Preparing Tummy Tuck on Feb 11, 2015. I am 62 years old, will be 63 on June 11, 1952. Have no health problems; do take compounded hormones. Had 3 sons and kept a flat tummy. Did gain weight due to stress on my job at one time and kept it on for about 3 years; but have had it off for about 11 years. Weighed 106 to 110 when young (13 to 29 YO). Weigh 127 to 130 now and heaviest weight during pregancy and weight gain 152. I believe my overhang due to menopause; worked out for last 4 years and cannot get tummy flat. Will post pic later. I am 5' 2 3/4" tall. Updated on 20 Jan 2015: Pictures below in bathing suit; will show overhang in the future Updated on 20 Jan 2015: Last of before Pics; showing over hanging tummy that won't go away with exercise Updated on 21 Jan 2015: Waiting UPS to deliver Compression Garment Updated on 21 Jan 2015: An outstanding San Antonio, Texas Plastic Surgeon Updated on 22 Jan 2015: One of the most frequently asked questions in our practice is, “what will my scars look like?” And “what can I do to improve my scar?” And now we have an answer from Stanford University’s Plastic Surgeons, Geoffrey Gurtner and Michael Longaker. The most recent major advance in scar therapy is called “Embrace Advanced Scar Therapy. Embrace scar therapy is a new revolutionary product that uses patented Active Stress-Shielding technology to relieve tension on the scar to reduce the formation of scar tissue. The device works by unloading the tension across a scar which can contribute to “over zealous” scar formation (know as hypertrophic scaring). For it to work, it needs to be applied once the incision is healed (approximately 2 weeks after surgery), and used continuously during the active component of scar healing (6 to 8 weeks). Embrace is applied to the healed incision, approximately 2 weeks after surgery. Each piece of Embrace will stay in place for 7-10 days and then need to be reapplied. The treatment lasts 8 weeks. Click on the link to see how it works. Being a new product, we do realize the added expense to your surgery. We recommend Embrace for anyone who forms Kelioid or hypertrophic scaring and for procedures such as abdominoplasty, brachioplasty or any procedure where a scar is a concern. Updated on 25 Jan 2015: I am an analyst for the Government, I believe I was born as an analyst; read, research, put careful thought into all I do; at least That is my goal. With that said always tried to take care of myself, family and friends. Eat Healthy, exercise and always make it fun with family and friends. I have 3 sons; and they do the same. I had first son in 1973, second son in 1976 and third in 1982. I was lucky that I got back to my before pregnancy weight within 6 weeks and I believe nursing them for short time for immunity buildup helped. By the way I was a brunette then, pictured attached. So what is this posting about; again I am doing this for me; I am post menopause and I still work a stressful job due to downsizing of personnel; what I do effects funding for people whom I care about thus the stress. Again I believe stress, post menopause effects weight. I exercise at least 3 times or more a week. I seldom eat in restaurants and fast food because I try to eat clean - I grow organic vegetables, I eat fresh fruit, I am a meat eater - mostly salmon, chicken, occasional steak and pork. I make homemade soup in winter. Point is I a healthy eater. Tummy Tucks are expensive; so the big question is once the money is spent; with the above continued will my new flat tummy stay with exercise and eating clean (no known health problems). Attached the younger me at 30 post 3 sons births as a brunette . Updated on 25 Jan 2015: Looking forward to wearing 2 piece without tank top Updated on 27 Jan 2015: Swimming in morning; exercising in evening to get body as fit as possible for TT and Lipo on Feb 11, 2015 and to be prepared for Cabin Fever after ; I am a bit hyper active LOL Updated on 29 Jan 2015: Liposution to back/bra rolls in addition to Flanks is it worth the risk, whom has done it? 5' 2 3/4"; 127 lbs Liposuction, also known as lipoplasty("fat modeling"), liposculpture suction lipectomy ("suction-assisted fat removal") or simply lipo, is a cosmetic surgery operation that removes fat from many different sites on the human body. Areas affected can range from the abdomen, thighs and buttocks, to the neck, backs of arms and elsewhere. Several factors limit the amount of fat that can be safely removed in one session. Ultimately, the operating physician and the patient make the decision. There are negative aspects to removing too much fat. Unusual "lumpiness" and/or "dents" in the skin can be seen in those patients "over-suctioned". The more fat removed, the higher the surgical risk. While reports of people removing 50 pounds (20 kg or around 4 stone) of fat have been claimed, the contouring possible with liposuction may cause the appearance of weight loss to be greater than the actual amount of fat removed. The procedure may be performed under general, regional, or local anesthesia. The safety of the technique relates not only to the amount of tissue removed, but to the choice of anesthetic and the patient's overall health. It is ideal for the patient to be as fit as possible before the procedure and not to have smoked for several months. Relatively modern techniques for body contouring and removal of fat were first performed by aFrench surgeon, Charles Dujarier. A 1926 case that resulted in gangrene in the leg of a French model in a procedure performed by Dr. Dujarier set back interest in body contouring for decades to follow.