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Tummy Tuck, Breast Reduction, at 56 Wearing my 22 Year Olds Bikini ! (In the House) - Newtown Square, PA

4 months post

Pictures to go with my review

WORTH IT$14,500
Sorry, I couldn't post my pictures until my review was actually posted on Realself!

je vois la vie en rose's provider

David A. Bottger, MD

David A. Bottger, MD

Board Certified Plastic Surgeon

4.8 | 81 Reviews
PROFILE
Overall rating
Doctor's bedside manner
Answered my questions
After care follow-up
Time spent with me
Phone or email responsiveness
Staff professionalism & courtesy
Payment process
Wait times

Dr Bottger is "everything and more", that a patient looks for and needs in a plastic surgeon. I had a breast lift/reduction, and a full tummy tuck performed by him at the age of 56! I still can't believe what he was able to achieve with my old dilapidated body! He accomplished in 51/2 hours of surgery what I couldn't achieve on my own during 15 long years of going to the gym and eating healthy. If a magic pill ever existed to turn back the clock, they would surely have to name it after him! Because that's exactly how I feel, as though I took a magic pill, closed my eyes and woke up with a new and much improved body! Before surgery, I was very uncomfortable in my skin. I was a 36DDD, and had an annoying kangaroo pouch hanging from my lower abdomen, a lovely remnant from my two pregnancies. I realized at the age of 56, nothing I was doing on my own was working, so I either needed to give up, buy some muumuus and enjoy the bonbons, or find a qualified plastic surgeon who could help me win my uphill battle. Well, it wasn't in my DNA to give up, so I went on a mission to find the best plastic surgeon. I started asking around cause there's nothing better than by word of mouth. That's when one of my friends, who happens to be a doctors wife, referred me to Dr Bottger, and I'm so glad she did! I immediately did my research, and was very impressed with all his credentials, his many qualifications exceeded my expectations. I was very happy to read that he had 20 plus years experience in his field, he was and is a Top Doc , and he was named best beauty surgeon for the state of Pennsylvania, in the Harper Bazaars Magazines hot list " for doctors on the cutting edge". His portfolio of before and after pictures were amazing. Out of all the before and after pictures I looked at on line, Dr Bottgers were the best and most natural looking. He seemed to have an artistic touch that not all surgeons are born with. After all my research, I called to schedule my consult. The receptionist answered my call promptly and managed to squeeze me into Dr Bottgers busy calendar. When I arrived to the office I was greeted immediately with a friendly smile. My experience with the office staff was always A+, they always did their best and were incredibly accommodating and professional. They are perfection! The office itself was also an A+, it was very large with a nice serene decor, and was kept very clean. My wait times, despite being a busy office, was to my delight never any longer than 5 to 10 minutes. When I met Dr Bottger, I knew he was highly qualified, but I was pleasantly surprised by his down to earth friendly demeanor. When I nervously babbled all my silly questions and concerns , I was relieved he answered each and every one of them thoroughly and without ever rolling his eyes in disdain. I told him I wanted my breast to be a D, natural looking, and not too perky. We did have a few laughs about me not wanting them too perky, in the end he won and yes he was right all along. I was very relieved that he listened to me and left them as a D, anything smaller would have been too drastic of a change for me. I am super pleased with my results. DrBottger gave me everything I asked for, they were 2 sizes smaller which gave my shoulders great relief, they were lifted but looked natural and most importantly they were symmetrical! Also the scars are barely visible. At the time of my consult I wasn't even considering a tummy tuck, I thought the pain would be unbearable and that the scars would freak me out. I'm so happy I had the nerve to do it, when I look down and don't see my pouch I want to do the happy cry! I think if I hadn't had the tummy tuck, I would still be miserable in my skin. I don't think I would have liked the small breast, large tummy look! And to my astonishment, my tummy tuck was minimally painful!! I attribute my low pain level to Dr Bottgers ingenious idea to inject the medication exparel into my muscle plication. Post op I took, one percocet the first night (just as a precaution, in case the pain showed up in the middle of the night) and one tylenol the day after for a mild headache . The pain I had was equivalent to the pain I had after a c section, and only when I had to get up to nurse my newborn. As for my scars, Dr Bottger placed them extremely low, they are only 3 months post op ,but they are flat, very thin and are fading nicely. I love my results! I never dreamt that at 56 I would have a flat stomach! Thanks to DrBottger I have a second chance to be the best I can be. After my consult , Mary Jo took pictures of my breast to send to my insurance company. In just about a week, I was totally shocked that she had gotten the paperwork approved to cover my breast reduction. Now that's amazing! Mary Jo, went above and beyond getting all the laborious paperwork taken care of so efficiently and quickly. Just like Dr.Bottger, she's amazing too! Next came the surgery! DrBottger operates at Bryn Mawr Hospital and Delaware County Memorial Hospital, two accredited hospitals. I had my surgery at Delaware County, Dr Bottger showed up right on time . I was very impressed with his markings on my body, watching him concentrate gave me peace of mind that he was a perfectionist and that I would be in good hands! The surgery went well, and I was pleasantly surprised that Dr Bottger put in a request for me to stay overnight. I had my own room, and it was very comforting to be surrounded by a caring team of nurses who checked on me regularly. Post surgery DrBottger and his office staff were always available and quick to respond to any of my concerns. When it was time to have my drains removed, I called the office and was told that he was in the operating room that day but that he would stop by the office to remove them for me . How nice is that? Two weeks after surgery, I asked DrBottger if it would be ok for me to go to a Christmas party. He said "Yes, have fun put on a tight dress and tell everyone you've been working out!" it seemed like he didn't even want me to give him credit. But, I'm not that type of person , I wanted to give credit where credits due! I know a lot of women who try to hide the fact that they've had a procedure done, but I want to share my experience and spread my happiness to others who also need the extra help. I want everyone who feels uncomfortable in their own skin to be just as happy as me. I went to the party, and when peoples mouths dropped at the sight of my extreme makeover, I of course told them about my secret miracle pill DrBottger and I will continue to spread his name and let people know what an incredible doctor he is! I'm no longer uncomfortable in my skin, and for those of you who are on the verge of giving up hope on a body that won't respond to all your hard work, don't give up ! Call DrBottgers office, if he can fix me he can fix anyone ! Just do it , you will be so happy you did ! Dr Bottger is the best on the Main Line!

