reading this knows the depression a person goes through when you are physically confined to one position and can't get up and out like you use to. It's a very challenging time. I had to take extended leave from work due to this surgery ( burning all of my sick and annual time). Due to the nature of my job, I have to be 100% (it could mean life or death for me if I'm not fully functional and alert). I'm scheduled to go back by the end of the month, I'm just trying to give myself adequate time to heal, don't wanna rush things. At least I'm starting to feel like myself again.....

Just a update

Forgot to mention, that I saw the Doctor today. He says that things are healing good and we should be able to do the second half of the revision within 6 months to a year. Hopefully sooner than later. This surgery has consumed just about the last two years of my life and not in a good way either.
Miami Plastic Surgeon

4 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
2 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
4 out of 5 stars Phone or email responsiveness
4 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
3 out of 5 stars Wait times
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