[1] The basic surgical challenge of any liposuction procedure is: ?To abstract the right amount of fat ?To cause the least disturbance of neighboring tissue, such as blood vessels and Liposuction, also known as lipoplasty("fat modeling"), liposculpture suction lipectomy ("suction-assisted fat removal") or simply lipo, is a cosmetic surgery operation that removes fat from many different sites on the human body. Areas affected can range from the abdomen, thighs and buttocks, to the neck, backs of the arms and elsewhere. Several factors limit the amount of fat that can be safely removed in one session. Ultimately, the operating physician and the patient make the decision. There are negative aspects to removing too much fat. Unusual "lumpiness" and/or "dents" in the skin can be seen in those patients "over-suctioned". The more fat removed, the higher the surgical risk. While reports of people removing 50 pounds (20 kg or around 4 stone) of fat have been claimed, the contouring possible with liposuction may cause the appearance of weight loss to be greater than the actual amount of fat removed. The procedure may be performed under general, regional, or local anesthesia. The safety of the technique relates not only to the amount of tissue removed, but to the choice of anesthetic and the patient's overall health. It is ideal for the patient to be as fit as possible before the procedure and not to have smoked for several months. Relatively modern techniques for body contouring and removal of fat were first performed by aFrench surgeon, Charles Dujarier. A 1926 case that resulted in gangrene in the leg of a French model in a procedure performed by Dr. Dujarier set back interest in body contouring for decades to follow.[1] History Popularity Candidacy ApproachesEdit The basic surgical challenge of any liposuction procedure is: ?To abstract the right amount of fat ?To cause the least disturbance of neighboring tissue, such as blood vessels and connective tissue ?To leave the person’s fluid balance undisturbed ?To cause the least discomfort to the patient As techniques have been refined, many ideas have emerged that have brought liposuction closer to being safe, easy, less uncomfortable, and effective. The marketing that goes on makes it hard for the consumer to determine truth from exaggeration however. Areas of the body where liposuction is performedEdit An obese woman with excessive arm fat ?Abdomen ?Breasts ?Hips ?Pubis ?Outer thighs (saddlebags) ?Flanks (love handles) ?Back ?Inner thighs ?Inner knees ?Calves ?Upper arms ?Cheeks ?Submental (chin),(gullet) ?Gynecomastia (male breast tissue) TechniquesEdit In general, fat is removed via a cannula(a hollow tube) and aspirator (a suction device). Liposuction techniques can be categorized by the amount of fluid injection and by the mechanism in which the cannula works. Mechanism of liposuction Suction-assisted liposuction (SAL) Suction-assisted liposuction is the standard method of liposuction. In this approach, a small cannula (like a straw) is inserted through a small incision. It is attached to a vacuum device. The surgeon pushes and pulls it in a forwards and backwards motion, carefully through the fat layer, breaking up the fat cells and drawing them out of the body by suction. Ultrasound-assisted liposuction (UAL) In ultrasound-assisted or ultrasonic liposuction, a specialized cannula is used which transmits ultrasoundvibrations within the body. This vibration bursts the walls of the fat cells, emulsifying the fat (i.e., liquefying it) and making it easier to suction out. UAL is a good choice for working on more fibrous areas, like the upper back or male breast area. It takes longer than traditional liposuction, but not longer than tumescent liposuction. There is slightly less blood loss. There appears to be slightly more risk of seromasforming (pockets of fluid) which may have to be drained with a needle. After ultrasonic liposuction, it is necessary to perform suction-assisted liposuction to remove the liquified fat, or to deposit additional fat cells, used inhigh definition liposuction, to create more volume where it is needed. Ultrasound-assisted liposuction techniques used in the 1980s and 1990s were associated with cases of tissue damage, usually from excessive exposure to ultrasound energy.[6] Third-generation UAL devices address this problem by using pulsed energy delivery and a specialized probe that allows physicians to safely remove excess fat.