Replies (9)

Thanks for sharing your photos, and your amazing results!

Thank you for posting these! You look great! I'm considering going to this doc, so it's good to see your positive results.
Hi Cravinrain, thanks for the compliment ! What are you thinking about having done? So happy you're considering DrBottger, you'll be amazed at what he can do . I had never heard of him till my friend referred me . I had scheduled drBucky, and drLoahner,(and DrNoone but he retired) for consults but as soon as I met DrBottger I cancelled all my other consults, that's how much he impressed me !
I'm considering a tummy tuck and breast lift. I haven't reached my goal weight, yet, though, so I still have some time to research and save. I think Bottger is a bit more on the expensive side, but I find no matter who else I look at, I keep placing him at the top of the list.
Hi Cravinrain, that's the procedure I had , only I had a breast reduction with my lift . ( I was fortunate insurance paid for it.) DrBottgers consults are free, and his patient coordinator is awesome , she will give you an estimate very quickly . I was also over weight 163 at 5'4" ( healthy BMI is 145) , dr Bottger did not seem to worry about it . I also saw some of his post op pics and some of his patients looked like they were at least 60 pounds over weight ( and they turned out fabulously !) I Couldnt believe my eyes!! I really don't think DrBottger is more expensive than other docs . Remember this is your only body, a couple thousand could be the difference between a botched job and an incredible job ( I read a few stories on RS that reflected that
My response didn't completely send . I just wanted to say , I can't wait to see pictures of you at the end of your journey ! Hope to see you on the flat side soon!
Thank you so much for your reply! I love your positivity! :-) ...you've definitely helped cement Dr. Bottger at the top of my consultation list.
WOW, can I ask did you lose any weight before your op, Your stomach looks amazing, was that achieved with surgery only?
I tried very hard to lose weight before surgery but nothing worked !!! So I was about 167 or something can't remember , but that before pic of me in my beige miminimizer bra was taken 1 day before surgery . I told DrBottger that I still wanted to lose weight after surgery , he looked at me and said " that's fine but you might not need to after the tummy tuck !"! I was shocked how flat my stomach was after surgery ! I only lost about 2 pounds from surgery but I lost a lot of inches ! People said it looked like I lost 30 pounds !!!!! Woohoo!!! I'm around 4 months post op , and I am going to the gym and dieting , I am trying my hardest to lose weight in my thighs and firm up my arms . Haven't lost but a few pounds but wearing smaller clothes ! So , to answer your question "yes" my stomach was alllll surgery !!! And it's even flatter now
ORIGINAL POST

It seems like my whole life , I've had large...

