My Bariatric Life "Thighs are Almost Model-Like." 4 Procedures w/Dr. Joseph F. Capella, THE Master of Body Contouring after MWL

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I had a tummy tuck and mons lift with Dr. Joseph F...

I had a tummy tuck and mons lift with Dr. Joseph F. Capella on April 18, 2013. My results were amazing. You may read about it here. So now I've decided to do a total body transformation. I am scheduled for a 6-hr surgery on October 10th. Dr. Capella will revise my tummy tuck to a lower body lift, do further tightening of my mons, and perform a medial thigh lift, arm lift, flankplasty, and breast lift. I am super excited! You may follow my journey on realself here.

Bra blubber, fat thighs, etc pre op


A first look at my thighs, one-month post op

I am just a little more than one month post inner thigh lift (t incision) and lower body lift (no tummy tuck) and upper body lift (no implants). Here are a few blurry (sorry) photos of my gorgeous thighs. As soon as I get the before photos from Dr. Capella's office I will post them for comparison. My thighs were a mess after massive weight loss and he made them lovely and youthful. They surely don't look like surgery thighs or the thighs of a 49yo woman who was once morbidly obese.

Recovery of the thigh lift has been quite easy for me so far, just a small opening in the right groin and some swelling and skin tightness issues... No big deal.

My before thighs

I am extremely impressed with the results of my thigh lift. My thighs are beautiful and youthful and toned. My only problem is that one leg was pulled so tight that I am having trouble extending my leg and walking. My surgeon says the skin will stretch eventually.

6-weeks post op and thighs are swollen but looking pretty good

My 7-mos total body transformation from FAT to FAB

These un-retouched photos show my absolutely amazing transformation from April to November 2013 -- and I am still transforming! At the beginning of my journey, I was a size 14/16. Then just 3.5-mos after my tummy tuck I was a size 8. Now at 6-weeks post body lift and thigh lift I am a size 4/6. My results will keep improving across the next few months so please check back for updates.

Love to all!

My pre op photo shoot

So here are all the views of my thunder thighs before surgery.

Right leg no longer has a range of motion issue

For a few weeks after surgery I could not straighten my right knee without pain. The skin here was very tight. Dr. Capella told me to walk to stretch it and assured me that it would indeed stretch. But for a few weeks extended walking hurt the right thigh, especially since I had a very small opening in the right groin incision. So I got the idea to wrap my binder around my upper thigh to provide support and that really helped. Then recently I noticed that the right knee could flex easily and the right leg no longer pained me even after long walks. I am 6-weeks post op... funny how everything just seems to fall into place at 6-weeks. I even went to the gym this week and began an exercise routine (no repetitive motion of raining arms above the head, though, doctor's orders). The pic is me before heading to the gym today in my new FILA leggings size XS and shirt size S. I did not have the best body in the gym but I was the best dressed!

Low rise slim fit size 4 Lucky Brand jeans

Since my body contouring I have gone from having to wear Gap baggy cargo pants in a size 14, to Lucky Brand low rise jeans fit slim through the hips and THIGHS in a size 4.

You asked for it...

For those of you that wanted to see my ass and thighs...

The money shot!

OK, I told you that Dr. Capella is the master of thigh lifts and monsplasty. You'll have to take my word on how sexy he made my ugly monster crotch (hint: I would have been coming out the sides of the thong I am wearing in the pix). But I will share with you some risqué photos of my gorgeous thighs.

Even though I have good skin, my elasticity is poor owing to so many decades of morbid obesity. So unfortunately my scar migrated. You can see it in the second pic. Dr. Capella will revise it for me, but I hope it doesn't migrate after that.

When Beauty Is Not (Exactly) Truth

More than 15 million people in the United States are morbidly obese. The solutions are out there. For me they were: Weight-loss surgery, liposuction, thigh lift, monsplasty, tummy tuck, butt lift, arm lift, breast lift, facelift. But there seems to be a lot of shame involved in perfecting our imperfections, despite the popularity of the pursuit and some recent public efforts to address the topic.

Should we be more forthcoming about what we do to enhance our looks?

Labia spreading? No thanks!

I saw the absolute worst photo of labia spreading ever: Can you imagine if a surgeon did this to you during a thigh lift?

