I was cursed with terrible facial genetics and literally no chin. My extremely round face, Doyle chin and lack of structure or a chin has been my biggest insecurity forever. I wanted to do something to fix it for the longest time but didn’t know how. When i came across the chin implant procedure u knew it was perfect. My PS recommended doing the neck Lipo as well to even and tighten everything. Upon doing research on the procedure I found buccal fat removal. I thought this would be a perfect addition to the surgery so we added it on. I attached before pictures Updated on 7 Jul 2019: Everything went well, and all my nurses and PS really helped to cal my nerves. When I got in the operating room I was quite nervous but the great nurses held conversation with me and helped put me at ease. I was in the operating room, then next thing I knew I was awake and ready to go and in 0 pain. That day all I did was sleep and eating was hard as I couldn’t really open my mouth, all I had for the next two days was chicken broth and water Updated on 7 Jul 2019: My surgery was on a Friday and I saw the PS again that Monday to ensure everything was going well. At this point my pain was very manageable and I was just taking Tylenol for pain a few times a day. Almos all of my neck/chin and majority of my cheeks were still numb at this point and my smile was very half ass and hard to do. Updated on 7 Jul 2019: Bruising began to show today (4 days post-op) but there are just yellow-ish green next to my mouth and at the bottom of my neck Updated on 7 Jul 2019: Today I got my stitches out and a new, tighter jaw bra. I have had to wear mine 24/7 aside from bathing. The new jaw bra also does not have the foam insert in it. Today I was approved to return to work in four days. I’ll have to wear the jaw bra at all times when I’m not at work Updated on 7 Jul 2019: 10day post op and I’m still very swollen. I know this lasts up to six months but I’m getting impatient for the swelling to go down Updated on 10 Jul 2019: Swelling is slowly going down. My left side has had a weird indent (circles in blue) . I’m guessing it’s just a weird section of swelling and hoping it doesn’t stay
Dr. Rosenberg listens when he’s with you, and he answer questions fully. He was conscientious of sterility before the procedure, and, afterwards, he was always attentive during follow-up appointments. His staff is awesome, too—professional and smart. He does beautiful work, too!
Before the surgery I was a 44G and suffered from practically constant back aches and could not do simple tasks, such as washing the dishes without my back killing me. Even still, going into the consult I really wasn't sure if I wanted to get the surgery done, but he was wonderful about reassuring me of the benefits and pointing out (nicely) just how large I was and how much of an improvement I would experience. He was definitely correct, my back pain is gone and in general I feel much better about myself. He is very busy and generally doesn't spend a ton of time in the room, BUT if I had questions he always stopped and answered every one of them without making me feel as though I was an inconvenience. I was very nervous about having surgery done, however, throughout the entire experience I had complete confidence in him doing a good job and taking care of me. He did not disappoint. Following the surgery I have seen him multiple times and he has remained professional and attentive. Anytime I had a concern his office staff were able to get me in for a same day appointment, even if it was the last appointment of the day and he never made me feel as though being squeezed into his schedule was a problem. I don't have any plans for future plastic surgeries, but if I ever needed another surgery done that was within his range of expertise I would absolutely use him again!
I had very large "pendulous" breasts and was very self conscious about going in for this consultation. I had gotten to an extreme point of unhappiness and my husband really pushed me to look into this further. While still clothed, Dr. Rosenberg didn't seem to see my concerns but once he examined me he completely validated my unhappiness (which was important for me). His initial reaction was justified as I dressed to hide myself. I looked at several pictures of his work while at the consult but it is hard to picture the results on yourself, so they didn't affect my decision much. I booked the surgery and was hoping to go as small as a C cup. Really, my only qualifier was that I didn't want my breast to hang down enough that it touched the skin underneath anymore. Dr. R was very thorough with the risks associated with the surgery I would require. (I would have a lot of scarring with an anchor incision, and nipple and areola would be completely detached and positioned higher). He stressed that I may not get feeling back in my nipples for a long time, or ever. Also I may not ever be able to breastfeed. Those consequences didn't bother me so we went forward. The day of the surgery (a Friday) went well. The anesthesiologist was very kind and helped me through my nerves - I was relaxed in no time. Dr. R said he would get input from the nurses throughout my surgery to determine what would really look best on my frame (5'6", 175). They put on music I liked and before I knew it, it was over! I'll be honest, the recovery was VERY hard, and I would not have been able to do it by myself. I pretty much lived in a recliner for a week and I needed help getting up to go to the bathroom for a few days along with needing help during my first shower (PS- get a shower stool and sit facing away from the water stream). I'm fairly certain someone called from the office to check up on me but I don't recall clearly). They also sent flowers which I thought was so nice. I was terrified to look at the results and the incisions were pretty gruesome. I had a checkup the following Monday (I think, the days were very hazy) and everyone was pleased so far with the results. I could still barely look at them because it was too gross (ha!). Keeping everything clean was hard but I was just happy to not have drains to deal with. I had stitches that dissolved and I think glue of some sort holding myself together. I was scared (irrationally) that if I moved too much I would bust open my incisions (GROSS to think about now..). I can't recall which check up it was at (maybe 6 month), but Dr. R was quite unhappy with my scarring. On the outside, closest to my armpits, I developed pretty bad hypertrophic scars to the extent that Dr. R wanted to open up the incisions and reclose them (I guess, I never let it get that far into discussing it). I just recalled the pain I went through the first time (although obviously it would have been much less) and could NOT imagine doing it again. He wasn't happy with my decision but whatever. I told him he had no way to anticipate how my skin would heal so I wasn't mad at him or anything, and I'm happy he offered to fix it even though I didn't want him to. He prescribed me some kind of scar gel to use but after a few days I said forget it. It felt like it was burning my skin off. Now, three years later only one section of the scar bothers me from time to time since it is right where the underwire on my bra sits, and it will sometimes be itchy and red. From time to time I use OTC scar medicine to help but I'm not that diligent with it. The rest of my scars aren't bad at all and they don't bother me a bit. Also, I do have feeling back in both nipples (although it took quite a bit longer for one than the other). Both areolas are also much smaller now and they are just the right size for my new chest. I ended up being a 36D, which I am happy with as it suits my body just fine but I do wish I was a little smaller still. I am just beyond thrilled to be able to wear normal shirts and bathing suits! Sadly I lost pictures I had taken from before and immediately after, but I think that's for the best. I am perfectly symmetrical and happy with the results, and I just wish I hadn't waited so long to do it!
