(One Week Post-Op) Hello, A week ago today I had a breast reduction with Dr. Stiles. Like most women, I've suffered from back pain most of my life and have been wanting to do this for a very long time. Before the surgery, I was a 36G. Its too early to tell now being one week post op but it looks like I'll be a small C or full B.
Ready to get my body back after three children. Wish I had done this years ago. I started having symptoms of capsular contracture from saline implants put in 15 years ago. Exchanging for silicone implants and pocked revision. Also getting umbilical hernia and muscle repair.Updated on 2 Sep 2019: Currently weigh around 140, wear 8/10 size pants. Hoping to get rid of old c-section scar excess skin and go down a pant size or two. Also having lipo to help shape my waist. Very nervous, but excited!Updated on 4 Sep 2019: I’m two days away from my surgery. I pray for my surgeon and anesthesiologist and everyone else that makes sure I make it through. My husband has been wonderful and supportive. My kids too! This is one of my before pictures. Hope to put this on “after” to compare progress. Updated on 5 Sep 2019: I will going in for surgery in the morning. Just got the call from anesthesiologist and she was very pleasant and reassuring. Ready to do this!Updated on 16 Sep 2019: That was intense! Everything came out fine, it was a lot to put my body through. Haven’t felt like even looking at anything online. I’m down from 4 drains to 1 and supposed to get that out tomorrow. Just now really starting to feel human again. Cant wait to take a shower tho! Will try to take some “after” pictures tomorrow. Updated on 18 Sep 2019: I know it’s early and I’m being super critical, but thought the scar would be about an inch lower. I know my doctor had to make the choice of little higher scar or small vertical scar. I’m still pretty swollen and hunched over. I’m hoping when I get “straightened out” and the skin relaxes, my scar will land a little lower. But honestly, I’m happy and proud I don’t have all the loose skin and stomach bulge from the diastatis. Updated on 18 Sep 2019: I got my last drain removed yesterday and I took a shower this morning! It was glorious! Thankful for the shower chair, I just sat there and let the water run. I was amazed at all the adhesive I still had all over random places. Glad to get that off. This was really the first time to see myself. I weighed myself and have lost 11 pounds. Not because of the surgery (skin and fat removal less than 2lbs), just have been eating clean and very small portions. Not much of an appetite. No joke, week 1 is hell. Week 2 has been so much better. I’ve read that week 3-4 gets you back to almost normal feeling. I’m looking forward to it.
I did quite a bit of research ahead of selecting a plastic surgeon for Lipo. My list was narrowed down to 3. After meeting Dr. Stiles and members of her staff, I didn’t bother to go and meet with the third Dr. She answered all of my questions and I had many. I didn’t feel rushed. She seemed to understand how important this step was for me. I had my surgery in June 2018. I was quite nervous, but Dr. Stiles bedside manner was reassuring. A year later I’m down 2 sizes with a boosted self esteem and very happy with me inside and out. My new motto is to focus on shape not weight. I highly recommend Dr. Stiles
Dr. Stiles is extremely professional and personable. Her staff is wonderful as well. They are very accommodating and friendly. I would recommend Dr. Stiles to friends and family for all of their cosmetic needs.
Had Belotero in my lips and bridge of my nose earlier today, my first time with Dr. Stiles and she is outstanding. I do not like being over-filled, to the point where I haven't had my lips done in years after a bad experience. She understood my concerns, agreed with what I asked her to do and literally one hour later I can already tell I will love the result. Her nurse and front desk people are also fantastic (and we all know that has a big impact on the experience). I highly recommend Dr Stiles for filler. I also had a great feeling right away because none of her staff were walking around looking "plastic" which in Dallas is usually the norm. Dr. Stiles was quick, efficient, very polite and totally listened to me. Cost was ~$450 for one syringe.
I had my procedure done with Dr.Stiles 5.22.15. I did not have someone accompanied me so I could not take a calium. I was given tylenol 3 and anesthesia to the area to be liposuction. It was a very quick procedure. Dr. Stiles and the two ladies in the room were very nice and funny. They played some calming music and we were all very talkative. I have a post appointment next wednesday. She called me the same day to see if I was doing ok. All in all I am very happy. The headgear I am wearing is not too uncomfortable. Updated on 24 May 2015: Area is sore..but I have not had pain or had to use any of the pain meds. I have mainly been taking the Antiobiotic and using the arnica gel and taking the pills. I walk daily 4 miles but I was told not to do any heavy sweating..I took of the headgear to walk..I went out with a friend today and also took it off. Updated on 14 Jun 2015: I no longer feel real pain..still kinda swollen but like the results. I can take pics directly now instead of that high angle..lol Updated on 19 Jul 2015: Updated on 2 Aug 2015: One thing about human nature is that we are never quite satisfied..lately I've been saying..omg my chin is still huge..but then I look back at old pics and reality knocks me in the face with where I came from and where I am today.
I cannot believe how well this procedure went and how quickly it's healing! The procedure was completely painless. When the anesthesia had completely worn off by the next day, at worst it was tender to the touch, not nothing unbearable. I had no bruising and little swelling. Even with swelling it's a major improvement over pre-surgery. Now three days later, I can already go out and run errands and such without anyone noticing I had a procedure. The only tell-tale sign is the tiny incision under the chin. If it looks this good after three days, I can't wait to see the final results after all the swelling is gone!! Can't say enough good things about my surgeon!! People, make SURE you go with a board certified plastic surgeon! I'm so glad I did!! Updated on 6 Dec 2014: The "after" pic is only three days post surgery!! There's some swelling that I can feel, and which is of course expected this soon after, but if it looks this great three days later, I can't wait to see how it progresses!!!