[7] A 40-year old woman undergoing a combination liposuction andabdominoplasty. Power-assisted liposuction: the cannula is inserted to about 80% of its full length. Power-assisted liposuction (PAL) PAL uses a specialized cannula with mechanized movement, so that the surgeon does not need to make as many manual movements. Otherwise it is similar to traditional SAL. Twin-cannula (assisted) liposuction (TCAL or TCL) Twin cannula (assisted) liposuction uses a tube-within-a-tube specialized cannula pair, so that the cannula which aspirates fat, the mechanically reciprocated inner cannula, does not impact the patient's tissue or the surgeon's joints with each and every forward stroke. The aspirating inner cannula reciprocates within the slotted outer cannula to simulate a surgeon's stroke of up to 5 cm (2 in) rather than merely vibrating 1–2 mm (1/4 in) as other power assisted devices, removing most of the labor from the procedure. Superficial or subdermal liposuction is facilitated by the spacing effect of the outer cannula and the fact that the cannulas do not get hot, eliminating the potential for friction burns. External ultrasound-assisted liposuction (XUAL or EUAL) XUAL is a type of UAL where the ultrasonic energy is applied from outside the body, through the skin, making the specialized cannula of the UAL procedure unnecessary. It was developed because surgeons found that in some cases, the UAL method caused skin necrosis (death) and seromas, which are pockets of a pale yellowish fluid from the body, analogous to hematomas (pockets of red blood cells).[citation needed] XUAL is a possible way to avoid such complications by having the ultrasound applied externally. It can also potentially cause less discomfort for the patient, both during the procedure and afterwards; decrease blood loss; allow better access through scar tissue; and treat larger areas. At this time however, it is not widely used and studies are not conclusive as to its effectiveness . Water-assisted liposuction (WAL) WAL uses a thin fan-shaped water beam, which loosens the structure of the fat tissue, so that it can be removed by a special cannula. During the liposuction the water is continually added and almost immediately aspirated via the same cannula. WAL requires less infiltration solution and produces less immediate edema from the tumescent fluid. Laser Assisted A laser is used to melt the fat in the target area, making it easier to remove. This laser is administered through afibre threaded through a microcannula. The premise is similar to UAL. It is believed that these techniques, such asSmartLipo or SlimLipo, can also reducebruising and bleeding, as it also cauterizes to a certain extent. Tumescent technique Main article: Tumescent liposuction Tumescent liposuction is a technique that provides local anesthesia to large volumes of subcutaneous fat and thus permits liposuction totally by localanesthesia. In the past, liposuction surgery required blood transfusionsbecause of significant blood loss in the liposuction aspirate. The tumescent liposuction technique eliminates both the need for general anesthesia andintravenous narcotics and sedatives while minimizing blood loss. SAFELipo SAFELipo is a form of liposuction that includes steps for both fat shifting and fat grafting. The SAFELipo process employs the use of an exploded-tip probe or cannula to separate and liquefy fat prior to aspiration. Following aspiration, an exploded-tip probe or cannula is used to equalize local fat grafts. This step reduces the risk of complications including skin irregularities and dermal adhesions.[8]SAFELipo is appropriate for both large- and small-volume liposuction procedures. History SAFELipo was developed in the early 2000s by Dr. Simeon Wall, Jr., an American plastic surgeon based in Shreveport, Louisiana. The technique was originally indicated for revisionary liposuction procedures but was eventually determined to be useful on a variety of patients. Since its inception, a number of plastic surgeons across the United States have adopted SAFELipo for use in their own practices, either on its own or as an alternative to other forms of liposuction.[9] Process SAFELipo employs a proprietary 3-step process: 1.Separation: After infiltration of a wetting solution, the surgeon uses an exploded-tip probe either with or without power-assisted liposuction (PAL) to separate the targeted fat globules from one another and from their other attachments. The fat is emulsified and detached from surrounding tissue while keeping essential blood vessels intact[10] and relatively undamaged. SAFELipo does not generate thermal energy, eliminating the potential for heat-related damage to fat or essential structures. 2.Aspiration: Because the separation step loosens and emulsifies targeted fat globules, the aspiration process takes advantage of preferential suction of this liquefied fat by using a smaller cannula. The preferential aspiration of the loosened fat using a smaller cannula prevents suction avulsion injuries and damage to the essential blood vessels and support structures. The shortened removal process typically results in minimal bruising, swelling, and internal scarring. 3.Fat equalization: The remaining layer of subcutaneous fat is evened out and shaped by the surgeon using fat equalization probes. The residual, local fat grafts prevent contour irregularities, dimpling, and waviness, complications sometimes associated with traditional and thermal liposuction techniques.