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Not too happy
I have been working a ton so I don't have a lot of idle time but I just wanted to quickly update. My areas of hyperpigmentation are clearing up quite nicely. Some areas are completely gone and others are very light but I can tell a difference with the products I have been using. I finally worked my way up to the highest strength of Tretinoin. I am preparing my skin for some peels Im gonna do myself in order to even out my skin tone. I think I am going to see if the peels work on my burn area first before I see about getting the skin in that area excised. As far as my bbl results, One cheek is larger than the other and I completely loose my hourglass when i am out of my garment for a few hours. I also have loose skin around my entire midsection. It's not hanging skin but because right out of my garment I look great and then in a few hours it fills out, that is loose skin. I do still have some fatty areas on my stomach and I would like my butt a touch bigger. So I might do a revision or just have my surgeon at home do smart lipo on my stomach and the backs of my thighs to make my butt look bigger. I don't know what Im gonna do yet. I just hate that I didn't sit for 6 weeks and have worn my garment with foams for such a LONG time to be disappointed. But my skin is much less sensitive now which is good and it has everything to do with going to the hot tub. I will update pics of my skin after I do my peels. It takes a few months to get several applications in because I cannot do the high strength ones b/c I have a darker skin tone.
Splitting your garment
Here are a few pics on splitting your garment up the thong back for going #2 quickly
1. The first pic is an absolute no no.... I had to buy the same size garment again and they r like $100 plus. Eliyn was so mad at me lol. ( massage therapist)
2. The second pic is split too far up the back and I lost compression on my lower back to the point the triangle foam piece was sticking out. This will make more sense once you have surgery.
3. The black garment is properly split. You want to split up the middle where the thick band is on either side of the band but stop at the base of the triangle maybe even a smudge lower just to be safe. Then try it on and cut further if you feel you can or need to without loosing compression.
4. Even though the tan garment is split too far up my fingers are across the base of the triangle where I should have stopped.
5.******** these garments are tight and sometimes you will have to cut the garment around the hips etc? So that you do not develop an unnatural shape. Wherever you split or cut your garment put fray check (you can get from fabric store or Walmart), seal a weft, clear finger nail polish or whatever you want in order to stop the garment from continuing to split where you cut it once you put it on. This will insure you don't loose compression in key spots by the garment shredding on its own. In the last pic the white stuff is dried finger nail polish.
6.****** and last but not least the life saver..... Have the massage therapist put a long abdominal pad around your thong area so it's not so far up your butt and irritating you. The material is made in the pit of hell and it feels like it.
7. Now you can pull each thong piece to either side of your butt and quickly go to the bathroom.
1. The first pic is an absolute no no.... I had to buy the same size garment again and they r like $100 plus. Eliyn was so mad at me lol. ( massage therapist)
2. The second pic is split too far up the back and I lost compression on my lower back to the point the triangle foam piece was sticking out. This will make more sense once you have surgery.
3. The black garment is properly split. You want to split up the middle where the thick band is on either side of the band but stop at the base of the triangle maybe even a smudge lower just to be safe. Then try it on and cut further if you feel you can or need to without loosing compression.
4. Even though the tan garment is split too far up my fingers are across the base of the triangle where I should have stopped.
5.******** these garments are tight and sometimes you will have to cut the garment around the hips etc? So that you do not develop an unnatural shape. Wherever you split or cut your garment put fray check (you can get from fabric store or Walmart), seal a weft, clear finger nail polish or whatever you want in order to stop the garment from continuing to split where you cut it once you put it on. This will insure you don't loose compression in key spots by the garment shredding on its own. In the last pic the white stuff is dried finger nail polish.
6.****** and last but not least the life saver..... Have the massage therapist put a long abdominal pad around your thong area so it's not so far up your butt and irritating you. The material is made in the pit of hell and it feels like it.
7. Now you can pull each thong piece to either side of your butt and quickly go to the bathroom.
Things I forgot
Please forgive me I work very long hours and many days in a row without break and always remember things after the fact.