It seems like my whole life , I've had large breast. At eleven years old I lived in France, and would walk to and from school every day. That sounds ideal, but to me it was a nightmare, men thought I was older due to my breast size and they constantly were approaching me on my walk home. I'd look at them and whimper " I can't go out with you , I'm only 11years old!" I learned the trick of putting on 3 undershirts... In my college years, my breast were fine, I was a D and weighed 105 pounds. I felt feminine and confident. At that point a size D really wasn't strenuous on my shoulders. I grew up in family of health nuts, and there was constant awareness of being in prime shape. Fast forward to motherhood and my late forties. When I saw myself in the mirror I didn't recognize myself , I had been soo busy concentrating on everyone else that I had forgotten to take care of myself. I looked like Roseanne Barr, I couldn't see my torso my breast had grown into triple d"s and covered it. I was 5'4"and 160 pounds! I looked matronly! I had gained 40 pounds since I got married . Needless to say I was so ashamed of myself. I was about 43 when this all started. My kids were in school full time and I was a stay at home mom, there was no room for excuses. I was so upset and uncomfortable in my skin I went to the gym everyday, boot camp, spin class, you name it I did it . Fast forward 10 years, after all the exercising and all the diets I was still overweight at 152. All that work and my breast were still gigantic , everywhere I went, people commented on them whether I wanted to hear it or not. Most of my family and friends would say things like" you're really not that fat, it' s your breast that are huge. Just get a breast reduction and you'll be fine!".
Sooooo took me awhile, but here I am today at 56, with new breasts size D (went down 2 cups, plus had a lift) and enjoying my new flat belly, after my full tummy tuck. Dr.Bottger has freed me from my uncomfortable skin, and has given me my old body back! He achieved in 51/2 hours of surgery what I couldn't accomplish in 15 years of going to the gym and eating healthy! I am so happy I finally did it!
I am about 3 months post op, these blogs have really helped me on my journey. I would love to help any of you who are going through the same struggles as I was going through . I posted my review two other times and cried when I realized they vanished into thin air! I know thats happened to a few of you , so frustrating to have written my whole experience and then zap its gone!
So now that I'm a bit frustrated with recounting my journey for the third time, please check out the bottom of the page where I wrote DrBottgers review. I pretty much summed up my experience in his review.
I am going to try to post some before and after pictures. I think pictures speak louder than words. Dr Bottger is a miracle worker , he gave me my body back. I am now 3 months post op. The swelling is finally going down. The scars are fading. If I can give you one piece of advice it is to be patient , the body heals at its own pace, you will be amazed how well it does.
I will keep everyone updated as time keeps healing my body .

Replies (24)

Thanks so much for sharing your review. I'm sorry to hear that it disappeared a few times first, that is very frustrating and will get passed on. Your results are amazing. No wonder you sound so happy. Please do keep us updated on your progress, we'll be looking forward to your updates.

Hi Teddiemc, thanks for the welcome! I have had a few problems when replying to my post . I am using my iPhone and hitting the reply button, but it seems that only 50%of my response shows up . Are my replies too lengthy ?

Are you using the RealSelf app?

