Weight loss Mommy Make Over

I am 33 year old female and over the past year I...

I am 33 year old female and over the past year I have lost 80 lbs. I was obese from 7 to 15 years old; at 15 to 21 I went to the other extreme to lose weight but eventually gained it all back and then some. Now at the ripe old age of 33 :) I have finally done it the right way and I want to be able to get rid of the loose skin and see what my body should have been like from the start.
The decision to do plastic surgery is not something I took lightly (I pine over having to fly let alone undergoing elective surgery). After reading tons of reviews on all the sites: realself, health grades, vitals, ratemds, school rankings, hospital rating, us news and even yelp I booked my consults based on research and the doctors before & after gallery. I went to 3 consults which felt like the Goldilocks and the Three Bears story: one was arrogant, one was old fashion and one was perfect.
Consult One: The first wanted to put me under for 8 hours, do a full lower body lift, fat grafting on my butt, lipo and BA/BL. His work looked very impressive but his attitude stunk. I was very worried about the surgery and asked if he every lost anyone and he flippantly say - where in the hospital?(add snicker here). He also brought up and bragged that I had to wait a hour to see him because he was being praised by the patent before me. In the end I couldn't go with him - even though his work looked good his attitude was horrible, I wouldn't trust him and hospital affiliation wasn't so good.
Consult Two: This guy was very sweet and conservative. He recommended a TT, BA and BL. He wanted to keep the surgery under 6 hours and wouldn't even include lipo for fear it might but it over 6 hours. He seemed very nice but just not for me.
Consult Three: Dr Glatt was very straight forward and caring from beginning to end. He took my concerns seriously and takes extra precautions which I appreciate. Based on his recommendation I have booked my surgery (TT, BL/BA and lipo) for Dec 14th and will hopefully be able to sleep a few nights before then :).
Congratulations on your weight loss, and healthy lifestyle! I had a LBL, arm and breast lift after weight loss and it has changed my life! I am very excited for you, I am sure you will have awesome results....Best of luck!
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Thank you! You look awesome.
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I'm so glad you started your story on RealSelf! Congrats on your amazing weight loss. It sounds like you've really done your research and have found a doctor you're comfortable with. Feel free to discuss and vent your heart out to us. :)

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Can I still back-out?

Ok guys I’m officially freaking out. I was doing so well in the nerves department until I started reading this consent package. I know it’s probably normal protocol but having to sign off on all the risks in writing is making me have second thoughts. I’m really afraid of the surgery itself, so I’ve been telling myself it’s no big deal but the consent forms make it WAY too official.
Also I was away at a conference all last week and when I got home Saturday morning I had a huge bruise on the back of my calf. I went to the nurse at my work and she thinks it’s just a spider bite but might need to put me on antibiotics - Just another thing to amp up my stress level. Sorry for the rant :)
I gotta tell ya, I freaked out too after I read the 3 page consent form. Good grief. all the possible problems, complications, etc. But It's standard. It really is. I'm glad I did it (although the day after the surgery I wasn't glad). It's been a week for me, and patience is key. Do you have someone to take care of you at least the first 4 - 5 days?
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Yeah, I keep trying to tell myself that :) Yes, my husband is going to be home with me the first 4 days. I go in on Saturday and have to stay over night so Sunday will be my first day home. The Dr said I'll have a pain pump and a private nurse in the hospital so that's good. But I'm afraid I'm going to have fit when they try to put me under - how did you handle that?
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Ok, Game face...

Ok, I'm officially one month out and going back to the gym tomorrow. So here are my pics, I will try to post weekly to see the changes.
I have my pre-op next week and still need to settle on implant size - Any suggestions?
(I am 5'7" )

Here are a few more..

here are a few more self pics, along with a few implants pics I'm thinking about taking with me to the pre-op.. Any thoughts?( Note that I'm wearing a VS padded bra in the pics)

