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BR/TT - Philadelphia, PA, 6 weeks post op!

UPDATED FROM ttbrjan2012

I had my two month follow-up today and everything...

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ttbrjan2012
WORTH IT$6,300
I had my two month follow-up today and everything is progressing/healing nicely. He took out two stitches that were not dissoving and poking thru. Just a pinch and he was done. I asked if I have a dog ear on the one side and he said no, it's just some puckering at the one end of my incision. He expects it to smooth and flatten nicely, but did ask me to continue to wear something that will compress the area at my incision to help with the smoothing. I might try JC Penney's for a waist nipper. He also said to wear something supportive at night as well, both a bra (soft sports-type bra is ok) and something that compresses my stomach. Funny how some docs are ok with no CGs and others want you to continue with a stage 2 type for a long while. He warned me I may continue to have days where I swell for up to a year!! Depending on how active I am and the weather as it gets warmer. BB looks good and he told me I need to tuck my one breast into my bra to get the side support area of the bra to help smooth the lower incision on my left breast. I also asked him about some hard white ridges I have under the skin on each of my breasts towards the inside middle. He said they are engorged stretch marks (never heard of these!!) and that they will soften and flatten over time. I asked about the hard 1/2" ridge all along underneath my incision and he said that is fat (which doesn't heal as well as normal tissue) adhering to the dissovable stitches and cluping. He said to continue massaging incision and it will soften over time under there. Very informative visit and I am cleared to start doing some tummy toning exercises but to listen to my body. Exerciing the abs will pull on the internal repair he did and to take it easy if it hurts too much. All in all a good visit. I don't have to go back for another two months!!

ttbrjan2012's provider

Joseph DiBello, Jr., MD

Joseph DiBello, Jr., MD

Board Certified Plastic Surgeon

ttbrjan2012

ttbrjan2012 rating for Dr. Dibello:

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Replies (2)

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March 13, 2012
TT- You had a good report, you look fabulous!! I was thinking too when it gets hot and humid here this summer we will be stuffed pumpkins, but I guess it is all part of the journey!!! You look amazing and you are so tiny!!! I cant thank you enough for the visit last week, I really was in a funk and you gave me a lot of hope!!
October 5, 2012
where did u go
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October 7, 2012
I am so sorry, Donica! I haven't been checking in on Real Self. Life got crazy and my recovery went great and I guess I was just lazy!! Quick update. Had my TT/BR in Jan this year. Recovery went well. All the normal difficulties, but overall recovered very quickly and was back to my housecleaning job after 5 weeks (should have waited 6 because that first week was really hard, even though I only cleaned one house!!). I have had several post-op checks with the dr. and he is pleased. I do have a little asymetry with my breasts that I thought was apparent pretty early. The one is slightly larger and the scars underneath are in different places, so that adds to it. But, I think as the scars continue to fade...that will get better. They are a light purple now. Since I am 51, I don't have to be perfect...and my hubby seems happy ;) I still have a lot of numbness around my belly button. Speaking of BBs, I think it looks good and finally feel like it's mine! My TT scar is also light purple and looks good. I have a few hard lumps that are getting a little smaller that the doc says are from fat necrosis around the scar. I am thinking one or two may not go away, but they are not visible. I can just feel them. I am having trouble maintaining my weight which scares the hell out of me!! I was 135 before surgery and 4 months after surgery I was 130, which was a 40 pound weight loss from Jan 2011. I am now 134 but went up to 137. When I saw the doc, he alleviated some of my fears and said that weight swings of 25-30 pounds would be most damaging to my results. However I am really trying to be on top of things. I worked too hard and went through too much. Anyway, I would do it all over again tomorrow if I had to. I am SOOO happy with the results and how I feel, both phsically and mentally. My back pain is mostly gone and my waistline looks so different...I finally have a waistline after having twins 14 years ago!! Anyway, how are YOU, Donica?
UPDATED FROM ttbrjan2012

Heading out today for a consult on getting my...

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ttbrjan2012
Heading out today for a consult on getting my horrible areas of spider veins taken care of on my legs. Had them forever and bought a Groupon for two teatments in NJ. Hoping two treatments will really help, since I can't afford more. Wanted this for years, but the BR/TT was first prioity. When I saw this deal back in Nov, I grabbed it and am now getting to it. Then...that's it...no more work other than my hard work on this body :))) I can see how this could get addicting. At 51, would love some botox on my frown crease and some injectibles on my marionette creases, but where would it all end, lol...We'd be so in debt my DH would surely divorce me ;)

Replies (4)