Aquacel AG/silvasorb
1. We talked previously about silvadene cream (ssd) for burns. One of the components in ssd that gives it it's antimicrobial activity is silver. Yes like periodic table of elements silver but a little different, kind of but hard to explain. There are also otc ( over the counter) wound dressings and creams and gels that also have silver in it but do not have the prescription grade second component in ssd that fights bacteria which is its sulfa component.
2. If you have a sulfa allergy you won't use silvadene so there are other options that unfortunately are more expensive bc I don't think they would be covered by insurance but I'm not sure.
3. We also previously talked about the difficulty with applying ssd cream twice a day bc its difficult taking off the garment and the cream just soaks into the gauze instead of your burn. Wound dressings made with hydrofiber and silver ( Aquacel and silvasorb) solve both issues including the allergy issue you may have with ssd.
4. If you don't like the Saran Wrap method, or your wound is oozing too much for Saran Wrap bc nothing will be absorbing the blood or puss, or you doc doesn't agree with clear wrap Aquacel and silvasorb can help.
5. Both dressings release silver into your wound/burn at a controlled rate which means you don't have to change the dressing as often. They also create a gel once the dressing comes in contact with the ooze from your wound keeping your wound moist for better healing.
6. Both can be left in place up to 7 days bc they can absorb much more fluid than its own weight. When it leaks its time to change but change it before it gets to that point.
7. They are expensive $100 plus for five sheets (diff sizes). I mentioned them bc a lot of professionals inboxed me and I can tell they have the money to purchase. Don't feel bad if you don't, I could afford and still chose to use my cheap clear wrap method. Either way discuss with doc.
8.use for moderate to severe wounds.
9. I chose not to use or ask salama what he thought bc of expense and I wanted to shower everyday. That hot water on my body was magical in everyway. It makes fighting to take the garment off so worth it. With these dressing you would sponge bath and massage therapist would have to work around it. Kinda difficult.
10. I have seen hospitals use Aquacel on burn victims but never silvasorb.
11. There are all types of dressing but I'm not gonna get into it.
Proper cream application
1. At salamas office they use a wood spatula to apply ssd cream to burn. You should be using a sterile glove as to not introduce bacteria or particles into the wound.
2. As a matter of fact during this process I want you to use a glove for every application of cream or lotion or oint or gel. Here's why, if you use bare hand you girls may have nails which carry a lot of bacteria but even when would closes still use a glove bc you want all cream/lotion/oint to be absorbed into the affected area not your hand. There is nothing wrong with your hand and its a waste for 50% of it to go on a place where it's not needed.
3. With the exception of ssd which should stay on top of wound, all other creams lotions gels need to be rubbed in deeply which may hurt but you gotta get it in there. Apply a lot of pressure when rubbing in. Tip from my surgeon back home.... Makes a difference.
4. Another reason to use gloves... Alpha hydroxy and retinoids will degrade your pretty manicure/ polish .... Not important but thought you should know lol.
Ambien alternatives for sleep deprivation
1. I dont know about anybody else but once I had this surgery I could not sleep. Laying on your stomach for 6 weeks is terrible. I used to be in tears bc I just wanted sleep.
2. Dr S will prescribe ambien and I personally I hate the way it makes me feel. I woke up with residual grogginess and a hangover like headache every time.
3. He will write for a 10mg tab but I cut mine up into fourths to get a smaller dose which helped some.
4. If you are having trouble sleeping and need to be alert for work ask for Temazepam instead. It comes in 7.5, 15, 22.5 and 30 mg. Its one of the sleep meds approved for the Air Force bc of the lack of residual grogginess and you feel more refreshed in the AM.
5. Personally I hate taking medicine and try to use herbals when needed. SOme things to look into for sleep are melatonin, valerian root, theanine, kava, and chammomile or lavender tea.
6. Melatonin is naturally released in your body and if you take extra keep at a low dose like 3-6 mg.
7. DO not take these herbal sleep remedies except for the tea along with ambien or temazepam.
Psuedomembranous colitis (PMC)
1. When I received my scripts in the mail my face went dead when I saw the one for clindamycin b/c I know it has a high incidence of PMC. Dr. S likes to prescribe this for post op infection prevention.
