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James Hoyt, MD (retired)

Board Certified Plastic Surgeon
4101 Tully Rd., Ste. 101, Modesto, California
Website
4.5 | 9 Reviews
203 Questions Answered
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Before and After Photos

QUESTIONS ANSWERED

When Will This Necrosis After Tummy Tuck Heal?

Asked By:AnonymousANSWERS (1)
Healing from necrosis after a tummy tuck (abdominoplasty) can vary based on several factors, including the extent of the necrosis, individual healing capacity, and adherence to post-operative care instructions. Here are some general guidelines and steps to consider: Typical Healing Timeline 1. Initial Assessment and Treatment: o First Few Days to Weeks: Necrosis is usually identified within the first few days to weeks post-surgery. Your plastic surgeon will assess the severity and may debride (remove dead tissue) as needed. 2. Early Healing Phase: o 2-4 Weeks: After initial debridement and appropriate wound care, the wound starts to heal. This phase includes the formation of granulation tissue, a sign that the body is repairing the area. 3. Continued Healing: o 4-8 Weeks: New tissue continues to form, and the wound gradually closes. Regular follow-up with your plastic surgeon ensures that the healing process is on track. 4. Scar Maturation: o 3-6 Months: The scar tissue begins to mature, becoming stronger and less noticeable over time. Final scar appearance can take up to a year or more. Factors Influencing Healing 1. Extent of Necrosis: Larger areas of necrosis take longer to heal and may require more intensive treatment. 2. Overall Health: Conditions like diabetes, poor nutrition, or smoking can impair healing. 3. Infection Control: Preventing or managing infections is crucial for optimal healing. 4. Wound Care: Proper wound care, including keeping the area clean and possibly using specialized dressings or treatments like negative pressure wound therapy, can aid healing. 5. Follow-Up Care: Regular check-ups with your plastic surgeon allow for early identification and treatment of any complications. When to Seek Further Medical Attention • Signs of Infection: Increased redness, warmth, swelling, pus, or a foul odor. • Persistent Pain: If pain increases or doesn't improve with time. • Delayed Healing: If the wound shows no signs of improvement over several weeks. Tips for Promoting Healing • Follow Post-Operative Instructions: Adhere strictly to your plastic surgeon's recommendations for wound care and activity restrictions. • Maintain a Healthy Diet: Nutrients like protein, vitamins A and C, and zinc are vital for wound healing. • Stay Hydrated: Proper hydration supports overall health and healing. • Avoid Smoking: Smoking impairs blood flow and can delay healing. • Manage Chronic Conditions: Keep conditions like diabetes well-controlled. Healing from necrosis after a tummy tuck can be a prolonged process, potentially taking several weeks to months depending on individual circumstances. Close communication with your plastic surgeon and diligent wound care are essential for a successful recovery. If you have concerns about your healing process, consult your healthcare provider promptly.
provider-James Hoyt, MD (retired)-photo

James Hoyt, MD (retired)

Board Certified Plastic Surgeon

4.5 | 9 reviews

I Had a Breast Implant Removal 3 Days Ago, is It Okay for Me to Have a Glass of Wine?

Asked By:AnonymousANSWERS (1)
It's generally recommended to avoid alcohol for at least the first few days after surgery, including after breast implant removal. Alcohol can interfere with the body's healing process, increase the risk of bleeding and bruising, and interact with any pain medications you may be taking. Additionally, alcohol can cause dehydration, which is not ideal during the initial recovery period when your body needs hydration to support healing. It's essential to follow your plastic surgeon's post-operative instructions carefully, which likely include avoiding alcohol for a specified period. However, if you're unsure or have specific concerns, it's best to consult with your plastic surgeon before consuming alcohol or making any changes to your post-operative routine. They can provide you with guidance based on your individual circumstances and the specifics of your surgery.
provider-James Hoyt, MD (retired)-photo

James Hoyt, MD (retired)

Board Certified Plastic Surgeon

4.5 | 9 reviews

How is Nipple Sensitivity After Breast Reduction?

Asked By:AnonymousANSWERS (1)
Nipple sensitivity after breast reduction surgery can vary from person to person. Some individuals may experience changes in nipple sensation following the procedure, while others may not notice significant differences. Here are some common experiences with nipple sensitivity after breast reduction: 1. Temporary Changes: It's common for patients to experience temporary changes in nipple sensation after breast reduction surgery. This can include increased sensitivity, decreased sensitivity, or even numbness in the nipples and surrounding areas. 2. Gradual Recovery: In many cases, nipple sensation gradually improves over time as the nerves in the breast tissue heal. It's normal for it to take several months or even up to a year for sensation to fully return to normal, if it does. 3. Permanent Changes: In some cases, particularly if extensive tissue removal is required during the breast reduction surgery, there may be permanent changes in nipple sensation. This could include decreased sensitivity or numbness in the nipples. 4. Individual Variation: The extent of changes in nipple sensitivity can vary depending on individual factors such as the surgical technique used, the amount of tissue removed, and individual nerve anatomy. 5. Communication with Surgeon: It's essential to discuss your concerns about nipple sensitivity with your plastic surgeon before undergoing breast reduction surgery. They can provide you with information specific to your case and help you understand what to expect in terms of nipple sensation after the procedure. If you have specific concerns about nipple sensitivity or any other aspect of breast reduction surgery, be sure to discuss them thoroughly with your plastic surgeon during the consultation process. They can provide you with information and guidance based on your individual circumstances.
provider-James Hoyt, MD (retired)-photo

James Hoyt, MD (retired)

Board Certified Plastic Surgeon

4.5 | 9 reviews

I am scheduled for BA with lift tomorrow. I have chest congestion and cough. Can I go through surgery?

