After years of thinking about a TT, I decided to take take the plunge at age 44. My history is not unique -- my children were both almost 10 pounds when they were born and my skin had stretched as a result. Every time I looked in the mirror or wore a bathing suit, I was unhappy with the way my skin sagged.I only interviewed one doctor because I was utterly impressed with the one I was referred to my my primary care MD. Once I spoke with him, I never looked back.My surgery took place on 12/15/09 and am almost 4 weeks out now. The first 24-36 hours were rough though managable. Thank heaven for a recliner to sleep in that first week. My Mom and husband were a big help the first 3-5 days. Having them here meant I didn't have to get up and down frequently - only to go to bathroom. If you are prescibed narcotics for pain - and you likely will want them - I would advise considering a stool softener that first week. Narcotics tend to cause constipation (not fun with TT).For me the only con was the drainage tube. I have had mine almost 4 weeks (more of an annoyance than anything). I love my new belly and am looking forward to a bikini this summer for the first time in 20 years. If you are trying to decide to have this done or not, I would encourage you to go for it and not look back. Updated on 3 Feb 2010: Update -- Now 7 weeks outI continue to be completely (100%)  pleased with my outcome.  A couple of observations -1) I still have some slight swelling at the end of the day above the incision scar. It is not significant but I notice it.  I am told that that will lessen over the next several months as the lympathic system re-establishes itself. 2) A friend who of mine had a TT 4 years ago recommended vitamin E for the scars.  I used the silicone sheets for several weeks after the incision healed.  Now am trying the vitamin E and it seems to help.3) Still not back to Kick boxing though am planning to return after my 2 month check up. Am able to do moderate exercises -- walking, some light weights, etc.4) Overall, I am about 8 pounds lighter post op vs. pre op.  I think much of that was skin though certainly had some lipo.

If I could give less then 1 star I would. I waited for an hour to have a mole removed. As I was waiting a woman and child came in and were met by her husband who is another surgeon at the hospital. The child was sleeping peacefully, this was not am emergency. The surgeon said he needed to leave by 3 in order to make it back for work. Since Dr Madry was running behind the surgeon asked the receptionist to be bumped up even after she stated there was one person in front of them. I was then put into a small consultation room with no surgical equipment and heard the couple go into another room to start their appointment with the doctor BEFORE mine. I walked out of my exam room and told the staff member who stared at me blankly. No apology, she didn't say a single word! So grossly unprofessional and inappropriate! Unacceptable.