Nervous

I had my pre-op which went well, I paid for everything and now I'm super nervous. I was excited but the closer it gets the more I obsess about the surgery. I'm trying to focus on Christmas to keep my mind off it but it's not helping much.
My doctor is a firm believer in not discussing implant size which logically I total understand but being OCD I'm totally obsessing about.
Hi! We have similar weigh loss stories and it looks like we're having similar procedures just about a week...and a few miles...apart! Congrats on your weight loss! I am not freaking out but, honestly, I'm really not sure why. Maybe soon? A week from right now I will a few hours out of surgery. I'd love to correspond, if you're interested.
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Thank you, and congratulations to you too - I read you're review and we have very similar backgrounds. I would love to correspond, maybe it'll help with my nerves :) Are you having your procedure at Morristown Memorial too?
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I'm having my procedure at the Peer Group's surgery center in Florham Park. My ps said that if I had needed a bl in addition to the implants (and the extended tt) he likely would have done it at the hospital but we were both comfortable with the combination ba/tt in the surgery center. I will admit that just today while discussing everything with my family just a tiny bit of nerves began to set-in. I generally don't get nervous about much but, then again, I've never had surgery before!
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Holiday Season

I am still trying to figure out if having the procedures done in the holiday season is a good or bad thing. On the one hand there is a lot going on to distract you but on the other hand most of those distractions are centered around food. Thanksgiving was hard, I went in determined to eat clean but I caved and had wine - so of course I am now in the beating myself up mode.
I have 2 weeks until surgery - I bought pretty much everything I will need. I have the recliner, heating pads, sports bras, Tylenol, ExLax, Anti-Bac soaps, Smooth move tea, ointments, bandages - I think I'm set. I'm planning to take advantage of the Cyber Monday sales and pick up some VS PJ sets and bikini bottom(maybe).
Hope everyone is doing well.
Please, please don't beat yourself up for Thanksgiving. First off "some wine" is NOT going to make an impact on the overall scheme of things. And even if you went completely overboard on everything on the menu for that day- its not going to make a hugh difference overall if you get back on track again afterword. Just use common sense on the leftovers, and don't keep pigging out. LOL Keep in mind, eating "good" (whatever you define it as) 80 percent of the time, and saving 20 percent for "bad" - works very well for many people. One meal, or even one day , now and then will not destroy everything you have done before, and after that point, assuming you make common sense portion control, and reasonable food choices the rest of the time. I have also lost a good amount of weight (60 plus pounds) and can assure you, one day will not ruin everything. :) Even if it was an ice cream dessert only day. Just don't do this often. Just relax, enjoy the holidays, enjoy your family and friend, enjoy life - which is good. Its a lovely time of year, and one full of many wonderful moments. Don't let guilt destroy this time for you. I fully understand what you are dealing with. My surgery is in late January. And Though my weight is good, Dr. Requested I lose about 5-10 lbs before surgery to give a better result. In my case I am doing Adkins Diet, which my Dr likes, because it allows me to have very high protein levels, and reasonable fat levels (good for surgical healing) without having to freak over calorie count. I am short and peri-metiposal, and close to goal weight- so if just calorie counting I have to stay below 1000 cals a day to lose weight. Not great. I also work out very heavily 5 days a week, including Circuit weight lifting with heavy weights, HIIT training on a treadmill, and I do not want to loose my muscle I have gained. (which a very low calorie diet will do) I have done any number of diets, many do work, even though philosophy and "rules" differ, and really at the end of the day, find what works for you, that you like. Practice common sense food choices, decent nutrition, and reasonable portion size (eating tell full not over eating) and the 80/20 rule. And dont sweat the small stuff. :) You look great, and I think your surgery results will be amazing. I can tell from your pictures, that once that loose skin is gone, you will literally have a remodeled body, and well be able to see the results of all your hard work. Yes there are risks, but remember how many people have this surgery. How many thousands have no issues, and great results.You are in good health, it is elective surgery. Which means you are no hampered by someone having health issues that makes surgery so much more risky. Not to says things don't happen unexpectedly. But sounds like you have done your research, and found a good surgeon and team , with a good track record. So there is no reason to expect a "bad" outcome. I am sure your Dr would have warned you, or not taken you on as a patient if he felt you were a bad candidate. I am excited for you to see your results. I really think you will come out fine. :) Good Luck - Keep us posted
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sorry for my "wall of words" it did not keep the spacing I added when I posted, so its all scrunched up :(
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First of all Thank you for the positive re-enforcement! It's funny, for the longest time it's been all or nothing as far as diet and I thought I had found a decent balance but with the surgery around the corner I want to loose more weight so I'm ultra paranoid about my calories/workouts. I do weights 4 times a week , cardio 4 times a week and take in 1,348 cals(25.9 grams fat, 2,072 sodium, 175g protein, 106 carbs, 30 fiber) but I have hit a plateau so I'm stressing about it - which I know doesn't help. I also have Hypothyroid so that never helpful when trying to loose weight. I keep trying to tell myself that this is done all the time :) Logically I know its pretty safe and I'm super excited but then I somehow freak myself out about it. But I did my research my doctor is really the best and the hospital is top rated so I know I'm in good hands - if logic doesn't work there is always Valium :)
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Pre-Op Check up