[11] Sutures Since the incisions are small, and the amount of fluid that must drain out is large, some surgeons opt to leave the incisions open, the better to clear the patient's body of excess fluid. They find that the unimpeded departure of that fluid allows the incisions to heal more quickly. Others suture them only partially, leaving space for the fluid to drain out.[12][13] Others delay suturing until most of the fluid has drained out, about 1 or 2 days. In any case, while the fluid is draining, dressings need to be changed often. After one to three days, small self-adhesive bandages are sufficient. Doctors disagree on the issues of scarring with not suturing versus resolution of the swelling allowed by leaving the wounds open to drain fluid. Preparation ProcedureEdit Liposuction aspirate In all liposuction methods, there are certain things that should be done when having the procedure: ?The candidate and the surgeon will agree ahead of time on exactly which area(s) will be treated and both will discuss what outcome to expect ?A consent form is signed on the day of surgery ?An antibiotic will be given about an hour beforehand, or afterwards ?The targeted areas are marked on the body while the candidate is in a standing position ?Sometimes photos will be taken of the area to be treated, so the patient will have before and after photos ?In the operating room, a sterilizing solution, such as Betadine, is applied to the relevant areas ?Local anesthetic is injected and the patient may be given a sedative, either orally, or through an IV injection ?Incisions are small, about a quarter to a third of an inch ?The patient will probably have an IV fluid line, since they will be losing fluid with the fat, and the fluid balance must be kept intact ?There will be some monitoring devices attached to the body to keep track of the blood pressure, heart rate, and blood oxygen level ?The patient will feel only a scraping or rasping sensation from the cannula movement ?Usually the patient can get up, walk around, and go home the same day if they did not receive general anesthesia, although they would need someone else to drive them. Recovery Health benefitsEdit Whether or not liposuction provides the health benefits commonly associated with achieving weight loss through other means is a matter of debate in scientific circles. Mainstream doctors agree that liposuction does not help to combat obesity related metabolic disorders like insulin resistance.[14][15] Side effectsEdit A side effect, as opposed to a complication, is medically minor, although it can be uncomfortable, annoying, and even painful. ?Bruising: can be painful in the short term, and should fade after a few weeks. ?Swelling: should subside gradually over a month or two. ?Scars: will vary in size depending on the particular procedure, and should fade over the weeks. Scarring is an individual thing, partly dependent on heredity. For some, scar healing may take as long as a year. ?Pain: should be temporary and controlled by either over-the-counter medication, or by a prescription. ?Numbness: sometimes persists for a few weeks. ?Post-operative weight gain ?Limited mobility: will depend on the exact procedure. There could be various factors limiting movement for a short while, such as: ?Wearing a compression garment ?Keeping the head elevated ?Temporary swelling or pain The surgeon should advise on how soon the patient can resume normal activity. Possible complicationsEdit As with any surgery, there are certain risks, beyond the temporary and minor side effects. The surgeon should mention them during a consultation. Careful patient selection minimizes their occurrence. Their likelihood is somewhat increased when treated areas are very large or numerous and a large amount of fat is removed.[16] During the 1990s there were some deaths as a result of liposuction, as well as alarmingly high rates of complication. By studying more and educating themselves further, surgeons have reduced complication rates. A study published in Dermatologic Surgery (July 2004, pp. 967–978), found that "The overall clinical complication rate [for liposuction] ... was 0.7% (5 out of 702)", the minor complication rate was 0.57%, and the major complication rate was 0.14% with one patient requiring hospitalization.[17] The more serious possible complications include: ?Allergic reaction to medications or material used during surgery. ?Infection: any time the body is incised or punctured, bacteria can get in and cause an infection. During liposuction, multiple small puncture wounds are made for inserting the cannula, that can vary in size depending on the technique. ?Seromas: Sometimes the entrapped liquified fat may get accumulated beneath the subcutaneous plain as Seromas.Small Seromas get absorbed spontaneously,but larger Seromas need aspiration to avoid secondary infection. ?Damage to the skin: most surgeons work on the deeper levels of fat, so as to avoid wounding the skin any more than they must for the insertion of the cannula. ?Sometimes the cannula can damage tissue beneath the skin, which may show up as a spotted appearance on the skin surface. ?Skin necrosis (dead skin) is a rare complication, in which the skin falls off in the necrotic area. The problem can vary in degree. The resulting