2. PMC is inflammation of the colon characterized by diarrhea, fever, and abdominal pain usually caused by a bacteria called C. Diff for short.
3. Any antibiotic can cause diarrhea but clindamycin is one of the top offenders.
4. I developed PMC in Florida. I didn't have Diarrhea but instead I had a bowel movement probably 6-8 times a day. The consistency was like baby poop and there was a LOT of it and the smell was terrible and I had bad stomach cramps. I know TMI but at least you know what it is. NOmie is a good nurse and she will write a script for you. I chose to not take any more oral meds so I let it resolve on its own bc I had to switch antibiotics anyway bc I became allergic to clindamycin. ( I had a rough time in FL)
5. I do not recommend for you to let it resolve on its own. The doc will ok either FLagyl, vanco or rifaximin to treat the PMC. They usually go to flagyl first.
6. *****If you have to take flagyl be very careful about ingesting anything with alcohol in it and I am not talking just about liquor for a good time (i am pretty sure you are not drinking since you just had surgery) but mouthwash with alcohol or food with sugar alcohols as an ingredient, and some cold medicines. You will have a horrible reaction and feel very sick with nausea and vomiting. I have had this happen to me before even though I know about it b/c I forgot about sugar alcohols in food.
*******Making your garment bathroom friendly
1. The lipo express garments that Dr S gives has an opening to pee (use a female urinal and it will be your best friend) but a thong back and some girls actually take their garment of every time for #2 OMG. B/c of my issues that was not gonna happen.
2. Either massage therapist knows how to split the garment up the thong so when its time for #2 you just pull it apart in two to either side of your butt and you can do a number two without taking it off. Ill try to post pics its kinda hard to explain.
3. Let them do it the first time b/c you dont want to mess up your garment and if you spilt it to high up you will loose compression on your lower back where the triangle foam is.
Aquacel AG/silvasorb
1. We talked previously about silvadene cream (ssd) for burns. One of the components in ssd that gives it it's antimicrobial activity is silver. Yes like periodic table of elements silver but a little different, kind of but hard to explain. There are also otc ( over the counter) wound dressings and creams and gels that also have silver in it but do not have the prescription grade second component in ssd that fights bacteria which is its sulfa component.
2. If you have a sulfa allergy you won't use silvadene so there are other options that unfortunately are more expensive bc I don't think they would be covered by insurance but I'm not sure.
3. We also previously talked about the difficulty with applying ssd cream twice a day bc its difficult taking off the garment and the cream just soaks into the gauze instead of your burn. Wound dressings made with hydrofiber and silver ( Aquacel and silvasorb) solve both issues including the allergy issue you may have with ssd.
4. If you don't like the Saran Wrap method, or your wound is oozing too much for Saran Wrap bc nothing will be absorbing the blood or puss, or you doc doesn't agree with clear wrap Aquacel and silvasorb can help.
5. Both dressings release silver into your wound/burn at a controlled rate which means you don't have to change the dressing as often. They also create a gel once the dressing comes in contact with the ooze from your wound keeping your wound moist for better healing.
6. Both can be left in place up to 7 days bc they can absorb much more fluid than its own weight. When it leaks its time to change but change it before it gets to that point.
7. They are expensive $100 plus for five sheets (diff sizes). I mentioned them bc a lot of professionals inboxed me and I can tell they have the money to purchase. Don't feel bad if you don't, I could afford and still chose to use my cheap clear wrap method. Either way discuss with doc.
8.use for moderate to severe wounds.
9. I chose not to use or ask salama what he thought bc of expense and I wanted to shower everyday. That hot water on my body was magical in everyway. It makes fighting to take the garment off so worth it. With these dressing you would sponge bath and massage therapist would have to work around it. Kinda difficult.
10. I have seen hospitals use Aquacel on burn victims but never silvasorb.
11. There are all types of dressing but I'm not gonna get into it.
Proper cream application
1. At salamas office they use a wood spatula to apply ssd cream to burn. You should be using a sterile glove as to not introduce bacteria or particles into the wound.