I made the decision back at the end of December to take control of my life and my body. Made the appointment with the plastic surgeon at the beginning of January. The consultation was a bit nerve-wracking for me. I wasn't sure what to expect, but having a man with cold hands pinch my belly flab was definitely a bit challenging! LOL We talked about the tummy tuck and he was really positive. He feels that they will be able to give me the flat stomach that I want, along with eliminating most if not all of my stretch marks. WAHOOO! I am not super concerned about the stretch marks, but if they can be gone its a definite plus! Lipo was also on my list, as I want to do as much as I can at once so I have one recovery. He agreed to a certain extent. I will have lipo along with the tummy tuck on my actual stomach, then he will do lipo on my back and up a little bit so I can keep an hourglass shape. I have seen many people who look like of square after the TT procedure, so that is very reassuring to me. We also discussed lipo on my outer and inner thighs. On my outer thighs, he will be able to smooth out the saddle-bags so that everything from my bra-line down to close to my knees should smooth out. When we talked about my inner thighs he really cautioned me to hold off. With the extent of the other procedures he feels that doing the inner thighs is an unnecessary risk due to the veins and arteries there. He said he would do it if I really wanted, but that it is safer to wait. He also offered to honor the "multiple procedure" discount on the inner thigh lipo if I do decide to come back later and do it. We also asked about lipo on my chin, as I am constantly worried about a double chin. He examined me and thought it would have really good results. It was only about a $500 add on, so it was a no-brainer for me. I am just so ready to let go of these hang-ups! So, the deposit is paid and surgery is scheduled for February 5th! I go in this week for my pre-op appointment and get the final surgery instructions. I am terribly excited and so ready to move on with my life. I do have some nerves about how bad the recovery will be, but I have taken a full three weeks off from work. I am in the process of preparing my house now to get everything in order so I don't have to worry about it later. I THINK I am prepared to look rough after the procedure. I keep telling myself that I will be swollen, bruised and look bad until May (?) so I don't have my hopes up too high. My few friends that know keep asking me if I want to go ahead and buy some new clothes, but since I keep reading about swelling, I want to wait and see how my size adjusts first. I have read every blog I can find and I have a huge box of supplies with everything that anyone has listed just in case. The only question mark I have is that my doc's office is providing the compression garment which makes me a little nervous. I feel like I want more than one garment so I can change them and keep them clean, but maybe they will give me more than one? Definitely on my list to ask when I go in! Well... this ends the first novel of my journey. If you have read this far, you are one committed gal! :) Updated on 21 Jan 2014: I am absolutely terrified, but since I am all about overcoming my fears this year... here we go! Here are the before pics. I am hoping this gives someone else courage, but I really want to be able to see for myself how much my body changes. Updated on 25 Jan 2014: The pre-op consultation was this week. It was far less of a big deal than I expected. We went in, paid the remaining balance, had a few minutes to ask questions with the doc, chatted with the nurse awhile, had pre-op photos taken and then got my prescriptions. They gave me the Arnica-Montana to take the day before surgery, phenergen for nausea and an anti-biotic. I was surprised they didn't do bloodwork. I asked about getting a second compression garment/binder but the nurse said it really wasn't necessary. She said it was ok to just wash the one they give me and then I can sleep the night without it while it dries. This really scares me as so many ladies on here have commented that even an hour without it on and they were really swollen and uncomfortable. I am thinking of going ahead and ordering one of the ones I have seem recommended on here... just to alleviate that fear! Surgery is a week and a half away and I just couldn't be more excited. I am totally prepared to look like absolute crap for two months, so I am hoping I can miss some of the freak out depression that I see on here so much. I am just ready to move forward at this point, I can't stand the waiting! Updated on 4 Feb 2014: So, I have to be at the surgery center at 7:15am. My emotions are a roller coaster of nerves, excitement and a little bit of fear. I have been working like a mad person to get my work finished to be at home for three weeks and trying to get the house and supplies all organized and ready. I am trying to think positive about the results... but I am also trying to get my life prepared so that I dont have to do anything for weeks. Its a pretty bizarre feeling. I am definitely reading a lot of the stories on here to keep positive, so thanks ladies! Updated on 5 Feb 2014: Today has gone well. I will post all the details later when I am not so loopy LOL. I can tell I am smaller, but I a super sore and cant get comfortable. Thanks to veveryone for your kind wishes, it definitely helped with my fears! Updated on 6 Feb 2014: Ok, I am now up and alert enough to write about yesterday. We arrived at 7:15, I changed into a gown, they started an IV and gave me nausea meds and fluids. Then I amswered about a thousand med history questions, the doc maked me up and they had me walk back to the operating room. Everyone was really sweet, funny and upbeat which made everything a lot more relaxed. I got into the OR at 8:10 and within about 10 minutes I was out. She put happy juice in my IV and I dont remember anything-- no counting, oxygen mask, etc. Its just all black. Then I woke up in the recovery room and they helped me get into a recliner. They monitored me there for an hour or two (I have no idea, I was so groggy) then we got my post op appointment scheduled and they sent me home. I was able to walk better than I expected, but the lipo on the side of my thighs and hips really really hurt. I took my meds using only one percocet at first, but that didn't cut it so I had to go two two painkillers. I had a recliner all set with everything I need and my hubby just had to get me soup and drinks. Getting in and out of the recliner is beyond painful and I can t do it without help. I have been able to sleep pretty well, and I have been napping quite a bit. I only got one drain and my hubby is being a champ taking care of it. I definitely feel smaller, even though I am swollen. I am trying to stay positive about the pain and remember that the end result will totally be worth it! Updated on 6 Feb 2014: Just got home from the first post op appointment and I am completely exhausted. I was walking a lot straighter today, but it was so painful. They took off most of the bandages and tape, but I literally cried it hurt so bad where the tape was stuck to lipo areas. I I have been taking two Percocet for the pain, but its just not enough. The PS gave me a stronger painkiller prescription and my hubby has gone out to fill it. I am very