I am a 29 yr old mother of 1! Love my little man to death, but my body never bounced back from my 65lb weight gain during pregnancy. I have managed to lose the weight and even had smart lipo of upper/lower abdomen and flanks on 1/25/14 (son was 9mo old). Lipo helped on flanks but left my abdomen looking worse than before -see pics. I had my TT consultation on 10/22 and have a tentative surgery date of 12/26 (God willing). I am both terrified and beyond excited!!! :D I would love feedback from the community on TT experiences, and will answer any Qs y'all may have! I hope sharing my journey -past, present and future- helps some women on their path just as following some of the other RS ladies has helped me. Updated on 24 Oct 2014: Updated on 26 Oct 2014: My DH and I have been really discussing this TT. I want it so BAD!! :) There is just so much to figure out. It is a lot of money, and I left my job 2mo back to be a SAHM. That means no income on my side and no where to put my toddler during my recovery. If anyone has some suggestions??? I have no immediate family left and my MIL is a teacher. She can help over winter break and my hubby can take a week off but that's it… sigh. I am about to schedule my official consultation with Dr. S -my first was in relation to fixing my lipo area and that is when we discussed a TT and what other options I may have. Hubby wants to join me on this consult to make sure we are on the same page. I will update again once (if) I have my official date set in stone. Until then, I would love to know what all you lovely RS ladies did with your children during recovery. OH! and where you slept! No recliner here. I have to figure that out. Thanks! Updated on 28 Oct 2014: How hubby and I forgot our Nephew is due the week we planned the surgery I don't know. Anyhow, we are now thinking either 11/24 or the week of 1/19. I will speak with the PS office tomorrow and pick my date (they are so sweet there). I'm nervous about the November date. Though don't tell my husband. I am also nervous because we have a lot going on over the next few months (who doesn't right?) Weddings, babies, birthdays… all out of state. UGH. I feel like it is too soon, and I feel like I won't have any support. Oh well. I wish my husband would sit down and TALK TO ME! He just says ok, whatever you want. No, not ok! We have things to consider, sir. Well, however it turns out I will let y'all know! I am also posting a couple pics. I had a ruptured ovarian cyst this week (YAY) and AF is about to show (again YAY) so I am super bloated. Just more before to enjoy the after :) Updated on 3 Nov 2014: Okay, after speaking with the PS office last week we all agree that waiting until January to do the surgery will be best. I will be so busy this holiday season that I will end up rushing my recovery and possibly putting myself at risk. This also gives me plenty of time to prepare. I have an appointment with Dr. S on 11/13. I will book my surgery on that date and update y'all :) On a separate note I hope all you lovely ladies had a fantastic Halloween and enjoyed Trick-or-Treating with your little ones. My son did an amazing job for his first time out. He learned after just a couple houses that his cuteness gets him extra candy, and his older cousin learned to use that to her advantage! Gotta love kids. They are crafty! I ran a 5k with my husband this weekend. We had an amazing time, and think we might try to start doing 1 5k a month. Our little hobby. I would love to love 5-10pounds by surgery date so adding on some more exercise isn't a bad idea. Lastly, my stats for anyone interested b/c I have not listed them before. Currently I am 152lbs and 5' 3.5'' … ribs: 32 waist: 36 hips: 39 Have a great week ladies! XoXo Updated on 13 Nov 2014: Alright, I had my (second) consultation today. It went very well. I still love the Dr (Dr. Christine Stiles - I wanted to avoid naming her until I was booked to have the procedure with her). I think her results look very good, she addressed my concerns for post op, and my questions regarding how my previous lipo will effect (hopefully enhance) my results. She was so patient with me through my nearly 20 Q's, and even helped me put a plan together in regards to childcare for my toddler while I recover. My new surgery date is 1/9/15. Deposit paid. I am on the books! I am hoping my nephew arrives on schedule and I can go visit them in ATL the week before my surgery. My husband has been fairly supportive. He says if this will make me happy and confident again then cost isn't an issue… yet, he has also been the reason I have had to move dates twice and has some pretty unsupportive crap to say at times. Sigh. Hopefully when it comes time he will be in my corner. I cannot wait for my turn to join the flat side! For the past few weeks I have been so much more motivated! Weight loss is getting easy (I hope to weigh 140 or close at surgery), and I have begun to ignore when self criticism tries to creep into my thoughts. I can look past the saggy, dimpled skin and the bulge above my belly button b/c I know their time is drawing near. What a freedom :) Until later ladies! Updated on 5 Dec 2014: Quick update here. I hope every one is doing well! I am in the process of scheduling my tests that I need for my TT. My new insurance plan is going to require me to pay 100% of the cost. Oh joy. My Pre-op in 12/30 EEKKK!!! I can't believe I am only a little over a month away from the flat side. Crazy! I somehow managed to lose a pound over TG week. Not sure how b/c I ate non-stop for 3days! My goal is to be at 145 for my TT I am at 149 right now but with the holidays… we shall see. My stomach is at the point now that each pound lost adds noticeable loose skin and dimpling. It is gross to look at but is really helping me justify the cost and pain/recovery of what I am about to do. yay? :) Oh, how common are TT nightmares during the countdown to the flat side?? I had a dream last week that I had the surgery, but was so doped up that I came home (in no pain) and slept on my side, tossed and turned in bed and cleaned the house before I remembered I had just had the TT… I took off my binder and my TT was RUINED!!! I ran to the PS crying and begging for a redo and she said it was too late. AHHHH It was a horrible dream. Lol. Updated on 16 Dec 2014: I moved the date back again bc my SIL has selected a date to be induced (with my new nephew - yay) on a date that will cause me to miss my surgery. So... 1/19 it is. I'm about a month away and I'm so excited. So much so that I can't even focus on my vacation that starts tomorrow. Vacation smacation I want my TT!! I also started a TT recovery activity basket. Scrap books, Kindle, music, blanket, manicure supplies, etc. I have more to add. I refuse to be bored! Updated on 30 Dec 2014: Just got back from Pre-op and I am feeling all sorts of excited and nervous now! I received all my vitamins, my walker, pre/post-op instructions, supply list, etc. The nurse even ok'd my diet plan for post TT. I have to cleanse with Hibiclens for a full 5days pre-op, and I was told I would have at least 1drain for a full 2weeks :(. Bummer. Oh, and get this! NO SHOWER AT ALL while I have a drain. I have to mentally prepare for this. LOL I also paid for the rest of my surgery today so I guess there is no going back. :) Interestingly I was told NOT to use a heating pad after my TT -I've seen that a lot of RS ladies use them. The nurse said b/c of the numbness to the area she has seen women with 2nd degree burns from heating pads… ouch! Ok, no heating pad! I'll just be taking that out of my TT box! I also ordered my power-lift recliner the other night and set up my TV/DVD player in my recovery area (where I usually work-out so at least I am somewhere that I can relax) I feel like I am really coming along in my prep! After my appointment this morning it feels much more real. I will be making a run to the local Walgreens for supplies this week. So if an of you awesome ladies have input on what I do and don't need please share! Thanks! My favorite part of my pre-op appointment was being weighed! I know, I know, I am crazy, but I weighed 1lb LESS than I did 3weeks ago and considering we are in the holiday season and I just spent a full week on vacation that is a real win! YAY! I hope all you RS ladies had a fabulously Happy Hanukkah and Merry Christmas!! Happy New Year and be safe! Updated on 8 Jan 2015: Yesterday sucked! Completely sucked!! 