Asked By:AnonymousANSWERS (1)
It's crucial to communicate any changes in your health, such as chest congestion and cough, to your surgical team before your breast augmentation (BA) with lift procedure. They will assess your current condition and provide guidance on whether it's safe to proceed with surgery. Here are some important considerations: 1. Respiratory Health: Chest congestion and coughing can indicate respiratory issues, such as a cold, flu, or respiratory infection. Surgery and anesthesia can put additional stress on your respiratory system, so it's essential to evaluate whether your symptoms could affect your ability to undergo anesthesia and recover safely. 2. Increased Risk: Having chest congestion and coughing may increase the risk of complications during and after surgery, such as breathing difficulties, lung complications, or the potential for postoperative infection. Your surgical team will weigh these risks against the benefits of proceeding with the procedure. 3. Consultation with Healthcare Provider: Contact your plastic surgeon or primary care provider as soon as possible to discuss your symptoms and seek their guidance. They may recommend rescheduling the surgery if they believe it's necessary to ensure your safety and optimize surgical outcomes. 4. Precautions and Treatment: Depending on the severity of your symptoms and your overall health status, your healthcare provider may recommend treatments to alleviate your chest congestion and cough before proceeding with surgery. This may include rest, hydration, over-the-counter medications, or prescription medications to manage your symptoms. 5. Informed Decision: Ultimately, the decision to proceed with surgery should be made collaboratively between you and your healthcare provider, taking into account your current health status, the urgency of the procedure, and the potential risks and benefits. Remember, your breast augmentation surgery is an elective surgery and can be postponed in the interest of your health. It's essential to prioritize your health and well-being, and to communicate openly with your surgical team about any concerns or changes in your health before undergoing surgery. By doing so, you can work together to make informed decisions and ensure the best possible outcome for your breast augmentation with lift procedure.
provider-James Hoyt, MD (retired)-photo

James Hoyt, MD (retired)

Board Certified Plastic Surgeon

4.5 | 9 reviews

Is a Mammogram Safe After Breast Lift?

Asked By:AnonymousANSWERS (1)
Yes, mammograms are generally safe after a breast lift (mastopexy). However, there are some considerations to keep in mind: 1. Timing: It's essential to wait until your breasts have fully healed from the mastopexy before scheduling a mammogram. Your plastic surgeon will typically advise you on when it's safe to undergo a mammogram based on your individual healing process. This may vary depending on the extent of the lift and any additional procedures performed. 2. Inform the Technician: When scheduling your mammogram appointment, inform the technician that you have undergone breast surgery, including a breast lift. Providing this information ensures that the technician can take appropriate precautions and use the most suitable imaging techniques to accommodate any changes in breast anatomy resulting from the surgery. 3. Incision Sites: If you have incision scars from the breast lift, the technician will need to be aware of their location to ensure that they do not interfere with the mammogram images. However, the presence of scars should not typically pose a problem for obtaining accurate mammogram results. 4. Comfort: If you experience any discomfort during the mammogram due to sensitivity or changes in breast tissue resulting from the breast lift, be sure to communicate with the technician. They can adjust the positioning and technique to minimize discomfort while still obtaining the necessary images. 5. Follow-Up Care: After the mammogram, it's a good idea to follow up with your plastic surgeon to ensure that the procedure did not cause any complications or changes to your breast lift results. If you notice any concerns or changes in your breast appearance or sensation following the mammogram, be sure to discuss them with your plastic surgeon. Overall, mammograms are an important aspect of breast health screening for women, including those who have undergone breast lift surgery. By communicating with both your plastic surgeon and the mammogram technician, you can ensure that the procedure is conducted safely and effectively while maintaining the health of your breasts.
provider-James Hoyt, MD (retired)-photo

James Hoyt, MD (retired)