wound then needs to heal typically requiring extended wound care. ?Puncture of an internal organ: since the surgeon cannot see the cannula, sometimes it damages an internal organ, such as the intestines during abdominal liposuction. Such damage can be corrected surgically, although in rare cases it can be fatal. An experienced cosmetic surgeon is unlikely to puncture any internal organ. ?Contour irregularities: sometimes the skin may look bumpy and/or withered, because of uneven fat removal, or poor skin elasticity. Not all patients heal in the same way, and with older patients the healing may be slower and a bit imperfect. Sometimes a small touch-up procedure can help. ?Thromboembolism and fat embolisation: although liposuction is a low-risk procedure for thromboembolism including pulmonary embolism, the risk cannot be ignored.[18] ?Burns: sometimes the cannula movement can cause friction burns to skin or nerves. Also, in UAL, the heat from the ultrasound device can cause injury to the skin or deeper tissue. ?Lidocaine toxicity: when the super-wet or tumescent methods are used, too much saline fluid may be injected, or the fluid may contain too high a concentration of lidocaine. Then the lidocaine may become too much for that particular person’s system. Lidocaine poisoning at first causes tingling and numbness and eventually seizures, followed by unconsciousness and respiratory or cardiac arrest. ?Fluid imbalance: since fat contains a lot of fluid and is removed in liposuction, and since the surgeon injects fluid for the procedure, even a very large amount of it for tumescent liposuction, there is a danger of the body’s fluid balance being disturbed. This could happen afterwards, after the patient is at home. If too much fluid remains in the body, the heart, lungs and kidneys could be badly affected. The cosmetic surgeon should give the participant a written list of symptoms to watch for, along with instructions for post-operative self-care. Combined with other proceduresEdit Liposuction and tightening / lifting skin The removal of quantities of fat from under the skin allows the elastic skin to potentially retract after SAL. Good examples of this effect are seen after liposuction to the arms, stomach areas and breasts. The level of skin retraction following liposuction is affected by the age of the patient, quality of skin, presence of underlying disease or smoking and the presence of previous skin damage such as caused by childbirth and surgery. Liposuction techniques such as subdermal undermining using fine cannulas can stimulate further skin retraction but are more frequently associated with contour irregularity. While subdermal undermining may help the skin contract, patients with severe elasticity loss and heavy stretch marks prior to liposculpture may require removal of redundant skin by surgical means after liposculpture. Usually this can be performed after 6 months. Updated on 1 Feb 2015: CJFH Tummy Tuck with Lipo to back and flanks; compression garment changed due to Lipo Updated on 1 Feb 2015: Tummy Tuck with Dr. Jorge Menendez CJFH Tummy Tuck 11 Feb 2015 Have used Dr Menendez for Facial Services for the last 10 years and love the natural looking results; now to rejuvenate Tummy Area that I have worked on for four years without getting the flat Tummy due to post menopause and Stress cortisol effects Updated on 1 Feb 2015: Approaching Tummy Tuck with Lipo 11 Feb 2015; Time to retread all the Doctors instructions, see below: Updated on 1 Feb 2015: 11 Feb 2015 9 days pre Tummy Tuck with Dr. Jorge Menendez CJFH Tummy Tuck 11 Feb 2015 Have used Dr Menendez for Facial Services for the last 10 years and love the natural looking results; now to rejuvenate Tummy Area that I have worked on for four years without getting the flat Tummy due to post menopause and Stress cortisol effects Updated on 7 Feb 2015: It happens this Wednesday, 11 Feb 2015. TT with lipo to flanks and back, remove excess skin and fat around the stomach, while tightening the abdominal wall. performed after pregnancy of 3 sons, menopause when the skin has become stretched or saggy. A new Belly Button. Updated on 7 Feb 2015: Trying to be prepared; and heading out the door for more items Updated on 7 Feb 2015: Out the door for forgotten supplies? Suggestions Updated on 9 Feb 2015: 11 Feb 2015 TT with abdominal tightening & Lip to Flanks and Back Still getting ready; working till day of surgery Enough 4 years of talking and now we are doing at 5:30 AM with Dr Menendez in Broadway in SA, TX Updated on 10 Feb 2015: 'twas the Night before Surgery 11 Feb 2015. TT , abdominal tightening , lipo to flanks and back Everything Done, time to sip a glass of Wine and relax for early rising for surgery ; check in 05:30 AM Dr Menendez will artfully perform his magic Updated on 11 Feb 2015: 11 Feb 2015 let's get it On TT , abdominal tightening with Lipo to flanks and Back I am Ready :) Updated on 11 Feb 2015: And hurts like H, but goes with the process :) Pain pump Updated on 12 Feb 2015: PO Surgery and Doctor Menendez is a skillful artistic surgeon Looks very good; each piece was 1 1/2 lbs Updated on 12 Feb 2015: Post Op night 2: very painful due to large incision healing and back And