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Sooo, I had my doctors appointment with my PCP....

Sooo, I had my doctors appointment with my PCP on Monday 12/22. My doctor takes a look at me and he touches my back and abdomen and the first thing he says is WOW.. He feels that what I am experiencing is something called lipo fibrosis or liposuction adhesions/scar tissue formation. Adhesions are strands of scar tissue that form in response to trauma or surgery, sometimes forming separately from the incision site. Sometimes these circumstances are not fully understood.

I WOULD LIKE TO HIGHLIGHT, THAT NEITHER I NOR MY DOCTOR BELIEVE THIS TO BE A RESULT OF MALPRACTICE (yet I’ll get to my real feelings about this later...)

YET, this IS a result of aggressive/high volume liposuction. Thus... be careful what you ask for!! If you look at the before pictures of my back you will see why I requested aggressive liposuction.. I got what I asked for LOL (lol but seriously not funny) these adhesions or tightening of scar tissue is because she did exactly what I asked. She removed almost all the fat. I know from the pictures it appears that a lot of back fat was left or swelling but it wasn't.. The lumpiness or swollen appearance is actual scar tissue formation. I know it's really hard to tell from looking at the pictures but that is why I am trying to be detailed in my description and when I said it was hard as a rock and very tight that's it exactly what I meant, it is hard because it is scar tissue.

First off, the body does NOT like open space within your inner parts. What happens, is when there is a gap left from fat removal, the body tries to fill the space, most of the time with fluid (hence, the use of a drain). Yet, my body decided to cause scar tissue to form to fill up the space. Yikes! PAINFUL! Causing tightness around the surgical area. Soo, when I twist or turn, there is a stabbing/tearing pain/burning sensation with the slightest of movement which is the strands of scar tissue being pulled away from where they are attached.

The best advice my doctor can give me for now, is deep tissue massages to break up the scar tissue and adhesions, stretching to loosen up the tightness, increase mobility to increase circulation to the painful areas and most importantly (and easier said than done) TIME. Also, he stated that A lot of pain symptoms are due to nutrient deprived and fatigued muscles that need oxygenated rich blood. Therefore, he advised eat nutrient enriched food (fruits, veggies, lean protein and of course water, water, water).

He feels that I am very early in the game and his hope is that with time, along with the above, that my symptoms will dwindle. Unfortunately, he feels that it can take up to 6 months to completely heel or for me to start feeling a significant difference. At he puts it, “in only about 6 months”. I love how they throw the word “only” around so lightly ;) Just be in pain everyday for only 6 months. Heck.. that’s a long dang time!

Now to the puffiness in my lower abdomen. This was a separate issue. This was actually fluid. If you guys read, I left home at 8 days post op. Thus, it was too soon to have my drain removed before I left, so I left home with my drain still intact. We’ll at my first follow-up appt after surgery; my drain got blocked with a medium sized blood clot. While painful, it was easily removed by Almonte’s surgery assistant, Dr. Plasencia. At my 2nd follow-up appointment, I had more blood clots that needed to be manually removed but they were a lot smaller.. etc. etc. Anywho, I my drained continued to get blocked and this was my biggest concern with coming home early...

*** This is just my opinion but I RECOMMEND ALL LADIES TO STAY IN THE DR FOR AT LEAST 14 DAYS POST OP IF AT ALL POSSIBLE. This time frame should give you a good idea of how your body is going to react to the surgery in addition to allowing any complications to show its ugly face if relevant. ***

…Well, not to my surprise my abdominal puffiness was do to fluid and also a little scar tissue. Thus, my doctor sent me down to surgery to have the surgeons take a look at my drain. Exactly as I thought, my drain was again blocked. It was so blocked this time that we could not tell if it was a blood clot or lose tissue. Whatever it was, it was too large to be manual removed through the drain so the doc just flushed my drain to kind of force out/unlogged the obstruction to allow the fluid to drain again. The surgeon felt that at 16 days post op my drain could probably be removed without complication with the hopes of avoiding an infection. So, he advised that if my drain was to get obstructed again, to just remove it and keep it movin..

Needless, to say, the drain was blocked the next morning.. SMH
I sucked it up and pulled that bad boy OUT! It was sooo irritating and a hassle to begin with! The pain in removing it was not all bad. Actually, there was little pain. I first needed to remove the outer stitches that kept the drain line in place and then the first tug was a little ouchy, as my tissue had started to form around the line (I know TMI) but after that loosening up, the line came out rather easy. Thank goodness. After removing the entire drain, it was quite obvious as to why the drain kept getting blocked. I had hard tissue that filled up 1/3 of the line. No wonder why I had so much fluid retention in my abdomen.. Nothing significant was gonna pass through that line. I would show you guys a pic of what it looked like but that would def be TMI. I did drain a good amount of fluid afterwards. The hubby also gently massaged my abdomen and back to help push out some of the fluid. I am ECSTATIC that it is finally out!!!

