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Lower Body Lift, Breast Augmentation and Scar Revision on Arm Lift - Ramsey, NJ

ORIGINAL POST

After losing 55lbs almost 10 years ago, I fiscally...

Wish2bSexy
$16,000
After losing 55lbs almost 10 years ago, I fiscally thought I was happy with my body, writing in at 160 at 5'9. My arms were my biggest concern back then, as they were flappy after the weight loss. I decided to have them done. Without a lot of research about the procedure, complications, placement of the scar and the look of the scar, I found the doctor that I was happy with and went for it. At first I was happy, but as weeks went by I realized that my arms were still droopy and the scar was atrocious. It was red, wide and very much seen from the back. Had a revision a year later. Did nothing. So for the next 7 years I've worn nothing but long sleeves. 3 years ago I had 2 kids back to back and ended up losing more weight. Coming down to 140. At this point my whole body looked saggy. My breasts were deflated, stomach and thighs droopy. I started to hate my body, resented the weight loss and in some weird way thought that I would rather be fat. I looked great in clothing but awful naked. Haven't worn a bathing suit in years. So I started to look into going under the knife again, but this time it is something that I'm not looking forward to, as I already have negative experiences with plastic surgery. I've met with some doctors who recommended targeting the thighs first and then going through the rest of the body. When I met Dr. Capella. he explained to me that in order to have the thighs look good, he has to do the buttocks and the stomach all at the same time, hence the lower body lift. I liked that idea because it would fix several problems at once. The thing that did surprise me is that he said that my breast augmentation and arm lift can all be done at the same time. I was not prepared for that, financially or otherwise. He said that he does these types of surgeries every day and that I'm in good hands. I hope he isn't wrong. As for my arms, the doctor doesn't know why my scars look the way they do, but he said that he would cut it out completely and change the placement of it, so that when my arms are to my sides, you will not be able to see them from front or back. My breasts are not as droopy so he will do an augmentation without a lift. We chose 450 cc silicone moderate plus implant. My only reservation is the front of my thighs. Even thought Dr. Capella said that as the thighs get lifted, the inner portion of the thighs lift as well. But looking at his work and other surgeons work, I have not seen much of that. To me, it seems that the inner and front of the thighs look the same. My front and inner portion are far worse than sides and back. I really hope that I will not need a thigh lift after this is done and other with. I will be taking 2 weeks off work, hope that's enough. My surgery is 4 days away, and I will be posting my before and after pictures as soon as I'm able to take them post op. does anyone have any advice for recovery?

Wish2bSexy's provider

Joseph F. Capella, MD

Joseph F. Capella, MD

Board Certified Plastic Surgeon

Replies (47)

