No Salama or Ghurani for me! Change of doc. NEXT! (Check out my new review)

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Based on Dr Salama's work on other patients on his...

Based on Dr Salama's work on other patients on his website...I love it! I hope mine will also be great! :). I have not had consultation with him as yet, but I have been quoted a price by his assistant. All has been going well so far. I should be followed up on this week. I requested info on Wednesday, got a response on Thursday as well as submitted my pics. I got a quote by Friday. On Saturday they checked up on me again to see if I've been as excited as they are lol. 'll keep y'all updated!

Ok, so now i feel like im back to the drawing board

After reading my previous review, you can tell how excited I was about my upcoming surgery. I'm not sure if I feel the same today. Last week I reached out to doc Salama's team for price quote and info for my tummy tuck and breast augmentation. I was replied with an email from his coordinator Nancy asking to send pictures and all that stuff, to which I did. After that I was followed up with and I was very happy. The last email quoted me at $7500 for my TT and breast augmentation with saline implants. The email also asked me for more pics with my shorts lower. After a few days I decided to call and ask about sending more pics to see my tummy ( since the pics that I already sent were naked and showed everything clearly!) My call was returned the next day, and as i was speaking with Nancy, I came to understand that I needed a breast lift with the implants- which is an additional $1800. I then I asked her if this was not noticed from the get-go and before the initial price quote. My surgery fee is no longer $7499, but now $9200. Don't get me wrong, that price is still reasonable, but why was this not noticed before? When I asked about the additional pictures that were needed, she said the pics that I had already sent were fine, and that the price I got should be added to $1800 for the lift. I then tried to proceed to booking my date, but there are no dates available before April 2014. I must say, I admire the man's work, I think he is good at what he does, but I am a little turned off by the misquote, + I still didn't have a phone consultation with him like I was initially told. According to Nancy, Dr S is very very busy, and does surgery on Mon, Tue, thur and friday....and does consultations on wed. I guess my Wednesday just hasn't arrived as yet :( . I really don't want to wait 1year before getting my body back. I think I will just continue with my research to find the right doc. I also had a phone consultation with another wonderful, knowledgeable and respectful doc... Dr Sean A. Simon. I might just go along with him. I'll keep y'all posted!!!!

Dr Salama it is!

Sooo, after going back to the drawing board and trying to find another doc, I realize I still want Salama! Lol. I couldn't find someone else I was please with and felt so confident in. I finally made a deposit for May 2014 (that's the earliest appt they had for my "big" surgery - TT and BA w/Lipo of the flanks. Nancy did say that people cancel/reschedule all the time, so chances are I would be doing it much earlier... I just gotta call and check so they know. Any new updates, I'll keep y'all posted!!!!

Change of date, change of procedures, & change of doc!!

Sooo, my girls and I have made plans for next summer.... So waiting all the way until may is too long. I've decided to use Dr Salama's right hand man Dr Gurhani!!!! He gives just the same awesome curves, n his work is also good. I got a date Scheduled for Dec 10th/11th.. whoo whoo!!!! Lol. Also, originally I planned to get the mommy make over (BA & TT), but now, imma just get the TT with Lipo of the flanks. So far I'm priced @ abt 5g... But I plan to also get full back Lipo, so as soon as my quote is updated, I'll post the new price. I had a slight financial set-back, so I just decided to leave my breast "for now". + In the initial stages when I got interested in cosmetic surgery, it was only my belly that was a BIG problem for me...not so much my breast. I've learnt how to make my boobs look lovely n attractive in a bra lol... Thats all fa now realselfers! Imma update yall next week as soon as Nancy updates me with a final quote... Happy Sunday!!!! ;)

Made a change of surgeon, but still gonna get my body back!!