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February 27, 2012
Good luck at the consult I know it is addicting, you look at stuff and think OMG that could be fixed and this could be fixed, LOL We need to win the lottery! No wonder stars look so good like last night at the Oscar's they can afford it!!!
We are going to have to sign up for a race together, I will drag you to one of those tough mudders with me, it is encouraging that you are running already! I will be so anxious to get back to it!!!
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February 27, 2012
You look so absolutely amazing! I'm really happy for you! Now it's time to enjoy!
February 27, 2012
Let us know how the spider vein treatment goes. I have them really bad on both legs...but I just make jokes about them. I have now saved enough $$ to go get glabellar botox again. It is no miracle but does have a slight impact on the frown line worsening, especially with summer coming and I will be squinting more in the sun. I've had it twice over the last 5 years and it gave me a bad headache both times so I have to "scchedule" it into a time space when I know having a headache won't be a disaster! I had Restylane in my marionette and smoke lines and that looked just bizarre...not me....good thing it lasted less than 3 months! I will never do that again!
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February 28, 2012
consult went well and they think two treatments will make a big difference. I have a lot, but two areas in particular are very bad. Little kids always ask me how I got such a bad bruise when they see them!! Wanted to do something for years about them. One treatment on March 13 and another 4 weeks late. Will post an update. Interesting about the restylane...didn't think about not even looking like me. They are such a part of my face...I have always had a prominent mouth resulting in some deep lines from nose to corners of mouth. I am not going to worry about it and just use some good wrinkle cream!!
February 28, 2012
Is the treatment an injection into the vein with saline?
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February 27, 2012
I love that white lacy bra! I can not wait to wear bras that are cute and not just utilitarian.
UPDATED FROM ttbrjan2012

Posting some new pics today. Changes I see are...

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ttbrjan2012
posting some new pics today. Changes I see are shrinking breasts :))), breasts getting more symmetrical and ny BB is clearing up!! Can't wait to get back to some regular workouts...am walking and doing some slow jogging, but will start some light weights and abs tomorrow...will be interesting!

Replies (5)

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February 23, 2012
Thanks, Mothera8. The undersides do bother me occasionally and I am still wearing my post-surgical bra at night (soft comfy cotton,no wires!!). But I am able to wear Wacoal underwire bras with good side support and also a Donna Karan sports bra. It, too, has underwire, but lots of padding and comes below the incisions. He said I could wear the underwire if comfy, or remove the wires form the bras (can be hard to do and didn't want to wreck expensive bras), so I did find a few that work. Biggest thing my PS stressed was good side coverage and compression (a lot of my fat tissue from breasts was under my arms), so I am wearing full coverage, supportive bras and most of those have the underwire. Maybe you can try a few where the wire comes lower under incision and has cotton padding. My donna Karan is best for that and not a uni-boob sports bra...I am comfortable wearing it everyday under normal clothes and it shapes nicely. Also, wondering if these silicone strips people swear by on the incisions would help with redness and pad and protect the incisions. I have some and am planning on trying them, cause I do have puckering and redness and heard the strips really help...of course they are expensive, too!! Hope this helps!!
February 24, 2012
I saw the ps yesterday and asked him about the silicone sheets. He hasn't used them for breast lift before but said I could try them. His nurse kindly tried to find a supplier here in our small town but noone carries it so will order off the internet. I have removed wires from bras before...takes some needle nose pliers! Funny, I thought I was the only one who did that...there is nothing new to any man under the sun...
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February 24, 2012
I found mine on makemeheal.com. The breast ones are actually anchor shaped and come in pairs (I am pretty sure you can adjust them by trimming to fit your size and incisions). Hated spending the money but spoke with bejeweled and she swears by them and her scars from arm lift look amazing! I am going to try them out tonight on breasts...want to wait for TT strips 'til this darn stitch closes up and stops seeping slightly. I think I will just wear them at night and put a scar treatment gel on them during the day
February 24, 2012
thanks, will check it out
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February 24, 2012
Is your PS worried about that stitch? I have a small spot that opened up, yesterday the stitch was sticking out and today it wasn't. Wasn't sure what to do about it!
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February 24, 2012
Kat, I did call them and they aren't worried. They said to just cover it with some gauze to absorb the little bit of fluid and change it a few times a day so it doesn't stay moist. They said it the body's natural reaction to send some white blood cells there and not to use bacatracin or any aquaphor. They said it should dissolve or work itself out of there soon and if not, he will remove it when I see him in just over 2 weeks. It is wierd looking, can actually see the threads!! I also have one little area on one of my breast incisions that is doing the same thing and evidently, that's what is going on in my BB. Maybe yours came out, since you can't see it today? It'll close back up if that happened, I would think, if it's small.
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February 24, 2012
Same thing has happened under my left breast, tt. In my case, they did tell me to use neosporin or bacitracin and a dry dressing. It does stay opened so I'm getting frustrated. It's not painful at all (stitch was poke'y when I first noticed it, but is soft now) so other than seeping onto clothing, isn't bothersome.
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February 24, 2012
mine is looking like it skin grew back over through the night, yay! I did put bacitracin on it yesterday though. Glad I shouldn't be worried :)
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February 27, 2012
Just wanted to let you know that stitch finally worked it's way out and now the hole has closed up. YAY!! :)
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February 28, 2012
good, Kat. I actually trimmed mone...it was hanging out so much!! Better now, but still leaving a little fluid on sqaure of guaze I put over it. Much better, though!
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February 24, 2012
Your girls look AWESOME!!!
February 24, 2012
Lookin Goooood Tt!!!
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February 24, 2012
Thanks Janes and Maumee...am feeling pleased and glad to be getting back to a normal routine pretty much pain-free and feeling so much more confident :)))