September 6, 2013
All the best I had a my body lift 16 days ago, my best advice to you is to keep your stools soft by taking a mild laxative before your op and after daily so when you need to go you won't be straining. The pain killers cause constipation and that is the worst. Previously I had a tummy tuck and did not take anything and was so constipated causing so much pain. With my body lift I made sure it didn't happen again and all went well. Prunes and pear juice help heaps too. I'm still not sitting only standing or lying down as my dr said the longer you don't sit the better the result and complications. After the op I had to lye on my tummy for 2 weeks which I found very uncomfortable. Hope the little bit of info will help, take care
September 6, 2013
16 days and still not sitting? im shocked and scared. i only took 2 weeks off work and was under the impression from the doctor that it is enough time to somewhat get back to normal. did you just have a lbl or other procedure as well? do you have befores and afters?
September 6, 2013
I had a LBL, mini tummy tuck, thigh lifts fat grafting to buttock and looked great for 3 months. Now my skins sagging butt is sagging again, and thighs are still flabby. My cellulite looks worse then it did before. My doctor never said anything about the quality of my skin, or that the surgery wouldn't last. It is a joke and the joke is on us. My doctor has offered me nothing, no revisions, except for scar on left buttcrease. No more lipo, nothing. He said he could not take any more off. Bulls___. My whole experience with this Dr. Has been very shakes from the very beginning. 4 months PO he tells me if I get flexibility back, I had flexibility issues and I still do, I will get cellulite back and sagging. He isn't other to say anything prior to surgery nor did hi brochure. Then at 7.5 month visit he apologizes for not understanding what I wanted from surgery. See he only dealt with flabbiness he said not size of thighs! How could he have misunderstood when I said I wanted this fat gone and I grabbed the front of my thighs and the inner outer and back of thighs! I am so angry but there s nothing I can o. It's not for.
September 6, 2013
thats very sad. how is it possible to sag after this procedure? where is more sag coming from? more weight loss? im confused about the procedures you had. you had a lower body lift and a mini tummy tuck? i thought the lower body lift does a lift around the whole body (nothing mini about it). and what kind of a thigh lift did you have? do you have before and after pictures?
September 6, 2013
It is on the back of my thighs, my inner thighs, the front of my thighs and my saddlebags are coming back. I had a spiral thigh lift. I think the cellulite is worse then it was before surgery. I'd love to put before and after pics but I won't because once there they are there forever. Sorry. Well with mini tummy tuck they don't do anything to your muscles just skin and lipo although I don't believe he did that either. I got a copy of his surgical report because he didnt know how much fat he had transferred when I asked on 2 nd post op visit. He didnt even say in his report that he had liposuctioned my inner thighs. When I asked him about it he said it is assumed because of the type of procedure. In my book if a report doesn't note it was done then it wasn't done. I had sent a couple of emails to his office asking if he was going to liposuction fronts, inner, and backs of my thighs because it only stated back of thighs in contract. I was assured that it would be done. He transferred only 280 cc of fat to each butt cheek and I told him prior to surgery that if he couldn't get enough fat that he could take it from my knees where there is some. He didnt do that either. A lot of the doctors on this site won't even consider fat transfer if there is only 250 cc of fat.
September 6, 2013
Oh and I am only 6 pounds lighter then before surgery. Most docs on this ite have stated that you could loose 0% of body weight and shouldn't affect results.
September 6, 2013
10%
September 6, 2013
its very sad and scary considering that im going under in 2 days. all this reading is very helpful but for the past few days ive been very anxious
September 6, 2013
would you consider emailing me your pictures?
September 6, 2013
I'd call my doc and ask is there anything that I should know that isn't in your brochure or that we haven't discussed regarding attachment of thigh to pelvis area. Where will the attachments be placed? Why that area? Are you using absorbable sutures, what type (some have less of a reaction from your body then others)? What will you do if I get popping sutures do you take them out of leave them alone? It makes it harder for you to heal if they are left in or so most docs on this site say. If I need revisions will you do them at no additional costs or will there be other fees involved and what are they? How much flexibility will I loose if at all, for how long and will some loss be permanent? How much laxity can I expect? How long will these surgical results last? These are some of the questions I should have asked had I known to ask. these are issues my doctor should have shared with me especially regarding lexibility and how long results could be expected to last. mine never did. knowGood luck.
September 6, 2013
See my previous post regarding pics.
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September 10, 2013
who was you r plastic surgeon? sadly i have heard too many stories like this form women who go into surgery enthusiastic and come out in tears owing to bad results. then they're surgeons won't help them. I am a patient of Dr. Capella's and I am always glad to refer people to him. He is brilliant and compassionate. I wish you well.
September 10, 2013
My surgeon was dr. Arnold Breitbart in manhasset ny
September 6, 2013