Board Certified Plastic Surgeon

4.5 | 9 reviews

Alternatives to a facelift 2 years after FaceTite? 41 y/o

Asked By:AnonymousANSWERS (1)
If you're considering alternatives to a facelift two years after undergoing FaceTite, there are several non-surgical options available that can help address signs of aging and maintain your results. Here are some alternatives to consider: 1. Injectable Fillers: Dermal fillers such as hyaluronic acid fillers (e.g., Juvederm, Restylane) can help restore volume to areas of the face that have lost volume due to aging, such as the cheeks, temples, and nasolabial folds. Fillers can also be used to enhance facial contours and provide a more youthful appearance. 2. Neurotoxin Injections: Botulinum toxin injections (e.g., Botox, Dysport) can help relax dynamic wrinkles and lines caused by repetitive facial movements, such as forehead lines, crow's feet, and frown lines between the eyebrows. Neurotoxin injections can create a smoother, more youthful appearance and are often used in combination with dermal fillers for comprehensive facial rejuvenation. 3. Skin Tightening Treatments: Non-invasive skin tightening treatments such as radiofrequency (RF) therapy, ultrasound therapy, or laser treatments can help improve skin laxity and firmness, reducing the appearance of sagging skin and wrinkles. These treatments stimulate collagen production, leading to tighter, more youthful-looking skin. 4. Microdermabrasion and Chemical Peels: These minimally invasive treatments exfoliate the skin, promote cell turnover, and improve skin texture and tone. Microdermabrasion and chemical peels can help reduce the appearance of fine lines, wrinkles, and age spots, revealing smoother, more radiant skin. 5. Platelet-Rich Plasma (PRP) Therapy: PRP therapy involves using the patient's own blood plasma, enriched with growth factors, to stimulate collagen production and rejuvenate the skin. PRP can be injected into targeted areas of the face or combined with other treatments such as microneedling to enhance results. 6. Laser Resurfacing: Laser resurfacing treatments use concentrated beams of light to target and improve skin imperfections such as wrinkles, fine lines, and uneven skin tone. Fractional laser resurfacing can promote collagen production and stimulate skin renewal, leading to smoother, firmer skin. 7. Lifestyle Changes: Maintaining a healthy lifestyle, including regular exercise, a balanced diet, adequate hydration, and sun protection, can help slow down the aging process and preserve the results of your previous treatments. Avoiding smoking and excessive alcohol consumption can also help maintain skin health and vitality. Before undergoing any additional treatments, it's essential to consult with a skilled and experienced healthcare practitioner who can assess your individual concerns, goals, and skin condition and recommend the most suitable treatment options for you. They can develop a treatment plan to address your specific needs and help you achieve natural-looking, rejuvenated results.
provider-James Hoyt, MD (retired)-photo

James Hoyt, MD (retired)

Board Certified Plastic Surgeon

4.5 | 9 reviews

Can I Get a Lower Body Lift Without a Tummy & Thigh Tuck?

Asked By:AnonymousANSWERS (1)
Yes, it is possible to undergo a lower body lift without including a tummy tuck (abdominoplasty) or thigh lift as part of the procedure. A lower body lift, also known as a belt lipectomy, typically targets the midsection and lower body areas, including the abdomen, hips, buttocks, and lower back. It is commonly performed to address excess skin and tissue following significant weight loss or as part of body contouring surgery. While a lower body lift often includes a tummy tuck component to address excess abdominal skin and tissue, as well as a thigh lift component to address sagging skin on the thighs, these procedures can be tailored to each individual's specific needs and goals. Reasons for excluding a tummy tuck or thigh lift from a lower body lift may include: 1. Desired focus: If your primary concern is excess skin and tissue in the lower body area, such as the buttocks, hips, and lower back, you may choose to prioritize these areas in your lower body lift procedure while leaving the abdomen and thighs untreated. 2. Individual anatomy: Depending on your unique anatomy and aesthetic goals, your plastic surgeon may recommend focusing solely on the lower body during the initial surgery and addressing the abdomen or thighs in separate procedures if desired. 3. Medical considerations: In some cases, health factors or surgical considerations may dictate the need to stage procedures or focus on specific areas at a time to optimize safety and outcomes. 4. Patient preference: Ultimately, the decision to include or exclude specific procedures from a lower body lift is based on your individual preferences, goals, and discussions with your plastic surgeon. Your plastic surgeon will work with you to develop a customized treatment plan that addresses your concerns while considering factors such as recovery time, surgical risks, and aesthetic outcomes. It's important to consult with a board-certified plastic surgeon who specializes in body contouring procedures to discuss your options and determine the most appropriate treatment plan for achieving your desired results. Your plastic surgeon can provide recommendations based on your anatomy, goals, and medical history to ensure a safe and effective outcome.
provider-James Hoyt, MD (retired)-photo

James Hoyt, MD (retired)

Board Certified Plastic Surgeon

4.5 | 9 reviews

Can You Have Both Breast Augmentation and Lift As Well As a Lower Body Lift All at the Same Time?