You look amazing.
Thanks kaybee4, it's been years I've heard that !❤️
Aww your so welcome. I no it feel good to hear ppl tell u how good u look. Enjoy
Thank you for your story. It has moved me to tears. My story is similar except l need a breast lift and implants due to being heavy for 14 years. At times I think I'm crazy for wanting surgery but then I read stories like yours and realize that im not
Hi stacyrf, so sorry to hear you have a similar story to mine , but there is hope , I'm living proof ! I'm curious why you think you're crazy for considering surgery ? Maybe , since I'm now post op , I can help you with any questions you have . I would love for you to feel as good as I do !! What is holding you back from surgery ? I know I held back because my children were young and I was fearful of leaving them motherless. Now they are 22 and 19 , I'm an empty nester and I'm trying very hard to be selfish and take care of myself . The surgery was my first step doing something for myself !
Hi. It's so nice of you to get back to me. I gained weight the year my daughter went through cancer treatment. My twins were a year old at the time. Between her after cancer issues and her brother's autism, I was so wrapped up in taking care of two special needs kids that I didn't pay attention to myself. I started taking the weight off in May 2014. 55lbs, 15 to go. As you know, it is very disheartening to see my mushy tummy and saggy breasts, especially since I have a very intense workout program and strict diet. I have to convince myself that it is ok to spend this money on myself. Also, when I think about recovery, I realize how much I really do for my husband, teenage kids and the dogs as a stay at home mom. I've been reading about how intense and long recovery is. I am feeling guilty about not being able to do for them and them having to do for me. I'm also afraid of the pain I've been reading about. With that said, I would really love to like the way I look, especially since I'm 50 and was huge from 34 to 48. Sorry for the ramble.
Sounds like you lost yourself while loving and caring for your children . They are soo lucky to have you as their mother. Being a mother is hard , but being a mother with two special needs kids is being a super mother. Now that they are doing better you need to think of yourself , you so deserve it after all you've been through . I wish I had done it at 50 instead of 56! Also , way to go with your weight loss, that's incredible . At least your body is responding to all your hard work
Thanks for the encouragement. I am thinking about Dr. Bottger since I live in the Philadelphia area.
Don't know why but my whole reply to your previous post did not post
Oh, I liked your reply. I think it's very thoughtful. Thank you so much.
I don't know why but only 1/4 of my response posted . I wanted to let you know that the recovery is not bad at all. Dr Bottger gave me an injection of exparel during surgery . Thanks to the injection I had very minimal pain ! About a 2 out of 10! The only time it hurt was getting out of bed . If you ever had a c section the pain level after you get home from the hospital was about the same . I also have a husband who relies on me and a diabetic cat . My husband has never cooked an egg , grocery shopped , or done laundry in the 28 years I'm with him. I hated having to ask him to do stuff around the house so I did cheat and did wind up pulling the stitches under my breast at the t juncture . In retrospect I wish I would have just let the laundry and house work pile up ! I was up and about very soon after surgery ( about 4 days) I read that in order to avoid blood clots it's very important to walk around and not lay in bed all day . I was driving after 7 days and doing errands ! (I did get tired easily ) As for feeling guilty about the $, just think of it as a necessary operation . Nothing you do at the gym will remove the skin
Good to know, thanks. I am addicted to my workouts. Sounds crazy but my way of life is based on them, even when and how I eat. I can feel off if I don't work out. I fear becoming a size 16 again after getting down to a 6. Two months before getting back to the gym? When did you stop getting tired? Oh, I haven't had a c section.
I could have worked out sooner than 2 months,. I was being super careful since I had the t section wound . It took about 6 weeks for it to heal ! I was extra cautious but I'm sure I could have worked out on a stationary bike or something . I was tired for about 3 weeks . But never had to lay in bed . I would get tired after being out doing errands for 8 hours. Wow, congrats on being a size 6 !! That is my personal goal ! I was a 10 before surgery , after surgery I'm an 8 . And now I'm going to gym 21/2 hours a day and doing Jenny Craig to get to a 6 ! Weight won't budge, but losing inches !
Thanks for the compliment. To be honest, you being a size eight is the same as me being a size six because I'm only 5'2". I was also heavier than you were so maybe my results wouldn't be as good. At one point I was 190 lbs I was 180 lbs when I started my weight loss journey. I have a no oil vegan diet. It's a lifestyle change but I really enjoy the food I eat. I also need a lower face and neck lift due to the weght loss.
Thank you for sharing!! You look fab!!! I am 29 years old (no kids!!) and i battle with big boobs since ever :( doing some research about this doctor I see many good reviews and great pos operatory surgeries. I also read your insurance paid for your breast reduction, right? Would you ming sharing how was the process for your insurance pay for it? Thank you so much !!!!! (L)
Hi dianephilly, thanks for your compliment
Ugh!!! My whole response got deleted
Not again ! It got deleted again !!!!!!! I will try to answer your question tomorrow , hopefully things will be working better by then!
Ohhh nooo!! Okie! Thank you!!!
I'm going to try responding again
Didn't work