Not sure if everyone has this but my doctor had me go to a pre-surgery check up with the hospital. They check your temp, blood pressure, oxygen, pulse and draw blood. Everything went well.
The nurse that took my blood actually had the same procedure done and she was super supportive and excited for me. But then I had to meet with a second nurse that went over my medical information and surgical risks. She said being that I have never had surgery before we don't know how I will react to anesthesia - I'm sure this is all protocol but it freaked me out. I wish the first nurse did the whole appointment!
Excited to follow your progress! Hugs
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Excited-ish

So I'm oscillating between terrified and excited. My doctor gave me Valium and said it would be ok to take it the night before and the morning of - Has anyone done this? I'm afraid to give it a test run in case its not strong enough, right now it's my safety net :)

As far as prep goes I think I'm set. I have all my meds, supplies, sports bras and PJs packed. One thing weighing heavy on my mind is my implant size. My doctor is very big on using pictures and not discussing cc or final cup size. So I keep freaking out that they will come out smaller looking on me then the picture. I'm OCD what can I say - it's hard not to know final size going into it. I'm including my wish pic - These look D cup right?

I'm also a true coffee junkie and I've been debating about quitting for the surgery. The doctor said its ok to drink coffee up to the day before surgery so I guess its not really needed, and I'm guessing caffeine withdrawal would be managed via the pain killers anyway no?

Thanks for the support, hope everyone is doing good.
Wow, looking at your stomach I can still see a lot of muscle definition. You are going to have AMAZING results!!!! So excited for you ;-)
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Thank you!
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Excited

Ok, So two days to the big day and mentally in a lot better shape then I thought I would be – sleeping thru the night is hard though. Today I spent the day food shopping/cleaning. Tomorrow I will finish cleaning, set up the recliner and prep food for the week.
I will take measurements and before pictures tomorrow morning. I go to the hospital at 6 am on Saturday.
Love your story, and weight loss accomplishment!--you'll do really good with the surgery...you seem like you have planned everything really well...I'll be thinking if you tomorrow!! Good luck.
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Wishing you all the best! You are gonna be so pleased with your results! My surgeon was also focused much more on the Vectra imaging and visuals than cup size because, really, cup sizes vary DRAMATICALLY. By brand, by band size, by style, etc. If you're anything like me, you're gonna love having "nice, firm, pretty, ROUND" breasts that are a good size. I don't think weather they actually measure-up to an exact cup size will matter to you as much as you think it will. Good luck! Can't wait to hear from you "after".
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I'll be thinking of you this weekend!

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Crazy Nervous

Wow – I can’t let that it’s the day before surgery sink in or I’ll freak out. Yesterday I straightened the house, washed the dog and went food shopping. Today I cleaned the house, set up the recovery areas and cooked for the week.
As previously dwelled on my doctor doesn’t tell you cup size/ccs so I have been getting up nervous, which is stupid because I totally trust my doctor. I hope I have time with the doctor tomorrow to talk about the implants and lipo areas when he’s doing the markings.

I uploaded before pics from this morning. In the last month I lost 8lbs but I was really hoping for 10lb. Maybe a good night’s sleep with the help of valium will drop the last 2 lbs? :)

Surgery is tomorrow at 6 am and we are due for a snow storm (4-8 inches). I’m not too concerned being I live really close to the hospital and I’m staying overnight. Fresh snow = Fresh start – right?

Thank you everyone for your well wishes and support!!! ::hugs::
So excited for you. You will have time with him before surgery. So no worries! You're going to do great! Sending you positive vibes, good luck!!!!
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Thank you!
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Thank you - I will keep you posted! :)
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Flat side

My surgery was yesterday at 6, Here is my first pic...