Asked By:AnonymousANSWERS (1)
Combining multiple cosmetic procedures, such as breast augmentation with lift and a lower body lift, during a single surgical session is known as a "mommy makeover" or comprehensive body contouring surgery. While it's possible to undergo multiple procedures simultaneously, there are several factors to consider: 1. Overall Health and Safety: Your plastic surgeon will evaluate your overall health and medical history to determine if you are a suitable candidate for combined procedures. Factors such as age, pre-existing health conditions, lifestyle habits (e.g., smoking), and previous surgeries may impact your eligibility. 2. Surgical Complexity: Combining breast augmentation with lift and a lower body lift is a complex surgical undertaking that requires meticulous planning and skillful execution. Your plastic surgeon will assess the feasibility of performing multiple procedures in a single session based on your individual anatomy and surgical goals. 3. Operating Time: Longer surgical durations increase the risk of complications such as blood clots, anesthesia-related issues, and postoperative discomfort. Your plastic surgeon will consider the total operating time required for combined procedures and weigh the potential risks and benefits. 4. Recovery Period: Undergoing multiple procedures simultaneously typically results in a more extensive and prolonged recovery compared to each procedure performed individually. You may experience increased discomfort, swelling, and limitations in mobility during the initial stages of recovery. 5. Postoperative Care and Monitoring: Following combined procedures, you will require close monitoring by your plastic surgeon and adherence to postoperative care instructions to minimize the risk of complications and optimize your results. This may involve scheduled follow-up appointments, wound care management, and activity restrictions. 6. Realistic Expectations: It's essential to have realistic expectations regarding the outcomes of combined procedures and understand that final results may not be immediately apparent due to swelling and initial healing. Your plastic surgeon will discuss expected outcomes, potential risks, and any limitations associated with combined procedures during the consultation process. Ultimately, the decision to undergo combined breast augmentation with lift and a lower body lift during a single surgical session should be made in collaboration with your plastic surgeon, who can provide recommendations based on your individual needs and goals. Be sure to ask questions, express any concerns, and fully understand the implications of combined procedures before proceeding.
provider-James Hoyt, MD (retired)-photo

James Hoyt, MD (retired)

Board Certified Plastic Surgeon

4.5 | 9 reviews

Are there any numbing meds that can be used to prepare for tummy tuck massages?

Asked By:AnonymousANSWERS (1)
Yes, there are numbing medications or topical anesthetics that can be used to help reduce discomfort during tummy tuck massages. These medications are typically applied to the skin before the massage to numb the area and make the experience more comfortable for the patient. Some common topical anesthetics that may be used include: 1. Lidocaine: Lidocaine is a local anesthetic that works by blocking nerve signals in the body. It is available in various forms, including creams, gels, and sprays, and can be applied to the skin before the massage to numb the area. 2. Benzocaine: Benzocaine is another topical anesthetic commonly used to numb the skin. It is available in over-the-counter products such as creams, gels, and sprays and can help reduce discomfort during tummy tuck massages. 3. Prilocaine: Prilocaine is a local anesthetic similar to lidocaine that can be used to numb the skin before procedures such as massages. It is available in various formulations and can help alleviate discomfort during the massage. These topical anesthetics are generally safe when used as directed, but it's essential to follow the instructions provided by your healthcare provider carefully. They can advise you on the appropriate application technique, dosage, and frequency to ensure safe and effective use. Before using any numbing medication or topical anesthetic, it's essential to consult with your plastic surgeon to determine if it's suitable for you, especially if you have any allergies or medical conditions. They can provide recommendations and guidance based on your individual needs and circumstances.
provider-James Hoyt, MD (retired)-photo

James Hoyt, MD (retired)

Board Certified Plastic Surgeon

4.5 | 9 reviews

When is it safe to get in hot tub after mommy makeover procedure?

Asked By:AnonymousANSWERS (1)
The timing for getting into a hot tub after a mommy makeover procedure can vary depending on individual factors, such as the specific procedures performed, the extent of surgery, and the recommendations of your plastic surgeon. However, as a general guideline, it's typically advised to wait at least 4 to 6 weeks before submerging yourself in a hot tub or engaging in activities involving hot water. Here are a few reasons for this waiting period: 1. Wound Healing: Hot tubs can harbor bacteria and other microorganisms that may increase the risk of infection, especially in the early stages of wound healing. Waiting until your surgical incisions have fully closed and healed reduces the risk of introducing harmful bacteria into the surgical sites. 2. Swelling and Bruising: Soaking in hot water can exacerbate swelling and bruising, which are common after mommy makeover procedures such as breast augmentation, breast lift, tummy tuck, or liposuction. Allowing time for swelling and bruising to subside before using a hot tub can help minimize discomfort and promote better healing. 3. Minimizing Complications: Hot tubs typically maintain water temperatures above normal body temperature, which can increase blood flow and potentially cause bleeding or other complications in the early stages of recovery. It's important to avoid activities that may increase the risk of complications during the initial healing period. 4. Optimizing Results: Following your plastic surgeon's post-operative instructions, including recommendations for activity restrictions, helps ensure the best possible aesthetic outcomes from your mommy makeover surgery. Resuming activities like hot tub use too soon could potentially affect the final results or prolong the recovery process. It's crucial to consult with your plastic surgeon for guidance on when it's safe to use a hot tub after your mommy makeover procedure. Your plastic surgeon can evaluate your individual healing progress and provide specific recommendations based on your surgical outcomes and overall health. Always prioritize your safety and follow your plastic surgeon's instructions to promote a smooth and successful recovery.
provider-James Hoyt, MD (retired)-photo

James Hoyt, MD (retired)

Board Certified Plastic Surgeon

4.5 | 9 reviews

James Hoyt, MD (retired) reviews

James Hoyt, MD (retired)

RATING DETAILS

4.5
9 reviews

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James Hoyt, MD (retired)
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9 Results
Breast Augmentation

Giving154791

Beyond my expectations - natural, beautiful & perfectly proportioned

I am absolutely thrilled with the results of my breast augmentation and cannot thank my surgeon and their team enough! From the very first consultation, I felt completely at ease. The staff was incredibly professional, kind, and attentive, taking the time to address all my questions and concerns. My surgeon's expertise and care were evident from start to finish, and they helped me choose the perfect size and shape that complements my body. The procedure itself went smoothly, and my recovery was much quicker than I had anticipated, thanks to the great post-surgery care and advice I received. The results are beyond my expectations—natural, beautiful, and perfectly proportioned. I feel more confident and comfortable in my own skin than ever before!If you're considering breast augmentation, I highly recommend this practice. They truly went above and beyond, and I couldn't be happier with my decision. Thank you so much for helping me achieve the look I’ve always wanted!