Ok now in regards to this comment: (yet I’ll get to my real feelings about this later...)
While I don’t feel that the above is do to malpractice, I do have ill feelings towards the handling of my aftercare. I only saw Dra Almonte at my first follow-up appointment and her assistants cared for me and my drain issues after that. Mostly, Raquel and although I looooove her, I do not feel that she was medically certified to fully take on my aftercare. Not only that but if I send you and your so-called assistant 39 images of my current situation and express my sincere concerns including the amount of pain I was in, I would think that would grant a prompt response or any response. This is what really ticked me and my PCP off in regards to her status as a surgeon. And then, when she finally responds on 12/23 and only after a not so nice whatsapp message, she says give it time and that she’s sorry she didn’t get the pictures and to resend them. When I do resend them (the same day), I inform her and she replies ok I will take a look and then NEVER responds back………..

I understand that she is busy and with the holidays but I would’ve hate to not have had good insurance or a PCP and had taken her “give it time: response and caught a DAMN infection. Please excuse my verbiage as I don’t curse but this really PISSES me off. I had fluid building in my abdomen DARNIT. I thought this was just the “normal” swelling until something just wasn’t feeling right.. I see a lot of dolls on here ask the doctors on realself questions to help diagnose their symptoms because they don’t have a doc at home that can see them (I even asked the rs docs a question while I waited over the weekend to see my pcp). It’s really hard to diagnose the situation without 1. being the surgeon who perform the surgery and 2. getting all the facts and 3. without actually seeing in person what is going on. All my doc could do was shake his head and say, “hopefully this is it for you.”

If she would have just responded or educated me on what to do or expect, I wouldn’t have waited so long to be seen or have the drain removed. I was collecting fluid for a week SMH. No wonder why I was feeling the way that I was.

Be that as it may, I am s.l.o.w.l.y getting better. I have been walking a few miles a day to increase circulation coupled with stretching and the deep tissue massages. My upper and mid-back is getting softer and back to the swollen stage. My sides, lower back and abdomen is still hard but I have hopes that it will get better with time. I am in love with my new waist/tummy as it is (in ya’lls words) SNATCHED ;) Just wish I could enjoy it because for me this has been NO walk in the park, as most days I have been in EXCRUCIATING pain. No lie. And I have a oddly high pain tolerance (I had all 3 of my babies natural with 0 zero pain meds, nothing usually causes me pain and I would say that this is worse for me than childbirth).

NOT saying that this is what any of you all will experience. This is just my experience. I would have loved to upload my pics of my time in DR as the other dolls have and talk about what all I packed, etc but instead I’ve been trying to sleep semi-normal, walk semi-normal and get through this. But like I said, I have hopes that it will get better with time.

I still have intentions on uploading my DR photos and writing a review of what I brought but what I didn’t use.. Oh and will upload more recent pics soon. But please be patient. I’ve got 3 little kiddies and a hubby that demand my attention.

I just felt o-so indebted to complete this review. That’s all for now dolls.

On a positive note, I hope you all enjoyed your family over the past few days and wishing everyone well and a safe and blessed new year to come.

~Yours Truly,
XOXO

DARN IT!

Hey Dolls,

Thanks for being patient with me and a BIG thank you to the dolls who checked up on me. Hugs & Kisses

Emotionally, I am feeling good. The hubby apologized for his rude behavior and explained his reason.. while understandable, still unacceptable.

My tummy tuck scar is healing nice. HOWEVER... I have developed these PAINFUL & HARD rock-like lumps in my back, flank and lower abdominal area :(((

*** OK, PLEASE forgive me as I may come across as all over the place with the following but I am trying to be a detailed as possible with this review/timeline. Hopefully I don’t lose anyone :) ***

I noticed the "hardening" of my back the morning after my 7hr return flight (12/17 - red eye). Thus, I attributed it to possible swelling due to the long flight home. The lumps were sooo hard and causing my back to tighten up so bad, I scheduled a lymphatic drainage massage early that afternoon. I rested up early day on 12/18 and resumed my lymphatic drainage massages later that evening. On Friday 12/19 approx 5:15 pm, I went in for my 3rd lymphatic massage since back home/6th massage in total. At this point my massage therapist started to show concern because the lumps were progressively getting worse. They had changed drastically from the day before. They were sooo hard, causing me A LOT of pain and were the size of bars of soap on both my sides, NO LIE! I could barely stand straight or even twist or turn.

Needless to say, I started freaking out!.. I scheduled an appt with my Primary Care Physician and sent a message to Dra. Almonte via Whatsapp (unfortunately it was too late in the day to been seen on Friday and I had to wait til today, Monday)........

I have yet to hear back from Dra. Almonte >:(

Earlier the morning of 12/19, I had received a message from Lesley asking how I was doing back home. I responded to her so so and explained that I had sent her an email. I had sent her an email the day before on 12/18 letting her know that we had made it home safely and explaining how much we enjoyed the Almonte team (little did I know). Also in that email, I explained that I was concern about the lack of projection/oomph of my derriere/BBL and that I requested at the minimum 1400cc and not the approx 1200cc that was said to be injected. I did explain in my email that I was still very swollen but I did not mention the lumps because I was still unsure if this was just a part of the healing process.. Should I have, YES but I didn't. It didn't get to the 'alright something is just NOT right' point until the evening of 12/19. .