anxious for him to get back! On the positive side, the PS and nurse were really really happy with how things are looking. I am still puffy and swollen, but the shape is looking good and they think that I am recovering well. I however feel like my body has been through a blender! I am doing OK sleeping and laying in the recliner, but I can already tell that by tomorrow I will be stir-crazy from sitting so much. Updated on 7 Feb 2014: I am doing a good bit better today and I can get up and down by myself, but it really takes a lot of effort. I am still a bit foggy from the pain meds, but I am awake and alert more now than before. The swelling is what is bugging me the most. If I sit still, the only pain is from the swelling, so I am trying to see if ice packs can help alleviate some of the volume. I haven't eaten much since the procedure, just soup and some crackers. I'm really not very hungry at all. I did get on the scale yesterday, which was a dumb move, since it only showed me being down 2 pounds. The PS said he did 4 liters of lipo, plus the skin removal, so I am crossing my fingers that the scale number is just showing the water retention. I get to shower tomorrow and I am so looking forward to that. I have surgical tape residue all over that is sticky and annoying, plus I hate still seeing the marker that the PS put on me. I think once I am all cleaned up, I will really feel more like myself. The new pain killer prescription was a dud. The percocet work a lot better, so I am staying with those. I should get my compressio garment on Monday and I am looking forward to that. They might be able to remove the drain then, if not, it will come out on Thursday. I just dont do well having to sit still and I cant wait to have some progress towards getting my life back! Updated on 7 Feb 2014: This is a quick image with the binder off yesterday at the PS office. Updated on 8 Feb 2014: Day three is starting off well. I am in less pain and I am able to get myself up and down without help, which is huge for me. I am allowed to get a shower later today and I am so so excited. The tape residue and maker marks are making me crazy! I am a little nervous about taking off the binder... Its become somewhat of a security blanket! I didn't mention it before, but I did get one drain with the surgery. I was relieved it wasn't two! The hubby has been taking care of it, but its already down to next to no output. I am crossing my fingers they will take it out on Monday at my appointment. I think without it, I will really start feeling the progress. The swelling is still pretty bad and I am desperate for it to go down. I think the lack of a BM is sincerely adding to the bloated feeling, but I keep taking the Colace and waiting. I am surprised that the incision line isn't the painful part-- its the muscle stitches inside and the lipo entry on my hips. I have a feeling that the incision pain is yet to come, though! Updated on 9 Feb 2014: I have been so proud of myself thus far-- I was healing WAY better than I expected. I was already able to get up and down from chairs by myself, I could walk all over the house without being very hunched over and I had already taken a shower by myself. I was expecting today to show more signs of improvement. All I can guess is that a lot of my nerve endings reconnected. I have had a lot of stabbing pains throughout my abdomen, I am itching like crazy, mostly on my tummy and back, and now I have some stretching pain near my belly button. It was disheartening to have to spend almost all day laid out. I was also hoping for my first post op BM, but still no luck there. I am trying to stay positive, since a lot of people's blogs don't have them doing this well at day four, but I really want my independence again! Updated on 10 Feb 2014: Had a quick follow up with the PS today and they put me in my compression garment. Holy hell this thing is uncomfortable! Its pushing on my drain and pinches on the sides. I know it will get better, but for now, I am back to constantly fidgeting to find some comfort. The swelling has gone down a lot and I finally had a BM, so I am feeling so much smaller now! The doc said I am healing really well and I should still lose a lot of size. I am crossing my fingers! The trip to the doc took a lot out of me today, but I will promise to post new photos tomorrow! Updated on 13 Feb 2014: So yesterday totally and completely kicked my butt. I got my period and the pain and swelling paired with hormonal emotions just beat me down. But today was a brand new day and I finally feel like I am really healing! I went for an appointment today and they took out the stitches in my belly button and took out all the lipo stitches. They have been itching me, so it was such a good feeling to be rid of them! The PS is really pleased with how well I am healing and his enthusiasm is so encouraging. I actually went out today and had lunch with my mom, so that really made me feel normal again. I have resolved to now leave the house at least once per day for some kind of outing to help keep my spirits up. Here is the latest image-- I finally felt like taking one! The doctor says the swelling still has a lot to go down, but I think my scar is already so minimal and the shape is lightyears better than it was! Such an encouraging day!! Updated on 17 Feb 2014: So I was thrilled this morning to get my drain removed. I felt so tethered to that thing! I was super excited to not have my CG pushing on it and not being able to switch my weight to that side in the recliner since I would get jabbed by it. So I came home and the first thing I wanted to do was put on a pair of jeans! I have been wearing only dresses since surgery b/c of the drain. I saw on the scale that I am 10 pounds down and what I see looks so trim compared to where I was before. I pulled on my jeans and they barely buttoned! I was so dissappointed! In my eyes I look so much smaller than before that I was shocked! I thought they would be so loose! Please tell me this is just swelling! Please tell me its not going to be months and months yet until I can wear my smaller clothes?? I am happy with the TT, things look lightyears better, but with the TT and lipo I guess I expected to have results fairly quickly... Updated on 17 Feb 2014: In the course of today I have gotten SO swollen-- definitely the worse day yet! My thighs and abdomen are swollen til I feel like I will pop! I have been good with eating, so all I can guess is that its from the drain coming out?? Anyone else have this happen?? Updated on 26 Feb 2014: Oh where to start... I haven't updated because I have been so frustrated with the swelling. I am definitely bigger than my first post op photos. I am not able to wear my pre-surgery jeans still. My shape in my clothes looks light years better and everyone comments that I look smaller, but I can't fit in my darned clothes!! I am not having much pain any more. Its mostly just the swelling making me uncomfortable. Almost all my bruising is gone and my lipo scabs are gone as well. For the swelling, I am drinking lots of water, keeping my feet up a lot, I had a lymphatic massage, I gently ice the area for short periods before bed and I am trying to massage the area myself several times a day. What else can I do?? I feel like I am on the verge of really getting to enjoy my results, but this darned swelling is ruining everything!