Lower Facelift

Optimistic872528

My whole experience has been great!

Dr. Hoyt is fantastic! He made me feel very comfortable and explained in depth my procedure and the expectations. I'm so glad I found him and Beautologie Stockton as my whole experience has been great!

$7,500Breast Augmentation

Eclectic228226

Friendly professional and a pleasant experience

Absolutely awesome doctor, I love him would recommend and come back anytime !!! Friendly professional and a pleasant experience!! He was respectful, his staff was so great I was seen immediately after entering the office perfect 10

Tummy Tuck

MindyCotton

I Had an Amazing Experience and Would Recommend Him to All my Friends

My experience with this office had been top notch. From his front office staff to his nurse, and of course him! He is a lovely kind, compassionate, honest down to earth PS. I had a tummy tuck with muscle repair and a breast augmentation to fill in my deflated breasts on June 4th 2021. My initial conversation with his office staff to book my consult left me feeling so comfortable. My biggest concern was being boxy and what my belly button would look like. When I asked to see before and afters his nurse casually said oh that’s why he is known for. Well that signature belly button did not disappoint! After my consult, they asked my husband and I if we want to think it over before booking, without hesitation we booked right then and there. Every appointment was a breeze and I was treated so well, he informed me of the processes as well as pros and cons. I am incredibly happy with my results as well as my continued care! Dr. Hoyt has been very attentive after surgery. And his office even sent flowers during recovery!

Panniculectomy

REALONES

I've Had a Great Experience

I've had a panniculetomy & breast reduction from Dr Hoyt! Due to me being a gastric bypass patient I've had many complications! Dr. Hoyt has been amazing to me and has been there every step of the way. He also gave me his personal phone number to keep in contact with. He's been righteous from the gate! He's never left me hanging. He's kept me comfortable! I would recommend him to anybody! He's also got a great personality! Very charming! His staff and receptionist Corrie have been amazing! Very quiet and fast environment!

$2,000Tummy Tuck

mewilliams

Great amazing doctor.

I was a patient of Dr. James Hoyt in 2011. I was referred to him for a tummy tuck. His office staff from the receptionist to the surgery scheduler and PA Nivea were always awesome. I only felt pain right when i woke up from surgery and then none after. Dr. Hoyt saw me several times and from the start he said I came out great from surgery. I healed fast and my results were awesome! I would definitely go back to Dr. Hoyt if I needed anything else. I would highly recommend him.