Hi my Dr is very conservative he refused to do everything at the same time so I had the abdominoplasty in April this year and the body lift on the 20 th. August. I respect the fact that he didn't want to do everything at the same time because both procedures were difficult. I have heard many people doing every thing at once and they have coped so please don't worry I'm sure you will be ok. As I mentioned before Dr Cockburn who heads the association of plastic surgeons here in Australia is very conservative so each Dr is different. He said at my last post op appointment I can slowly work towards sitting at a 45 degree position in 8 weeks. His reasoning was the flextion of the legs in the sitting position stretches the scar and the stitches. I am not that sore at the moment but feel it in the sitting position. I don't sit when going to the toilet I straddle over it in a squatting position. I do have pics not sure how to up load them will ask my husband to help. I weighed 103kg and now weigh 55kg so I had a lot of skin to remove and I'm very happy with the result I'm sure you will be too, take care
September 6, 2013
why would you do a tummy tuck and then a lower body lift? he opened the abdomen again? or just the back?
September 6, 2013
No originally I signed contracts that said spiral thigh lift with liposuction to thighs, inner and outer thigh lift , buttock lift with fat transfer, and mini tummy tuck. Then the afternoon prior to surgery when I was getting marked he said oh by the way you are getting a lower body lift so I signed new contracts. I guess I just state mini TT because I didn't have any muscle involvement. Surgery was done all at once. Never did he suggest that we do it in stages.
September 6, 2013
I think if you go into your profile page (upper right corner of these pages) you may find that there is a way to upload photos. I'm not positive but I thought that was where I saw it before.
September 7, 2013
Did the abdominoplasty (tummy tuck) which is only on the front. The body lift is an incision round the sides towards the butt removing the excess skin and some tissue, so no he did not open up the same place twice.
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September 13, 2013
Yes, he will open the incision in my abdomen. I lost a lot of weight since my TT, over 20-lbs, so my tummy and my mons have excess skin now. He is going to remove a few more inches of skin from my abdo and tighten my mons. Also, once I saw the incredible results of my TT then I wanted my entire body done.
September 13, 2013
So technically you're having a lbl done. It's like a whole new procedure. Minus the muscle tightening.
September 7, 2013
I am having an LBL, breast augmentation and arm lift with Dr. Capella too. I've talked to quite a few of his patients that had all procedures done and they love the results and look amazing. Best of luck with your surgery. Mine is on the 16th of October. Are you spending the night at the hospital or at Care One?
September 7, 2013
how long are you taking off from work? im so scared because dr capella seems to be one of the few docs who do all these procedures at once. everyone else does it in stages and it scares me that im going to be under the bus for longer than expected.
September 7, 2013
and how did you get to speak to his patients? not alot of his patients are active here.
September 7, 2013
I have a desk job and have the fortune that I can do my job from my laptop at home. I am taking a week off from working at all and then starting to work from home for 2 weeks after that. I will go back to the office after 3 weeks only because I drive 1 hour each way so I gave myself that extra week. I will play it by ear because if I feel up to it before that I will go back sooner. How do I have contact with a few of his patients? I had weight loss surgery almost 6 years ago and lost 200 lbs. I belong to a support group on facebook for my surgery which is duodenal switch and the group has over 4K members. When I posted about having so many surgeries at once and my concern I got a lot of responses from many that did that and more. Turned out that about 8 of the responses I got were patients of his and so I was able to correspond via email and text with them. Got to see their photos and what they look like now and they gave me so much advise. I can tell you he fixed my friend's arm lift and tummy tuck 7 years ago. She got butchered out of the country and looked deformed. The man not only fixed it but made her look even more amazing than she ever expected and that was 7 years ago so imagine how much better is he now. I will tell you that some people that got all this done at once with other surgeons told me their surgeries lasted 11-14 hours. But Capella patients said no more than 6 hours for them and 6 hours was for some that needed hernia repairs as well. He's done so many of them over the years that he does them at a fraction of the time. I went to a surgeon before him because he did my mom an for an extended TT and boob job he was going to take 7-8 hours. He was also going to charge me $24K. I went to Capella with low expectations because based on his reputation and how well known he is (my NYC weight loss surgeon knows him and thinks highly of him) I never thought I could afford him. Imagine my surprise when I was able to get LBL, boob job with silicone and arm lift for under $18K (18K was my budget for boob job and LBL). So based on what I've seen and been told we're in amazing hands. I will tell you don't freak out when you see the incision technique he uses. I freaked out when one of his patients sent me 2 days post op pics. He uses a technique called pie crust. It looks just like a pie crust all wrinkled and raised. He uses that technique so we end up with perfectly flat scars. I can tell you I had another surgery and the incision was glued flat and now I have a deep dent on that scar. Dr. Capella told me it's because when the skin heals it shrinks and so that's why I was left with holes on my belly but thankfully they'll be gone after LBL. Sorry to ramble on but wanted to put you at ease.
September 7, 2013