Outcome was awful, Saggy Breats, displaced nipples falling under the Breats, areola not right staff very disrespectful depending on the color of your skin and stature in the area you receive different type of treatment. The office supervisor on my 1 post op follow up visit I watched her inform a patient she didn't have to worry about paying her deductible for her insurance now the lady was crying and upset. I was told I could not make an appointment or be seen the day of my surgery without having paid all of my deductible to the center and I ended up receiving a refund because I over paid. Dr. Rosenberg was made aware of the situation and was supposed to address this with his staff and write an apology letter this never happened. 1st snd 2nd month I knew I would not be pleased with my results but Visit after visit Dr. Rosenberg spent literally 4 mins in the room with me to tell me your Breats look great you don't have your final results yet. Waste of time and energery worse experience ever and considering this was my 1st surgery I am overly dis satisfied. Updated on 6 Jun 2018: Dr. Rosenberg or a staff member on his behalf contacted me regarding my concerns. Dr. Rosenberg advised me if another surgeon conducting a consult and stated no lift was completed as apart of my Breast Reduction, nipples not centered he would pay for my revision. This never happened and Dr. Rosenberg never contacted me back.
I am going in for a breast augmentation August 1st. I go in for my pre op appointment July 16 and am looking forward to it! In my first consultation I told him I wanted a full D. I’m starting at a 36B and he suggested 400cc. My BWD is 12.5. I’m hoping this will take me to a full D because I am wide chested.
Trying to be prepared for tomorrow's surgery. I know I can do it but I'm getting nervous. I need to get my tummy back so I can continue making myself look as great as I feel. I am blessed with wonderful fiance who will be with me a few days. My 3 kids 17, 19 and 21 and this will not interfere with trying to raise them. I was trying to find the perfect timing but I don't think there is one. Updated on 1 Aug 2017: Si far so good just riding home Staff and doctor were amazing Tomorrow is post op and will pics I am so glad I didn't chicken -out I'm really sore but happy I survived I hate pain meds but will take them as needed to get thru this week Fiance is doing great being my nurse so far I am also really hungry on top of being sleepy Updated on 2 Aug 2017: Day two has been very painful so far Stayed up most of the night in pain The pain killers also made me feel itchy We had to go see doctor today to remove bandages and tape I didn't take that very well everything looked good though according to my doc I don't like the garment so far it is squeezing me too much and goes down to my thighs I didn't have lipo down that far so not sure why I have this one with legs in it I am very sore right now and think I need to get back home and sleep Updated on 3 Aug 2017: I woke up really sore and was worried that I would feel bad all day like the day before. I started feeling better mid morning and was hoping I might be able to go to the bathroom. No luck. So I took Colace and Miralax but so far it didn't help. I took off the garment that the PS put me in for a while hoping I could relax and go to the bathroom. The garment is painfully tight. I left it off a few hours and put on one that I had purchased thru Amazon that was less constricting. Over all I had a better day considering what a major surgery this was. Updated on 4 Aug 2017: Just woke up in recliner. Again the binder u have on is way too tight. It is not adjustable age where it hooks together up both sides of me feels like it is leaving marks on my side and irritating the incision. I have ordered a new one but will have to wait on it a week. I told my doctor this one was too tight and he said I could undo it a lil from the top but it still is sooooo tight. He says wearing it is my best chance to get drains out next week. I am going to take it off for a little while to try and go potty after breakfast. I have seen a few ladies recommend the Marena site and the Bonito company for garments. I ordered mine from Bonito and can't wait to get it. I will update with pics as soon as I can later today. The pain level is getting better every day. Just some sharp burning pains on both sides where incisions are. Under my belt button feels mostly numb. I'm really wanting to see if I will have the results I wanted but it's hard to tell when your so swollen. Updated on 5 Aug 2017: I got up getting rested this morning. My sweetheart made me breakfast and I started feeling my tummy rumble. Finally went to the potty after 5 days. What a relief! I feel better and am about to take first shower. I am still very swollen but overall doing great. It is pouring down rain here and plan on showering and taking it easy today. Updated on 5 Aug 2017: No more kangaroo pouch when sitting. Just got my shower. Still sore but getting better by the hour. I can't wait to get drain out. It was clogged earlier and it kinda freaked me out. I slept good last night and that helped. Can't wait to be able to sleep in my bed instead of recliner. I can see the light at the end of the tunnel at this point. I think my doc did a great job. Updated on 8 Aug 2017: So I feel way better today than any other day so far. Taking less meds and getting the feeling back somewhat on front of my tummy. I'm looking forward to Post op drain removal on Thursday. I feel like it will be a huge step in recovery to get them out. I am right on track with output. I will have to say this has been quite an experience soi far. Very scary at times and painful. I'm really looking forward to my end result though and recovering. I have no idea what I would of done without help. There were times I literally got stuck in the recliner or couldn't get up off couch. I've taken 3 showers now. That def helped. I swell up at odd times this week and I've noticed it didn't feel good last night after dinner. I was really cramping up. I'm also a little worried about my bb, it looks scary so far and hasn't changed at all. Hopefully it will start looking normal by the end of the month. I looked in the mirror today and saw some good changes. I was beginning to get a square boxy shape and now I'm more curvy. Being only 5"3 made it worse. I looked thick and that stout. I don't feel as nauseated as I did either today. That was a plus. I did have the need to cough a few times and it hurt like the worst thing ever. I still can't