$13,748Breast Implant Removal
GUNZnCAMOGRL

GUNZnCAMOGRL

Implant Removal with No Replacement/ Tummy Tuck with Lipo As Well - Yakima, WA

Hi ladies! On August 05, 2014 I will be having a breast implant removal of 540cc's in each breast. I opted out of any breast implant replacement or lift. My plastic surgeon will just be removing the implants themselves and not the capsule. My implants are saline too and placed under the muscle....I am very nervous of how everything will look, would be crazy if I wasn't nervous. I originally got my implants in March 8, 2007. So I have had them for 7 years!!! Before I was a small 34B. I do have pre-op pics that I will need to dig up and post on here. I will also be having a full tummy tuck with muscle repair and lipo of the flanks. My plastic surgeon is good and I do trust him. I have seen his work first hand by someone who has had a lot of reconstructive work done and he is amazing! I told him my concerns about my breasts and he suggested that I wait until they are out and healed to see if I wanted to take it to the next level as far as the breast implant removal goes and see later if I need a lift. I agree with that. I know I definitely do not want to get any replacement implants because I am having medical concerns. First off, they do not tell you how weird your breasts feel if you chose to not wear a bra at night or whatever because let me tell you ladies it feels heavy and I can tell I have the physical implant in there. Something foreign is in my body. My posture is BAD now. I am looking like the hunchback of freakin' Notre Dame over here!!! Also never had a migraine in my life.......NEVER...now migraines up the ying-yang. Its crazy! I have to take a pill to prevent migraines every night and a pill if I get one. Also have been diagnosed with chronic migraines. Another issue is my nerves in my legs...more predominate in my right then my left. Every night for sure....and sometimes it affects me in the day too, but I get heaviness in my legs, tingling too. Kinda likes restless leg syndrome but more of a painful heaviness too. Every single night it hurts and every single night my husband rubs it and when he does it feels like a numbness then I can sleep. Its horrible though. Now you're probably thinking....go in and see your doctor about it....Well I have several times and they ordered a ultrasound on it to measure the blood flow and check for clots and nothing. I honestly think it is like within my nervous system....possible nerve damage?!? Let me know if you have experienced any of this that I mentioned above. Back to the full tummy tuck I will be getting. I have had 4 children in 6 years. My kids are all 2 years apart all delivered normally. They have took a toll on my body which I will post pics later as well. I do not have hardly any stretch marks. I am a firm believer that stretch marks come from when your belly stretches and you use your fingernails to itch your tummy like crazy because the stretch causes you to itch. So I think the majority of stretch marks (not all) come from that alone. I used my palms to soothe my itches of my tummy and I really think it helped. I come from a big family and 1 of my 3 other sisters itched like crazy and had a ton of stretch marks (she got a tummy tuck and got rid of most) and the other 2 I told them about my theory on it and they chose not to itch like a mad woman and got little to none. Idk maybe I am wrong...its just my belief. Anyhow my beautiful children births has left my tummy with a crazy pooch that is not being reduced at all even with weightloss and exercise....it sucks so I decided to get them done at the same time and create a whole new me. I I have my pre-op on the 24th of July I believe so I will know the game plan in more detail at that time. I hope all goes well and I will update when I find my before pics. I will also post some current ones as well. I have been looking up these procedures for years so I feel like I have educated myself on them enough that I know what I am getting myself into. I wish you all the best that are having surgeries and god bless. Updated on 29 Jun 2014: These are some 6 week pre-op pics. My surgery is AUG 5th so I will post more after surgery of both my full tummy tuck and my breast implant removal. :) Updated on 30 Jun 2014: Happy and relieved that my procedure costs are in order. In 3 weeks it will be paid for. Yay!!! At least I am a step closer to the new me! Excited!!!! Updated on 6 Jul 2014: I have been searching the internet looking at a combination of both surgeries. (Tummy tuck and breast implant removal surgeries) Lately I have only been interested in the women that most resemble my before pics of how I look now. Crazy to see how much of a improvement each person gets. I keep imagining how I will look. I have even had dreams but I never get to see the end result. I am super excited though right now. Not nervous....just excited and anticipating how I might look. I hope all is well. My husband keeps saying that he will be so nervous at work that day. My mom is going to be taking me and picking me up that day. The nurse said the because I am doing the surgeries on a Tuesday that they do not start until 10AM so my hubby will be almost off work by the time I get out of surgery so I told him just to go to work. He will be waiting around anyway so its probably better that he goes and focuses on his work load then to be waiting around pacing the hospital halls until I get released. I think I might even have to be in recovery for about an hour too. Ok so I am beat. I am going to turn in for the night. Good night ladies and happy sweet dreams...... :) Updated on 7 Jul 2014: So my pre operative and postoperative breast augmentation pictures are coming in the mail as we speak I should have everything to me by about 3 or 4 days where I will upload those pics for you all to see. I also found out that I actually have 550cc is not 540cc's. Its going to be nice to see those pics and compare them to my breast implant explant pics that I will post after my August 5th surgery! I think I will bring them to my pre-op appt with my doctor to show him what I looked like before all of this. I will be posting in a few days. Until then ladies! Updated on 10 Jul 2014: I just got in the mail today my photos from my before and after pictures of my breast augmentation I had done in March of 2007. the doctors office just sent them to in the mail today and when I opened it I was actually really surprised because my breasts are so small but they're cute! There was nothing wrong with them before they're just small but the main thing is how they looked right after the breast augmentation. This was a few months after my initial surgery to have them put in. There is a HUGE difference. It