2 months ago I set an appointment with my OBGYN to have tests done and my H&P done b/c I don't have a PCP -when I am sick I go to urgent care. I let the doctor know I was seeing my OB, I let the nurses know. I informed everyone. All of a sudden OB won't sign consent… ok… sucks. I call the PS office and the nurse (super nice), Dana tells me since the OB is a surgeon herself she can't sign off… OK SO WHY DID NOONE INFORM ME OF THIS TWO MONTHS AGO?!?!? I have NO PCP! So then we call the urgent care (CareNow) and speak with 3different people about what need done. They all confirm they can perform my tests. I web check-in and wait 2hrs to get a call telling me to come in. I get there do the first round of stats and eye test and wait for about 5min in the room for the nurse to come in and tell me the doctor will not sign consent. OMG I spoke with 3people who said this was all ok… AWESOME! To top it off she was very rude to me, and I heard the doctor make some derogatory comments about me as well. E.G… "dumb housewife better have a PCP or no tummy tuck" I stormed out. I was furious. Pardon my language here but what a hateful, snide [RS bleep]. At this I am sitting in my car crying b/c both of the PCPs the PS told me to call want me to come in for 3 separate appointments over a 3week period before they will sign off on surgery. My surgery is on the 19th. I am completely freaking out. I explain everything to Dana (Dr. Stiles Nurse) and promise I did not procrastinate! I have everything else good to go. Even scripts! She then calls several places until she finds a PCP whose PA will take care of on Monday and get the tests to my PS by Wednesday. OH THANK GOD FOR YOU DANA!!!! I am still freaking out. I am afraid something will still go wrong! Well, then on top of that drama and MAJOR stress last night I was notified that someone in AUSTRIA has somehow accessed some of my passwords and is attempting to steal my identity by hacking my accounts. Ohhh my gawd! I spent 2hours on the phone with my banks. I couldn't get anyone to help me at PayPal so I am seriously hoping that account wasn't compromised… you know, since it is linked to my checking account :-/ Needless to say I was stressed all night and ended up eating about 20 mini biscotti and half a container of hummus! Seriously not on my "be good to my body pre-surgery" diet plan. I am trying to keep my head held high, but am feeling a little like this is a message that I shouldn't have surgery, and as my non-supportive best friend puts it "waste 10 grand". I hope everyone else is in a better state of mind today. Thanks for letting me vent ladies :) Updated on 12 Jan 2015: Well, this time next week I will be in my hospital bed recovering :) I finally had all my tests done today. Thank God! I am so much less stressed! Unfortunately the past 5 days of these TT stresses along with my husband being out of town have taken a toll and I have gained nearly 3 lbs. I passed my EKG today. Now I am just waiting to hear back about my x-rays and blood work. This doctor's office I went to was fantastic and the PA who did my physical was so sweet. Of course when I left I was still $300 poorer. If you are in the north Dallas/Plano area check out Bent Tree Family Physicians! The anesthesiologist called this afternoon for the payment so that is one more item to check off. I think I am good to go!! All I am waiting on now is my recliner to be delivered and the OK from DR Stiles's office. Did I mention how much less stressed I feel this evening?? *Sigh* of relief! I've included another round of pre-op pictures! Enjoy. HA! Updated on 14 Jan 2015: Dana called from Dr Stiles's office today and I have the green light! :) Paid the hospital, and paid the anesthesiologist! The nurse from Presby Plano will call me on Friday and tell me when my surgery is and all the other pertinent info. I'm getting excited ladies!! YAY!!!!!! Updated on 16 Jan 2015: I'll be flat in less than 72hrs! My chair arrived this morning and I've been getting my area organized and ready for recovery. I'm so excited! Ready to go! Only complaint is that my procedure isn't until noon on Monday so that's a long time with no water, food and more importantly COFFEE! Sigh. The sacrifices we make for beauty and confidence. Ha! Updated on 18 Jan 2015: My nerves are in jumbles! I cried multiple times this morning saying good-bye to my son before he left for Nana's house. All the "what ifs?" wreaking havoc on my mind. It is an absolutely gorgeous winter day here in North Texas. 70degrees and clear blue skies. I took full advantage of this and walked 4miles with the puppies. I feel much more relaxed now. For the most part. A few quick Qs… What did everyone wear to surgery? I have a going home outfit but I hadn't thought about my going there outfit. What is easier for recovery a sport bra or regular bra? AND may I wear lotion on my face in the morning? I know no make-up, body lotion and no jewelry, but what about facial lotion? Ok, thanks! Pray for me people. Now I am off to have my last shower for… um, well, if the nurse was serious, two weeks. Ugh. AHHHHHH I'm still SO NERVOUS… maybe I need to go walk 4more miles? Hmm... Updated on 20 Jan 2015: I'll update in next two days on my experience, but wanted everyone to know k made it :) I'm in much more pain Than expected but I know it will pass. I'll post the one pic I've gotten to show :) Updated on 20 Jan 2015: Updated on 20 Jan 2015: Don't have my bind yet. I'll get that this afternoon when I am discharged. But here is another pic. I'm so exhausted I can barely keep eyes open. Updated on 20 Jan 2015: My chest hurts so bad! I can barely breathe and have failed my breathing treatments all day. I am home but I'm in so much pain I can't get comfy. I'm not sure if this is normal… OH and I have a fever of 101. I've been a grump all day, but I think that's just because of the pain. I've even caught myself thinking, "why did I do this?" I'm hoping tomorrow is much easier. Please tell me if you ladies who have made it to the flat side have this much pain. I want to just mention how awesome Dr Stiles and her nurse Dana are! They are truly fantastic. The nurses at Presby Plano were horrible! I had a great one over night but then this morning came hell. They