believe I actually went thru with this procedure. I was terrified that it would put me down too long and I need to get back to work next week. Updated on 10 Aug 2017: I was very worried about my post op visit today I wanted to get drains out badly but I was terrified at the pain involved All I can say is that there is no way to prepare yourself for the removal A very sweet little nurse told me whenever i was ready that she would take it out I took a deep breath and let it out and told her to go ahead For the next several seconds it felt like my tummy was firing out electrical impulses of pain Like someone lit firecrackers inside me Wholly Cow! Thank God it was out I continued to feel intense pain for about 5 mins before I could get up Then they had to take all my sutures out That part didn't hurt at all after the drain removal All I can say is don't go do this alone if you can help it Take pain meds and get a driver I thought I could handle it better It really did hurt then I thought I might throw up I didn't thank God Otherwise in healing nicely the doc said I think my BB looks really odd and hope it starts to look better soon Updated on 11 Aug 2017: Updated on 14 Aug 2017: Feeling pretty good today. Swelling is down in morning then back up in afternoon. I was careful all weekend not to do too much and wind up with a seroma. My left hip is more swollen than the right and has me a lil worried. The left side has always hurt more than the right so I'm thinking my PS must of had to do more work on that side. I just want it to even out eventually. I go back next a week from today and will ask him what's going on if it isn't better by then. Updated on 22 Aug 2017: Still feeling a lil better every day. Recent concern is small spot on front side of incision is leaking a small amount of fluid very similar to what came out if drain. Nothing yellow. I don't know why and I am watching it. My left hip seems to be going down some. My PS felt like it was swollen tissue. He tried to drain it and no fluid was there or seroma. Hopefully it will flatten down in time. I have recently began sneezing. I think something is blooming that I'm allergic to. I rushed out to buy Claritin since the sneezing is very uncomfortable. I have been waiting to crack down on my diet until I get thru the first month and can get rid of this binder aka straight jacket lol I am down a few pounds from pre op anyway so that made me happy. I see doc again in a few weeks and hopefully he will clear me to go back to gym for light weights and some cardio. I am not the best with cardio but feel like I need to get moving. I do like that I have somewhat of a nicer waist line again although it appears uneven right now. I was beginning to be one big square and it made me stay away from any activity that required a bathing suit. My belly button is starting to look better also. It seems to be pulling to the left side though. I'm hoping that's bc of the swelling. I have one more week and can switch to a better garment or binder. I'm up for any suggestions. I looked at Target and Kohls so far and couldn't decide. Happy healing everyone.:) Updated on 22 Aug 2017: Day 22 Updated on 28 Aug 2017: Feeling better all the time. Still concerned about left hip swelling and I have a small part of incision that stays irritated and bleeds a little. Belly button looks much better. Lipo on back side has funny looking areas that will hopefully smooth down. Been using Bio oil to try and help soften scar and areas where lipo looks hollowed out. See PS next week and will see what he thinks. This Tuesday will be 4 wk marker. Yay!!!:)
I had wanted a tummy tuck for some time after initially losing some weight. I was always a "big girl" and at 5'1" my top weight (OUTSIDE PREGNANCY) was 220lbs. My family has a long history of obesity and 7 family members have had gastric bypass! I really wanted to avoid that but it wasn't until I had my first child that I became really motivated to take control of my weight and health to show my daughter better than I was taught as a child. I started my weight loss journey in 2012 and continued pushing on thru another pregnancy, major thyroid issues leading to surgery and major family loss. My 2 girls are my motivation to continue to do better and be better every day and it has become SUCH a lifestyle change that I have gone from being a technology consultant to a Certified Fitness Instructor. What they DON'T talk about with massive Weightloss however is that after losing almost 100lbs (and having to pregnancies & c-sections in 18 mths) is that you have a lot of excess skin and tissue hanging around that the workouts do nothing for. Also I had a good amount of separation in my ab muscles from the csections that I was not able to pull together thru normal exercise. It was after 4 years of working my journey and getting to my goal weight that I decided it was time to invest in the new me and close the chapter for good on the "obese me". So far I am amazed by my results (it is 5 days Post Op as I write this) and very glad that I was in good shape before doing this because it definitely would have been MUCH more difficulty if I would have done it when I was heavier and weak! Updated on 15 Apr 2016: My biggest update is that my drain is out and I am SO excited for that. The drain and I had a bad relationship from the beginning- I had a lot of issues with the drain leaking and it was such a pain to pack it with gauze to try and not have a mess, then the last few days he area really started hurting and aching so when they said it could come out I was so ecstatic. Another issue I had been having was with my compression garment. From the beginning it has been a moving target. The garment they put me in 1 day Post Op was simply too tight. My thighs were going numb and because I am so short wasted the top was folded over and I could barely take a full breath. After suffering in it for a day or 2 I called in and they told me to take it off and use my post op Binder and compression leggings (because thankfully I had some at home) instead. That "works" but again the binder is pretty long on me so it hasn't been too comfortable. Which is also why I am SO VERY HAPPY to have the drain out because now I am able to try some "Spanx" type garments instead. It took a few tries but finally I found a body shaper today that is great! It may be a little loose on my belly but I really have been worried about getting compression on my thighs and it is doing well for that. At my drain appointment I talked to the nurse about the pain I have been having in my left thigh. Basically from my incision down about 6" is super numb and then when I stand or sometimes walk I get an INTENSE burning pain in that area. It has been very difficult and they believe that it is a compressed nerve and will hopefully get better as the swelling comes down but could take a while :( Overall I just have to remember that I am a week out and that all these things are really minor compared to the surgery I had done. I tried on a swim suit just to see how the scar is sitting and that made me really happy (even if my thighs are really swollen from Lipo - haha) but I am going to try and just stay positive and look forward. My next appointment is in 2 weeks and hopefully I'll be closer to normal by then ;)