flank Lipo; all the nerves are in heightened state; I independence temporarily gone; you do need help settling in to sleep and getting up, recliner; I found difficult to get out of being I am short 5'2 3/4 ". Being very independent and use to working out; this part is annoying; but I realized before and now, the price we pay to get the flat, fixed tummy. The pieces he cut off; although gross to many; I find amazing; on bottom you can see where my doctor got below old right oophectomy Scar. For warning is the second night is hard based on all nerves and skin reattaching and healing. Updated on 13 Feb 2015: PO day 3, Dressing Change and swollen Updated on 15 Feb 2015: Drainage 30 Cc on Left side an 15 CCs on right per Am and again in PM. Had first BM in evening, normal, Appears to be healing fast; put arnicare cream on puncture wounds due to Lipo to help healing and itching feeling. Standing fairly straight and moving easier without pain. Have had son help and girlfriend to join me for movies, chocolate strawberries and girl talk. Today will have to figure out how to wash hair by myself; in bathroom sink, one knee on bath stool; we'll see; I can't stand it any longer :) Very happy with the results, Dr Menendez and surgery nurse in his Office, Robbie. You all are the best,,,,, Updated on 15 Feb 2015: CHFH Tummy Tuck 11 Feb 2015 results so far Updated on 15 Feb 2015: Sponge bath: hair washed in sink and blow dried; Success PO TT 4 days Very Clean and Happy :) Updated on 16 Feb 2015: CJFH TT PO 5 days and thinking what I really used out of prep for Tummy Tuck I bought a Teak Bath Chair for bath and then bought a plastic bath chair with back; for bath used teak bath chair. I used plastic bath chair next to bed to get into a high bed, I put butt against bed used leg with knee bent to step up on bath chair and used poster on bed to steady myself as I lifted butt to bed and layed flat on back, pillow under head and knees. Th recliner was hard for me to get out of; would have son or girl friend give me a hand getting out. I do have a reclining couch which I switched to; could get up by myself. I actually didn't use food that was at my finger tips, protein bar, yogurt; I remembered doctor and read that you have to move to prevent possible blood clots; never had, but don't want; so I got up cooked my usual high protein food, made salad , ate fruit; rinsed dishes and used that to keep me moving throughout the day. Did not use walker or cane. BM back to each morning after morning coffee. Watching morning programs and thev70s styles are back, high pants with bell bottoms, pencil skirt, belts; so guess what - TTs just in time ( no pooch hanging out in front) . A smile on our faces:) Updated on 16 Feb 2015: CJFH 11 Feb 2015 Tummy Tuck PO 5th day back to doctor for dressing change by office surgery nurse Robbie Tummy more swollen on right side, pics sitting down. Left tube giving 30 CCs x2 a day; right tube giving 15CCs 2X a day. Right tube and ball pulled today; back to office Wed for Doctor to see results so far, Robbie change dressing and full body compression garment put on. Updated on 17 Feb 2015: CJFH TT with Lipo 11 Feb; 6 days PO Stopped taking pain killer pills; going on my own. BMs happening numerous times, I guess making up for the first couple days PO Can blow nose without problem; but body still doesn't trust coughing. Use breathing tool a bit; used a lot first 2 days out of fear of people's talk of pneumonia after surgery. Bored, watching movie, reading paper and mags. Thinking of going to a movie; probably bad idea; but I am stubborn and maybe Barnes and Noble Book Store. But can't let anyone no I am PO TT :). I bought a great scale because old bath scale quit working. Will show Pic of scale; hooks up to my I Phone; tells fat content, muscle content, bone content and BMI. Can be used by numerous people. That's it for now. Updated on 17 Feb 2015: CJFH TT with Lipo 11 Feb; 6 days PO Stopped taking pain killer pills; going on my own. BMs happening numerous times, I guess making up for the first couple days PO Can blow nose without problem; but body still doesn't trust coughing. Use breathing tool a bit; used a lot first 2 days out of fear of people's talk of pneumonia after surgery. Bored, watching movie, reading paper and mags. Thinking of going to a movie; probably bad idea; but I am stubborn and maybe Barnes and Noble Book Store. But can't let anyone no I am PO TT :). I bought a great scale because old bath scale quit working. Will show Pic of scale; hooks up to my I Phone; tells fat content, muscle content, bone content and BMI. Can be used by numerous people. That's it for now. Updated on 19 Feb 2015: CJFH PO 8 days - a bit Grumpy - not into full body compression Garments Shame on me I have been a bit Grumpy to myself of course - why - no real reason - maybe cabin fever, maybe use to working out several times a day, maybe a perfectionist But for goodness sack, get busy, be so happy about that wonderful flat tummy, my great plastic surgeon Doctor Menendez and his office surgeon nurse Robbie, the ability to pay for this surgery from retirement funds that will be paid off before retirement, for time off from work, advanced sick leave which will