my surgery should be 5 hours long. i had two consults with dr capella because when i left him the first time, i developed a whole new set of questions and got even more confused than before. both times he held me at my hips while lifting my skin up and i was holding my stomach. when i looked in the mirror, he said "this is exactly what you will look like after". i was happy because i saw my inner and front of thighs smooth out. but when i look at pictures of before and after lbl, his and other surgeons i see that there is no improvement in that area. i addressed my concern for thighs because i initially came in asking for a thigh lift and not a lbl, and he told me that after lbl the is always an option for inner thigh lift but "i dont think you will need one". this put me an ease for a little bit but at the same time i thought that pictures are here as proof and he was also holding my skin at the hip level whereas the stitching is done at the abdomen. as far as his fees go i was also pleasantly surprised. all my other consults were in nyc and what i am paying him would only cover arm lift and boobs. after researching him before making my app and meeting him, i was sure i was coming out of there in tears because i wouldnt be able to afford it. the way his prices work is quite different than other doctors because the others have a set price based on procedure, whereas dr capella i believe charges for his time, regardless of the procedure and i believe that the price is 2k per hour plus all the other fees.
September 7, 2013
my other concern is that the doctor will not see me for a week. im scared that its too long
September 7, 2013
My procedures cost $23,000 aftercare for 9 days $6,000. LBL, spiral thigh lift, butt lift with fat transfer to butt, and he was suppose to lipo all over thighs but I'm not convinced he did that because it didn't say on his surgical report that he had and I had not bruising at all and my inner thighs still look the same.
September 7, 2013
Are you going to an aftercare facility or home? My doctor didn't see me for 5 days but I was in an aftercare facility. I even had to go see him and they transferred me in a small sports car! He didn't come see me.
September 7, 2013
im going to an aftercare facility for one night. then home and then back to the doctor for 1 week follow up
September 7, 2013
how long were you in surgery for?
September 7, 2013
All patients I spoke to saw him after a week no problem except one that had leg numbing and went to see him before that and turned out she developed a clot. She was fine right after though so don't freak out. If you think about it those first few days are very painful so imagine having to go get in a car to see him how much worse you would feel? As long as you're feeling normal expected pain you'll be fine. Right now his fee has me at the hospital and not the after care facility. I am contemplating talking to him to go to the after care place and stay 2 nights which would come out to pretty much the same price.
September 7, 2013
And yes he charges for his time and not per procedure which is a blessing.
September 7, 2013
why would he recommend a hospital? i wasnt given an option when i was there
September 7, 2013
I wasn't given the option of Care One. I am assuming it's the hospital as the sheet says hospital one night and it's over $1K. Another patient is going to care one where it's cheaper and chose to stay 3 nights since she will be home alone after that. It's my understanding that care one is about $300 a night plus ambulance transport which is $200-$300? I may be wrong. I am going to ask when his coordinator comes back from vacation. She's out all next week.
September 7, 2013
ambulance is 196$ care one is 300$.
September 7, 2013
i believe that the ambulance should be covered through insurance, i dont know if they will bill them instead
September 7, 2013
Can't believe he will only see you after one week, I stayed in hospital for 5 days and my Dr visited me every morning.
September 7, 2013
I'm not sure if he's seeing me at the post op facility the next day but I'm certain I'm already scheduled for a 1 week post op on the 16th
September 7, 2013
Ok I will ask him why he prefers I stay at the hospital vs. care one. Wonder if it's because of me having had many surgeries in the past not sure.
September 7, 2013
very interested in finding out why
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September 10, 2013
I am a patient. Feel free to reach out. He did my tummy tuck in April and on Oct 19th I am getting EVERYTHING done http://www.realself.com/review/ramsey-nj-medial-thigh-lift-lbl-arm-lift-flankplasty-breast-lift-monsplasty#/
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September 10, 2013
He will see you the day after surgery. He also will be in touch with the nurses taking care of you after your surgery.
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September 13, 2013
As I posted to you on the other board, I have had a very hard time to follow thru with my upcoming surgery with Dr. Capella because of my very bad experience with another plastic surgeon. By the time that I am done consulting with Dr. Capella (I will see him twice more before my surgery) I will have had 4 consults and numerous emails and phone calls totaling about 6-hours worth of consults for a 6-hr surgery. I am very honest with him about my concerns and why. He is extremely understanding and has given me all the time in the world so that I could be comfortable going into surgery.
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September 13, 2013
My doctor or his PA will come to see me every day that I am in the aftercare facility (3-nights). Then I see him for one-week post op and two-week post op. Since I live out of state, when I return home I will do a phone consult at 6-weeks post op.
September 13, 2013
What doctor did u c
September 13, 2013
Dr Capella
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September 10, 2013
Good luck! I cannot wait to hear about your experience and see your pix!
UPDATED FROM Wish2bSexy
3 days post