Well, I thought I would've used Dr Salama, then was switched to his partner (or once partner) Dr Ghurani, because Salama was too busy for me. Now, I have found a new love... "VANITY COSMETICS - Miami"!!. It was kinda hard to choose between Dr Fisher, Dr Salas, or Dr Hassan. Vanity Cosmetics has a group of doctors to choose from, plus the price is affordable. They even now have a special for TT w/ 2 areas of lipo for $4299. Based on my research, Dr Fisher seems to specialize in BBL, Dr Salas gives a beautiful curve for TT patients, and Dr Hassan is double board certified, & have a wide range of expertise. Sooo, I have decided to go with.... Drum roll please..... DR RAFAEL SALAS!!!! I'm looking to get back my curves, with a new belly button, which I think Dr Salas is best able to provide. #Excited #CantWait :)

Hello ladies, I have copied & aste very helpful tips for "tummy tuck recovery". It's very detailed & will be helpful for those w

Preparation for Tummy Tuck Surgery

These recommendations have a specific purpose such as reducing risk of bleeding (herbal supplements, aspirin, Advil, etc.), blood clots (estrogen hormones, smoking), wound healing complications (smoking). Begin 2-4 weeks before surgery.

Continue or begin conditioning exercise such as aerobic exercise, yoga, Pilates, swimming or weight training. Strengthening your body through aerobic exercise will enable you to recover from surgery more quickly.
Begin a high protein diet that includes foods such as lean chicken, fish, eggs, beans, and protein shakes. Protein enables your body to more effectively heal wounds.
NO SMOKING for one month before surgery and one month after surgery. There should be NO SMOKING by anyone in any closed environment during this period. Smoking compromises the body’s ability to heal and increases the likelihood of complications occurring.
Stop birth control pills or hormone replacement therapy, including topical or vaginal estrogen creams, for one month before and one month after surgery.
Avoid aspirin and other over the counter anti-inflammatory medications such as Advil or Aleve (for a full list contact my office) for two weeks before and two weeks after surgery.
Avoid over-the-counter herbal supplements For two weeks before and two weeks after surgery.

Do not shave the pubic area for one week before surgery to lessen infection potential.

Two weeks before surgery, begin taking the VitaMedica Recovery Support vitamins that are provided to you to aid in wound healing and lessen bruising and swelling.
Tummy tuck recovery tips from a patient’s perspective

For at least one to two weeks following your tummy tuck procedure, it will be important for you to pamper and care for yourself and to allow others to, as well. When you’re a busy mom who is used to caring for others and running a busy household, it can be tough to switch gears to be on the receiving end of care. However, as one tummy tuck patient and mother of grown children advised, “Be kind to yourself and rest.” Doing so will speed your recovery and help you to return to your normal daily routine feeling more refreshed and renewed.

If you have young children, you will want to arrange for help to care for them.

Some patients plan to have a cleaning service come to their homes prior to their surgery and/or while they are recuperating.
Consider preparing or purchasing meals ahead of time that can be frozen and reheated.
In addition to making arrangements for household help, it will be helpful for you to have certain items on hand prior to your surgery:

Loose, soft clothing such as yoga pants or sweatpants—you’ll temporarily be more swollen than usual, so loose clothing will be most comfortable. Also you’ll want to avoid anything with a snug waistband that could potentially irritate your incision.
Antibacterial soap for your hands and antibacterial body wash—this will be important to help prevent infection of your incision.
Books, magazines, DVDs, recorded television shows, a laptop—these are nice to have on hand while you are recovering and taking it easy.
Laxatives such Miralax and Ducolax—constipation is common the first week following surgery.

A big water bottle—you will need to ensure you drink plenty of water and/or fruit juices to help you stay hydrated—at least eight cups a day, or 16 cups if you have liposuction

To reduce constipation after surgery, eat a liquid diet, and have a bowel movement, even if a laxative or Fleets enema is required.
To reduce the risk of infection, thoroughly cleanse with antiseptic soap at least the night before and the morning of surgery. Areas of most concern include the armpits, genitalia, and anal areas. Do not shave the pubic area.
Take a Xanax or sleeping medication to help you sleep, if needed.

Have nothing to eat or drink after midnight. Do not chew gum.