gave me incorrect meds even after I argued with them, they pulled me out of bed by my legs and told me to use my abs and work the muscles… Um, what???? PAIN!!!!!!!, and one nurse left me in a bathroom unattended with both my room door and my privacy curtain WIDE OPEN. I was happy to get out and head home! Eh. I don't want to complain anymore so on the positive side of things I'm LOVING my results already. I am going to try and post this pic again. I did a comparison of before and after. I'm really super swollen so I am glad I got the pic this morning. Updated on 22 Jan 2015: I had my first post op visit today. Everything looks good except for a bad rash I have on both my flanks. I am hoping it clears up in the next few days. I am putting ointment on it so fingers crossed. My right drain hasn't been producing much since surgery. The nurse moved it after post op but to no avail. I was still only getting around 10ml every 6hrs so today I had the pleasure (hell really) of having the drain repositioned again and my abdomen squeezed and milked until they ere able to get a fairly large clot down the tube. My pain is more manageable. Thank God! BUT now I'm continually nauseous. It started this morning with my antibiotic and hasn't left. Ive eaten, much more than I want, but it hasn't helped. It's a horrible feeling. I'm really hoping to avoid vomiting but it may be inevitable. Updated on 22 Jan 2015: According to my discharge paperwork just under 2 lbs of tissue was removed. 1000 cc tumescent fluid was used for lipo with the removal of 725 cc of fatty matter. Not too shabby :) Updated on 23 Jan 2015: Day by day things are getting better. I was able to change and clean all my dressing by myself today. YAY! I'll post some pics of how swollen I am. I am wearing a size 38 bra (normally a 34) from my pregnancy days. I am also wearing maternity pants that would fit a size 12-14 (I'm normally a 8-10). So I am definitely swollen. My PS does bra role lipo as part of the package. I wasn't actually aware of it until she marked me and I then mentally I was going "yay!" :) Also in the pics you can see the rash I have going on my right side. Enjoy the pics, and please excuse that I decided to wear hospital undies. LOL. They are so comfy! Updated on 24 Jan 2015: Sorry for the TMI, but finally had a bowl movement today. I have a history with constipation problems so today was a relief. Once I realized that my body was ready it was very easy to go. No problems or straining :) I have been taking 1 stool softener a day since 2days prior to surgery. I think that has probably been a beneficial factor. I also stopped my pain meds except for bed time. So I am a little achy but actually feel much better without all those drugs in my system. I ate my first real meal today. It was small but FANTASTIC (low sodium of course). Only concerns are a blood blister that has developed under my incision on my left hip. ^pic included Updated on 26 Jan 2015: I am feeling much more human today. Every day gets better. I walked around the house this morning WITHOUT MY WALKER and cleaned up a little. I also had a real meal last night for the first time since pre surgery. My husband are me a veggie/couscous stir fry with grilled salmon. It was so delicious! I also was bad and had a snickers ice cream bar… :O… trust me, I am paying for all that today. I am very swollen! My incision is still looking good, my blister is constantly oozing but I am keeping ointment on it, and my tape burn is slowing starting to fade. All good things. On the negative that lump I had from my previous lipo looked like it had been done away with, but this morning I swear it was back. Might be something other a fat lump from lipo. I'll ask my doctor tomorrow I guess. The other negative is I am suddenly very constipated. I believe I mentioned that I have a history with this so It was expected but after 2days of easy goings I was lulled into a false sense of safety. For some reason I am not able to upload photos so I will keep trying! I hope everyone is doing well!!!! Updated on 26 Jan 2015: Updated on 28 Jan 2015: I hope every one is doing well today! I had my left drain removed yesterday (YAY). I was so afraid it would hurt, but I truly felt NOTHING! It is so freeing. Just that one little drain being gone. Amazing! Second drain comes out tomorrow So big hooray! I think that means I get to shower soon. Boy, oh boy. I washed my hair in the sink the other night but it wasn't pleasant and I don't think I will be doing that again. So far everything is moving right along. Loving my results. Still. Swelling changes day to day. I am waling a little more upright but am still a hunchback. The other day I ended up with severe constipation after thinking I was in the clear so my advice to you ladies who are not yet on the flat side is to continue those stool softeners for the entire time you are on the meds plus a few extra days. It was not a fun experience! I am 9days out but am having to still maintain a VERY clean diet. I find I am pretty hungry now. Even though I am not getting much activity in. Unfortunately juicing and veggies/nuts/cheese don't satisfy my hunger, BUT they do keep me regular and the swelling down. My Q to y'all is: Has anyone had sudden burning when peeing after drain removal?? I'll be back at the PS office tomorrow so I don't want to call but after having my drain removed yesterday every time I pee it feels as if I am passing sand… not pleasant. Just curious if this might be common? Updated on 30 Jan 2015: My second drain was removed yesterday. It was down to 20ml in 24hrs. However, today I am in increased pain and have increased swelling. I assumed more swelling would be normal after drain removal, but not sure about this pain. The swelling isn't horrible. I am not jumping to, "I've got a seroma", but just concerns me b/c the side the drain was, well, draining is very sore. Has anyone else had more pain and swelling after drain removal, or have any advice for me? Thanks! Updated on 2 Feb 2015: Two weeks! WOW! I can't believe two weeks has already gone by. It seems crazy to me. I am fairly self-reliant at this point. I can do everything on my own, but certain things are still difficult and uncomfortable (like bending down to pick things up). I also tire VERY quickly. Today was my first day back to Mommydom. I am absolutely exhausted! Man, I thought toddlers were tiring before this! I'm really looking forward to my son being at school tomorrow. Is that horrible? I only have 2 minor concerns at this point: 1) My tape has been peeling off of my incision for the past week on my right side. I now have 3inches of exposed scar. The nurse didn't seem concerned last week but when the tape peels it pinches and pulls the skin. It's unpleasant! I keep trimming the tape but it just keeps peeling. 