Had to take pictures of my drains to email the doctor so that he can evaluate if I need blood clot injections

Wish2bSexy

Replies (38)

September 13, 2013
Cant wait to c your pictures best of luck
September 14, 2013
Thank you
September 13, 2013
Would u ladies recommend him??
September 14, 2013
Can't say for sure yet. So far he's been great but now I need to see how I heal and what the end result is.
September 14, 2013
Thanks for keeping me informed i wish the best results for u and your in my prayers.
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September 18, 2013
I had a tummy tuck with him and my results were way more than expected http://www.realself.com/review/ramsey-nj-my-tummy-tuck-results-more-than-expected He is the top surgeon for body contouring after massive weight loss.
September 15, 2013
Happy healing. I go in on the 26th for muscle repair, tummy tuck and lipo of the hips
September 15, 2013
Good luck! I'm having a hard time recovering but hoping it gets better from here on
September 15, 2013
How are you feeling my love? I also hope it gets better for you. I have a high pain tolerance but my fear is that this surgery will be my breaking point. It's so much at once.
September 15, 2013
I'm ok just sitting on my recliner the whole time. You know it's not the pain that's breaking me down. I've been off my pain meds after 4 days or so. It's the frustration of not being able to do anything and not being able to move around. Had meltdown in the middle of the night because I just can't seem to find a comfortable spot to sleep on. My back is so sore and aches all the time. I can't be on my sides or stomach so it's just this one position that I can be in. And the more reviews I read the more disappointed I get because a lot of the ladies can't seem to get comfortable sleeping for a long time.
September 15, 2013
That's my biggest concern. I am one of those who checked out herself a day early after csection and went shipping at the mall that same day. I am also the one that 3 days post op gets too restless and tries to clean around the house and refuses help. I know with this surgery that Won't be the case and I will loose my mind. Can you at least get up and walk around on your own? Can you bathe yourself and use your arms a little more?
September 15, 2013
Also this is why at one week post op the latest I want to work remotely so I can at least keep busy and talk to my hotels and so time will go by a little faster.
September 15, 2013
You can be on the phone all day long. If all you need is make calls for work then you'll be fine. I can't bathe on my own only because I'm still hunched over. I can't stand straight or be able to lather my hair. I have been able to shower in a chair while my husband assisted me. I am moving around on my own but can not do anything other than use the bathroom, get some water, take my meds, use the remote. I can't open medicine of its locked. Can't reach cabinets or open windows. Can't pick up things off the floor if I dropped something.
September 15, 2013
Tell your husband to buy you a reacher. It's been recommended to me by several people. They said it made things much better when they dropped things.
September 15, 2013
I don't know if I want to start depending on things at this point in the game. I want to try to be more independent as I only have only 1 week before I'm supposed to head out to work. I still don't know how that's going to happen.
September 17, 2013
Hi, I am reading your story with interest. You have a lot of courage and fortitude. Hope that all goes well for you.
September 17, 2013
Thank you very much for your support. Are you going through something similar?
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September 18, 2013
After my tummy tuck it took weeks, maybe even more than a month before I could sleep. I hated sleeping on my back.
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September 18, 2013
Are you able to use your arms?
September 18, 2013
I'm using them but not for lifting anything heavy or raising them up.
September 18, 2013
That's the one thing that's really hard for me to get used to. Sleeping on my back and not being able to move. Not easy.
September 17, 2013
How are you holding up?
September 17, 2013
I'm a little better but thought I'd be a whole lot better by now. Had my 1 week post op yesterday had 2 drains come out and the stitches on the nipples. The drains coming out did hurt and I was surprised to see how long that thing went inside. Oozing in places here and there and still can't sleep in my bed. I asked the doctor if I can have the drains come out at the end of this week instead of waiting till Monday. They said yes as long as I'm draining less than 25 ml in a 24 hour period. I think I'm already draining less than that.
September 17, 2013
Oh that's great that you'll get the drains out sooner. I hear that once they're all out it really helps you feel better. Are you walking a little better? How is the pain? I hope the next week you are able to get much better as I know you'll be going back to work soon.
September 17, 2013
I'm really hoping that once they come out ill straighten out more. I do need to be back to work on Monday so hoping ill be back by then. I'm not in pain at this point but just uncomfortable with the pulling of the incision sites and the tightness of everything.
September 17, 2013
Oh that's awesome girl. Are you taking any pain meds? You've come a long way from a few days ago. So happy for you. Do you have a desk job?
September 17, 2013
No I've stopped all pain meds after day 4 as they were making me light headed dizzy and nauseous. I do not have a desk job, far from it. I'm a speech therapist with kids under 3 and I do home care.
September 17, 2013
Not yet, am contemplating thigh and arm lift. Have had mini facelift, which was not too bad, but realize the body lift surgeries are fairly major ... am in process of starting to learn, which is why I was following your postings with interest...hope all is well...
September 17, 2013
Well I initially started out looking into a thigh lift as well and was steered into this direction by my surgeon. I'll be posting my pictures soon. As soon as I get these damn drains out and can stand straight :)
UPDATED FROM Wish2bSexy
12 days post

