Before my Brest augmentation, something was a missing not only physically but mentally as well. Our minds are absolutely connected to how we see our bodies in the mirror. After my breast augmentation, I am much more confident. I feel fulfilled now and I am beyond pleased with my results. I feel more like a women than I ever have. My confidence is back.! I had the best experience with dr Koger and his staff. They are professional yet always made me feel like family. And my sientra implants have me feeling awesome physically and mentally. Knowing that I had the best warranty out there. And that only board certified surgeons get these. Puts your mind at ease! So much time and research went into creating the best implant. And they achieved it. I am in love with myself again!
I have been wanting to do a Tummy Tuck for years now. I run 4 miles/5 days a week, and lift weights 4 days a week. After having my two amazing children I have been unable to get back to my pre-pregnancy body. I am hoping this surgery will reduce the appearance of the scarring that occurred, remove excess skin and Repair my abdominal wall as t stretched out dramatically after my first pregnancy . Updated on 8 Sep 2015: Surgery was on 9/4. I was unbelievably calm going into the surgery. The nursing staff, anesthesiologist and my surgeon worked together to tightly to the schedule, assured me all will be fine and seemed to all know exactly each step of getting me ready for the operating room. It was masterfully orchestrated. I was comforted knowing they had obviously done this so many times, that this was like clockwork to them. The only concern I had on this day was the "marking up" of my body prior to surgery. The surgeon drew lines of where he would be working and I didn't have any input in where the actual tummy tuck scar would be. It was weird because in my first appointment with him.. he said he recommended I bring the "skimmiest, smallest bikini or underwear I would ever phatom to wear.. so I did bring them. I told the nurse before he came in to mark me up that I had them.. she seemed confused at the thought of putting it on but told me to hold onto it and ask the surgeon. So the surgeon came in and was ready to mark me up.. he went right to work, he was in the ZONE. So, after he was done marking me up, my husband spoke up on my behalf and said.. she did bring a bathing suit bottom like you suggested to make sure the scar is below that line.. and the surgeon almost seemed confused. I think he was still in his zone. So, I restated what my husband said, and told him I brought a really small bottom.. does he want me to but it on to be sure the scar will be below that line.. he said it's not necessary, he can see my tan line and that the scar would be below that. (I do have a tan line.. FL summers on the water!) So, I felt that was adequate. (I am still crossing my fingers that was the right thing to do in not demanding I put on the bikini bottom). Time will tell!! I was wheeled into the operating room and there were 4 nurses, well organized each doing their part to get me hooked up, put in place, and sedated.. I was totally, totally at ease. I was ready to get it done. They put a mask on me with some concoction of oxygen/sedation and I was out within a very few short minutes. I don't recall a thing. I woke up at 11ish (surgery was at 7:30) in the recovery area with a nurse welcoming me back. She was great. I did end up getting sick to my stomach..but it wasn't too bad.. and once that was over.. I started to mentally get myself ready to go home. I left at 1:00pm and off to recover at home. Updated on 8 Sep 2015: I took the maximum prescribed pain meds to ensure I didn't feel any pain during the night. I set my alarm to wake up a take antibiotics and pain meds on schedule. I highly recommend this! You and your caregiver (for me this was my husband) are going through so much you might forget what time you took what pill last). I can say this first day, I could barely move. It took huge effort to protect my stomach/hips and low back. I didn't want to use any of those muscles to help me move. I had to really take it slow when I had to get up to go to the bathroom, etc. if I moved to fast, I was ready to get sick to my stomach. I don't take pain meds so this was a new experience for me and man is my stomach sensitive. I wore a one piece nightgown and long socks that went up to my knees. As for food, I stuck to rice pudding, it gave me some substance but wasn't too heavy on my stomach while taking those pain meds. The first day was awkward, surreal, and I couldn't wait to get past that day. The drains were hard to navigate. Wearing underwear was uncomfortable because the top kept wanting to push the drains up - OUCH!!! Also, the drain incision seemed to leak on the edges (GROSS, GROSS, GROSS). I kept putting gauge around it but it was a never ending, never winning battle. I don't like the drains. I can't wait for them to be gone. Updated on 8 Sep 2015: Day 2 and 3 were relatively the same. I kept to staying on a tight schedule with taking the maximum pain meds prescribed. I should have mentioned in day 1 post op - I have to sleep in a "V" or a beach chair position. Head/back elevated 35-45 degrees and my legs 35-45 degrees... like a deep V. If not, I can feel the skin being tugged tightly. My doctor told me it was imperative that I follow this instruction, or risk losing the full result of the surgery. I don't know how long I have to follow this, but I hope it's not longer than two weeks. It gets really uncomfortable at times. Sleeping on my side (which is my normal position) is OUT OF THE QUESTION, which presented a huge challenge for me. I hate sleeping on my back. But, for the amount of money I put into this.. I better follow orders.. sleep on my back in a deep v position. During the day, I find myself on the recliner in the living room, but at night I sleep in the bed with a mountain of pillows to achieve the V position. Its awkward, but I am getting through it. I found if I just stayed medicated enough, I could fall asleep and not try to move into my normal position. The pain on day 2/3 was definitely right there.. I could feel the tenderness of the muscles/skin that were cut and I was highly sensitive. Walking proved to be very difficult. Any time I tried to get it, it was laborious to say the least. I needed help to get out of the recliner, or out of the bed. These two days have been the roughest for sure. I tried to do some laundry, but I needed help to get clothes into the machines, out of