26 with PCOS, Lipo on Arms, Upper/lower Abdomen, Interior Thighs/Knees - New York, NY

I have always struggled with my weight. I eat relatively well and am extremely active, working out 5-6 times a week. I have PCOS and am insulin resistant, so I have to maintain a very low carb diet to really see results. I'm 5'6" and have stayed between 175-185 lbs for the last 5 years. I was able to get down to about 160 about 10 years ago, working out with a personal trainer 3x a week, and even then I lost a lot of weight, my arms didn't slim down to the same degree as the rest of my body, and my pear shape was still prevalent. I still want to keep my curves, but I want to flatten my stomach and reduce the fullness of my arm and thighs.
I'm excited and terrified. Surgery is in 20 days!
I met with two surgeons and they both decided that general anesthesia was the best option for me because they could be more aggressive with the multiple areas I wanted to target.

Over the last two weeks, I have been in contact with Dr. Karlinsky's staff about finalizing the amount, the actual date of the surgery and scheduling pre- op meeting. Her staff is absolutely amazing; I love Susan and Janette!

I came into the office today for my official pre - op blood work, urine sample, pay my balance (I'm paying up-front), get my prescriptions and meet with Dr. Karlinsky with any other questions I had about the procedure.

During the consultation two weeks ago, Dr. Karlinsky had already looked at me and we discussed realistic results, but we went over the details today thoroughly. I honestly expected to be standing there in the nude much longer, but that wasn't the case! She is very warm and knowledgeable (even provides her personal cell phone number to her patients), but also has a no BS approach. Usually Wednesdays are the day the she performs surgery under general, but she was flexible with my schedule and my needs and we're able to do it on Thursday instead. They even have a staff member who will bring me home from the surgical center and stay with me overnight!

My largest concerns were 1) scars and 2) loose skin on my arms specifically. I'm very fair, so unfortunately I most likely will have a decent amount of bruising and red scars (from the cannula entry points), but I was assured everything should fade in time, of course. Regarding my arms, since I have good skin tone/elasticity, I shouldn't experience saggy/loose skin. I have significant fat ("bat wings") on my arms, so while my expectations were managed and they won't be perfectly thin after the surgery, the size will be significantly reduced.

I have my list of instructions, including what not to take (advil, aleve, vitamin supplements, etc) for the next two weeks. And the day before the surgery, I will get more detailed instructions from the surgical center the day before.

I'm excited, scared, nervous, but I know I'm in great hands! 14 days!

So my blood tests came back normal, so I am cleared for my surgery next week.
I purchased some super absorbent maxi pads and wee wee pads for the leakage after the procedure. Since I'm getting my abdomen and thighs done, I also took another person's advice from RealSelf and purchased a female urinal, just in case I'm too sore to bend.
I have an extremely active/hectic lifestyle and I'm afraid that 1) I'll be out of commission to for too long or 2) I'll make things worse and prolong my recovery because I won't slow down. I fear that I will bruise to an extreme and won't be able to conceal it, especially because I'm getting my legs and arms done and it's the summer time where most people show a lot of skin. I attached a picture of the bruising that occurred from the blood test last week that shows how easily I get black & blue!
I hate that I may feel helpless and fragile post surgery, but I know the long term benefits will outweigh the short term discomfort, so I just need to focus on being positive and patient!
This time next week, they'll be wrapping up my surgery! 7 days to go!