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Best Plastic Surgeon Ever - NEW PICS!!

I had a traumatic pregnancy and delivery 18 years...

I had a traumatic pregnancy and delivery 18 years ago. Previously, I had been somewhat overweight for most of my teens and 20s. After my pregnancy, I lost 75 lbs and kept it off for 18 years. Unfortunately, the skin on my abdomen didn't retract and over the past 10 years, it got to the point where it didn't just fold over in the center. When I sat down, it folded over my lap from hip to hip. This caused horrible rashes in warm weather. After last summer, I decided that I really needed to repaid my abdomen.

I went to see one plastic surgeon who told me that he couldn't even consider surgery on me unless I lost at least 20 lbs. He also thought I needed to have my entire back liposuctioned. Note: I didn't have a problem with my back prior to that appointment. At that visit, my weight was a little up at 136 lbs. Unfortunately, I know myself very well and know that keeping my weight around 129-130 is as low as I can go without completely overhauling my life. More importantly, I actually think I had a pretty cute figure, my tummy not withstanding. I was mortified and deeply upset.

Fortunately, my brother is a surgeon and he asked the plastics nurses at the local hospitals who they would recommend and they said Dr. Z. So I saw Dr. Z who looked at me for only a couple of minutes and said, "Yes, I can fix that!" He also thought my weight was fine. (Mind you, I weighed 130 on that day.)

Yesterday (4/17), I went for my 2nd post op...

Yesterday (4/17), I went for my 2nd post op appointment. Unfortunately, Dr. Z found a good size hematoma on my abdomen. He used a large syringe to aspirate some lovely inky black blood. Then he had the nurses wrap me in a compression garment. Dr. Z doesn't like compression garments for the first two weeks post surgery because he doesn't want circulation to the incision to be compromised. He even objected to my bra being too tight! (But oh so cute.) I told him I am wearing a loose underwire free sports bra at home.

Today, 18 hours after wearing the compression garment, I feel like the swelling might be a touch improved. But when I compare tonight's pictures from 6 days ago, it's a bit disheartening. I looked better then than I do now! Mind you, the dents from the compression garment don't help. I will try to up load pics now. But not tonight's. I'll try again in a few days. And if those make me happy, I'll consider uploading today's sad ones. In a nutshell, I look 20-30% bigger than I did before surgery. I'm a swellaholic.

Things I forgot to mention before. I am 45,...

Things I forgot to mention before. I am 45, married to the love of my life. I am 5 ft 2.5 in. I weighed 129 the day of surgery.

Day 15 P.O. Two days ago, my PS found a good size hematoma on my abdomen. He aspirated some of it and sent me home in a binder with both of my drains in tact. Allow me to tell you, I can't live with this right drain for another hour. It's the drain or me. In two hours, only one of us is getting driven back home by Stud Muffin. I am prepared to negotiate the continued presence of the equally unloved but less despised left drain. But the right one ... has to GO.

He pulled my drains. Both of them. I love Z very...

He pulled my drains. Both of them. I love Z very very much. The first one was absolutely ready to go. Only 15 ccs yesterday. And it was exquisitely sore. I couldn't sleep at all last night. But the other one wasn't far behind on the pain level so he pulled that too. Interestingly, the second one hurt more on removal and I expected it to not hurt at all because the first one barely hurt. All in all, drain removal was not a big deal. And life without drains is a beautiful thing.

Photographs, weeks 3 - 9

I went for my 9 week follow up on Monday. I felt a stitch *pop* on the incision line the previous Thursday. Afterward, I had a little fluid in the area. It is mostly resolved now. My incision is healing very nicely but of course I forgot to take pictures of it. I haven't had as much swelling as other people have. My PS recommended 100 crunches a day. I am doing that and am back on the treadmill. I am not a runner but I do a fast walk 4.0-4.2 mph (my legs are short!). I still have a large numb area from just above my belly button to the incision line. I have one dog ear on my left hip but Dr. Z will fix this in September. He and his team have been terrific and I am very happy with the results.

Photographs Weeks 8 - 9

Apparently, I hit post update too soon on the last update and didn't include the most recent pictures.

Last but not least -- the BEFORE picture. Terrifying

I think we can all agree that Z is a miracle worker ...

NEW PICS! 5 months + Touch Up Surgery

The pictures accompanying this post were actually taken a month ago. This morning I went in for a few revisions post full (nearly extended if you look at my scars) tummy tuck. I had one tiny dog ear on the right side, more of a pucker really. I had a small crease on the left side. And I had a small fat pad just above the central portion of the abdominal scar. Based on what I have read in some of the other reviews, I am very, very glad I went to Dr. Z. A lot of other doctors might have blown off two of the three areas that I wanted tweaked. (Check the pictures.) It takes a plastic surgeon five minutes to excise and resew a small dog ear. It takes a lot longer to liposuction and then refill a crease before liposuctioning along the abdominal scar.

