After consultation with my surgeon, I decided to go ahead with the procedure, which I had today. My surgeon prescribed lorazepam 1mg to be taken 45 minutes pre-procedure, with another to be taken during if needed, as well as Percocet 5-325mg with the same instructions (1 45 min before the procedure and 1-2 after the procedure.) I am not a pill taker - I'm just not - so I didn't take anything before the procedure except for some motrin. (If you are anxious about the procedure or if you are concerned about pain, then you may want to consider taking something, but I was fine.)
The procedure stars with the surgeon marking my spots, and then I had to lie on a table face down and the numbing solution was injection. This is moderately uncomfortable, but I would not say it was painful. No more than a 1-2 on the pain scale (for me). I do have a fairly high tolerance to pain, but I really was not bothered by this. Once you're numb, the surgeon inserts a needle that has a "windshield wiper action" which cuts the fibers that pull the skin in and dimples it. For the most part I didn't feel anything. There were a few areas that weren't fully numb where I felt some discomfort, but not enough to even mention it to my doctor. Honestly - the pain is minimal.
Afterwards, things get a little messy. With my lipo, the doctor sewed the incisions and most of the tumescent fluid was absorbed by my body. These needle marks aren't stitched, so the fluid flows out of you. It's tinged with blood, and it looks alarming, but I pulled on old spanks, the nurse stuffed me full of absorbent pads, and I sat on a beach towel in the car on the way home (I drove myself, btw, another benefit of not taking any meds.) I wore old black sweats, and the seat and thighs are distinctly damp, but that is too be expected. I have already started taking my arnica and the Vita Medica Clinical Support Program (which I took with my lipo) so I am hoping for minimal bruising. Today I am wearing an old pair of spanx, but tomorrow after most of the fluid has leaked out and I can shower, I will change into my new surgical compression garment, which I think will do an even better job to minimize the bruising.
I don't have my pre-surgery photos yet, but I will take some photos day 1 and subsequently to show progress. The verdict is still out, but I am hoping for a good result, especially since I was advised that I can't exercise for 30 days! Yikes!!!