I am a healthy, in-shape mother of twins. But no matter how much I worked out, I couldn't get rid of the tummy that I had as a result of my twin pregnancy. Dr. Casas performed an abdominoplasty on me in October, 2006. She and her PA conducted thorough pre-operative teaching and I went into the surgery with a solid understanding of what the post-op recovery period would entail. Dr. Casas is a true perfectionist (this is what we want in an aesthetic surgeon, right?). She demands a lot of herself and her staff and also has high expectations of her patients. She insists that patients carefully follow her instructions -- in terms of pre-op activity and nutrition, post-op care and follow-up, and as related to nutrition (vitamins as well as diet). I followed her instructions exactly and I have to say that I am THRILLED with the results of my tummy tuck! My stomach is flat and my scar is barely visible (which is an added bonus because before my surgery, I had an ugly c-section scar that I couldn't stand to look at!). I can wear clothes now that I couldn't have worn before. It's really a great feeling!
My biggest piece of advice is to EXACTLY follow Dr. Casas' instructions. As I said in my comments above, Dr. Casas expects a lot of her patients. There are many vitamins to take, some dietary guidelines to follow, and very detailed dressing change directions. Dr. Casas is strict about these instructions for a reason: following them absolutely maximizes results! Why spend the money to have a procedure done and then not do your part to make sure you get the best possible results?