literally made my nipples point to the floor when before as you can tell in my before pics my nipples were straight there was nothing wrong with them that's like really upsetting to pay all that money and have that happened to you has anybody else had that happen to them? I want to take these to my pre-op when I have my implants taken out so this doctor can see what I had before I made the mistake of getting breast implant. Ugh! I hate them and can not wait to be free from them!!!! Updated on 10 Jul 2014: Updated on 10 Jul 2014: Photos from my original doctor who put the implants in. These photos are shortly after getting the implants...ugh!!! It was ayoung dumb mistake. Updated on 24 Jul 2014: Met with the doc and he reiterated everything we had previously discussed. He said that I would have two drains in my breasts for 1 day and as for my tummy tuck I will have 2 drains as well. (one on each side) The first one will be coming out Friday the 8th of August and the other one he said we will be shooting for the following Tuesday. So nice to know it will be 3-5 days for them to be out. I heard that is the biggest relief to get those drains out. I hope they don't hurt too bad. He also had his awesome assistant Elana take pics of me. It took a while because the camera was acting up but after that I got dressed and paid them off. I still have to pay cash for the facility fee and the anesthesiologist the day of surgery, which again is Aug 5th. I have to be there at 9am and surgery starts at 10am. He said that it would take about 2-2.5 hours then I would be in recovery for a few hours tops. My lovely Aunt who is like a second Momma to me will be taking me. She is such a wonderful person. My husband is going to go to work while my Momma and Auntie will care for me and my 4 children. They are a blessing let me tell you. I am so excited and I only have 12 days left!!!! I am not scared though so that's good.......at least not yet. I usually do not get scared more nervous of the outcome of my breasts then anything. I really hope they are NOT saggy. UGHHHHH>>>>>> I really hope not. I am confident he will do great on my tummy tuck but my breast are kinda out of his hands so to speak. When he takes them out I just hope that the skin will retract and I won't be left with nasty hanging skin. I would probably cry. Crossing my fingers. Updated on 27 Jul 2014: Updated on 27 Jul 2014: Updated on 7 Aug 2014: Surgery went well. Both breasts capsuleswere removed and look great. Actually better then I imagined. Its 4:16AM on Aug 6th so I am tired. It will be a short update. I do not see my tummy until Thursay @2pm. Thats the only part that hurts. My breats feel great already. Here is a pic of my breats laying down. More to come of my tummy and standibg a little taller as my body will allow. My docs bedside manner was amazibg. I just can't say enough positive things about Dr. James Hoyt....he's the man! Thank you all for your prayers and healing vibes. Love you all for the encouragement! Updated on 7 Aug 2014: Updated on 7 Aug 2014: Updated on 7 Aug 2014: Sorry ladies I will try in a few hours whenI get help to the conputer. Hope you are all doing well. Updated on 9 Aug 2014: Updated on 12 Aug 2014: I got one drain out today. The other one comes out on Wednesday. I can't wait. It felt sooooooo incredibly much better when the right one came out. Love the results so far! Updated on 27 Aug 2014: It won't let me upload on my mobile. It just keeps refreshing the page blank after I submit them. I will upload from desktop tmrw...sorry for the time lapse. :) Updated on 21 Sep 2014: Updated on 23 Sep 2014: Sorry it took so darn long ladies. My phone is acting up a bit....well only when it comes to this site. It never wanted to upload my pics. Here are some recent pics. I still have swelling near the evening. Mornings are the best where I wake up flat. There is still swelling or maybe its not swelling.....anyway its on the sides where my scar ends.....possible dog ears??? I don't know for sure. I have a appt. coming up in early OCT so I will ask Dr. Hoyt. Also my pubic area is still swollen up so might end up getting more lipo there as well. I also will take a pic of my old belly button piercing that is still present. Kinda weird to see it there but hopefully he will correct that as well as the dog ears and lipo to the pubic region for free. We will see. I know last visit he wanted me to wait 6 months and I respect that. He is really awesome and the staff there as well, especially Alana. She is an asset to the company and I adore her. Hope my review has helped others. If you live in the Yakima area and are wondering about my experience or have questions I would be more then happy to address those for you. Thanks. Updated on 23 Sep 2014: This were taken after my workout. I apologize for the whole sink in the photo. I should of cropped it out but I wanted the pics as I took them so these are the originals. Updated on 23 Sep 2014: The pics with my arms down my breast appear a little larger then they actually are, but I love them. I will not be getting a lift at least not for now. I am happy. Updated on 12 Oct 2014: Everything went great! I was released to do any kind of exercise as my body could handle, which I have veen doing. Dr. Hoyt was once again wonderful. This guy is awesome and his staff is amazing, especially Elena. Anyway, he noticed I lost weight and I told him about 15lbs......its more like 20lbs though. He said my face looks thinner too. Dr. Hoyt did a exam of my surgical sites and said that if I would be willing that he would like to do a laser treatment on my scar to aid in a quicker healing. This means reduced time of reddness of my scar and thinner. He said he believes it will work well on my skin and that I would be a perfect canidate for it. If I was willing he would do it for free. See guys, he's such a awesome guy. I agreed and so its setup for next month on November 10th I believe @ 4:15pm. Yay!!!! Also I did tell him that I am happy with how my post surgery turned out. I hope I came across to him how apprecitive I am because he truly did an amazing job. I LOVE my bb. I did share that my old bb piercing is present and he said after the skin loosens a bit my me rubbing the hardened scar tissue he could pull the skin down there aboit 1/2" and get rid of that. Also shared with him that my flanks are still swollen or maybe possible dog ear. He said that he wants to give it a little more time, (which I am okay with) and that he did do quite a bit of lipo there so it could just be residual swelling. If not, he can address that too. So it was a great day. I went in on the 4th of this month by the way, so October 4th. Sorry I am writibg the review late. Anyway, my daughter took pics of me doing my T25 exercise on dvd and I thought I would try to post it via mobile but we will see sometimes it messes up so I am going to post this update first then retry to post the pics too. The thing I noticed from the pics she took is my ugly double chin.......I mean its bad. So I might crop my head out lol. I haven't did a face shot for a reason. My town is small so I don't want everyone knowing my business. This review is just to help out other women who are thinking of having these procedures done or are in search of a good doctor like Dr. Hoyt! Okay ladies, talk to you next time Updated on 12 Oct 2014: Updated on 12 Oct 2014: I wanted to get on my pc and add these pics because my mobile phone was not cooperating. I guess I should of waited to take pics a week from now because I am going to be starting my period soon and I am bloated in my tummy area and cramping a lot. UGH I hate when Aunt Flo comes to visit me every month........ :( But at least its still an improvement from my pre-op pics. I will upload more once I am over it and my tummy goes back down. I can actually see definition in my upper abs...pretty cool. I am excited! Updated on 12 Oct 2014: Photos are 8 days pre-op and 2 months post-op Updated on 23 Dec 2014: I am doing great. Getting my eating habits back on track and maintained during the holiday season. I have went in to see Dr. Hoyt and his assistant Elena gave me some laser treatment on my scar. It does work. I am going back after the 1st of the year for another free treatment. They are great there. The staff are all amazing and of course Dr. Hoyt is such a great doctor. He really cares. I am going to try and talk with him on my next appt. Because I need my flanks re-lipoed and the small "dog ears" fixed and a small portion removed from the middle of my scar to get rid of my old belly button piercing that is showing. Other then that I am 110% happy. Like I said before if you are looking for a great ps go to Dr. Hoyt in Yakima, WA. You will not regret it! :) Updated on 1 Jan 2015: I am so happy! Dr. Hoyt is doing my revision surgery on 01/23/2015! My goal: get rid of remaining fat around my love handles/flanks by the end of my scar on both sides causing my dog ears. You can literally see the shape I would have, the contour, without my bulging sides and its awesome. I really hope he lipos that off for me. I will take a pic of it and post here tmrw so watch for that. Also he is fixing my old belly button scar that is just above the middle of my incision now. Its about 1/2" above it. I wish I could have him suck some the fat out of my "ken doll puffy pubic area" Its not bad but when your use to seeing it flat then all of a sudden BAM!!! Its unnerving to say the least. He is still an awesome doctor. I really like him and the staff. Couldn't of asked for a better group of people! Signing off.... HAPPY NEW YEAR'S!!!! Updated on 25 Jan 2015: Hello ladies, revision went well. I woke up at 6am drank some coffee, took a shower and got ready like I normally do. I did make sure that was completwly shaved thats what I prefer anyway. Sorry(tmi). I did wear loose clothing and got there about 8:05am. Doc was running a little behind but I didn't mind...things happen. He marked me up and we agreed on taking out theold belly button scar that was left from my tummy tuck back in Aug 2014. He removed it by numbing the area and simple excising it off leaving a tiny pencil line vertical scar. I was perfectly fine with that because it was about 1/2" above the middle of my tummy tuck scar so bikini hides it. He did not cut and extend my dog ear scar. Rather he lipoed all of that and the flanks on both sides to lay that endings of the scar down flat. He also lipoed my pubic mound too. Everything went well I was awake and alert no seditive just local. He is AWESOME! I didn't feel anything except for the medicine going in which was a mere 20seconds on each flank. Easy peasy. Elana was great too. She stayed there the whole time and assisted Dr. Hoyt. I really had a great experience and I will always refer patients to him. He has traveled the world helping children from different countries with cleft lips and such. Has the canvus pics on his walls. His bedside manner is very caring and he really does his best to please you and he does it well because I can tesrify to that. If your in the area and you want a doctor who knows what he is doing, is board certified and shows his patients that he will go out of his way to help you then goto Cascade Cosmetic and Reconstructive Surgery Center. Emily will greet your call and sbe is super fast at returning your calls and assisting you. Elana is a saint and a very hard worker. She is always sweet and you can tell she enjoys her career. She also handles the beauty aspect of this center. Everything from bridal makeup, makeup lessons, skin from acne or aging, spray tanning and more! Julie is very nice. She handles all the financing/payment portion of it and breaks everything down for you, very imformative. Updated on 25 Jan 2015: I had my husband drop me out and just wanted to say during the awake procedure I was talking like normal and even laughing with Dr. Hoyt and Elana. It was over in no time and I did not have toget fully undressed. I actually left my shirt on and just pulled it up tucking it under my bra. I pulled my stretch pants down to just below my hips not revealing anything down there...just the pubic mound. After it was over Elana wiped me off and Dr. Hoyt explained when he wanted to see me again and what I can and dont need to do for care instructions. I thanked Dr. Hoyt and I put my coat on walked by myself and made my follow up. My hubby was already outside and he had a concerned look on his face and said I thought you'd be wheeled out? I laughed and said no I feelfine like nothing happened, lol. Dr. Hoyt did give a pain meds for the soreness that I would have later, but its really not that bad. Nothing like a tummy tuck or breast implants. More like a mnor dentist procedure where your sore for like a couple days. Best part no bruising!!!! I have sensitive areas but you have to look close maybe a faint yellow bruise but that might be the residue from the orangy sanitize stuff they put on me. Overall A++++++ excellent experience!!!! Said it would be about a month for final results. I saw a difference today a bit. If your thinking about having lipo anywhere....Dr. Hoyt is the MAN! Hahahaaa....he is great!

Rhinoplasty

Stephyama

Nope - Yakima, WA

Told me to get "counseling" due to how I felt about my large nose. Very rude & felt insulted. Saw Dr. Hauge too. Said the same thing. I went to Seattle to talk to other surgeons & they laughed at the Yakima clinic. I am a candidate & I have a date scheduled. You folks do not don't preform rhinoplasty.