2. As a matter of fact during this process I want you to use a glove for every application of cream or lotion or oint or gel. Here's why, if you use bare hand you girls may have nails which carry a lot of bacteria but even when would closes still use a glove bc you want all cream/lotion/oint to be absorbed into the affected area not your hand. There is nothing wrong with your hand and its a waste for 50% of it to go on a place where it's not needed.
3. With the exception of ssd which should stay on top of wound, all other creams lotions gels need to be rubbed in deeply which may hurt but you gotta get it in there. Apply a lot of pressure when rubbing in. Tip from my surgeon back home.... Makes a difference.
4. Another reason to use gloves... Alpha hydroxy and retinoids will degrade your pretty manicure/ polish .... Not important but thought you should know lol.
Ambien alternatives for sleep deprivation
1. I dont know about anybody else but once I had this surgery I could not sleep. Laying on your stomach for 6 weeks is terrible. I used to be in tears bc I just wanted sleep.
2. Dr S will prescribe ambien and I personally I hate the way it makes me feel. I woke up with residual grogginess and a hangover like headache every time.
3. He will write for a 10mg tab but I cut mine up into fourths to get a smaller dose which helped some.
4. If you are having trouble sleeping and need to be alert for work ask for Temazepam instead. It comes in 7.5, 15, 22.5 and 30 mg. Its one of the sleep meds approved for the Air Force bc of the lack of residual grogginess and you feel more refreshed in the AM.
5. Personally I hate taking medicine and try to use herbals when needed. SOme things to look into for sleep are melatonin, valerian root, theanine, kava, and chammomile or lavender tea.
6. Melatonin is naturally released in your body and if you take extra keep at a low dose like 3-6 mg.
7. DO not take these herbal sleep remedies except for the tea along with ambien or temazepam.
Psuedomembranous colitis (PMC)
1. When I received my scripts in the mail my face went dead when I saw the one for clindamycin b/c I know it has a high incidence of PMC. Dr. S likes to prescribe this for post op infection prevention.
2. PMC is inflammation of the colon characterized by diarrhea, fever, and abdominal pain usually caused by a bacteria called C. Diff for short.
3. Any antibiotic can cause diarrhea but clindamycin is one of the top offenders.
4. I developed PMC in Florida. I didn't have Diarrhea but instead I had a bowel movement probably 6-8 times a day. The consistency was like baby poop and there was a LOT of it and the smell was terrible and I had bad stomach cramps. I know TMI but at least you know what it is. NOmie is a good nurse and she will write a script for you. I chose to not take any more oral meds so I let it resolve on its own bc I had to switch antibiotics anyway bc I became allergic to clindamycin. ( I had a rough time in FL)
5. I do not recommend for you to let it resolve on its own. The doc will ok either FLagyl, vanco or rifaximin to treat the PMC. They usually go to flagyl first.
6. *****If you have to take flagyl be very careful about ingesting anything with alcohol in it and I am not talking just about liquor for a good time (i am pretty sure you are not drinking since you just had surgery) but mouthwash with alcohol or food with sugar alcohols as an ingredient, and some cold medicines. You will have a horrible reaction and feel very sick with nausea and vomiting. I have had this happen to me before even though I know about it b/c I forgot about sugar alcohols in food.
*******Making your garment bathroom friendly
1. The lipo express garments that Dr S gives has an opening to pee (use a female urinal and it will be your best friend) but a thong back and some girls actually take their garment of every time for #2 OMG. B/c of my issues that was not gonna happen.
2. Either massage therapist knows how to split the garment up the thong so when its time for #2 you just pull it apart in two to either side of your butt and you can do a number two without taking it off. Ill try to post pics its kinda hard to explain.
3. Let them do it the first time b/c you dont want to mess up your garment and if you spilt it to high up you will loose compression on your lower back where the triangle foam is.
Provider Review
Board Certified Plastic Surgeon
2700 Hollywood Blvd., Hollywood, Florida