Extended Brachioplasty Post MWL with Dr. Peter Fisher -San Antonio, TX
This is a bit of an x-post, as my "main review" is...
Update on arms! Puckery but healing well....
I guess I will have to massage with whatever product i chose to massage with, then thoroughly clean and dry the area prior to applying silicone, removing the massage product. Scar management on arms is already shaping up to be quite a time investment!!!
If anyone knows the answer to this.....?
the only other complication I can think of is "spitting stitches" that cause a wound to reopen - when is one "out of the woods" for this one? Is that more like a six month window?
Darn it...forgot to get pics today!
The only literal and figurative complication may be an elbow pucker.....doc says he rarely gets these on his brachios, so unsure if I can massage it out or will eventually need a minor revision.....honestly not too worried about it either way. Neither hand is swollen tonight so VERY grateful for that! Will take pics next week of brachio and post I promise! Also with MUCH better lighting! Headed home to Atlanta on Friday....cannot WAIT to get home to my own bed, my own kitchen, and my Tivo!
Oh....the answer on potential complications....
Apologies for the lack of updates!
Soooo....arms are healing A-OK. Range of Motion is completely awesome. My arms are waaay more usable that what i expected at every stage during healing. I am not feeling the need to "baby" them in the slightest. I have had no healing complications whatsoever on the arms.
Scars are seemingly "on track" to be thin and white, blending with the rest of me (think "Casper"). I think one arm (righty) may be 1/2" larger than the other (may result in minor revision) but it could be unresolved swelling so i am withholding the final call on this. Even if true, this is common enough with us post MWL folks - there is a lot of excess skin to navigate for the surgeon. More was removed from the right arm than the left, and the right one, I think, despite the PS taking this into account is still slightly larger. I love the contours so far. I am pretty "sold" on the posterior (as opposed to interior) incision placement based on my relatively effortless healing on the arms.
I am still wearing arm compression. Solidea arm sleeves have been my standout favorite. I am hoping it will provide good skin re-adhesion.
As for scar treatment I am *trying* to do 10 minutes of fairly aggressive self-massage every/every other day using aloe vera, but you have to rewash arms prior to reapplication of silicone treatments....so it is quite a high maintenance routine to remove strips + biocorneum, wash strips, massage arms, wash ME, reapply strips, reappy compression.....just typing it all makes me tired.
Speaking of silicone treatments, I am using mepitac tape on the arms, with a 3" application of Biocorneum at the elbow area. Highly recommend the mepitac as one of the cheapest silicone treatments. I don't know for sure, but i would suspect "silicone is silicone" so as long as it is coated with pure silicone it should be doing its job regardless of price. You can wash and reapply the strips maybe 6-8 times....i may have gotten more "wear" from the original set, but i am on my second set of mepitac strips now.
I am unsure which treatment you get more "mileage" from - self massage or silicone?
My ad-hoc observation, for the one day and night i didn't wear my silicone, is that my arms scars were seemingly quite tight to the point of being slightly painful the next morning when i raised my arms above my head. This suggest the silicone is doing its "job" in keeping the scars soft and pliable.
My arms still have that lumpy/bumpy pie-crust look a little, but it is getting better.
Arm puckers - completely resolved!
8 week pics + Update on Arms
Returned to work at my client site this past week, which for me means bi-weekly plane rides, hoisting bags into an overhead bin, walking through airports with luggage, and also through the streets of Philadelphia (we don’t have rental cars - all transportation is planes, trains or bipedal!) All of that went wonderful…no issues!
I have noticed a couple of the scars are widening just a tiny bit on my right in two places: Just above the elbow and a little on the side adjacent to my breast. Two week ago I was exercising without the silicone tape on…which in addition to being a silicone treatment is also just “tape” which distributes tension away from the delicate scar and onto the surrounding skin…prior to silicone, PS were recommending just plain ‘ol paper tape for just this action. So this week, I wore the silicone tape (and arm compression unless sleeping) unless I was showering or massaging the scars. I may not be able to control all aspects of the scarring, but I will “go down” trying! Other than that, loving having small arms (I know everyone says this ;-) ) - cannot wait to feel comfortable in short sleeves or even (dare I say it?) **sleeveless**!
Almost forgot the **bonus** corrections....
Arm Lift Update - 15 Weeks Post Op + Pics!
Soooo Arms! Doing really well....scars healing nicely...
Arms are still a bit uneven - left side has some "droop" towards the elbow where the lipo was done (assume this was the culprit) - and the right is still 1/2" larger near the top - the right started out a good bit larger, and the good doc did his best to even these out....may get small revisions to these...(still adore my doc though...no grousing from me on this point) - and have i mentioned that i **love** the back correction?? Honestly I am still thrilled to pieces with **all** the work!
Surgery Tomorrow including minor arm revisions.....
Even with the minor revisions I am getting tomorrow I am ***MORE*** than thrilled with my “J” brachio. I have been rockin’ maxi dresses and racer back tanks all summer…..WHAAAAAT??? That is such a freaking FIRST for me. It is amazing and makes me feel amazing. I am finding I am not shy about the scars - they get lighter all the time anyway - I am just THRILLED to have properly shaped arms.
On July 29th, (yes Tomorrow!) I am having several different procedures performed in one 10 hour operative setting:
• Thigh Lift (Long + Spiral + Calf Skin excision)
• BA/BL - Anchor Incision
• Bletheroplasty (Eye-Lift) - upper and lower lids
• Minor revisions to Arm lift (little sag on the left near the elbow, little more skin off of the right)
• May have one hip re-pulled a bit tighter - lateral thigh (this tissue naturally relaxes after LBL, especially with the compromised post massive weigh loss skin quality!)
Also posted a thigh lift review that should be published tomorrow …
Arm Revisions are doing well!
By Request....thin in 13
Absolutely adore Dr. Fisher. Completely who I was looking for in a MWL body contouring specialist. If you think any run-of-the-mill PS knows how to do extended brachio corrections like mine, think again....he is amazing and a pleasure to work with! This actually corrected all of my loose back skin *without* a bra line incision.