I addressed my concern about potential labia spreading with Dr. Capella a few times. The primary reason for my concern was that I had very little mons area above my cleft left after the mons lift that was done with my tummy tuck. And during the thigh lift, Dr. Capella was going to tighten the mons medially. I was concerned that pulling the mons and labia to the groin would cause me to spread open. Dr. Capella assured me it would not. However, because he did not "show" me, I remained concerned.

It was not until my markup that while I was lying on the recliner that Dr. Capella showed me. He said something to the effect that this is how he will pull me and he spread my mons with his two fingers. And as soon as he did that, my labia popped open like a clam - even making a "sucking" noise. That part was sort of gross. But what was important to me at the time was that Dr. Capella's demonstration of how he would pull me to tighten my mons confirmed my fears of labia spreading. I wanted to say, "Look, I told you that's what would happen" and in my mind I think that I did say that. But I was petrified going into surgery and could barely utter any words that morning.

Everything turned out remarkably well. Dr. Capella did magnificent work on my mons. I have no labia spreading whatsoever, and my once hideous and disfigured mons is beautiful and sexy. I don't know how he was able to accomplish that, but I have my suspicions that he used a magic wand instead of a scalpel. LOL

Thighs and incision at 3.5-mos post op

I have been feeling fat the past few days. I keep telling myself, "You are in size 4 jeans. You cannot possibly be fat!" Then I go and try on some of my old clothes from before plastic surgery when I was a size 14 just to prove to myself that I am small.

I jumped on the scale this morning and I am down to an all time low since gastric bypass surgery of 161. I am thrilled because I was afraid I'd gained weight. So I snapped this pic of myself just to see my transformation. And I like what I see. I like it very much.

What do you think?

Old pix of thigh incision at 1-mos post op

Dr. Capella uses a pie crust incision to relieve tension from the incision site. I really like this approach. It takes about 6 weeks for the incision to lie down on the thighs. You can see photos of the more mature scars in my review above. In this post, I am showing some early photos from one month post op showing the Famous Capella Pie Crust. Hahaha, I just made that up. Dr. Capella doesn't use korny marketing names for his surgeries.

4-mos Post Op with Dr. Capella

During my 4-mos post op Dr. Capella told me that I look incredible, fantastic, and he said there weren't enough adjectives to describe it. Well, I am blushing and I feel really, really lucky to have gotten these results, as if I have hit the jackpot with my surgery. Actually, I think that I hit the jackpot with my surgeon. He is one seriously brilliant plastic surgeon -- the best there is -- for body contouring after plastic surgery.

My ultimate results to date from body contouring (stages 1 and 2):
I lost 46 inches
I lost 38 pounds (11lbs and 1 liter of fat removed during surgeries)
I went down 5 sizes, from size 14 to size 4

Here's how that plays out:
4” lost from bust
2.5” lost from chest
8.5” lost from waist
10.5” lost from lower abdo
6” lost from hips (and FUPA)
4” total lost from thighs
2” total lost from knee top
6” total lost from upper arms
2.25” total lost from arms just above the elbow

I am gobsmacked and so stinking happy!!!

Correction: body contouring after WEIGHT LOSS

I meant to write in the above post that Dr. Capella is one seriously brilliant plastic surgeon -- the best there is -- for body contouring after weight loss.

My "before" thighs in jeans, per request

For the poster who wanted to see my before thighs in jeans...

My "after" thighs in leggings

Never could I have worn leggings before my thigh lift and monsplasty. Now I love love love the way that they hug my body.

The pic was taken on my spree today -- I am messing around in the Abercrombie & Fitch dressing room, the store that makes clothes super tight and only up to size 10. Here I bought three tees size XS and a hoodie size M. The leggings that I am wearing are LOFT size S. Just last April my size 14 Gap cargo pants were tight on me. I am thrilled with my results.

Finally fulfilled my thigh highs wish

In my review of Dr. Capella below, I wrote, "Over and over I look at myself in the mirror and I love how my thighs and mons look. I cannot wait to put on a pair of sheer thigh highs and heels (and nothing else). I've always wanted to look good in them and now I will." Well, tonight I wore this awesome pair of thick striped black thigh highs, black heels, a pale pink thong, and a black sleep shirt with pale pink piping all from my VS shopping spree yesterday. I was so taken with my reflection in the mirror... My first thought, "Is that really what I look like?" My second thought, "Yes. It is. Yum."