the machines, etc. I was only able to fold clothes in all the effort I put into doing laundry. I couldn't find the strength to put clothes on hangers either.. just fold the clothes that were to be folded. that was the extent of work I was able to accomplish and it took a lot to do that. I found I slept most of the day in the recliner, or on my ipad. I tried to read, but the pain meds couldn't allow me to concentrate on comprehending what I was reading. #FAIL. I ended up falling asleepi trying to read 5 chapters of a new book that normally I wouldn't be able to put down. I guess it's part of the process. I did a lot of facebook scrolling, instagram scrolling and window shopping online. Just easy mindless things to do. Walking/moving- important. You can NOT stand up straight to walk. I found myself crouched over like a old lady needing a cane. I was looking down at the floor to walk.. not up at the direction I wanted to go. Wow, this was really awkward. I walked slow, and walked crouched over in a good 35 degree angle, if I could crouch over more.. I would have but I would have needed a cane. I would actually recommend a cane. It would alleviate the pressure on your back in needing to walk in such a weird position. But I was told this is normal, expected and necessary for the first few weeks. Eventually, I will be able to walk standing straight.. I wonder how long that will be! I go back to work in two weeks!! I didn't tell anyone I was doing this so PLEASE, please, please let me be able to walk straight when I go back to work! Swollen - the swelling definitely set in. I feel like a pig in blanket. I have this binding thing around my abdomen, but I can feel the swelling all around my pelvic area (especially around the drains). I was told swelling is part of the process and is actually healthy. So, I am taking the swelling in stride for now. Drains - cleaning out - the drains are interesting. I have to squeeze out the contents 3 times a day, and when you do DO NOT have the drain bottle at the same level or HIGHER than the drain hole in your abdomen.. or you will create a back-flow where the fluid you are trying to remove, actually backs back up into your body, Please ladies.. for your health.. be sure you hold the bottle down, way down below the drain hole and then squeeze the contents out. Your health is paramount here!! Shower - I took my first shower post op day 2 (surgery was 9/4) first shower was 9/6. Man, how great it was to remove the bidding garment, the foam padding and to get a good shower. I took my time. My husband held my drains while I scrubbed down. Best shower ever. I took another shower day 3..and feel like I can shower each day now moving forward, even if I had to on my own. My energy level day 2 was very low. By day 3, it was a little better, I think I may have walked around a little too much, but I am such an active person that it is really hard for me to sit still. I think some of the swelling i have is because I was walking around. I definitely am not up to going out of the house any time soon. I am house ridden for at least another 2-3 days if not more. I hope by Saturday I might be able to do something outside the house.. my Doc appointment is on Friday so, we will see what he says then. Updated on 9 Sep 2015: Yesterday was day 4 post op. I woke up with more energy and alertness. That was a welcome relief. I hopped online did a little work to stay on top of things and tried to not physically over exert myself. It sucks looking around the house feeling like I should be able to do my normal tasks but right now I just can't and I am definitely being vigilant of that fact. Not too much headway today. My swelling seemed to really take ahold today... A little depressing but part of the process. I'm not going to read into it too much. I keep reading that swelling will happen for 3 months on the regular. So that was me today .. A swollen sedentary blah. Oh well. For being an active person Its a complete departure from the norm. I think this will be my struggle throughout this process. My drains are not extracting as much fluid.. It's been going down day by day. I can't wait for the drains to be removed. I took a shower at night and noticed above my naval there was some redness above the new belly button. I have a binder and a bunch of gauze that has waterproof adhesive so I can't see any of the sutures or stitches. So where the redness is coming from is a bit of a mystery. It burns too. I decided to call my doctor to find out if it is something to be concerned with. I called this am (post op day 5) and am told it is completely normal. There is so much going on under the skin that this is to be expected. I also noticed after my shower that I am very numb. I feel like when I touch my abdomen that I am touching rubber or something but not my skin. Tingling/numbness/burning sensations - all day today I have been felling weird tingling sensations, bouts of burning sensations and have a lot of abdominal numbness. I'll keep monitoring this and reporting on it. Definitely an interesting process. Everyday is met with different experiences. I can't wait to get back this first week post op. I still definitely can not stand up straight or stand up for long periods of time. 15 minutes is my max. I hit a wall after that and need to rest. More to come tomorrow. Updated on 9 Sep 2015: This am marks day 5 post op. I woke with yet a little more energy, strength And alertness. I'll take that as a win! All was well, working online with my legs propped up etc. but then, after 2 hours I started to get a MAJOR burning sensation on my rib cage right under the breast plate. The feeling is like my muscle being separated and WOW the pain. I hope this passes soon. I just took a muscle relaxer and pain med. I need to get this under control. So far this has been the most painful moment. Can't wait til this subsides. I am sure it's residual pain from the surgery but wanted to post about it. I'm laying down now and resting. I'll send another update later. I
Hey everyone, I'm 20 years old, 5'7 and about 165 pounds. I lost 70 pounds over the past 2 years. I've always had bigger boobs since middle school but they were never perky. My largest size was a 40 DDD and with the weight loss they just sagged even more to a deflated 36 D. I am scheduled on January 19, 2015 to have a breast lift and augmentation. As far as implant size goes, dr koger told me we would probably go mid 200's-300 CCs, saline, to achieve a full D cup. I'm super nervous! Any words of encouragement would be great!