be paid off in a year; you get busy and this low - all called a self kick in the butt... So what has gone on; yesterday last drainage tube pulled, all stitches between drainage tubes pulled, can shower, guess I always could but had been taking full sponge bathes and shaving on my teak bath stool. Full compression garment put on ;(. Yesterday went to shades of Gray, why - read the book , why, curious about all in life and feel anything between consenting adults that will not hurt their health, will not damage their bodies or emotions is ok between them, not into group anything, too personnel . Was a bit uncomfortable; at the time of day I went their was tons of single men (?) and me:. It was also pretty much line by line from book; so left- I'll buy the movie. Then home; trying too talk myself into not wearing full body compression garment; but god bless Robbie, the in office surgical nurse text me and asked how I was doing; I was honest and she coached me to wear the garment and stick with the program, so thank you Robbie, I did. Night was restless, those wierd dreams, mind was about the surgery as if I was awake; being flexed when stitching took place? Took some current pics at 8 days PO; will do some side by side, same clothes pre and post in the future when I drop current attitude. Today will clean kitchen to help with the attitude; exercise I can do. Back to Docs tomorrow. Did buy Embrace by myself to use when Doctor Menendez gives the ok, expensive, but I want the best results. Updated on 20 Feb 2015: 9 Days PO full Tummy Tuck - last night first night of pain - Why? Took shower yesterday morning, which was lovely, pulled full compression garment with bra on, felt great, cleaned kitchen counter slowly, removing all items, cleaning items, cleaning underneath items. This was done slowly between sitting on couch that reclines watching day programs and a couple movies. All good all day, realizing that doctors appointment was this AM at 10:30 AM, I decided would do my bathing ritual, shaving, washing hair, blow drying hair, obviously changing tapes on wounds. Measured wound, 20 inches low incision at hip, one inch more then half my hip width. Measuring about 5 inches up from hip bone at left side and slightly more on right side. Stitching may have started on left side going to right because the end of the right right side stitches seems not to go as perfect as left side as if the end had to have a forced closing, don't get me wrong they are flat, just different. I also have more swelling on right side. When I was done with blow drying going to get into full compression garment, put on full body with legs, while washing no leg with bra full compression garment, lying in bed and feeling pain everywhere , I mean intense, have been medication free for about 2 to 3 days, but I could not handle this, took one pill, through other garment in dryer, thinking I'll dry other garment and when dried, I'll put that garment on, usually more comfortable. Eventually put on other garment, still intense pain in bed, took one more pain pill ( can take 2 at a time, I usual took only one); pain still there, chest hurt, got out of bed and changed to stretchy type girdle, PJs and went bed, better, still pain that eventually subsided. So this was my night of Hell, first one and hope last. All for now, time to get ready for doctor appointment and drive myself there. All for now. Updated on 21 Feb 2015: CJFH 10 Days PO Went to Doctor Menendez yesterday; all staples except a couple by last drainage tube were pulled. Can walk, use treadmill, arm weights: but no crunches or leg lifts. Will be able to swim in 2 weeks. Went to Barnes and Nobles to buy books and whole foods wine bar for Wine and cheese plate. Then sons, wife's; Grandkids visited for the evening. Very nice relaxing time. A bit tired this afternoon; maybe a nap will help. Swollen; but to be expected. Attached a look at scars today and PO pics. Updated on 23 Feb 2015: Perfectionist noticing good and other CJFH 12 Days PO pics of Scar and the ends, a perfectionist ...? Sitting on Bar Stool for Breakfast and Coffee Updated on 27 Feb 2015: CJFH 16 Days PO, would like right side extra fat removed, my doctor said will lipo if needed, once healing done and swelling has gone away, will that work without leaving dog ear? Or do I also need a revision on right side with excision and lipo tighting up right side? Ladies, many of you have gone through this, your'e answers please. Updated on 28 Feb 2015: CJFH 17 Days PO, first day on treadmill in home gym and working weights Updated on 3 Mar 2015: 20 Days PO, numbness wearing off, so now feeling the tension from surgery. By tension, I mean no longer numbness, feeling below belly button coming back. Fortunately , because obviously healing of all connections, but am very aware of all those feelings when moving. I resumed all supplements; vitamin E, fish oil, aspirin and bio identical hormones . Have had calf cramps, yesterday, I believe due to too much movie watching / sitting. Today cleaning on feet and will get on tread mill. Will put new pics up on Saturday, 7 March 2015. That's all for now :) Also, thanks for the support, co Tummy Tucker's and Docs. This site really