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Simultaneous TT and BR, 56 Yr Old Mom of 2, 38 DD/DDD - Reno, NV

UPDATED FROM aRt1
16 days post

Aspiration is inspiration

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aRt1
$16,000
Well, don't know if anyone is reading this, but i have a couple of new goodies: First, if after your two week surgery anniversary, you have swelling and a weird swooshy feeling when you ambulate (in the pubis area) -- call the Dr.'s office and arrange for Aspiration. They removed 110 cc's of serum yesterday and it felt glorious afterward. Appt for another one is next week.
Second, get TJ brand or Spanx brand body suit with hooks in the crotch area for total abdominal support. I got one with straps and no bra to avoid any rolling of the fabric. The TJ brand at Dillards has silicone edging to its fabric so that the skin is protected from irritation from fabric .
Funny note, I went to Kohl's to purchase the spanx and I asked for a salesperson to aid me in finding the product. The upfront cashier called for help, it arrived. But the young lady dropped us off and said to us good luck as she took off before she did any help. The department was so disorganized my husband and i gave up and left the store, going to Dillards. The one lingerie employee there was incredibly helpful, and the dressing rooms have a call button so you can call for help when you need a fitting or different size. World of difference at Dillards -- higher price point than Kohls, but you deserve it!!! Go somewhere where they know their brands and what the brand can do for you!

aRt1's provider

Phillip Dahan, MD, CM, FACS

Phillip Dahan, MD, CM, FACS

Board Certified Plastic Surgeon

aRt1

aRt1 rating for Dr. Dahan:

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Replies (1)

September 10, 2015
Are you walking straight now?
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September 10, 2015
Oh, you are funny! Are you? I am really working on it!
September 10, 2015
I stayed two days in the hospital and developed pulmonary embolism that's why you've not heard from me. I'm only lucky to be alive.
Still in a lot of pain. I walk all bent over.
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September 11, 2015
Oh sweetie, I am so sorry you went through that...thank goodness and all the angels, you are alive! So so happy you made it through this ordeal. I hope you have a lot of family helping you.
September 11, 2015
Thank you. My daughter is doing her best, but I know she is overwhelmed. We thank God for not leaving me alone., and for strenghtening her, because I know it's a lot on her.
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September 11, 2015
Amazing, how our kids really rise up to the situation. I hope you are taking in nutrients and lots of vitamins C and D, too. Do you have jp tubing to deal with? I hope you are not in any pain. Take Care, thank you daughter for taking care of your mum!
September 11, 2015
The JP was removed two days ago. I have a little swelling but I went to see the nurse today. She said if it doesn't go down by Monday, the Dr. will have to do aspiration. I will start on supplements soon now that you mentioned it.

Thanks.
UPDATED FROM aRt1
11 days post

OMG! This was a big deal, but I know it is worth it!

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aRt1
Monday 24th, operation. 5 hours under anesthesiology. Lost 510 (grams, cc's) in one breast and 570 in the other. TT was extensive with flank lipo; upper arm lipo accompanies the BR. Renown S Meadow Hospital in S. Reno was amazing -- great teamwork with Dr. Dahan. Recommend tubing to those who have this much taken away from body cavities, as they will fill and they need to drain; tubes really help the pain. I did barf upon being fed saltines and orange juice. The instant my stomach got OJ, it was all she wrote, so don't drink anything after surgery unless it is tea or water!
I could tell, post op, immediately that Dr. Dahan understood what i wanted and he followed through brilliantly! Boobs are the easy part of this mommy makeover. Know it, and get through it the first two weeks! You will be in a haze for the first week, thankfully and then the second you will deal with the odd feeling of healing - pain, itching, constantly going pee and drinking healthy fluids. All magazines and books were set aside because my eyes couldn't focus on anything close up anyhow -- the surgery changes your whole bodies' modus operandi due to the trauma of surgery and the anesthesiology etc to wear off.
First, my grown kids actually took excellent care of my wounds and my needs for meds, walking, eating, and maintaining a clean home. God bless them. Second, please get toilet seat augment device that you put over your toilet -- you will need this and be thankful the first 4 or so days post op. Second, have a walker with a seat to use the first week. Also, laxatives were more important to me than just about anything -- for me, miralax is too gentle -- first night post op, please use 3 little bis-coidyl tablets along with having at least one serving of mil of magnesia during the day hours. I cannot tell you what a struggle my first bowel movement was without invoking images of Discovery Channel mixed with Scream 4 audio! Of course i exaggerate, but you do not want constipation with the TT. Not. No. Nyet. You do not want to have to push.
Also, recommend stocking up on these foods: Greek yoghurt, almonds, dried berries, Smart Water constant and cold, hot ginger tea made with fresh ginger that is boiled into tea for 15 minutes, along with camomille in the evening. Avoid salty at all costs -- immediate swelling will occur. Just keep electrolytes balanced and eat fresh carrots, apples, grapes. Also!!! Sugar free tart fruit flavored popsicles. The best! Sally, nurse at Dr. Dahan's office, recommended reading Wheat Belly diet before surgery and boy is that a smart way to recover from this, thank you Nurse Sally!!!
Bra -- this was a real issue. I was a 40 DDD. What the heck kind of holster do I get for the healing days? If you go into surgery a 40, you will come out a 40 -- so I discovered that a non-cup, front zip type of yoga bra that is made of non-cotton, wicking type of material.
Surgical Tape Allergy -- wow, did I not know I was allergic until this operation. Hives everywhere the tape was. If this is a concern, i can tell you that itching will be worse than any pain you have, so have benedryl cream/gel on board, nearby and take benedryl. I took 6 benedryl on a bad day, and it really helped me to deal. And it didn't make me sleepy due to all the histamines at the tape regions of my skin and the healing sights where cutting was done because all of the anti-histamine in Benedryl went to those sites and helped! Amazing. Also, a reaction of Percocet is itchiness, and i think it played into the over all discomfort. I am sensitive to drugs. I only mediated with Tylenol for pain from then on...sad clown.
Emotional etc. We moms, we are tough! We got coping skills for this. But what is hard is asking for help when we need it. Ask. You need it. Be as non-judgmental about your breasts and tummy as possible these first two weeks; everything is swollen. Also, after two weeks I felt very wakeful mentally and did not sleep well at night. And napping is not needed any long.
One more really helpful things -- I am a hiker and love to day hike so I have a lot of CamelBak equipment on hand. If you can have one of these pouches and keep it filled with cold Smart Waters, right next to the bed, where you are perched, it was a God Send! Anytime in my sleep, I'd just pull the tubing over and bite down the the mouthpiece for an instant relief to Cotton Mouth.