Hospital Pics

Glad you are safely on the flat side! Happy healing!
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Glad the surgery went well! Can't wait to see your pix. Take good care of yourself...and be patient with your recovery. I am forcing myself to do the same - it's not easy.
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You made it to the flat side! How do you feel? Have you had a peek yet?
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Home

I'm home but in a lot of pain.I'm taking Vicodin and Valium. The doctor must have sewed all my muscles - it kills. Also i'm completely grossed out about my belly button - it hurts and feels SO weird.
The binder keeps riding up , not sure if thats normal
Glad to hear that it all went well. Happy Healing !!! Keep us updated.
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Welcome to the flat side! My binder rides up all the time and is annoying. Happy healing to you!
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Healing

Hope everyone is doing well. I'm starting to feel a little better today, at least less pain. I Still haven't had a BM so I'm a little concerned about that - I took some smooth move tea last night and some prunes this morning. I think I'll have my normal meals today (including coffee) so hopefully that'll do the trick.

I have this weird squishing sound near my left breast when I move my left arm - Anyone else get that?

Also I'm afraid my implants are too small. I'm 5'7, size 6, 34 in rib cage and I was a empty B. The doctor put 460 cc silicone gel in under the muscle. Do the implants get bigger looking? Right now I feel like they are small.

Sorry I have been in too much pain to post - I will try to get some pics after today's's shower
I am on day 7 of my recovery. I had similar reasons for my MM. Congrats on all your hard work. Day 5 was my turning point to feeling more like myself. We have to believe it will all be worth it. I keep reminding myself to be patient. The swelling and settling will take time.
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Yeah, I think I did too much yesterday and paid for it last night. How much are you able to do around the house?
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I had the "squishing/squeaking" noise too. It resolves after a couple of weeks. 460 cc sounds big to me! lol But I had 300 cc saline under the muscle and I'm happy at a 36DD. Give them time to drop. They may seem fuller later. Mine were kinda high at first. Glad you are feeling better!!!
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MIA

I feel like its been a while. My healing is going well- I think the biggest problem is me. It's really hard for me to lay around all day and not do anything. Yesterday I was feeling good so I decided to clean the house and wash clothes(in the basement) - which I paid for last night. I really need to relax.

I am also trying to get on my normal diet. I have been living on soups, ice tea and half sandwiches. It's not like I have been eating junk but because its not my normal diet I feel like a pig. So today I'm trying to go back to my normal diet. Breakfast was very filling.

As for my tummy - it feels SO weird. I am hoping that once these drains come out the discomfort in my belly goes away. Right now I really can't go any period of time without my CG. When I don't have it on I feel like my stomach can't support itself or something - it's uncomfortable and a bit painful. Again I am hoping that going on my normal diet today and getting the drains out on Monday will help me. Right now I feel pretty messed up in the tummy department (I'm taking Valium and Tylenol for pain).

I think my doctor did a amazing job I just wish the swelling would go down. I also need to get some cardio in ASAP. Right now I don't even feel like going out for Christmas :(
Wawa sweetie, take it easy. Seriously. Your body has been through A LOT. Let yourself heal. I know it's hard bc as wives and mothers we are used to taking care of everyone else all the time. But you have to take time now and let others help and care for you if you can. You will heal so much quicker if you do. As for the binder, wear it. I didn't wean off it till 4 weeks or so. At 9-10 weeks I still wear it on occasion if I need extra support. The swelling will come and go for months. Eat well, drink water and try to be patient. Once the drains come out, you will feel sooooo much better. Hang in there, it will only get better from here!
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Ok, that was supposed to say "aww, sweetie". Half the RS members won't even know what a Wawa is! Lol
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Thank you! I am supposed to get the drains removed tomorrow and I'm counting the seconds. I hope that once these are out I'll feel better - and find something I can actually wear outside. I have been living in PJs for the past 9 days.
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Surgery Experience

Ok, given that my biggest fear was the surgery itself it's only fair I actually write about it...

