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I am a 33 year old mother of two wonderful...

I am a 33 year old mother of two wonderful children, a 4 year old boy (c-section) and 2 year old girl (vbac). For the last year I have been staying at home with my kids. Before that I worked for six years as an attorney. I am a little over a week away from getting a full TT with major muscle repair and will also be exchanging my saline implants for silicone. I have been on RealSelf for more than 2 years reading everything I could about these procedures, trying to come to peace with my stomach, or getting it fixed. After many consults, thoughts from people on this website, and many of my own sleepless nights I finally decided to get it done and am scheduled for June 8th.

I have a huge diastisis, the result of having two very large babies and have felt abnormal for years. I am 5'8" and hover between 145 and 150lbs. With my son I gained about 60 lbs. He weighted 9lbs 12 ounces at birth. I was determined to do things differently the second time and gained less than 30lbs, but still had a 9lb 8 ounce baby. I carried both of them straight out in front, as if their feet were on my spine and their heads were at my belly button. Despite working out hard (very intense cardio, weight training and running) five days a week for two years, I feel like I am in great shape but still look very pregnant.

For some reason, I am terrified of this surgery. I had implants when I was in my early 20s, but I think because I didn't have kids at the time I maybe felt like I didn't have as much to loose. I am worried I will not wake up from surgery, worried I will have complications that will make it hard to be an active mother, worried that I'll hate the way I look with such a huge, prominent scar. I could go on and on. Oddly, I'm not really worried about the pain. I know it will be difficult the first few days, but after having a c-sec, impIants, and 45 hours of totally natural child birth, I think I can get through the pain!

I finally decided to go through with this for a couple of reasons. First, the long term consequences of not getting the surgery started to weigh on me. My PS said my diastisis was the worst she had seen; partly because of the size of the gap in my muscles, and also because she said I don't have a lot of fat tissue on my belly to cover it up. I have scoliosis, and although right now I can mostly compensate with other muscles to protect my back while I workout and even go through normal life, I know I won't always be able to. Second, at my last consult I saw the pictures of myself standing there letting everything go and I was shocked at what I saw. I don't feel like the person I saw in those pictures. I am tired of having to look at the clothes in my closet I can't wear. And I'm tired of not wanting to plan beach vacations or go boating because I don't want to wear a bathing suit.

I chose my PS because I really like her as a person, she is very well qualified, and also because she does the progressive tension/drain free TT. She said it will take between 5-6 hours and the surgery plan is as follows: progressive tension TT, muscle repair with possibility of needing to do umbilical hernia repair (PS said if I have one it's small and she can't tell for sure if I do until surgery); PS left open the option of maybe needing to use mesh to help hold everything in, but said it's not likely; will do some lipo of the flanks if she feels it's necessary but again said not likely and if so, only a little. I am also going to switch my saline implants (330cc filled to 391cc) to silicone (haven't decided yet on size, but will go a bit bigger to help with lift). Will be doing a capsulorrhaphy to get implants closer together and a bit higher on my chest. Right now the implants have fallen too far towards my arm pits. PS said if I feel like I need a small lift a year after chaning implants she'll do one then. And now after writing all of this, I am about to talk myself out of it! It seems like a lot to do and a HUGE surgery and HUGE risk. I have until Tuesday to make any payments to the PS and hope I can stay as sure about doing this until then so I don't back out! She usually requires a portion of her fee to hold the date, but because she had an opening and I am able to get it done so soon after deciding she said I could just pay in full at my pre-op on Tuesday. Not sure if that is a good idea for me!

Still on track for surgery on the 8th. I'm...

Still on track for surgery on the 8th. I'm getting so nervous though! I am organizing things and cleaning like I never have before just to stay busy. I am so scared something terrible will happen to me during this surgery! I can handle the pain/recovery period, I know it will be tough, but I know I can get through it. I just don't want to do something that will take me away from my kids and husband. I try to tell myself that the drive to surgery is riskier than the actual surgery itself, but it is so hard not to worry! Will ask PS for something to help relax and/or sleep when I go to my final pre-op on Tuesday because nights are the worst for me! I just can't stop thinking about all the terribe things that could happen. Any advice on how to handle it? I look at my stomach pics, think of all of the people here that have made it through fine, remind myself of the real health reasons for doing it, etc.

Also, anyone go through this without having pre-op...

Also, anyone go through this without having pre-op medical clearance? I asked the PS about what I would need and she said given my age, fitness and medical history I wouldn't need to do any pre-op tests, not even a blood test. Does that sound normal? I feel like most people do have at least some pre-op tests, right? My PS is very well qualified, having been on faculty at a well respected medical school and a former head of plastic surgery at a major hospital so I can't imagine she is being unusually risky or cutting corners.

Provider Review

Board Certified Plastic Surgeon
2750 Cottonwood Pkwy., Cottonwood Heights, Utah
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Dr. Keen is amazing! I met with several other PS, all of whom were very well qualified and had the type of credentials I was looking for. I chose Dr. Keen for many reason, but here a few of the main reasons. First, I really liked her as a person . She is very down to earth and I think she truly cares that her patients get a great result. I was very nervous leading up to surgery and she took all the time I needed to address concerns and help me relax. Second, I did a lot of research and I believe that Dr. Keen is at the leading edge of her field, doing things like the progressive tension tummy tuck. Other PSs told me they wouldn't do it, but after researching it myself I felt like it was the better option; harder for the surgeon, but better results and easier recovery. If you read about my recovery I think you can see how easy it is and how wonderful Dr. Keen made my stomach look. I always felt like I was in an expert's hands and the surgical results show it! I also found her to be very relaxed and yet at the same time extremely confident which really helped me. Dr. Keen called my husband Saturday and Sunday mornings (my surgery was on Fri) to check on us and spent all the time he needed with her. I could go on and on with examples of why I think she is so wonderful. Jodi and the other ladies in Dr. Keen's office are amazing, very helpful and really care about you as well. Very easy to get a hold of and they are very responsive to e-mail too, including Dr. Keen! I feel so lucky to have found Dr. Keen through someone else's posting on RealSelf and hope that others do to. I will always give Dr. Keen my highest recommendation!