Most Patients will stay overnight in our fully accredited facility with attentive and prompt care provided.
Sequential Compression Devices (SCD’s) will be kept on the legs overnight to reduce the risk of blood clots and to eliminate the need to get out of bed for a walk that evening.
Many patients (if deemed clinically appropriate) will receive an injection of a blood thinner (Lovenox, Arixtra) for three days after surgery to the reduce risk of blood clots.
Dressing and garment change will occur between 5 am-6 am the morning after surgery, and discharge from the surgical center will occur at about 7 a.m.

During surgery, a long-acting non-narcotic local anesthetic injection (Exparel) is given, or a pain catheter may be placed into the area where it is most needed for pain control. This will reduce discomfort, though it will not eliminate it completely. Pain medication will be required, and is better to take it and get up and around than to lay all day avoiding movement for fear of pain.
Getting out of bed and walking with assistance for 10-15 minutes every two hours during normal waking hours is critically important to speed recovery and reduce the risk of clots.
Beginning on the  second day after surgery, you may shower with assistance using an antiseptic soap such as Dial. The shower should be equipped with a stable plastic sitting stool. A hand-held shower head can be helpful, as well. You should NOT be left alone in the shower as it is common to experience lightheadedness and unsteadiness. Bathtub showers are difficult to use and should be avoided during your recovery because of the challenge that is presented to get in and out of them.
To avoid straining sutures, walking in a slightly flexed (stooped) position at the hips is required for 4-7 days, gradually becoming more upright each day.
Flexion and extension of the feet at the ankles activates the calf muscles and pumps blood out of the legs, reducing risk of blood clots. This should be done consistently throughout the day while awake.
Eating a light diet of foods that are easily digestible (to avoid constipation), high in protein (improves wound healing), and low in salt (reduces swelling) is ideal.
An ACPS certified home healthcare provider will come to your place of stay on the second and third days after surgery to assist and teach wound care and dressing change.
Constipation is common, especially when using pain medication. We advise regular use of laxatives for the first week or so and drinking plenty of water (at least 8-12 cups a day).
Alternating or adjusting resting positions is helpful to avoid muscle stiffness and tightness.

Gradually increasing light activity is recommended. Walking without assistance for 15-30 minutes every two hours and improving posture should be pursued.
A family member should have been trained to assist with dressing changes once daily by now, usually done after a shower.
You may still need assistance when showering.

It is advisable to shower after bowel movements.

Avoiding contact with animals reduces risk of infection.

Avoiding contact with ill family members is mandatory.

Eat a high protein diet with limited salt intake.
Tummy tuck recovery tips from a patient’s perspective

In the first week of tummy tuck surgery, it is normal to feel a mix of emotions. At this point, you may still feel swollen, sore and tight, and your attractive new contours are not yet fully visible due to swelling. However, with each passing day, you’ll feel better and stronger. One of the number one pieces of advice our tummy tuck patients recommend is to carefully follow Dr. Patronella’s recovery instructions. These guidelines will help to speed and optimize your healing and provide a positive recovery experience.


You will become progressively more mobile with about 30% of your time spent up and about in the home engaging in light activities such as walking, sitting, flexing at the knees and hips, and limited household duties.
No driving or exercising.

It is normal to have a slight stoop while walking, progressing to a fully upright standing position by 7-8 days.
Incisional care is simplified to cleansing with mild soap and water with application of steri-strips (supportive paper tape). These are provided for you and changed about every 3-4 days. You will use these for 5-6 weeks. If an allergic reaction occurs, indicated by redness, irritation, whelps or blistering, remove the strips and notify my clinical care team.
Most sutures (stitches) are dissolvable; only a few suture tags require removal.

Usually the pain pump catheter and the drains (if present) are removed in this time frame. Being freed from the suction drains and the pain catheter provides some relief and added comfort.
Tummy tuck recovery tips from a patient’s perspective

“During the first week of my recovery after tummy tuck surgery, I was wondering if I had done the right thing. But after the first week, I turned a corner—it got better and better. What really helped me was having the postsurgical therapeutic massages at Dr. Patronella’s Added Touch Medical Spa. They helped to ease swelling and discomfort.”