helps us. thanks Realself.com Updated on 4 Mar 2015: CJFH 3 weeks PO, all good, but still revision seems to be needed on right side, hidden in bikini bottom Better pics Friday or Saturday Updated on 11 Mar 2015: 4 weeks/1 month PO Tummy Tuck Have a flat tummy; but still concerned about right side; it is that questioning time ; did this improve me or make a knew concern? I know this will pass ; but it seems it is my time to question; I do need to exercise those thighs. All things in order; so time to get going Updated on 17 Mar 2015: 30 days PO; tomorrow will be 5 weeks Happy St Patricks Day Ok; my surgery looks good I believe in comparison to all possible outcomes; however, I hate scars, will I ever be comfortable in the nude with my significant other? Updated on 25 Mar 2015: CJFH 6 weeks PO Tummy Tuck Back to work for 2 weeks on this Friday ; a lot going on catching up on back work; hopefully can get back to exercise routine this weekend. Saw my doctor 2 days ago. He said can exercise as before TT except no sit-ups at this time . All are impressed with healing and flat tummy. Below quick pic of scare; will do better pics possibly this weekend. Updated on 12 Apr 2015: CJFH 2 Months PO Tummy Tuck Pretty much back to normal, need to ramp up exercise to build muscle backup in limbs, same weight 129 lbs Updated on 28 Apr 2015: CJFH a little past 2 1/2 Months PO Tummy Tuck Selfies Updated on 28 Apr 2015: CJFH a little past 2 1/2 Months PO Tummy Tuck Selfies (try again - LOL) Updated on 16 Jun 2015: CJFH 4 months PO Will try to remember to take pics dressed, but this what scar looks like Updated on 16 Jun 2015: CJFH 4 months PO Updated on 29 Jul 2015: PO 5 + months need revision on Right side
Since birth I've have always had heavily hooded eyes that had large fat pads beneath them thanks to my mom's genetics in the family. At 22 yrs old people said I looked 10 years older, and I would strain my eyes constantly to open them wider that caused migraines. I made the decision to get an upper blepharoplasty. I spent a year researching the procedure as well as doctors, and certifications on medical state boards and found one I trusted after three consultations. In the end, it was perfect! I got beautiful natural results. Pain was very very minimal for me, but I was very diligent in following every doctors orders to the tea, as well as doing my own research about recovery. No one knows I had anything done but I always get complimented on my eyes! Updated on 27 Mar 2012: Its been a couple years since I have posted and it is still the best thing I ever did. The results are still wonderful and no one things I have ever had anything "done". Be safe everyone.
Dr. Menendez is the most compassionate and precise Surgeon I have ever met. When I first moved to San Antonio and searched for an excellent Plastic Surgeon...I was given his name by two close friends. I discovered he is a Master Injector, and therefore knows the muscles of the face and exactly where to inject the fillers and botox without bruising as well as for optimal results. I have been back every 6 to 8 months ever since I found him. I'm 64 but look 44. He's remarkably talented.. I will never go to another plastic surgeon other than Dr. Menendez. I send everyone I know to him. Everyone just loves him! However, we've all aged and it has become far too expensive to have these procedures done any more.
I saw Dr. Jorge L. Menendez, in the New Beauty magazine, which indicated he was an expert in his field. I scheduled a consultation for my facelift on 3/20/2019, and discussed procedure for a complete facelift. After surgery at the follow up, when he removed the bandage, I was not happy. I was surprised how I still looked the same except, for where he added fat to my cheek, and the results from the TCA peel made my skin look refreshed. Dr. Menendez, said by November the results of the facelift would be more apparent. About 3 months after the surgery, the results were no better, my skin was still sagging as if I didn't have a facelift. So I called his office, and explained my concern their response was for me to make an appointment. Every time I went to the office, I was only seen by nurses. On only one occasion did I see Dr. Menendez, and this visit was due to a open hole in my ear. I went back to the office 3 times because, I could not figure out why, I did not look any different. After doing some research about what a facelift is, I realized, Dr. Menendez did not perform facelift and I feel he deceived me. Whatever he did is not what is commonly done in facelifts by other doctors, nor did it give me the results we discussed prior to surgery. Of note, I drove over 8 hours to this doctor who was supposed to be an expert, I was supposed to be able to trust his work, but clearly he is not the professional touted in his advertisements. I would not recommend this doctor to anyone. Updated on 12 Apr 2021: I will send the receipts, but my daughter has to help me upload them, I have saved everything, I will also send a picture of the side of my face, were there should be a scar, but he did not make any incisions. I will be on the radio tomorrow, Tom Martino, the trouble shooter, in Denver Co. 6:30 KHOW, 10am-2pm