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UPDATED FROM aRt1
2 days pre

It's Not Too Late at 56!

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aRt1

So far, the only thing upsetting me is that I have to have a catheter inserted, hopefully when I am in anesthesia land. So much anesthesia can put the bladder to sleep and cause a lot of distress if one needs to urinate, so for safety, a catheter is used. Everything else is great! The doctor and nurse are very experienced and compassionate. I hope to go from DDD to a B. I am having lipo work on flanks, hips and back (a little) and arm areas, too so I already purchased the Arnica cream for the bruising. I purchased at Walmart, a car cup holder/caddy for my days and nights of healing in bed. In it, I can put remote, tea/coffee/smartwater, phone, pills, polysporin, cough drops, lotion, reading glasses, Kleenex, and a cowbell. Cowbell calls my peeps to come to my rescue, at my whim he he. Library is great for free magazines plus, I checked out about 10 more magazines and 6 books. Hopefully the 2 cotton fruit-of-the-loom front fastening bras will fit...they are 38 and that is my current size around...I expect to swell. They were 2/$11! I also purchased a L, 12 x 4 panel, 9" compression binder for the tummy from FLA. I was told that I would wear it at all times day and night for 6 weeks! That was about $35. I work from home office, so I can also use my laptop and kindle on the side table for work. Hah! And I have a sewing project and several sketchpads with ideas for art. Sorry I don't own my before pics yet; I was told they will be provided after the surgery about 2 weeks later when I meet with the Dr.

Replies (1)

August 22, 2015
From a DDD to s B cup? Would that not make it not look too drastically small? I'm going for a C
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August 22, 2015
It seems drastic to me too! But! I did tell Dr. to use his discretion, as he has a very good aesthetic eye for proportion. I really have no idea what a B would look like at this point!
August 23, 2015
if insurance is paying for this, you have restrictions, if it's self pay, the Dr. can give you what you want. Did you have to be on a 7day liquid diet?
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August 23, 2015
Are you from outside the US? It sounds like your experience is very different from mine. No restrictions from insurance and no liquid diet. A liquid diet could be helpful if you have pre-existing conditions like diabetes 2, I am thinking?
August 23, 2015
I'm in the U.S. I think the liquid diet softens the area or helps to avoid constipation I don't know. Even I was told to use laxatives 3 nights pre. The insurance uses a scale or they will not cover it. They measure your body mass area based on weight and height and come up with some numbers. It would have left me with nothing good thing I saw it.
My doctor is doing a style of breast reduction that leaves no scar under. It's called the Lejour breast lift. I guess that's supposed to leave you full and perky. I will not like yo be flat chested at all. So that has been an issue. I'm getting breast reduction, lipo of the thigh and tt. The tt comes with lipo of the flanks too. The curves are nice but I don't want a breast result that will look like a mastectomy.
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August 28, 2015
Sorry here...as they call it, I have gone to the flat side...blessed am I the have dr. Dahan. He is a brilliant surgeon.