2) I have been waking multiple times a night to my abs flexing rapidly. I'm not sure if I should be worried but I don't want anything jeopardizing my results so I will be taking valium at bedtime again. Ok, enjoy the pics and have a great week ladies! Updated on 9 Feb 2015: Good afternoon RS aides! I hope all is well! Today marks 3weeks for me! How exciting! I am only 1wk from being allowed to exercise again. I can almost literally not wait, as in I have to keep talking my self down from getting on my elliptical! I went for a walk around the neighborhood yesterday. The weather here is so beautiful I just had to get out. This was my first time out of the house (except for Dr appts) in 3weeks! Not b/c I couldn't physically handle it, but b/c I am still a hunch back and I am too proud to be seen that way (sad, I know). I live 4stories above a wine bar, a salon, and tax agency. It's never not packed on the streets. I shouldn't care but I do. I feel great. Tape still peeling but they are removing it on thursday so I was told not to bother trying to keep it in place any longer. It pinches and pulls every time I stand or sit, but once I am situated in a position I'm fine. I should be walking normal by the end of the week. It is getting much easier every day. I am much more swollen this week. I believe this is b/c I haven't been watching my diet as I should, and I have been much more active. At some points the swelling is uncomfortable. I really need to crack down on my sodium intake. That's my advice to anyone fresh on the flat side. Try to keep that sodium intake down for as long as possible! My only concern at this point is my BB. It was doing just fine until about 4days ago. Then, (the same time my swelling kicked up) it started to get really red with some yellowish crusting, and when I went to clean it the red areas would start to bleed. I have been cleaning and applying ointment 3x a day for the past 2days and it seems slightly better. I'm hoping that maybe it was just getting too dried out. I have been alternating the ointment with Aquaphor as instructed by my PS's nurse. Have a wonderful week ladies! Updated on 12 Feb 2015: Well, overall the check-up was great. The bad news for me… PS is requiring I wait until 6wks to get back on my elliptical or go running. Three months before I can get back to rock climbing. This was fairly upsetting as I was under the impression I could start cardio at 4wks, and climbing at 8wks. However, I was cleared to start my squats back up as well as amp up my walks around the neighborhood. They don't want me getting my heart rate up to the point of sweating, but I will take what I can get. My belly button still is very irritated. Dr Stiles thinks that it might be the moisture. I am to stop cleaning it and give it 24hrs to dry out. Then I am to try a new ointment (I can't recall the name right now) once a day for a few days and see if that helps. If I continue to have a problem then I will be given a steroid cream. Scar tape was removed today. The removal sucked a little. The whole scar area feels like pins and needles to the touch plus my hair has grown back in my mons so removal was akin to being waxed. My scar looks great. I am pleased with how healing is progressing. I am told that at 3wks out the scar has about 85% strength so it is very unlikely to open up, however caution still needs to be taken to avoid stressing the area. No laying flat for me! I start silicon strips tonight and my scar gel tomorrow… now where did I put that?? I gave the walker back today! YAY! I was so happy to give that thing back. The rent-a-center people are coming tomorrow to take back my chair. I am honestly very sad. I have fallen in love with this recliner. When it is time for new living room furniture in a year or two I will definitely be buying one of these bad boys! Ok, I didn't intend for this to be so long! I hope someone finds this information helpful. Have a great week RS ladies and I'll post some Month pics on Monday :) Updated on 16 Feb 2015: No real change. Doing scar management and patiently waiting for my swelling to go down. Have a great week ladies! Updated on 21 Feb 2015: Hey, ladies. I am feeling blue this week. I keep trying to tell myself it will pass but I don't know… I feel SO big! I am hoping it is just swelling,but I'm almost at 5wks post op and I feel like my swelling should be a little better not worse! I am afraid I am gaining weight. My shape is getting more and more round. I just feel so fat and gross. My jeans STILL don't fit, and to make it worse I am PMSing majorly. To top it off have what appear to be new stretch marks on my tummy. Someone please tell me things will get better??? This is the first time I am wondering if I was right to spend nearly $10k on doing this Updated on 23 Feb 2015: I'm still feeling very blue as I posted earlier this week. Thank you for the kind words and support! I have lost the curves I saw after surgery and now from the front you can't see a difference to my shape. Very disheartening. I sent pictures yesterday to Dr Stiles and she asked me to come in ASAP and get aspirated as she believes I have a seroma. I am including a comparison pic 2wks vs today (at 2wks I had a great shape), and before vs today at 5wks (shape is nearly the same). Otherwise, I am trying to take it easy today and see if that helps with swelling at all and luckily it's a icy mess here in N. Texas so hubby is home playing with our son. Still doing scar therapy. It's amazing how much improvement I have seen in the 1.5 wks since my tape was removed. Have a great week ladies, and hopefully I will be updating with more positive thoughts soon :) Updated on 24 Feb 2015: Well, I didn't get aspirated. Dr. Stiles did say that she thinks there is a small amount of fluid present but not enough to aspirate. Didn't really say why I am having pain there, but that it is highly unlikely I tore anything. Some likely reasons for the dramatic swelling according to Dr Stiles are small pockets of fluid coupled with inner-tissue swelling, gas could also be trapped in the area. I am to use added compression, in that area, to help force the fluid out of the tissues. I am still apprehensive about the area and the swelling, but I can always go back in if I my nerves get the best of me. I've included a couple pics. I'm doing my best to focus on the positives and remember that I still have a long road ahead of me. Updated on 2 Mar 2015: 6 weeks out and doing well! EXERCISING… I started getting back on my elliptical Friday evening. I broke 30min up into 2 segments as to not push myself too hard. I would have loved to spend hours on the elliptical! I really missed exercising and the time alone with my music more than I realized. I was tired on Saturday but not as much as I expected. I was able to work out Saturday and Sunday as well. I was pleasantly surprised that my swelling did not worsen with the exercise. I really expected to be very swollen like I was last week. SWELLING… I have kept my original under on all week. I know most ppl move to spans at this point, but with the major swelling I was suffering from Dr Stiles instructed me to remain in my binder for another week or two. I also have kept baby washcloths and ABD pads stacked on my side to add composition to my problem area and it is MUCH better. SCAR… my scar is healing beautifully! The tape is still sticking - somehow - and I am applying my gel every evening. Overall I am very happy. I find I get hungry way to often and I am struggling with self control, but I will get back on the band wagon. I signed up for my first PO 5k. It's a fun run. The VIVA LA MARGARITA run in Dallas in May. Excited! So my focus exercise wise is to start focusing on my running game and my flap-happy arms! :) Updated on 16 Mar 2015: Good day RS ladies!! I hope this Monday finds you all well. Today marks 8 weeks post op for me. Not much has