My thighs have not been this nice since I was a skinny 16yo. I don't know how Dr. Capella did it, but I am so glad he did. I love my thighs. Jass28, get ready to love love love your thighs! Good luck next week. You are in the very best of hands.

When fantasy becomes reality...

I have ALWAYS wanted to look good in a pair of thigh highs... so very happy that Dr. Capella brought my fantasy to life.

Dr. Capella charges ~$6-7k all-inclusive for a thigh lift

The $18,000.00 listed in my review is a little misleading. That was not the cost of the thigh lift alone. I had four procedures, one of which was a thigh lift, and the total cost including surgeon's fee, anesthesia, OR, ambulance transport, and three nights in the care center was $18,020.30. A thigh lift alone is only $6-7k all inclusive. That is money very well-spent, as Dr. Capella is the world's leading surgeon for thigh lifts, with the largest published series.

A selfie taken yesterday shows me in a mini skirt. Never did I think I would ever be able to wear this and look nice. I am so tickled to now be able to do so. Dr. Capella did an amazing job on my thunder thighs, turning them into beautiful thighs.

Size 2 Lucky Brand Skinny Jeans!

In my wildest dreams I never would have imagined that Dr. Capella would get me into size 2 skinny jeans. Wow! I love my figure.

Incision 6-mos post op - per request

Here is my right thigh incision at 6-mos post op. It is in the dark angry stage and should begin to lighten now. Ultimately it takes 18-months to reach maturity. At this point, I will not wear short dresses without leggings or opaque thigh highs in public because the darkest part of the incision is on the lowest part of my thigh, unfortunately. I may try waterproof airbrush makeup for cover-up.

Views of My Bariatric Life's Thighs 6-mos Post Lift

I ordered several bikinis from Victoria Secret. I have not worn bikini bottoms since my early 20s. Booyah!

Dr. Capella does really nice thighs.

My Bariatric Life thigh lift incisions 6.5-months post op

My scars are beginning to lighten on my inner thighs, especially the left thigh. I am very careful to keep them covered in the sun or at least wear a 50 sun block. I am hopeful that next summer I will be able to wear my short shorts and dresses! I cannot wait to show these beauties off! My thighs were so ugly for so long.

Dr. Capella does the best thighs ever! Recovery was pretty easy. And his prices are good.

Thigh Incision at 7-mos post op

There is not much difference since I last posted, of course, but I wanted to share a couple of pix of my thigh incision as it looks in public (e.g. what people would see if I wore shorts in public). They are beginning to lighten very nicely. I keep them out of the sun or use a 50 sun block on them.

"You and your legs just made my day!"

I was crossing the street in downtown Carmel, CA earlier today, snapping a pix of some of the very trendy shops. And a gentleman coming in my direction, says to me, "You and your legs just made my day!" My first thought was to reply that I just had plastic surgery, LOL! But I simply smiled and said "Thank you." He proceeded to tell me that he owned a jewelry store down the street and that I should come in if I wanted my jewelry cleaned.

A jeweler in Carmel, not too shabby... If I was not married I may have taken him up on his offer.

I was wearing a short, fitted B&W dress and a pair of black thigh highs and black vegan leather jacket. I love my legs!

Dr. Capella has given Me a Body to Rival the Body I had in High School

Years of morbid obesity and massive weight loss did lots of damage to my once thin body. But Dr. Capella took out his magic scalpel and Bibbidi-Bobbidi-Boo, he made my wish come true! I have a body on its way to rivaling the body that I had in high school. Just wait until Dr. Capella is done with me this Fall!

The before and after photos show me last April 2013 shortly before my tummy tuck -- my first plastic surgery -- and me at 50-yrs old taken about a year later in March 2014. I don't think it gets any better than this.

I am convinced that very few plastic surgeons can do what Dr. Capella has done for me.

Thighs no longer rub together when I walk

I had told Dr. Capella that one of the things I wanted from my thigh lift is to be able to walk without my thighs touching. I asked if he could do that and he replied that it depends on how far apart I spread my legs when I walk. Hilarious!

So yesterday i was wearing a skirt and thigh highs and I noticed I think for the first time that my thighs no longer touch when I walk. Yahoo!

