Tummy Tuck (Full) with Prolapse Surgery: 9/12/11 - Philadelphia, PA
- updated 2 years ago
I am a 44 year old mother of two, 5 and 7 years...
- 5 Sep 2011
- 6 days pre
I am a 44 year old mother of two, 5 and 7 years old. And, it wasn't until the birth of my second that I really noticed the impact on my body. Prolapsed bladder, uterus...etc. I tried Kegal bio-feedback (embarrassing!; it helped a little, but not that much). I was told by my Gyn that my only option was to have a hysterectomy and I just didn't feel comfortable with that, so I just lived with it. Of course I also knew that my stomach muscles were never going to be the same again, no matter how many crunches or dieting I did, but thought that was just something I had to live with, too.
Then at my last Gyn check-up in February I was told it had gotten so bad (stage 3) I *had* to have the hysterectomy. So, I went from one Uro-Gyn to another until I found a wonderful surgeon in my area, Dr. Michael Toaff, who said that he could totally repair all my prolapses with good long-term prognosis - and keep my uterus! I was thrilled!!
He gave me the names of phone numbers of several women on whom he performed the same procedure. One of the women said that she had a tummy tuck at the same time (saved on having two recoveries and cost -- *the total out of pocket for my TT is: $5,180!). That got me thinking, would I be a candidate, too?
Sure enough, my surgeon said that I would be a good candidate and referred me to the "only PS he would allow me to use!"
Turns out the PS he referred me to is the Cheif of Plastics for all of Main Line Health and I have since heard many good things about him. He does lots of TTs and combined procedures -- and I liked his before and after photos, too. He was just as confident that he could give me a good result (with full TT and muscle tightening), so my DH and I put together the cash and booked the surgery for Sept., after the kids were back in school.
Well, the summer went by quickly and I have been so busy getting ready for the start of school that I just put my surgery to the back of my mind. So, I cannot believe that it is only 1 week away now! The kids go back to school on Wednesday and that gives me just a few days to prepare. Fortunately, my insurance company has approved a total of 5 days in the hospital to recover and I feel really lucky to have that time, after reading so many other people's accounts of being sent home the same day! Then I have after-school care set up for the children for the two weeks following surgery and my DH is sweetly taking some time off of work to help me and take care of the kids, as necessary. So, short of having to pick a few things up at the store (my meds, some big sweatpants and t-shirts to wear that first week or two; already have my compression garments), I think I am just about ready. Still trying to get my head around the fact that this is all really happening now, as my journey here has been several months.
One question for the veterans out there:
My PS has stated that I should only sit in an upright chair with arms, once I get home; and sleep on my side in bed. But, it seems lots of folks are mentioning recliners, pillow-propping and some even have rented medical beds...??? What do you suggest?
I am thrilled that I found this site, it is so informative and everyone is incredibly supportive -- thank you all!!!
P.S. I will post photos once I have some to post!! : )
Well, I got my phone call and I have to be at the...
- 10 Sep 2011
- 2 days pre
Wish me well!!!
Here is my final post until after my surgery...
- 11 Sep 2011
- 1 day pre
I did all my cleansing today (M.O.M. and Fleets) - my doctors want to make sure I am completly empty for this surgery, as I am having the prolapses repaired as well. And, only clear liquids all day -- not fun! But, DH took the kids out to dinner so I wouldn't have to smell the food!!
Getting a bit nervous and am hoping that I will be able to sleep tonight. I guess I am nervous about *everything* - the anesthesia, the procedures, the recovery and the final outcome (both the prolapse work as well as the TT). Not regretting combining the two surgeries, but just being realistic that this is going to be a big deal.
I will post before & after photos afterwards...
Wish me luck!!
What an amazing past four days! First, my surgery...
- 16 Sep 2011
- 4 days post
I was lucky, my blood loss was very minimal and I guess I must have a fairly high tolerance for pain and heal pretty quickly. I was approved by my insurance company for a total of 5 days in the hospital, but both my doctors said that I was doing so well, they couldn't justify my staying more that 4 days! So, last night I had to scramble and prepare to go home a day earlier.
I did end up having a medical bed delivered home for my return and I am glad I did. It just makes it so much easier to get into a comfortable position!