changed these past 2weeks. I am staying pretty active and started incorporating (very low) weights into my exercises. I have noticed that the swelling around my incision and in my mons area has improved - btw still using my tape (not sure how it still sticks!) but only every other day so that I can use my gel on the days in between. Over the past week the area directly above my belly button has started to protrude. It doesn't feel like a seroma or muscle damage so it must be some new swell hell fun from my cardio and weight activity. There are definitely some days that I push myself too far and I pay for it! I wear a FitBit Flex. I love my flex and have been hitting my 10k step a day goal fairly often, even though my body doesn't always enjoy that amount of activity. Well, the other day I hit 13k steps. I was beat, and yesterday I was in pain all day! I was in bed at 7:30 as soon as my son went to sleep! I guess it's easy to forget this far out that our bodies still need some TLC and time to recuperate. My son's 2nd birthday party on on the 28th. This will be the first time anyone will see me post surgery. I don't really look different in clothing at this point b/c of the swelling. I do hope that I feel comfortable enough by then to wear a form fitting shirt. X crossing my fingers X (!!!) Have a great week, ladies! :) Updated on 19 Mar 2015: Enjoy :) Updated on 22 Mar 2015: Sorry for blowing your feeds this week ladies, but I felt fantastic yesterday so figured I would update! I woke up looking less swollen then I have in a long time (YAY) and that happy feeling followed me all day! I went out last night with hubby and some friends. I had my binder on and my clothes still fit and looked great. I had dinner, drinks and then our party walked over to an ice cream shop for some late night decadence! I'm including pics. I may not look different but I sure felt better. Last night was a great test run for this week. Hubby's birthday dinner is tomorrow and then our son's party is this weekend. My BF is coming into town and wants to go out with me on Friday night. I considered last night my trial run b/c I know she is going to put me through the ringer :) I hope everyone has a great week and happy healing! Updated on 21 Apr 2015: Hey ladies! I have hit the 3mo mark! Thankfully, I am finally able to run without pain in my abdomen. I am also able to plank and do some easy 5.6-5.7 climbing routes without pain. I did pull a muscle - NOT FUN! So, watch out! It happens fairly easily I guess. Results in MAJOR swelling and some pain! I also have quit wearing compression at night and only wear my light weight binder during the day if I am running or on the elliptical. The swelling is incredible but I just deal with it. I think at 3mo out I need to let my body adjust so that the swelling can start to fade. I remember with my lipo the swelling lasted for 6mo, but I believe that is truly bc I wore my CG for 6mo. One week after I quite the CG the swelling subsided. I am working towards quitting the CG now and not drawing this out for 3 more mo. ALSO, at my 3mo checkup I asked the nurse if there was any point to me ordering more silicon tape for scar maintenance. She said it was absolutely a good idea. ***I ordered Mepitac Silicon Tape*** I like it so far, and you get a good amount of tape for $20. Much better bang for your buck then ScarAway brand. I was told I can reap benefits from the tape until 6mo post op. Unfortunately, I have managed to gain 5lbs in the past month. I am going through some very stressful stuff in my home life. My husband and I are separating and divorcing. It is a mutual decision, and a long-time coming but still a hard one, and we all know this recovery process is mentally draining so between the stresses I am not being diligent, or unable to be diligent -IDK. For those of you who are about to join the flat side gaining weight after the surgery isn't much fun. The 5 lbs I have put on is all in my upper/lower body. I feel disgusting! My pants don't fit. My arms are huge. My upper body is becoming linebacker-esque, and the cellulite on my legs and ass has become SO MUCH WORSE. Sigh… KMN please! I hope I am not alone in this struggle. It is hard to keep the positive vibes going. I am staying very active! I have 3 5Ks in the next 6weeks so I have been rebuilding my endurance for those. Emotionally I am struggling with the amount of money I spent on this surgery and recovery. I feel guilty as hell for gaining weight, I feel guilty for not being happy with my body, and I feel guilty for everything my family went through during the recovery process. I still feel it has been worth it, but for the surgery to remain worth it I need to get my **** together and work to achieve my goal. I would love to hear how other RS ladies are staying strong and sticking with the healthy lifestyle. The stress I am dealing with at home isn't going to end anytime soon, but if I can find a way to cope without drowning my emotions in CHOCOLATE and WINE this battle will be much easier. Updated on 27 Apr 2015: Hey RS ladies! I have now been using the Mepitac tape for one week and want to give y'all a quick review on what I think so far. First, the one con… It is not as sticky as the tape from Dr Stiles office. It sticks fine but will move and bunch some during the day. Also, after just a week one of the edges is starting to peel back slightly after application. Usually I only have to smooth it down once but this is a problem I didn't have with the other tpe until 3-4 weeks out. Ok, PROS… Again this silicon tape is much cheaper than other brands and you get several feet of tape in the box. Huge plus! So, I have only been using this tape for one week and I already see improvement! That is AMAZING! I have not seem much change in my scar (other than smoothing) since the surgical tape came off at 3wks post op. The gel seems to be doing nothing and the old silicon tape did help over the 5weeks I wore it but I did not see any color change during that time. My scar is even smoother now than it was a week ago and is already beginning to change color. YAY! Also, my scar now itches ALL THE TIME when I wear this tape. To me that is a good sign of healing. My last pro is that this tape is washable. My other silicon tape was not. It become so gross that I hated having to put it on. The Mepitac brand can be washed and hung to dry. I hope this review helps ladies. I will give another review on the Mepitac tape when I do my 4mo update :) Updated on 10 May 2015: Hey, ladies! For Mother's day weekend I ran my first 5k since having my TT. I was joined by my MIL and my son (who cheered me on). It was really invigorating! It stormed all morning so I ran in the wind and the rain. Great experience! I have been without my CG for …I think about 2 weeks, but I decided to wear a compression tank for the run b/c I knew my body was going to be pushed hard during the run. Thankfully I didn't feel pain in my abdomen -different story for my knees (and today my shins)- but I did swell something fierce! I am still swollen today but am back to not wearing compression. I have another 5k this coming Saturday. Hoping for another good experience. Get out there and run ladies, no fear :) I finished up my day with cocktails and a concert! Great day all around! I hope everyone else is having a fantastic Mother's Day weekend!!!