Dr. Capella does the absolute best thighs ever!

Running + PALEO = Amazing!

I spent a few glorious months in NorCal with my daughter and granddaughter recently. Wow, was I ever so blessed to be able to do that. I do not often get to see them because they live internationally. They are off to South America next week to live for a few years.

My daughter has always been athletic, whereas I am a recovering couch potato. Hahaha. I asked her to help me work on my running while I was out there and so she did. We ended up running a 3k with my granddaughter in April and it was a great moment for me on so many levels. My daughter also did her first half marathon - wow!

She and I also did Whole30 and then went PALEO after that. I already eat super clean but this it up a few more notches. I got dairy and added sweeteners out of my life. It was the only place left for me to tighten my diet.

So the combination of running and PALEO has made a huge difference in my weight. Prior to that I had been working out at the gym and just could not drop any significant weight. I would teeter back and forth from the high 150s to the low 160s. Now I am steadily losing weight and not having any bounce back. As of this morning I am 154 pounds.

That may not sound like a lightweight to some people but it is the lowest weight I have been as an adult (over age 21). I am wearing size 2 jeans and I look and feel fit and sexy. My BMI is in the normal range. What I hope to achieve is to loose my excess visceral fat and whittle my waist. I do not want to loose from other parts of my body... They are perfect just the way they are.

I've lost about 50 inches and 45 pounds since last year before my tummy tuck surgery. The transformation has been nothing short of amazing! I am so very happy!

Not Running + Not PALEO = Weight Gain!

Continuing my story from the above post, I git down to 148 pounds this summer with running and Paleo. I even ran 5k, which is utterly amazing for me. Then I stopped running for a while because I was doing crew three nights a week. My weight remained stable. BUT...

Life got really busy. I did some travel and also on-site at a client 3 days/week. So after crew ended I did not make the time to go back to the gym regularly to run. All was fine but then I was going away for 4-day road trips along Route 66. And I had some cheat days here and there. My weight remained stable. When I would see a 3lb gain I would diet. THEN...

I had a few bouts with emotional eating. I guess my metabolism finally went back to normal after 2-mos of not running (or anything really). And I guess those cheat days caught up with me. BECAUSE...

I gained 10 pounds in the blink of an eye (at least that is the way it seemed). I know. I know. I was so lame! Life got busy and I did not prioritize myself and my health. SO...

I put time on my calendar for exercise. Right there next to my office hours. The errands I have to run. And other various commitments, is time booked for the gym. And it works. I can fit it into my schedule. And if I have to move it because something really comes up that is truly a priority, then I move the block of time to a different time slot or day, just like I would reschedule a meeting at the office versus canceling it. But WOW...

I cannot run like I was prior. I am slow and I cannot go the distance and my legs and knees hurt. So I am doing other cardio classes and rowing to build my endurance back up. And I make sure I run as much as is possible. I ran a mile the other day, albeit slow, but at least it is coming back to me more quickly than it did when I first joined the gym, which was around this time last year. UNFORTUNATELY...

The weight is not coming off quickly like it always has in the past. I assume my metabolism is slow and needs to be revved up again from continuous exercise. I am very surprised that my clothes still fit well. No one would really notice the weight gain -- except me, I see it in my waist. THE BOTTOM LINE...

I've learned not to play games with my diet and exercise. You all know what a slippery slope that is. I have worked hard to get to where I am and backsliding would be torture. It is not an option. If you happen to find yourself in the same boat, do not use the 10 pound weight gain as an excuse to admit defeat. Don't feel beaten. Don't think it is too much work to get back to where you were physically. DO NOT use this as an opportunity to make a 10-lb weight gain into a 20-lb weight gain. Just pick yourself up and start at the beginning. Stick with it and soon enough you'll lose that 10-pounds... probably in as much time as it would take you to gain another 10-pounds. Which would you rather have? It is your choice.

I am having my bod pod and fitness assessment done tomorrow. I am curious what the changes will be after one year. I still weigh less than I did this time last year. So I hope my body fat percentage shows significant improvement.

I still love my thighs.