-- Not sure if I should talk about the response from Lesley regarding my BBL or finish talking about symptoms/my doctors appt --

...Ok, I'll talk about Lesley's response. Lesley explained that I "you have to be very patient because your back is completely swollen and it doesnt allow you to see your results its too soon for you to see your end results, now as far as the fat transfer your body actually tells her when she needs to stop if she transfers more than your body allows at that moment you can be at risk of necrosis and thats not what she want for you, i know is easier said the. Done but you must be patient in the healing process"

Ummm, I get that but it doesn't appear that she even injected 1200cc. I’ve seen girls more swollen than myself that you can see a drastic difference at day 1. My family and even my massage therapist who frequently sees women who had BBLs couldn't even tell that I had a bbl until I told them. And some of these women have had their procedure done by local doctors who are more conservative and governed by how much they can inject. If you can tell on these women but not me who went to the DR, something ain't right... Anywho, I'm sure I will be undergoing a round 2.

While I think Almonte did an EXCELLENT job on my tummy tuck, scar line and all, I personally don't believe she is as crafted with BBLs. Sooo, dolls.. Dont say you haven't been warned:

WARNING: IF YOUR MAIN OBJECTIVE IS TO RECEIVE A BBL WITH PROJECTION, IF YOU ARE HOPING TO COME BACK WITH A DONK, IF YOU ARE LOOKING TO ACHIEVE THAT SHELF AZZ, NOT BUTT BUT AZZ, THEN IMO DRA. ALMONTE IS NOT, I REPEAT IS NOT THE BEST DRA FOR YOU. Ok I said it Lol.

If you are looking for a bigger butt or a little more than what you came with, then Yes, go for it. But it won't be no AZZZ lmbo. I wish I had done further research because the answers where already there. Do your research, thorough research, I’m not the only one that feels this way. I think I got caught up in the "plus-size surgeon who does all the procedure without a required BMI" hype. I know ya'll know what I'm talking about.. The, I can still eat the same all the way until surgery hype. Ya'll feel me LOL ;)

Nonetheless, I feel if you are just looking for a change and are prepared to not compare yourself to other DR doctors or Salama's before and after patient photos then you will be alright because Almonte can transform you. She was actually VERY sweet but after they received my monies/after the surgery, I can't quite describe it but the feeling from her and Lesley was different. I hope I don't upset anyone BUT my concern is not if I upset the sensitives out there or not. I'm here to be honest with you all, as all I can be is myself (REAL). Isn't that what this community is for? To share our experiences, to help one another in making an informed decision.. I would wan't to receive nothing but honesty when making one of the BIGGEST decisions of my life. Sheesh we are going to another country for surgery for goodness sakes.

Now back to these lumps...
… my massage therapist started to show concern because the lumps were progressively getting worse. They had changed drastically from the day before. They were sooo hard, causing me A LOT of pain and were the size of bars of soap on both my sides, NO LIE! I could barely stand straight or even twist or turn.

Needless to say, I started freaking out!.. I scheduled an appt with my Primary Care Physician and sent a message to Dra. Almonte via Whatsapp (unfortunately it was too late in the day to been seen on Friday and I had to wait til today, Monday)........

I have yet to hear back from Dra. Almonte >:(

My massage therapist advised me to wait on receiving any more massages until my pcp gave me the ok to continue. I just about died over the weekend. I sent Lesley and Dra. Almonte a looong email explaining my concerns with the lumps and also included almost 40 photos with detailed notes.

CORRECTION: Oops! Not sure why my full review nor photos updated...

Hey Dolls,

Thanks for being patient with me and a BIG thank you to the dolls who checked up on me. Hugs & Kisses :(

My massage therapist advised me to wait on receiving any more massages until my pcp gave me the ok to continue. I just about died over the weekend. I sent Lesley and Dra. Almonte a looong email explaining my concerns with the lumps and also included almost 40 photos with detailed notes.


TO BE CONTINUED...

(Tired and too much to type now. I am starting to feel a tad better but really need to update you all on the details.. Will finish review tonight.

Provider Review

Plastic Surgeon
Calle Manuel María del Castillo, Santo Domingo, Distrito Nacional
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Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
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I've experienced nothing but good things from Dra. Almonte and her Assistant Leslie! I received my quote withing hours of my very first request and it's been smooth sailing ever since. Dra. Almonte is HIGHLY mindful of the well-being of her patients. Always displaying that her patient's health and safety is of the utmost of importance. Also, an added bonus, and of extreme importance/convenience, is her and Leslie have INCREDIBLE communication skills. No waiting days, weeks or even months for a response like other DR doctors. I mean, how inconsiderate and rude can they be? Especially, when you've reached out numerous times and they take their time with responding to the simplest questions (if they ever respond)... Well, none of that shenanigans with Dra. Almonte and Leslie. What's also rather important and pretty awesome is that Leslie speaks EXCELLENT English and always handles herself in a professional and caring manner. I've also spoke to Dra. Almonte a few times and her English is great in my opinion. What more could I have asked for?? Oh wait, a big ole booty.. Which I will be getting here VERY soon! I have nothing but good things to say about the Great Fatima Almonte and her team :)