As always, Dr. Z's nurses were and are wonderful. Maggie was on duty today. She administered the local anesthesia (Lidocaine) and she did a phenomenal job. I had absolutely zero pain during the entire procedure from start to finish. Note: The Lidocaine itself does have a significant sting during injection. It lasts moments. And nothing else provides that level of comfort for local procedures.

Dr. Z took plenty of time with me. My appointment was at 9 am. I left with my husband sometime after 10:30 am. There was no charge for today's appointment. I continue to be thrilled with my choice of plastic surgeon. As an added bonus, I recently had a check up with my internist who said my results are amazing as are the results of his other Dr. Z patients.
Providence Plastic Surgeon

My brother is a surgeon and he asked the plastics nurses at the local hospitals who they would see for surgery. They recommended Dr. Z. I love everything about Dr. Z. I think he is just super. He answers emails and texts right away. His nurses are lovely and very gentle.

5 out of 5 stars Overall rating
5 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
5 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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Comments (33)

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Nice job on posting pics! You look great! I have slacked on posting new pics but will get on that soon. I also have a revision Dr. Z said he will do in 2 weeks. My old bb scar did not heal too good, so he said he can fix that right in his office, and I have one tiny bump on one hip....not sure if it is really worth even touching. I am about 5 months post op....and my scar is similar to yours and getting beter everyday. Do you put anything at all on yours?
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I have done nothing to the scar as Z said the best thing for it is time. In his experience, none of the OTC scar treatments work. And if a prescription one did, I'm sure he would be handing out scrips. Post pics!!! And good luck with the revision. Honestly, it's a cakewalk.
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You look great!
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Thanks! Good luck with your surgery. Once you get past the first four days, every day just gets better and better.
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Thanks! That's what I'm hoping!
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I loved reading this! I too am 45 and had the same surgery done by Dr. Z. I felt like I was reliving my post op experience through reading yours. I agree, Dr.Z is an amazing surgeon and I trust him completely. He is a true gem and the only surgeon that will touch my body! Congrats on your transformation, it looks fabulous!!!!
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looking really good!
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Thanks so much!! You too. Are you feeling better?
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yes thank you :)
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You look great! We both had surgeries around the same time. I loved how I looked the day my drains came out, but the swelling that has occurred thereafter is very disheartening.......I am hoping to get some relief soon.
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I can't believe the first doc said to loose 20 lbs! He must not be a good enough surgeon to handle a tummy tuck! Glad you didn't stop there! And I'm so sorry to hear about the hematoma. How did he know it was there? Was it black ? Was it bouncing around? Could it come back? And btw, your gonna be so happy with yourself once the swelling is gone!!!!! Can't wait for more pix.
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Hi Kricken, and thanks for the kind words. My husband took photographs this afternoon. But he was literally distraught as he said the pictures didn't resemble the woman he was looking at. I don't know if it was the harsh afternoon light ... or his myopia. Either way, I am a lucky woman that he likes what he sees, not what the camera records. I am going to store up some pics for the moment and when we reach a point where the pictures are less upsetting to Stud Muffin, I will upload them.
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Oh, and about the hematoma. He could tell a) by visualization and b) he did a gentle percussive tapping on my abdomen. While you could see darkish patches below my skin, nothing was black. Can it come back? Hopefully no. Hopefully whatever was bleeding has stopped. Could a seroma form now that the drains have been pulled? Absolutely. That's why he wants me back in the office for another check on Monday. In the meantime, I am still draining and using surgical pads with a lot of washing with Dial soap and alcohol pads.
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As I always say, the camera adds -10lbs! Lol. I too am more happy looking at myself in person than how my pix look.
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You look awesome. And you have a little swelling. When it goes down you will be bikini ready! As for the first ps you saw, he must've been on another planet saying you were to large. I'm a pretty big woman, and my ps told me he had done, this TT on many women much larger than me. Your Dr. Z was a Godsend.
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Thanks so much Jeannie! Your pictures are terrific. You have had a great result and the pink bikini is super! You are absolutely not as large as you think you are. And yes, Z is a g-dsend. As I told him at our very first meeting, "You are making me so happy!!!"
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I think you look good before and after !!! The swelling will go down, or so everyone says - I've not had my TT yet - but, love watching the progress of everyone else so, thank you for sharing. I look forward to seeing more comments, photos (modesty, ha!!), and your progress to the flat side :) Happy healing !!
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Thanks MyTurn! I was super thrilled with today's visit. And even liked what I saw in the mirror (compression indents aside). But instead of taking pictures, I cooked dinner for the first time in 16 nights. And overate. In so far as one can overeat salmon, brussel sprouts and snow peas. :-) I will take more pics on Sunday. Enjoy reading everyone's stories. My husband and I found them very helpful and informative.
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Glad to hear you are continuing to heal in a good way. That dinner sounds worth what little bit you gained :) :) :)
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You are looking good!
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Thanks Anna!!
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And good luck with your surgery!
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Beautiful !!!!
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