I'm interviewing physicians in or near Tallahassee that will do lipo with a tummy tuck, and not do a muscle repair, since I want to forego that, and I've never had children, nor been 100 lbs overweight, or anything like that. I'm 61, and although not exactly skinny, but I'm not in bad shape. I'll include a photo as soon as I can. I have a situation in which the skin (and fat) below my waist hangs over my bikini panties. (See photos). I plan to lose more weight before and after the surgery, but it's very hard to get weight off. I work out almost every day, and I'm doing my best to eat healthfully. My target date for surgery is before mid-December. So far I've found one physician who will do what I'm seeking, but he's in NY City, and that's so far away. I'm interviewing others. I found one that is closer (Tampa), but he's prohibitively expensive! ($15,000+). I will post every step of my process, if you are all interested. Updated on 26 Oct 2011: Okay, I had the meeting with the P.S. He is WONDERFUL. Oh my God what a 'bedside manner.' He encouraged me to ask every question I wanted, which was good, as I arrived with a list I had typed out. He advised me that what I need is an extended tummy tuck. That means that the lower abdomen skin along with the fat gets removed completely. Goodbye to that hanging skin and fat. The cut goes all the way to the back, so of course, the entire abdomen and part of the hip is involved. An extended tummy tuck automatically comes with liposuction of the flanks. I told him I was concerned about getting a waist, and he said he'll be sure to 'create' one. :) He said the fat below the belly button gets removed completely when he cuts that huge slice of skin off (it takes the fat with it), so there's no need for lipo there at all. Regarding the upper abdomen (where I also have fat), he will not be suctioning the fat off that area because the tummy tuck involves pulling the skin from the upper abdomen area off the muscles and extending it all the way down to the pelvis, where it is sewn up. He said it would be too risky to compromise that area any further by doing lipo in the (upper abdomen) area as well as detaching, then re-attaching that skin further down. Besides, he said, since the skin below the belly button will all be removed, and the skin from the upper abdomen stretched to reach my pelvic area, the upper abdomen will be compressed, pulled, and more than likely appear flattened, and will probably lie somewhat flat. He said that after the FULL recovery, once I'm completely healed, if I still wish to lipo that area, I can have it done. He said 'dog ears' are not a problem with extended tummmy tuck. I was concerned about that when they sew the corners together, getting a 'bulge.' The cost will be $8,214.00 which is definitely within my budget, although I will be getting a loan to have it done. Definitely worth it, since that hanging skin I have in the lower abdomen has been causing me a lot of skin rash under it, and I spend my summers applying skin rash ointments to the area under the hanging skin. He will be using general anesthesia with epinephrine. I don't do well with epinephrine in the sense that my heart beats too fast and I have Mitral Valve Prolapse, but he said that I will be completely asleep and will not notice, I'll be completely 'controlled' (my heart and respiration will be completely monitored), and he reassured me about that. (I'm a basketcase about general anesthesia, among other things). He also said that by the time I am removed from the general anesthesia, the epinephrine effect will be gone. I am going to select the date by the end of the day, and I will be putting a down payment of $800 to reserve that date. That's my problem. I'm looking at my calendar at work, and oh boy, I'm a busy gal. Oh, and while I'm at it. He said I need 10 days. He will probably not require doing a muscle repair, however, if he goes in and sees there's separation, he might need to do a little bit. OUCH! You all might recall that I wasn't too interested in muscle repair since I have never had kids and I'm afraid of the pain associated with the muscle repair. Wish me luck, y'all! I'll write again later and let you all know the date of my surgery. Updated on 26 Oct 2011: I've selected a date: November 30. Oh my gosh, I'm so nervous! I'm going to start exercising and eating very healthy foods so I will be in as good a shape as I can be by surgery date. Updated on 28 Oct 2011: Okay, it's 10/28/11 and I've put the down payment on my tummy tuck. I also asked for an explanation of the flanks. Turned out the flanks are around the hips, so I asked what would happen with the bulges above my waist around the back. The surgeon was called and saw me one more time to tell me that he intends on doing some lipo of my lower back as part of the procedure. Thank goodness! I have a lot of fat back there. Right now I'm getting a little nervous about the pain, particularly if he goes in and does some muscle repair. :( I'm also nervous after reading about infections, problems with general anesthesia, being too long out of work, not getting back my energy for months, etc. One thing that really concerns me is that I won't have anyone to take care of me. One good thing is that today I asked if after the TT, I will have to bend over for days to protect the wound. I was told I wouldn't have to, that the wound does not tear if one stands up straight. However, I was told that most people who undergo tummy tuck have a tendency to NOT want to stand up straight because of the pain and tightness, but that it's not necessary to remain bent over at all. I had read in a few sites people saying that they were told to remain hunched over for days, and now I hear that it isn't necessary. I'm finding out more each day. Updated on 20 Nov 2011: I still don't have a date