It was a very scary time for me. A lot of stress and uncertainty. My insurance at the time only covered two doctors, and Dr. Koger was not one of them. I had such a horrendous experience with the first round of Doctors my insurance was forcing me to see - they were not compassionate - they refused to work with the cosmetic Doctors to ensure the best outcome. I then consulted with Dr. Koger and his team (Kelly) who are so knowledgeable, compassionate, and caring. I immediately felt the difference. I was finally in good hands. I had finally met a Doctor (Dr. Kim Koger) who cared about ALL aspects of my health - emotionally, mentally, and physically. The surgery went very smoothly. Dr. Koger, and his team were attentive through the 1yr follow-up process. To this day if I have a question he'll scheduled an appointment and happily see me. My breasts are symmetrical and beautiful. You would never know I had a tumor the size of one of my breasts. My breasts now are not a constant reminder of my health scare, but rather a beautiful part of my body that I embrace as my own. Thanks to Dr. Koger and his amazing team.
I had been contemplating a breast augmentation for years but was always too scared how I'd turn out. After gaining and losing 50+ pounds every pregnancy, my petite frame had absolutely nothing left up top. I could exercise, eat right, take care of myself in every way but there was no improvement in the chest area. I found Dr. Koger after a few close girlfriends of mine had used him and looked amazing. I wanted conservative. I wanted subtle. I just wanted to fill a bra.
One of my implants failed and I wanted them both removed and to give my breasts a "makeover". The results are more than I dreamed. I don't believe my breasts looked this good when I was 30! This has been such a positive impact on my life; my confidence and attitude, my clothes, my appearance - everything. My husband is "amazed" and delighted. I have a "list" before I turn 60 next year - can't wait!
I love Dr. Koger and the staff. Dr. Koger is so informative and spent a great deal of time with me explaining the facelift procedure and what to expect. The staff is also very sweet and made sure every detail was perfect. My results turned out wonderful. I look so natural, exactly what I wanted. I did a lot of research and decided to use Dr. Koger. My experience was exceptional. The staff at Jupiter Outpatient Center was also very sweet and caring.
Excellent. I love my doctor- my sister used him too with fantastic results. My results are unbelievable even four weeks post op- all of the stitches are on the inside, so I think my scar will be minimal!!!! I feel 21 again- I'm 40 ;) I am an avid traithlete. For the past five years, I have consistently trained from 12 to 20 hours a weeks and raced many long distance triathlons, including several at the half and full ironman distance. Five weeks ago I completed a full ironman race and the next week had a breast augmentation with lift and a full tummy tuck. I am used to pushing my body through pain on a regular basis so I have no ability to gauge such statements as "do what feels comfortable". I am getting depressed sitting on my couch. How soon can I resume each of my separate sports- running, biking and swimming???
In 2011 I got liposuction on my abdomen and love handles. The surgeon was absolutely unprofessional and made a huge lumpy mess of my tummy. I went back to a different Doctor (this one a plastic surgeon) in 2013. He did more lipo on those Two areas plus my arms and fat transfer to buttocks (bbl) He was much too aggressive and took out too much fat in my abdomen area, leaving even more wavy, irregular , dents and on top of this, he used laser assisted, although he denies this, and created permanent mottled skin (red creases under my skin). Horrible experience! My husband found a new plastic surgeon and had some work done with him, with amazing results. This is Dr. Kim Koger located in Jupiter, Florida. Now December of 2015, I have gone in to get a tummy tuck with fat grafting in order to correct this 4 year nightmare.this is day two of my recovery. I will start by showing pics from before yesterday's surgery. Sorry but I don't have original pics, nor pictures after botched surgery number 1. By the way, I am mother of 2 and 34 years old, 130 pounds 5'2.