The night before surgery I took a Valium and I was actually able to sleep the night. I was scheduled to be at the hospital at 6 am so I got up at 4:45 am and took another Valium, took a shower using Dial and Hibicleans and got dressed. I wore lulu and sneakers in, and brought VS PJs to wear out.
I should mention that my surgery was on a Saturday AND we had a snow storm, so the hospital was pretty quiet when we got there at 6 am. We waited about 30-40 mins to get checked in and then they took me into the back to change.
I wasn't nearly as out of it as I'd hope a Valium would make me but I handled everything very well. When they brought me back they had me put all my clothes in a plastic bag and I changed into a heated gown and booties which were super nice because I get cold really quick. After I was changed and in bed they let my husband back to stay with me. The nurse came in and placed the IV line and they gave me some meds and a Heprin shot.
The doctor came in shortly after that and marked me up – which I didn’t even look at – I just told him to go as low as possible. He was very professional and I trusted him throughout the entire process. After I was marked the doctor took a few pics, then introduced me to the anesthesiologist, which happened to be the previous Head of Anesthesiology for the Hospital – which put my mind at ease. He was very nice, we talked briefly and he gave me a cocktail to relax me. Before I knew it I was being wheeled into the OR (this was the part I had been worried about weeks in the making). When I got into the OR they adjusted my arms and asked if they were comfortable before they secured them. After that they set up briefly, I remember looking ahead of me and seeing the two OR clocks – it was 8 am. The anesthesiologist told me he was going to give me some medicine and to think of something nice - I had enough time to tell him what I was going to think about and I was asleep. The next thing I remember was being in my room. The surgery was 6 hours and they removed 2 lbs of skin. I had a pain pump and remained catheterized until I left the next day.
My surgery experience was excellent. The procedure was performed at Morristown Memorial Hospital in NJ – both the staff and the hospital exceeded my expectations. A big thanks to everyone involved!
Hi, have the drains come out? That was a major turning point for me. Hope you're feeling better today!
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How are you feeling? ☺
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I know. I just want to do what I want when I want to do it but then I pay. We will be better than ever and disserve the very best results for all of our hard work.
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Drains Are Out!!!

So today the drains came out!!! I was really nervous but I didn’t even feel them come out. In fact I felt so good that I thought I didn’t need pain medication anymore, which is not the case – I just took some Tylenol. :) The doctor also took off the tape on my TT incision which wasn’t the best feeling but having the drains out and the binder on nice and low feels great.
The doctor said he is very happy with the results and I can start to chest massages and scar cream.

I am a little nervous about how I’m going to feel Christmas Eve/Christmas day. We have a lot of family gatherings and today was my first adventure outside the house. But I can stand up pretty straight and hopefully with the right meds I’ll be able to hangout.

Happy Healing!
You were so right, Thank you!
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Having the drains out and being in street clothes felt wonderful!
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Update

So the recovery has had a lot of ups and downs. I thought I was doing great until I got PMS/Period. My first cycle was 3 weeks after the surgery and it completely kicked my butt. Thankfully I was cleared for Advil but I was still hunched and bloated - I hope this is just a first time back type of thing.

I can now stand 90% straight - I am not sure if its the TT or BA that still has me a little bent. I don't want to force it and stretch anything I'm not supposed to.

BA/BL Update: Still wearing my sports bras - I haven't been cleared for a "real" bra yet but excited to see what that'll look like. Now in hindsight I'm glad my doctor took control of the implant sizing. I ended up with a 460cc gel and I think any bigger would have been too much. I was taking measurements and I think I'm a 34DDD which sounds crazy but need to go try bras on and wait for all the swelling to go down.

TT Update: I am still wearing my binder, which is my security blanket. I got the ok to wear it half the time and SPANX the other but still hesitant to try the SPANX. I go back to work on Monday and SPANX would be easier under clothes but I feel weird sitting without my binder.

Overall recovery has been good, largely do to my husband. He has really been wonderful, between giving my shots for 10 days and being at my beck and call since day one I can't say thank you enough.

Happy Healing!
Hi holiday, hope your recovery is going well. Would you consider posting updated pics? Thanks!
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My advice: If your surgeon says you can wear Spanx, wear 'em! Wean yourself out of that binder (or half time if that's what your surgeon wants). Your body will thank you! Sounds like you're doing awesome for a couple weeks out! And yeah, don't force the standing up straight thing. It WILL happen. I was almost 3 weeks out! Happy healing!! :-)
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How was your first day back to work!? I see you went back a few days ago!
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Morristown Plastic Surgeon

The surgery is set for Dec 14th. During the consult he lived up to his reputation and was very knowledgeable and caring. I look forward to working with him.

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