Lower Body Lift revision, Spiral Thigh Lift, Breast Lift - San Antonio, TX

Exceptional first consult. Dr. Fisher conveys...

Exceptional first consult. Dr. Fisher conveys both warmth and competence, a feat not achieved by many physicians. I trust his eye for aesthetics and I am confident he'll be able to give me a more feminine figure, without all the sagging skin. He was helpful in telling me what *didn't* need to be done, too, even though more procedures would have benefited him financially. Support staff were great, especially Joanne & Stephanie. I had no hesitation in booking surgery, even though I'll have to travel from the Midwest and be here for 2+ weeks.

Long-lost waist now found

If only I could fast forward through all this swelling! I'm 13 days post-op, but I will be writing more and posting more photos, but I wanted to post an early comparison. I had a lower body lift in Mexico in 2007, following a 100 lb weight loss. I thought I looked great, compared to all the saggy skin I had before. That lift had left me with a boxy shape (i.e. no waist), a high scar, and what I termed "Flat Ass Syndrome." Despite working my glutes religiously, nothing seemed to help. Still, it was better than before. However, as time passed and I learned about other options, I realized that I could do better. I chose Dr. Peter Fisher, among other reasons, because his signature butt procedure retains the curve of a figure. I had my LBL revised, and had a spiral thigh lift and a breast lift. Note that I feel very swollen in the 'after' photo, but I can my the waist, back/hip curve, lifted and lifted hip/elongated thigh already.

Photos-- Still quite swollen

Thigh lift incisions are like zombies. Just when you think you're safe.....

I'm a little over 3.5 weeks post op from thigh lift, plus revision of lower body lift, and breast lift. I was feeling rather smug that I hadn't had one whit of complication after 2 and a half weeks. However, in just the past week, I've had a groin incision opening, and a seroma. I'm still terribly swollen, I think/hope, because if I'm not, that means I didn't get any smaller at all. I've decided one of the reasons this thigh lift is such a difficult surgery is that the recovery period seems much longer than, say tummy tuck or breast surgery.

The first few weeks, I adopted just about every suggestion written here on RS by persons who had undergone a thigh lift. Some I didn't use/need, and next time I'd wait to see if I needed everything recommended. However, going back to work full-time, and not paying super-meticulous attention to my every movement may have worked against me. The glue used to close the incisions has all come off now, too, so that means more tension on the incisions. I think I was feeling good enough that I started to not be deliberate in how I was using my body.

I was sitting, and twisted as I was getting up. I felt & heard a ripping sound in my groin, and knew what had happened----About a 1.5 inch opening in my incision. It's not super deep and it's not gotten bigger, but it's still kinda gross, with whitish webbing over bright red flesh. I tried to close it initially with steri-strips, but that didn't help much. Now, I'm just keeping it clean and covering it with a Telfa bandage so clothing doesn't rub against it. Still have some twinges and zingers of pain, and it's difficult to start moving in the morning. Otherwise, not bad.

Then yesterday, I thought I had a swollen inguinal lymph node, because I felt a smooth, hard mass about the size of a small egg underneath my incision, just on the inner front of my thigh. I palpated it to figure out what it was, and whoosh--- clear serum came out through my incision. Another Telfa pad. Ugh.

I know these sorts of minor complications are to be expected. I read intensively to try to figure out how to prevent complications. There seem to be lots of factors, with persons who have more concommitant surgical procedures, larger amounts of skin excised, are too active too soon, etc. more likely to have a complication. It seems that there have been several RS posters with thigh lifts lately who have had zero complications-- Good for all of you. I'm jealous!

If I have any advice, it's: 1) anticipate that you might have a few complications, particularly if you're a MWL patient, or you have other procedures at the same time, 2) even if everything seems closed up and you're feeling good, continue to be slow and deliberate in your movements, 3) wear your compression garment and rest. Although you may feel and look healed, you're still at high risk for problems. There's a reason why one is restricted from driving for 2 weeks, and from exercise (except easy walking) for SIX weeks. I've been super-dosing the protein and vitamins since before surgery, and there's no sign of an infection.

Now, all I need is some patience. :-)

Wish I'd hurry up and heal already.....

Update: 4.5 weeks post-op from thigh lift, LBL revision, and breast lift. Breast and LBL incisions look good. There are still a few small scabs here and there, but when they're gone, I'll start using scar tape. My thigh lift incisions, on the other hand, have decided to be temperamental. I still have the incision opening on my left leg that I described last week, and now I also have two separate places on my rear right leg crease that have opened. They're each about 1" long, and located on the 'spiral'/back portion of my thigh, and into the groin area. They aren't super-deep, but they're oozing some, and they *hurt.* I don't know if it's the increased sitting, or slightly increased activity, or simply common complications from the necessary vectors of a thigh lift. I shower with Hibiclens every day, and then swab the incisions with a little alcohol, apply a little triple antibiotic ointment, and slap on a Telfa pad so nothing sticks. The seroma from last week has refilled a bit, but the incision there has closed, so my body will just have to reabsorb it.

Let's see, anything else I can whine about? Some days I get claustrophobic in my compression garment and can't do anything until I'm released from its restraint asap. I also have bouts of extreme itching of my extremities (not near my incisions at all), but that seems to respond well to one Benadryl capsule.

I need to keep reminding myself that this was elective, that it's a pretty typical course for my surgery type, and that it won't last forever. In other words, "Suck it up, Buttercup." :-)
San Antonio Plastic Surgeon

I'm nearly 20 years post-MWL, and 9 years post lower body lift. The LBL, which I had done by a surgeon in Mexico, made a dramatic difference for me. I could get into size 4-6 pants, which made me feel thin! However, as time went on, I suppose my standards raised, and it became clear that I was left with no hips or buttocks, and a waist that was approximately the same size---a boxy, masculine shape. That plus the remaining saggy skin from breasts and thighs made me seek out a revision. This time, I spent more time researching PSs. The *best* way to choose, in my opinion, was to look at photos, lots of them. Any PS can have one or two really good outcomes, but I wanted someone who consistently improved all of his/her patients, including those with my specific problems. Dr. Fisher (that's Peter Fisher-- There are several Fishers.) was one of my two top choices. I frankly weighed skill above bedside manner in making my choice, but it was fortuitous that the very best MWL-plastics surgeon also is one of the most personable and understanding. At my consult, he gave me clear feedback about procedures I thought I needed, but really did not. I flew to Texas for an over 2 week stay, and it was well worth it. [His prices are quite reasonable, and the plane fare and hotel stay added on were still less expensive than my other choice of surgeon.] He has an artist's view of the entire body, and knows what needs to be done aesthetically. He also has an engineer's eye for the meticulous details that are required to get to that place. He spent over an hour measuring/marking the day before surgery, and he corrected his lines a few times to adjust for later lines and different positions. The office and nursing staff are wonderful, and I was followed closely until I left. I am so happy with my results and with Dr. Fisher. He's truly one of the best for MWL patients who have lost their shape. He's genius at sculpting a lovely, curvy body from all that skin.

5 out of 5 stars Overall rating
5 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
5 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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