TT, Lipo, BL & BA 34 Y/o Mother of Two After Massive Weight Loss. Dominican Republic, DO

I am going to have surgery with Dr. Medina on 11/2. I am excited because I am having a hard time getting used to my body after losing about 140 lbs. I am currently 5'7" and weigh 198 lbs. I have a lot of loose skin, but undoubtedly I have some fat as well. My goal weight was originally 180 but I have been having a difficult time getting under 190. I did meet with a plastic surgeon here and he said that I am a perfect candidate and do not need to lose any additional weight. He felt my bones and said this is just my body and that he thought I would likely lose weight after the procedure. I may be interested in having additional work done (thigh lift, vaser lipo) after this but have some concerns about having these procedures done abroad. In addition, I saw a recent review from a woman that said she was very unhappy with the breast lift and implants Dr. Medina did for her and that is causing me some stress. I am hoping to meet with other people that are getting the procedure done, or have had the procedure done. I am also interested in finding out what items are useful for the surgery and for after the surgery, I have seen lots of list but many women say they end up with things they don't need. I also have been left hanging on a lot of the reviews where women just seem to fall off the face of the earth, so I am hoping to be able to provide a complete and comprehensive account of my process. If anyone else is traveling in Nov. tomorrow is supposed to be the best day to buy airfare.

I need to have my boobs done as much as a person can need a cosmetic elective surgery. I have practically no tissue left since my weight loss and they just hang like a sock with a few pebbles in them. I used to be a dd now I am an a cup at best and the rest is skin. I have two kids that I nursed for a year each, but I am not having anymore and I would like the girls to sit up and pay attention. I planned on getting a lift with implants in DR but I was always on the fence. While I love the body sculpting, I cannot say that I have been blown away by any of the breast work I have seen. I have already begun to flirt with the idea of a second procedure ( lower back lift with spiral thigh lift) and given some of the negative reviews I have seen am strongly considering skipping the boob job. Some surgeons have also said that it is not a good idea to do the breast with the stomach because you are pulling the stomach in two different directions which may cause some laxity. I do not want any laxity, the plan is to get it tight get it right. I also have heard that after the tummy tuck you may change your mind about how bad off your boobs are or what you deem to be the appropriate size, in short I am talking myself out of a boob job.

Is there anyone that had a boob job with Dr. Medina and loved it? Do you have photos/want to talk about it? I have seen negative reviews lately (three) and there are not a lot of breast reviews for her. Even though I am open to the idea of another procedure, I dont want to have any procedure performed more than once, and would rather do it later if it is not going to be done right. My other concern is that as a weight loss patient, my skin is different that just someone that wants bigger boobs. I have excess skin and I know some surgeons just are not familiar on how to operated on this. Any feedback (negative or positive would be greatly appreciated).
If I dont do my boobs, I think I would like extra lipo but I am having a hard time figuring out how to pick where. I am happy with my arms they are fairly muscular at this point and I am afraid that lipo would just make the skin look hangy. My legs are a totally different story. My thighs have a copious amount of loose skin which is why I am considering the spiral thigh lift/lower body lift. In some cases people get lipo prior to the thigh lift to remove as much fat as possible to deflate the skin as much as possible before the procedure. The immediate outcome is that your thighs look even worse. More flabby hangy skin than before, I believe the long term outcome is that your thighs have even more skin removed resulting in tighter more shapely thighs when the lift is ultimately completed. Anyone have first hand experience with this? Can anybody recommend other lipo areas? I know she does the back, waist, and flanks, automatically, it seems like thats the whole body. I have seen people say pits but although I definitely have hang there my armpit fat is primarily empty armpit skin and Im not sure it can be improved by lipo. I am also concerned that lipo leaves large holes that I assume hurt like hell and I am not sure I want my entire body to be in excruciating pain. Any advice would be greatly appreciated.

So I looked over my quote from Dr. Medina today and realized that without boobs the price is only like $1000 less. I know that the price is not everything but I actually have thought a lot of her boob jobs looked really good. I think maybe Im being too hard on her. Three negative reviews out of a billion really isnt bad. One of the negatives had nice boobs but stitching issues. She indicated Dr. Medina was going to fix them for free and she was willing to go back to her, which meant she couldnt have disliked the work that much right? Of the other two I did not see photos but think the fact that they are unhappy is important to consider. Having said that, I think they are both within the six months that you are supposed to give the boobs to settle so they may be happy in the long run. I dont mean to invalidate their concerns, there are just a lot of people who dislike their immediate results and then have a change of heart after some time passes. I dont know what I am going to do ultimately, I guess I am hoping the more I write the more feedback I will get.