for the surgery, but I do have a new perspective on it. It seems to me that a tt surgery can be unpredictable. One can go two weeks, or three weeks, and suddenly have a setback. I'm even thinking that perhaps it's not even the first week that is unpredictable. It's what happens later on, as the healing begins. From swelling, to abscesses, to belly buttons oozing, to infections, to returns to the OR, no doubt it's an unpredictable surgery. Granted, it's not open heart surgery, but it's not like having a pimple removed, either. Each of us goes through a completely different experience based on a million factors. TT is certainly not for wimps! Updated on 1 Dec 2011: Okay, here I am awaiting my second root canal, and I still haven't figured out a date for my tt. I have moved from thinking I could take off 1 week, to 2 weeks, and now finally to 3+ weeks. I search my Outlook calendar at work every day for a time that is best, but I haven't made a decision yet. I'm shooting for next week as the week to decide when I can get this done. My work calendar is so full! Where will I eek out 3 weeks? That sure sounds like a heck of a lot of time to take off. It's obvious I won't be having it done before Christmas. Updated on 5 Dec 2011: I just found out some interesting things in my preparation for my tummy tuck. I plan to write these down on a poster board and post it on the wall, so I can read them while I'm healing and don't start imagining my case is any different from anyone else's: 1) The pain medicines the doctors prescribe for pain after the tt, cause horrible constipation AND cramps. However, the medications are necessary to avoid the pain felt after the tt. Experiencing too much pain (by not taking the meds) is not healthy and can cause a delay in healing. (Damned if you do, damned if you don't). 2) The incision scar usually looks its worst at about 3 or 4 months. 3) Depression (and regret) about having had the tummy tuck) often experienced, and is quite common. This is because the general anesthesia can cause depression, the let-down of long recovery can cause depression, and the 'coming down' from the elated feeling before the surgery - "I'm going to look so good" - compared with the after surgery's "oh my goodness, my whole body is a mess, I feel horrible, and my belly looks terrible right now" can cause depression. 4) Numbness in the belly (as well as itch and weird sensations) is normal, because nerves have to be cut in the process of doing the tummy tuck. This usually gets back to normal after the healing period is over. 5) Using nicotine patches, gum, or smoking while the incision is still open, is a no-no, because nicotine delays healing. No nicotine should be inhaled or taken orally or in patches for 6 weeks before the surgery, all the way to 6 weeks after the surgery. 6) General recovery generally takes 3 to 6 months. However, the swelling can a LONG time to resolve: 8 to 12 months, maybe more, depending on the individual. 7) Walking after the tt is incredibly important to avoid embolism, but too much exertion soon after the tt, is not good at all. Maybe I'll space out walking in between rest periods? 8) Drainage can stink and look horrible, and the tt can still be normal - doesn't necessarily mean something is going wrong, but the doctor should be advised in case it is an infection. Temperature over 101, increasing pain and redness over the area, discharge coming from the incision (other areas than the drain), or horrible smell and a funky looking discharge coming from the drain. 9) The risk of infection can exist even up to a month and a half after the surgery, so it's important to keep an eye on the incision and take the temperature regularly. Also, following the belly and incision cleaning instructions given by the surgeon is important to help avoid infection. Not following the surgeon's instructions for cleaning the area as he instructs, is one of the most common reasons for infection. (Although one can get infections during surgery itself). 10) Compression over the area (by using compression garments) is important because these improve circulation, get rid of the fluids that accumulate in the area (which minimizes swelling and decreases chances of infection). Updated on 28 Dec 2011: Okay, more things I have to remember. I read that the reason the belly swells is because a tummy tuck surgery damages the lymphatic drainage system, which then has to rebuild itself. The rebuilding of the lymphatic system takes MONTHS. The lymphatic system is the body's system of regulation of fluids, drainage of fluids, disposal of bacteria, filtering fluids in the body, and getting rid of toxins. If the lymphatic system is damaged (as is the case in tummy tucks), there is an accumulation of fluids, and draining doesn't occur as it should. This causes the fluids in the lymph channels (lymph fluid) to 'leak' out of the lymph channels and engorge the surrounding tissues, causing them to swell, sometimes dramatically, and even to the point of the tissues feeling hard. The accumulation of lymph fluid throughout the tissues is called lymphedema. Certain things are recommended for lymphedema: -Drinking lots of water -Staying away from rigorous exercise -Doing a gentle exercise program -Keep the area clean as instructed -The area may feel better when lying down -Lymph drainage massage, if allowed, might help Updated on 16 Jan 2012: Okay, it's scheduled. 2/29 is the day. I have my pre-op on 2/15. To say that I'm nervous would be the understatement of the year! I'm nervous about everything. I'm nervous about my elderly parents (who are so afraid), I'm nervous about the GA, I'm nervous that my belly button will end up on my hip, I'm nervous I'll have a scar 3 inches thick, etc. I need some courage!!! Help! Updated on 27 Jan 2012: I found a nifty little interview with a PS. It made me realize how complex is the process for setting the belly button in the new flap of skin, and also how important a stress test is for women over 50, before having TT: Dr. Brent Moelleken: Now, typically, if the surgeon is clever about it, it should be a very, very appealing sort of good looking belly button. There’s a whole science that goes behind how to make a belly button. You wouldn’t think of it but there’s all sorts of anchoring that’s done and then liposuction around the area and removal of fat so it’s nicely contoured and it’s hooded on the top and then it’s sort of depress it three, six and nine o’clock. It should really look appealing, not too big, not too small. It should really look like an appealing belly