So now that I'm almost 2 weeks out,

Wish2bSexy
There are more concerns popping up that are scaring me a bit. Since one week out of surgery, I've been having headaches every afternoon at 3pm on the dot. Don't know why that is. Asked the doctor he said that it could be a reaction to narcotics. Also I have had some oozing in my armpit since the surgery but today when I took a closer look, I noticed an opening. Sent a picture to the doctor but haven't gotten a response yet. I'm also concerned about the sutures in the back, they were dry and healing ok before but last night when I got off the couch, I had some bleeding. I still put gauze on it as it continues to bleed. I'm still hunched over and can't stand straight. Getting up is the most painful part out of this whole thing. Still can't sleep well. Last night tried to sleep in my bed with the help of 10 pillows but ended up waking up a lot in discomfort, back to my recliner I go tonight. I will be posting some of my before pictures and a couple of afters that I was able to take by myself. I'll ask my husband to take some pictures or me.

Replies (4)

September 21, 2013
I hear that the opening in the armpit is quite common with extended arm lifts. In fact everyone I know who's had it (not just with dr. cappella) it happened to them. I think it's 1 in 3 that it happens to. Keep that area very dry. I know a couple people I know would keep a panti liner there just to keep it dry and would change it often. Just in case tell him to prescribe antibiotics. As far as the back did your husband check for any broken stitches? That also happens with lower body lifts due to incision pressure as we move around. Try and take it easy.
September 21, 2013
He just replied to me to keep it dry but I'm just so uncomfortable with that because I'm not wearing any protective garments and I'm afraid to get infection from clothes.
September 21, 2013
Take pantyliners and keep them secure with surgical tape and that'll keep it dry. Try to wear shirts or night gowns a couple of sizes too big so they're big in your arm area. To make sure my armpit is dry I am going to keep pantiliners on from the get go and change them a couple of times a day. I've been googling this a lot online and it's super common and those are some tips I've read from people that didn't have their arms open up or that as soon as they did that was how they kept it dry.
September 22, 2013
In the back it's right inside the butt crack but it doesn't even look like a tear, but the amount of fluid I'm getting, feels like a tear.