Weight gain may be an autoimmune response

So... the trainer says he thinks that my weight gain is all water from inflammation caused by an autoimmune response. I have celiac disease, which is an autoimmune disease. So that increases my risk for other autoimmune disorders. The trainer wants me to try Paleo for autoimmune -- a more stringent form of Paleo than I already do. I will try this after the holidays.

Right now I am recuperating from surgery with Dr. Catherine Winslow. I have to focus on that rather than eliminating even more foods from my already restrictive diet. I have been doing egg white protein drinks since I cannot do whey (I am lactose intolerant) and eggs are one of the foods not allowed on the autoimmune diet. Also not allowed are almonds, which I eat everyday, and nightshade vegetables such as eggplant, peppers, and tomatoes.

I also failed the functional strength and stability test. In some areas I was average but there were two areas where I got 0. Since there were only 7 areas, to fail two of them is not good. I failed because of my right arm that has limited range of motion from the brachioplasty (Long story see my brachioplasty review), and the tightness in my thighs from the body lift, and my rounded shoulders from sitting over a computer keyboard all of the time.

The trainer is going to give me specific exercises to build muscles to pull my shoulders back. He is the second person to tell me that I am going to be a hunched over old lady if I don't correct it now. That's a scary thought.

I wasn't able to do the bod pod assessment so I will be back to do that in January.

Old photo of my nasty thighs

In cleaning old files from my computer today, I came across some old photos of me after my tummy tuck and before my stage 2 surgery. Yikes, my thighs were so awful.

The before photo above was taken on July 8, 2013, just two months before my stage 2 surgery that included the thigh lift. The after photo was taken roughly around April 2014. What a difference! Dr. Capella does very good thigh lifts -- many plastic surgeons cannot execute this procedure well and some are awful.

I honestly haven't seen a better thigh lift than those performed by Dr. Capella. I believe done alone it is a $6-7000 procedure, inclusive of surgeon, OR, anesthesia.

It is wonderful not to have my thighs rubbing together, and to be able to run, and wear short skirts, and leggings, and bikinis, and shorts without getting a crotch wedgie. Ha!

Scars 19-mos post op

It's nice to wear a bikini with complete comfort and confidence. Yes I have scars down my thighs but they are far better than fat, and largely hidden unless I splay my legs open, which I don't normally do. Scarring is very subjective and your individual results may vary. BTW I did not do any scar treatment or wear compression garments.

Thigh Lift 2-yrs Post Op (video)

Just about everybody asks about the thigh lift... was it worth it? did it hurt? do you have cellulite? how bad are the scars? can you where shorts? As the story goes, a picture is worth a thousand words... so here are my thighs in a belly dance video taken on 8-12-15, almost two years post op. Just take a look at my thighs! I remember as a kid wearing holes in my jeans, between my legs, from the friction caused by my thighs rubbing together. Now they barely touch each other.

Dr. Joseph F. Capella

Most plastic surgeons will tell you that the thigh lift is the most difficult of procedures, especially on massive weight loss patients. Some surgeons even say the thighs just don't come out good from the procedure. However, there is one plastic surgeon who is a leader in thigh lifts. Dr. Joseph F. Capella has the largest experience in the world doing thigh lifts -- and body contouring for that matter, having done more than 1000 thigh lifts and 10,000 body contouring procedures. He did an absolutely wonderful job with my thighs. They are so firm and youthful looking - all the cellulite is gone and so is the saggy skin and fat from my inner thighs and knees. All of the nurses and aids at the CareCenter where I rehabilitated kept running their hands up and down my thighs to appreciate them. My contour is perfect and my incisions are very straight. I was concerned with how my thighs might come out but they look like beautiful natural thighs, not surgery thighs. Recently a fellow patient on RealSelf wrote me, and he stated "Your thighs are almost model-like." Dr. Capella also did a monsplasty with the thigh lift and I've never looked better. Over and over I look at myself in the mirror and I love how my thighs and mons look. I cannot wait to put on a pair of sheer thigh highs and heels (and nothing else). I've always wanted to look good in them and now I will. You may read my full review here:

5 out of 5 stars Overall rating
4 out of 5 stars Doctor's bedside manner
5 out of 5 stars Answered my questions
5 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
5 out of 5 stars Phone or email responsiveness
2 out of 5 stars Staff professionalism & courtesy
5 out of 5 stars Payment process
5 out of 5 stars Wait times
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