Surgery Day was August 9th. I took a cab to the surgery office not too far from Dr. Schulman's main office. Checked in for an 11am appointment, did a last minute pregnancy test, weigh in and had my IV inserted. I met with the PA, Anesthesiologist and Dr. Schulman for some pre-op photos. I had to refrain from taking the hood pic/peace sign up!
I walked into the operating room, laid face up, the PA/Anesthesiologist talked to me as they started the IV drip, they told me to have good thoughts, asked how I felt about 3 times and then I woke up in the recovery room, lol.
My escort arrived and shortly thereafter, she was given all of the post-op after care instruction including meticulous logging of the drainage fluid. Shortly thereafter I was in a cab back home. The cab ride was intense, I had to hold myself up with that handle over the door (thank goodness I was in an mini van cab) to brace myself against potholes and turns. I kept wishing that the ride was over and eventually it was. After making it up one flight of stairs, I was completely exhausted and I got in the bed for a couple of hours and slept.
When I woke up, I was very fatigued but not in much pain, thank goodness for that additional pain medication that they offered me before the surgery, it cost $350 but it got me through what I believe might have been much worse since I had so many procedures at the same time.
When I woke, I remembered that the anesthesiologist told me that it was very important for me to walk as much as possible and to try, as hard as it might be, to breathe deeply to expand my lungs. He also stressed flexing my calves while in bed to keep my circulation proper in my legs as to avoid blood clots.
I was helped up (so tough) and walked, albeit slow, around my apartment for about an hour and 15 minutes. I had changed into a robe when I first came home and now that I was less fatigued I checked myself out in the mirror. Some how they had managed to get me into this black compression knee length compression garment. It had an opening in the front and a thong in the back. My ass cheeks seemed to be hermetically sealed to one another. My ass cheeks were out, remember that Prince 1991 VMA Awards performance with his ass out...like that. They were very swollen and bruised. My breasts were very sore, I assume from the lipo underneath. I noticed two extraction sites under my breasts that were being irritated by my breasts so I put two bandages there to help with the friction. I didn't have on a bra and supported my breasts with my hands as I walked around. My breast seemed to have swollen up at least by a third which is a lot for me. I walked until my soles hurt and then I laid back down. I wasn't very hungry day one, but I forced myself to have some low sodium minestrone soup. Afterwards I had two percocet (you should only take it with food) and it was night night for a few hours. I woke in the middle of the night and felt the urge to pee, I was helped up again (sooooo tough) and used a "go-girl" funnel to stand and pee, I don't know what I would have done without this genius invention, I believe that there are other manufacturers that can work as well. It was a bit of a challenge at first, but I've mastered the technique now.
After a very challenging clean up job after letting out some water, I went back to bed with help, the worst part was lowering myself into the bed and getting my legs into the bed (I cussed a storm). With a previous surgery, years ago, I rented a recliner chair to lie in instead of the bed and I think that might have been more helpful with getting up and down but opted not to as I was staying at my second apartment and only in town for a week. That said, I had help and I honestly don't know how anyone does this without someone there, it makes such a difference.
Day 2 was a struggle, I want to say that this was my worst day. It started off well, I did my check in with Dr. Schulman's office, shared with them my experience coming home, my draining which was over 100cc's almost every hour the day before and into day 2 and how i was managing my pain. I mostly did Tylenol during the day 1000mg when I felt discomfort and 1 Percocet maybe intermittently during the day, definitely 2 every few hours through out the night (I haven't slept a full night yet, but wasn't before). I needed help with draining my fluids, getting in and out of bed, picking things up. I was able to reach over my head.
I wasn't in a tremendous amount of pain the worst of it was relegated to getting in and out of bed. Still not very hungry, made some jello which was very refreshing, had some pineapple which is supposed to be good to help with bruising, gatorade, seltzer water and tea.
Day 3 was better, still rough but better, I was able to get in and out of bed without help for the first time. Feeling optimistic this day, draining began to significantly diminish to 50 to 70 ccs every time I went to empty. Had soup for breakfast, a little taste of a pastrami sandwich (Goodness, it was so good). Still hadn't made a BM, though I felt like I had something inside, just not feeling physically strong enough to embark on that journey yet! My ass was still tight and I hadn't seen any tips that seemed doable as far as having a BM. So Stressed man!
Everything is itchy, my back, my TT incision line, my legs where they did the lipo...I rubbed my skin lightly over my compression garment and the packing which provided some relief, but not much. I ate half a pastrami sandwich to ease my pain... it was so good but I know I am going to pay for that later. Drank a lot of Gatorade, Pineapple Juice, watermelon juice, seltzer water. I'm getting very good at this peeing standing up thing. The only thing is that when I get the urge, it's NOW. Like, I literally have 15 seconds before I need to be near the toilet. I felt the need to make a BM annnnnd my ass finally loosened up and there was space in there. I took this opportunity to clean myself as best as I humanly could. I felt like I could hold my BM because I really didn't know what to do, the PA at the surgery center told me that her patients suggested getting in the tub and squatting over a garbage bag to relieve oneself, I got the bag, got in the tub and damn near had an anxiety attack trying to do this. Not today dears, not today...
Wiped up as best as possible, laid back in the bed, watched some benign reality tv. More Tylenol, more Percocet, more pineapple juice, repeat.
Poo is happening today. I did the garbage bag in the tub technique again, I took my compression garment off down to the legs so that my ass was technically thong free. I couldn't squat low, so I got in the tub, leaned my back against the wall, pulled the straps to the top part of my compression garment to the side for dear life and waited for nature to take its course. This was by no means dignified. Poo really isn't but you don't realize how much appreciation you have for a toilet until you aren't able to use one. Poo happened. It was an impressive amount. I hadn't taken the Colase prescribed because I honestly was stressed out about doing it but I did take it regularly after since the initiation. I can't imagine having to do this for 5 more weeks. Gracious.
I feel dirty. I have done my best to clean up with a damp cloth and wipes but I swear I can't wait until this drain is out and I can take a shower and clean myself thoroughly. I decided to change my compression garment, I bought the bbl kit that Dr. Schulman's office provides for after care. It includes a compression garment, extra lipo foam and some after care creams that you will need to shrink post op skin and address scarring. I took my garment off completely and honestly for post op day 6 given what he started with, I was impressed, my belly button was intact, my curves were there, I was still swollen and I still have stretch marks, hopefully that will diminish with the creams, but it is still significantly less that what I had pre-op. I attempted to duplicate what the office did with the lipo foams but since there are 5 foams left over, I know I didn't...hopefully day 7 when I have my post-op they will replace them for me.
I will post pics soon. I have to transfer them from my phone to my computer.