47, 240lbs, 6ft, 360 tummy tuck, mastopexy & liposuction all the way around

I'm a 47 yo female who has had children. In addition, my top weight was 320lbs and after a sleeve gastrecomy, I lost a significant amount of weight. I now weigh 240 at a little over 6ft tall.

Because of the significant amount of loose skin, I went with Dr. Neaman's recommendation of a circumferential abdominoplasty (360 tummy tuck), mastopexy (breast lift without implants), and liposuction all the way around. This is an extensive procedure!

First, Neaman Plastic Surgery in Salem, Oregon is an incredible clinic. Everything is in house, including the surgery, so you don't have to work with an outside hospital. They keep all their own staff and have a gorgeous surgical building right across the parking lot from the clinic. You are working with a small subset of people through the entire process, which is super comforting.

Dr. Neaman himself, I really can't say enough good things about him. I was very nervous because I realize that I am not at that "ideal weight" that some plastic surgeons like to see. He addressed my case and made the decisions based off of my body composition and health. He was gentle, caring, addressed all of my concerns and made me feel 100% taken care of. His staff follow that lead and everyone was supportive and encouraging.

The results. It turned out far better than I had hoped. Removing the stomach apron took stress off of my lower back (something I didn't even realize it was impacting) and tightening my abdominal area lifted my thighs and pubis nicely. My breasts are slightly smaller, but they are a good shape, even so early after the surgery and they have never been this perky. I'm happy I decided against implants because they are very comfortable as they are.

The cons. Recovery hurt way more than I was expecting. I think of myself as a relatively "tough" woman and this was the most pain I have ever experienced. Expect a solid 3-4 weeks of continuous care around the house, plan on doing absolutely nothing, and keep yourself well medicated.

Adding more pics. The difference between day 2 post op and week 2 post op shows how quickly swelling starts to go down. Added image of my compression gear. It is super important, even when it is uncomfortable, to keep that gear on as it does help in the long run. Word of advice, keep your diet very low sodium and hydrate well to help this process. I made the mistake of having a high sodium meal and it made me feel like my skin was going to explode open. :O

Swelling has gone down significantly and I feel really good. All incisions are fully healed. Biggest upside is that I no longer have lower back pain when I'm active. That extra skin hanging takes a toll, and it feels so freeing to have it gone! If curious, a video of my procedure was added to Neaman Plastic Surgery's facebook.