A., Missouri City, Tx


Fully upright walking is expected, though it may be slightly tight and uncomfortable initially.

Leaving the home to attend indoor activities is encouraged. Riding in a car is acceptable, but should be limited to no more than 30 minutes at a time. Lengthy drives in a car or a plane can predispose a postoperative patient to blood clots and should be avoided.
Walking for half a mile twice a day in cool temperatures is encouraged.
Tummy tuck recovery tips from a patient’s perspective:

“When you’re recovering from surgery, look six weeks down the road to the great clothes you’ll be able to wear. That’s the great fun—trying on clothes you never thought you’d be able to wear, and seeing how great you look in them! You’re going to love your new tummy.”


Increasing walks to one mile twice a day in cool temperatures improves mobility and prepares you for return to work during this time.
Usually a minimum of 10 full days of recovery is required before you can return to work with light duty restrictions: no lifting, stooping, prolonged standing (two hours or more), physical exertion, or strenuous activity.
Continued incisional care with twice weekly application of new steri-strips

Driving is allowed at the 12-14 day point if you are fully mobile, with good torso turning ability, and do not require pain medication.

Exercise is limited to brisk walking or a stationary bicycle for 45-60 minutes. Be careful to avoid straining or lifting.
Travel should be limited to short trips of no more than one hour in a plane or car.

Patients are beginning to feel pretty good by now, so the tendency is to push harder with physical activity. The key to avoiding a setback is to progress slowly and cautiously. Keeping the exercise routine to about 75% of what you feel you are capable of is prudent at this juncture.
While increasing aerobic exercise with walking, stationary bicycle, or elliptical trainer, proceed with caution, avoiding abdominal straining at all times. Light upper body weights for toning is acceptable as long as there is minimal abdominal work required.
Swimming may begin.

Travel in a plane or car should be limited to 2 hours, with a short walk at the midway point to ensure good venous circulation in the legs.
Continued use of steri-strips through the 5-6 week mark is beneficial for optimal protection and support of the incision.

Progressively increasing exercise tolerance to full capacity is acceptable as long as it is reached gradually. You may begin incorporating more strenuous exercises such as aerobic exercise, jogging, Pilates and yoga. Isolated abdominal exercise (sit-ups, crunches, etc) are not allowed until a full 12 weeks from the date of surgery has been reached. Weight lifting can proceed with caution, avoiding intense abdominal straining until the full 12 week mark.
Travelling more than 2 hours in a plane or car is acceptable, as long as a short walk is taken every hour during the trip. An aisle seat for plane travel is advised.
Dr. P’s Scar Therapy Program begins at 5-6 weeks. Several products are used to optimize the appearance of the scar. Treatment is required for 6-12 months depending on scar responsiveness. Consistent use and patience is essential.
Tummy tuck recovery tips from a patient’s perspective

In the months following tummy tuck surgery, it is common to experience numbness, which may take one to two years to diminish, and occasional twinges of pain in the abdomen. In addition, swelling may come and go for months. To help alleviate this, shapewear that provides compression such as Spanx can be worn. This can be purchased online or at department stores.

The tummy tuck scar will continue to fade over a period of one to two years. To ensure optimum diminishment of the scar, is it important that you consistently follow the ACPS scar therapy program for 6-12 months. To prevent darkening of the scar, liberally apply sunscreen to the scar, and avoid exposing it to the sun.

For Dr. Patronella’s patients, tummy tuck surgery is enormously rewarding for the aesthetic transformation and accompanying increase in self-confidence that it provides. The results typically are long-lasting provided that you follow healthy eating and exercise habits that help you to maintain a stable weight. Many patients find that tummy tuck surgery inspires them to implement positive lifestyle habits that help them to feel their best and maintain their new attractive new contours.

Copyright © 2011 Christopher K. Patronella, M.D. All rights reserved.


Still tryna find a surgeon I'm omfortable with... Vanity Cosmetics, here I come! They have a wide array of doctors, still researching before I choose!! Can't beat the price too ;)

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