So, I have two incisions: the regular tummy tuck, which I got a quick peak at during my final exam in hospital, and one at my perineum (like a whopper of an episiotomy). From what I can see of the TT incision, it looks amazing. He closed me internally with disolvable stitches and then just used surgical glue on the skin surface. You can almost not even see the incision. I do have two drains just below in the pubic area that are a bit uncomfortable, but really not bad. I am hoping to get these out by the end of next week. He doesn't want me to wear the compression garment until they come out. I cannot wait to show you all the before and after photos, but I am too much of a chicken to post the befores without the afters!! I suspect that it will be a big change. Even with the dressings, I am so much flatter!! Oh, when he got in he discovered that my muscles were separated 2"! And, he ended up taking a lot more skin and tissue than he thought he would be able to.
Thank you, again, to everyone here on this site. You all gave such great advice, I felt really, really well-prepared for everything. I am finding that Gas-X is a big help!
That's all for now... Time to take a percocet and a nap!!
I am getting through day 6 post-op and am feeling...
- 18 Sep 2011
- 6 days post
Kimmers -- I found a new use for the Palmers Oil: it gets off all that gunky tape residue from the IV! Worked like a charm, and still loving the scent. : )
Also, I asked my PS if there was anything I could do for my lower back pain (from having to stay bent over) and he said to use a heating pad -- it really helped!
That's all for now... Time for a nap. ; )
This is the end of Day 8 and I am feeling better...
- 20 Sep 2011
- 8 days post
Anyway, I'll let you all know when it finally happens and then I'll post photos, too!!
Day 9 post-op and I have good news and bad news.....
- 21 Sep 2011
- 9 days post
Good news: PS called and I went in to get my dressings off and drains out -- YIPPEE!! I felt no pain, whatsoever and am glad to be free of them and able to finally shower again!
Bad news: As soon as the dressings came off, I saw the look of disappointment in my PS's face. Then, I looked down. The tummy portion of the tuck looks great -- in fact, I am really pleased with how flat it is! But, at either end of the incision (more on my left) there are buckles of...what to call them, *love-handles*. UGGH! He immediately said that he would need to do some revision work in 3 months, once the swelling has gone down.
So, I am glad that he immediately owned-up to the less than perfect results, but I am totally bummed out that I will need a revision. My PS is wonderful and he did say that the revision would be a much smaller/simpler procedure -- not so much of a recovery. But, what can I say, I am disappointed. See for yourself...I finally posted photos, side-by-side before and afters. Check out the ones of my left side, espcially bending and you can see where there is still a roll of skin left in the after.
Has anyone else had this problem? How did your revision surgery go? Were you finally pleased in the end? Thanks!
Day 11 post-op and am starting to feel much more...
- 23 Sep 2011
- 11 days post
So, had a great talk with my BFF about the need for revision surgery and I am feeling a little better about it. I guess I can just concentrate on getting back from this surgery and look at the revision as just the finishing touch-up! I made my 3-week post-op appointments with both docs. for 10/3, so I guess I will discuss that with my PS then.
Also, today is my birthday -- so I am looking forward to a nice dinner (take-out) and cake with my DH and kids!
Happy Birthday to me and my new body! : )
Today was day 16 post-op and I am continuing to do...
- 28 Sep 2011
- 16 days post
That's all for now!
Oops, typo above. I meant, "...benefit from a bit...
- 28 Sep 2011
- 16 days post
Today was day 18 post-op and I had a bit of a...
- 30 Sep 2011
- 18 days post
Again, I am looking forward to my follow-up appt. on Monday! Will write more then.
Today I had my 3-week post-op visit to both docs....
- 3 Oct 2011
- 21 days post
So, back to the appointments... My Uro-Gyn is pleased with all the work that he did and I have been released, with the caveat of no heavy lifting for a total of 4 months, and no sex until we get to the 6-8 week mark. (I expected that, tho'.)
My PS also thought that everything is looking good -- no seroma, just normal swelling to be expected. We also discussed the revision surgery and he wants me to start dieting and light exercising at the 6 week post-op point, to loose a bit more weight. I go back in another 4 weeks and he will reasses at that time, if I will need a little lipo, or a skin-only removal of dog-ears, or some combination of the two. The good news is that he feels I am 95% there and that this will just be a minor touch-up... And, that I will be able to wear a bikini in time for next summer -- yippee! I haven't worn a bikini since I was in my 20's. Wow!
After my appointments, met my DH for lunch, made a trip to Target to pick up a few things and then met the kids at the bus. I think this was the first day (post-op) I didn't take a mid-day nap!
I am one happy (tired and swollen!) camper this evening. Looking forward to a good night's rest!
Dr. Larry Jonas is not only an amazingly talented Plastic Surgeon, but also a genuinely nice person! He has spent so much time with me throughout this whole process. He makes you feel that you are his only patient and that he has all the time in the world for you. I would recommend him to anyone thinking about Plastic Surgery in the Philadelphia area.