Completely deflated and slightly asymmetrical chest (34a/ 32b), very athletic, slim build, so once I turned 30 yrs old, I knew it was time to actually look like a 30 year old ( and not a 12 yr old)! I've always been small, but when my VS swim bottoms became a sz medium, and I couldn't even fill out a small top, that was a major eye-opener. I've been wearing double silicone inserts in a 34c bra for about the past 6-8months in prep for the change. It's helped a lot, but I've been so limited in regards to the type of tops that I can wear( since the double inserts aren't exactly smooth and natural). It's been 48 hrs post op, and I think they look great so far. Super natural and proportionate. Might have been able to go 1 size up, but my husband says they're really nice as-is. He's probably right. I'm telling you ladies, looking at breasts for the past 6 months straight has completely skewed my perception. My advice would be to stick to looking at only pictures of those desired outcomes that you actually want for yourself. There are so many beautiful images of 22-25 year olds with 36D breasts on 25" waists out there, but if that is not your desired look or even in the realm of possibility for you, just steel clear of those images. This is about YOU and YOUR desired results that you'll be living with! Pre-op issues: I had a tough time getting SX clearance from my PCP due to autoimmune issues with RA/LUPUS markers in my blood. Took 3 sets of labs, and 1 visit to the hematologist/oncologist! Completely freaked out at that point, but all was well and she gave me more insight into my body. I love that the dr's were all so precautions. The SX was initially scheduled for 10.3, then pushed to 10.10 due to that 3rd set of labs. Some extra changes with wk scheduling was needed, but totally worth the trouble. I couldn't find much info out there on the web in regards to RA and BA's, so if you're in that same boat, just stay on top of your rhuematologist and PS for more info on your condition. The day of SX my husband was amazing, waited in pre-op room until they wheeled me away, then was right there in recovery room once I was finished. I considered not telling my mom about the SX but was so glad that I did it about 2 days pre-op. She had a BA about 13 yrs ago, so I knew she'd be supportive, but it was still a little embarrassing for me. This is a very private thing and it made me uncomfortable to share with her. Very glad that I did, and she was glad too. She's helped us out as lot actually because she's been able to watch our dog(and that was a big concern since she loves to jump up on me and sleep in bed with us!). Post-op: Sticking to the meds has helped a lot, but you've got to stay organized since there are so many! I made a calendar entry in my phone for each dose to take and at what time. ( I'm totally OCD and I HAVE to be organized) this really is necessary though since the meds make you very loopy and drowsy. No need to risk missing a dose or overdosing. Time will tell how they heal, but 48 hrs post-op, I've had little bruising, no seepage, and minimal pain. Can't wait for the post-op appt on 10.14. I'd love to hear what my dr has to say about my progress! Updated on 14 Oct 2014: Post-op went great today! (SX on 10.10. & post-op 10.14) The Dr showed my the proper massages/ exercises to do in order to soften and shape the breasts. I already feel like they look as if they're 1 month post-op though! I think it has a lot to do with the fact that the size wasn't a huge change from my original. She said that they'll soften up and the sternum will become less swollen-although it really isn't very swollen now either-just feels a little itchy at times. Still taking recommended meds, but weening myself off of hydrocodone and only taking it every 8 hrs instead of every 4. Starting to feel light muscle spasms, so sticking with the Valium schedule for sure. I think the spasms might be coming now due to the local anesthesia wearing off. ( Dr. Stiles uses an interior local anesthetic inside the breast during SX to help with first 48-72 hrs of pain) must be wearing off now. Updated on 19 Oct 2014: I'm 9 days post, feeling great! Thought it was time to share some helpful tips and supplies that have made my recovery easier. Full disclosure- I'm completely type A, OCD, etc, so I'm the over-prepared type, but can honestly say that I wasn't missing a thing. Hope you ladies find some of these things helpful! Updated on 19 Oct 2014: Here are a few pics. 290cc silicone bilateral, under the muscle. Don't have any day-of or early post-op pics, but I never really had too much swelling since the implants were not very large for my frame (honestly- I could've gone up one more size, but I'm very happy with the natural outcome). Updated on 25 Oct 2014: Happy to say that I'm recovering well after 2 weeks! Went back to work after 9 days off, started driving again, and I've been off all meds for a while now. Taking Tylenol for pain, and just adjusting to post-op life. It's so tough to keep your top torso still! Opening doors, using the steering wheel, and turning the shower faucet on are some of the hardest things to do. And the mornings are the most painful! The massages/ exercises help. Also, finding a proper bra to wear is tough, so I've added a pic of one that has worked well for me. I bought it in all colors (blk/tan/grey) $12.99 from Target. 3 week post-op is this week, hoping for a good report from my PS. Can't wait until my 6 week mark so I can get back to yoga!! Updated on 30 Oct 2014: Feeling like I wish I had gone bigger. This is the dillema that most women go through apparently, just didn't think it would happen to me. I appear to be just a 1 size increase as of now, and I know that swelling will only go down more. (I'm actually dreading the day that the swelling goes down, bc that only means that my size will appear smaller) Has anyone else out there had these same thoughts 3 weeks post-op? I'm trying to be positive, but I feel like I went through all of this for not much of a change. On the bright side, I feel great- not much tightness, only pressure in the AM for about 5 mins after I wake up. I have the major itch to start yoga again, so non-activity has been tough. 3 week post op appr is today, I think I'll express my size concerns to my PS-we'll see what she has to say. Any advice for this so called "boobie greed" would be greatly appreciated!