button. Dr. Brent Moelleken: Often, people who have tummy tucks are a little bit older who have a full tummy tuck. For someone who’s in their 50’s or their 60’s who has a full tummy tuck, well, they’re not 20 so their heart maybe weaker. They may have underlying medical problems. There are big fluid shifts that can happen. People can have literally a heart attack after any big surgery. Teri Struck: So, do doctors get echocardiogram or anything beforehand or do you just tell them to please bring all the proof in. How do you know if patients that know if they have a heart problem? Dr. Brent Moelleken: Well, that’s a good question. Every single patient that enters my practice who’s over 50 years old and then also some people younger, if there are reasons in their medical history, but every person over 50 gets a stress test before having any anesthetic. A stress test is basically a test that a cardiologist does to see if there’s hidden damage to the heart. People say, “Well, why do I have to get a stress test? I had a cardiogram. My cardiogram was normal.” But, the cardiogram only tells you if you already have damage to your heart. It doesn’t tell you if the heart’s very, very weak and ready to have a problem. But it the person goes to a stress test and they stress their heart and there are no problems, then we feel much more comfortable giving them an anesthetic. Teri Struck: A stress test is basically what? Is that a treadmill? Dr. Brent Moelleken: Yes, it’s kind of a treadmill test. One gets on the treadmill, they walk and they run until their heart rate and their blood pressure reach a certain level. Then, the cardiologist knows. You know, “I put the person to the paces. I put their heart to the paces and their heart did fine. So, I’m reasonably certain that their heart is in good shape.” Teri Struck: Who do you go to for that? Your internist? Dr. Brent Moelleken: Every internist knows a cardiologist. Many internists do their own stress test or they refer them to a cardiologist to do the stress test. Teri Struck: Do you have to be referred from another doctor to go to a cardiologist? Dr. Brent Moelleken: It depends on the patient’s insurance plan. Many people who have HMO type of insurances need to be referred by their primary doctor. But most plastic surgeons have relationships built up with doctors who can do stress test and with doctors who can do physical examinations. You know, basically, every patient who has surgery needs to be cleared by a doctor and get their stress test if they’re over 50 years old. http://personallifemedia.com/podcasts/226-beauty-now/episodes/3302-tummy-tuck-doctor-stars-tells-us-what-we Updated on 7 Mar 2012: In reading some posts about the intensity, length of duration, and pain associated with constipation after tummy tuck, I found this information: General Anesthesia causes constipation Any narcotic medicine causes constipation Antacids cause constipation Also (and not having too much to do with this), I read that studies show that general anesthesia carries higher risks with it for the patient than other forms of anesthesia, but that surgeons prefer general anesthesia anyway. I read that the reason surgeons prefer general anesthesia despite the higher risks, is that it gives them complete control of the person's airway, and also that it paralyzes the stomach muscles, so they can do the muscle repair suturing very easily. Updated on 8 Mar 2012: I just read a really good question on RealSelf and an interesting response from one of the doctors, so I'm re-posting it on here: Megan in Indiana had asked a question I had been meaning to ask: if being in shape and physically fit helps the recovery from tummy tuck. Here's what Dr. Posti responded to her. Thank you for the question and congratulations on your fitness level and your decision to proceed with mommy makeover surgery. Although there is no science behind my comments, I think that generally speaking patients who are physically and emotionally in “good shape” to better after major surgery. However, despite being in good shape you are about to undergo major surgery which involves a significant physical and emotional recovery. A few words of advice may be helpful:? 1. Make sure you are doing the procedure for the right reasons (for yourself) and that you have realistic expectations. Be aware that an improvement in the “problem area” may not translate to an overall improvement in your life situation. You are bound to be disappointed with results of the procedure if your motivation for doing the surgery is not internally driven. ? 2. Time your surgery carefully; generally, it is not a good idea to have surgery done during or immediately after a stressful period in life (for example divorce or death of a loved one). The additional stress of surgery will undoubtedly be more challenging to deal with if a patient's emotional reserves our already exhausted. Remember, that an improvement in your physical appearance will not translate to an improvement in your life situation.? 3. If possible speak to patients who have undergone similar procedures and query them about the toughest times of their recovery period. Any practical hints previous patients can provide may be very helpful.? 4. Make sure you are aware of potential complications that may arise how to reach your surgeon if necessary. 5. Make sure you have a strong and patient support system (several people if possible) in place who have time/patience to take care of you. Arrange for professional nursing if any doubt exists regarding the availability and/or stamina of your caretakers.? 6. Be patient with the healing process, understanding that it will take several weeks to months to feel “normal” again. It may also take many months/year to see the end results of your surgery.? 7. Be prepared to distract your mind with things of interest such as books, magazines, and movies.? 8. Expect less of yourself; do not go back to work, school or chores too early and let others take care of you (for a change).? 9. Pick your surgeon carefully (a well experienced board-certified plastic surgeon) and trust in his/her advice. Keep in close communication with your surgeon and do not hesitate to communicate questions/concerns and the emotional swings that you may experience.? 10. Resume all medications that you were using preoperatively when cleared by your plastic surgeon and stop the use of narcotics and sedatives as soon as feasible after surgery.? 11. Keep in mind the end results as you go through the tougher emotional times after your surgery. I hope this helps.
