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I am 58 years old, 5ft 7inches tall with a large...

I am 58 years old, 5ft 7inches tall with a large frame and I have struggled with obesity for most of my adult life. I am not sure of my heaviest weight but I guestimate it to have been close to 300lbs. My husband became concerned about my overall health and wellbeing and he strongly encouraged me to have bariatric surgery. I had a vertical gastric sleeve (VGS) performed in February 2014. At the start of my VGS journey I weighed 277lbs. I modified my diet after the surgery and I started working out 5 days a week. By February of 2015 my weight was down to 205lbs. My overall health had improved and I was getting some body shape back. I was feeling good and looking really good in clothes – naked, I was not looking so good. I had lots of skin laxity on my underarms, belly, and boobs. I was especially frustrated with my saddle bags, no amount of squats, lunges, leg presses seemed to have any effect on my saddle bags.

I started thinking about plastic surgery and looking for a plastic surgeon in February 2015. I wanted to get my weight down to 187lbs before the surgery and I felt I could do that by October 2015. First I started looking locally; I interview two plastic surgeons close to my home (Houston). I also interviewed a plastic surgeon in Costa Rica and I considered a plastic surgeon in Mexico, but I really wanted to have my surgery in the States. I also wanted to have my surgery performed by a surgeon who was experienced in dealing with massive weight loss patients. I wanted to find a surgeon who week in and week out performs the type of surgery I wanted. I also wanted to find a plastic surgeon that would be honest with me and who would be my partner in my plastic surgery journey. I had a good feeling that I had found my plastic surgeon after reading Dr Fisher’s reviews on Real Self. I made an appointment for a consultation with Dr Fisher in July 2015. At the consultation, both my husband and I agreed that Dr Fisher was the one; we paid the deposit and booked my surgery for October 6th 2015.
In July I weighed 199lbs so I ramped up my exercise routine and reduced my calorie intake and at the pre-op appointment in October I had managed to get my weight down to 189lbs. I was pleased but I still had those pesky saddle bags.

I had my pre-op and the mark-up done on October 5th. Surgery was performed on October 6th. Surgery day, the pre procedure process was fast and smooth. I was seen by Dr Fisher, the anesthetist and the circulating nurse. I remember very little until waking up in PACU, my pain was very well controlled thanks to the PCA. I had a urinary catheter and 4 drains two originating from each hip. I stayed in the hospital for two days and then we went to a hotel.

We stayed at the Homewood Suites which was ideal for my recovery; the hotel provided a great breakfast every morning and they also provide a small evening meal Monday through Thursday. The room had a kitchen and a separate bedroom. It did not have a recliner, but we brought a zero gravity recliner/lawn chair with us. We also brought a raised toilet seat with handles which came in really handy. I had no problems with my wounds or drains; mostly I just lay in the recliner and slept. Dr Fisher came and visited us at the hotel on Saturday.

I had my first follow-up appointment on the following Monday October 12th. After the follow-up appointment we drove back to Houston making frequent stops along the way. When we got home I was able to get into our bed. I had my head and legs elevated and I really only rose to go to the potty or empty my drains or walk around for a few minutes. I did stop taking the strong pain killers and switched out to regular Tylenol after about 5 days at home. This routine continued until we went back for the next post-op visit on Monday October 19th. At this visit my drains were removed and I was placed into compression garments.

Every day gets a little bit easier and I regain a little bit more mobility and strength. My wounds are healing well; I am wearing compression garments 23 hours a day, sleeping a little bit flatter in the bed. I still can’t sleep on my sides yet or lay on my belly. I am taking nothing for pain - I really don't have any pain unless I over exert myself, but I am still swollen, especially in my lower back and lower abdomen. I still have some numbness along the suture lines on my arms, but my arm range of motion improves every day.

When you look at my post-op photos the marks you see on my torso are from the compression garment and remember I am still swollen. I will post more photos as the swelling goes down.
I am very very pleased with the outcome of this surgery and I am looking forward to the next stage of my body transformation which will be a thigh and breast lift.

Provider Review

Board Certified Plastic Surgeon
7950 Floyd Curl Dr., San Antonio, Texas
Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

When I started looking for a plastic surgeon I had criteria that were important to me. First, I wanted to have my surgery performed by a surgeon who was experienced in dealing with massive weight loss patients. Second, I wanted to find a surgeon who week in and week out performs the type of surgery I wanted. Finally, I wanted to find a plastic surgeon that would be honest with me and who would be my partner in my plastic surgery journey. Dr Peter Fisher exceeded my criteria in every category. He is an honest, professional plastic surgeon who makes patient safety a priority and who performs excellent work (please see my photos). Dr Fisher promptly answered all of my oral and electronically submitted question before and after the procedure. He was always available to me via the phone/text and he even came to see me in my hotel after my discharge from the hospital. The décor in Dr Fisher’s office is comfortable and cozy. The office staffs are very friendly, they have always treated me with courtesy and respect and I have never had to wait very long before being seen by Dr Fisher.