I have found this site so very helpful and decided to go ahead and write my review. I am scheduled for Monday and I am nervous! I get on this site daily to get ideas about what to expect and how to set up my recovery at home. I will post some before and after pics soon. My story is I have been a 34 c on a 5ft 2 in frame. After breast feeding two babies my breasts took on a life of their own and continued to grow. I went to a Dd then DDD and now an F! I have back and neck pain, shoulder grooves and it is very hard to find swimsuits, bras, etc... That fit and will support the girls. I waited a year to have the surgery because I wanted to lose weight. However, both surgeons I consulted with said because I have mostly dense breast tissue and the fact that I only want to lose 10-15 lbs that it won't make a difference. So even though I increased my workouts, starting eating better, etc I did not lose the weight. I have toned up but the weight remains. I am hoping after recovering I will finally lose the weight and be able to show off the new and improved me. Updated on 14 Sep 2014: I can't believe I am actually going through with this. I am excited and nervous and don't know if I will be able to sleep. Thanks for any support! I will post before and after photos...eventually. Updated on 16 Sep 2014: Everything went well! I spent the night at the hospital and all is well. Right side is looking better than the left. Dr. says she took a pound from each side. Right nipple loks pink and great. left is darker. Dr. Stiles came to see me yesterday evening to check on it and adjust the drain because the left one wasn't draining. I'm hopeful the left will start looking better. Pain has been minimal. Taking the pain med as scheduled so I don't hurt. HELPFUL HINT: neck roll pillow! thats al for now. Updated on 17 Sep 2014: Feeling pretty good today. Slept great last night because I woke up at 1 am and took my pain medicine. I have also had to take Benadryl for itching on my body, not my breasts. My left breast and nipple seem to be doing better. My Jobri pillow wedge is working awesome for resting in bed. First dressing change at home: went very well! Updated on 18 Sep 2014: I am feeling good today and decided it was time to take a look at pre op and post op pictures. I am very happy so far with the results! Updated on 20 Sep 2014: No new pictures or news. A bit stir crazy today as my whole family has left for sports games. I thought about going but with my drains still in I decided to stay home. I get tired pretty easily too. I made a list of things I wanted to get done while at home and resting so I think I'll take a look at that. Helpful Hint: I put all of my supplies in a rolling 3 drawer plastic cart at my bedside and it has worked great! I actually got the idea from another Real Self"er" but sorry I cannot remember who. Updated on 21 Sep 2014: So here is a brief update: Last night we went out to our first dinner. I was able to hide my drains well enough. Still it was uncomfortable. I am just not moving at a normal pace yet at all. It was like going through an obstacle course of people and heavy things. Such as when I had to go to the restroom and the door was sooo heavy. Even scooting my chair in was hard. Needless to say I was ready to get home and go to bed. Today has been the hardest so far. My husband has been so busy with the kids and having to take care of me as well I can tell he is tired. So I called a dear friend and through my tears asked if she could take our kids for the afternoon and evening. She said yes and have them pack their pajamas! Thank God for good friends! They will be back in school tomorrow so that will help. My husband will go back to work on Tuesday and I'll be home alone. I think it will be just fine though. I have someone lined up to help after school if needed. As far as my breasts go I am happy so far. From the beginning my left nipple has been darker in color and my left breast in general is a bit bigger than my right. It was the bigger one pre op as well. My right nipple is pink and you can actually see the nipple. My left just looks totally different. However, I am not freaking out about this because I know each side will heal at different rates and I will not have my true results until one year post op. I still can't believe how little they are (in a good way). I will post more photos after i get my drains out tomorrow. End of rant. Updated on 21 Sep 2014: Boy today was rough. I found this article and it really helped me so I thought I would share it with you all. This too shall pass. http://www.breastlift4you.com/depression.htm Updated on 22 Sep 2014: What a great day! My drains are out! Which means a shower tomorrow!! I am not on pain medication anymore so no more brain fog!! My left nipple is much more pink and looking soo much better! Let the healing continue! There will be ups and downs and just remember it's normal! Updated on 22 Sep 2014: Drains out. Left nipple turning more pink, whew! Updated on 23 Sep 2014: Woo hoo! I am showered!!! I have some swelling where my drains came out so I am hoping for that to go down. I got the okay to take Bromelain Capsules to help with inflammation and Arnica cream to help with bruising. Now trying to decide if I venture out today and get them or order off of Amazon. I am still getting used to looking at myself and seeing these itty bitty boobies. The nurse said yesterday that she thinks I will settle into a small C. It's quite a change. I'm happy but also in a tiny bit of mourning over losing my jugs:) I feel petite again! Overall I am happy and just trying to work through these emotions that come up. I called a friend yesterday to tell her about the surgery. Since our boys are good friends I didn't think I could hide it much longer. Now I kind of wish I had not told her. She said some positive things but then she said her husband would never understand that because he is a "boob man." 98% of me could care less about this comment but there is about 2% of me that thought, "Wow, did I just make myself less attractive?" My husband is the ONLY one that matters and he has been so positive. But I do wonder if deep down he is mourning a loss too? I just don't know. Just trying to stay positive. I am happy to post these feelings here because there really is no other outlet for these emotions. Hope everyone is doing well today and many blessings to you all! Updated on 27 Sep 2014: Haven't had much to update although I still read this site about once a day for encouragement. Even though I knew recovery would be long I don't think I could have prepared myself for all of the discomfort. I'm sooooooo ready to be pain free and stitch free and bruise free. Above all else, I am still not sure if I am happy with the results. They are so small. Now instead of trying to hide my big boobs I am trying to hide my big stomach. My husband says I need to be nicer to myself and I do. This is just really hard. Short term I have traded neck pain and migraines for constant burning and pain. If anyone who is further along than me can give me some encouragement I would really appreciate it. Updated on 30 Sep 2014: Yay! The aereola stitches are out and glue underneath my boobs is off. Dr says everything looks great and she is really happy with everything so far. Discussed pain control and she said I can take Aleve and Ultracet. Hopefully I will be more comfortable. Also I can start wearing other bras! No underwire and no pressure on incisions. I will post pictures soon. Can't seem to upload them from my phone. Updated on 30 Sep 2014:
The answer to your question is not as simple as it would seem. The augmentation alone will give you fullness and more cleavage. Your breasts will essentially look the way they do now, except bigger. If you are happy with a full, low appearance of your breasts, you will be happy with the results of an augmentation alone. If you want your breasts lifted off of your abdomen and high, the lift is what you need. There are many treatments to minimize the scars and often the improvement in the appearance of the breasts outweighs the scarring.
Yes, not only is it safe to have a tummy tuck after having a lap band, but it is common! Many patients who lose a significant amount of weight after having lap band surgery have excess skin and abdominal wall laxity. During a tummy tuck, the abdominal muscles are tightened, excess skin is removed, and the waist is contoured with liposuction. This gives a rejuvenated appearance to the tummy! Often the lap band port migrates with weight loss. During a tummy tuck, the lap band port is often repositioned and secured to the abdominal wall. This makes it easier to fill the port and manage the lap band.
Fat is an excellent filler for the nasolabial folds and cheeks. It will last longer than the hyaluronic acid injectables that you have had in the past and give a smooth fullness to this area. At the same time, fat may be injected into the cheeks to help further support the nasolabial folds and give you a more youthful appearance. This result should last approximately 2 – 5 years and will help slow the aging process of the face. The facial swelling will take a few days to resolve. There will be some swelling and bruising at the donor site, which usually resolves in a week.
Fat grafts give a natural fullness to the face and cheeks that implants cannot. The grafts are soft and feel like your own tissue. You should notice increased volume life long and a younger look to the skin.
Fat may be transferred from a “problem area” to areas of the face, to give you a more youthful appearance. The area under the eyes shows early signs of aging and often gives a tired look. Fat may be injected into these areas to fill in the hollows and give a rejuvenated look. Over time, the skin thickens and the dark circles are minimized. Fine lines and wrinkles are smoothed. This procedure will allow the treated areas to age more slowly, so the benefits are life-long.
