Turned 50 and Want to Be Happy with Myself! - Dominican Republic, DO
I have a wonderful husband and 5 amazing children....
Learning a lot from everyone's journey!
I actually worked with a gal last week that had work done in the D R. It must have been fate that we met. She went there in 2007 is what I think she said. Her after pictures were amazing. She still looks wonderful. Although she is 16 years my junior... She had a great experience. I'm waiting for her to get back in touch with me and share the name of the Dr she used and the one of her friend. The minute she does, I will update! Tomorrow I will attempt to take and upload photos. Wish me luck. ????
The moment of truth!
I finally heard back from a Dr.
I am looking forward to the day that I can wear a pair of shorts (which I have not worn, not even at home for over 12 years) or a sleeveless blouse and not be embarrassed. I guess I should start gathering "Wish" pictures.
Had my daughter take pictures
Tummy tuck lipo flanks waist breast lift
5,700.00 with the same details included as option #1
What should I do?
BUT, if I do the lift with my TT, go back for the BBL, where will all that extra fat come from since I will have already had liposculpture?
Thanks for your contact.
I apologize for the delayed evaluation, but I am simply getting way too many emails per day and I try to respond as soon as possible, but (as you may well see) I like to deeply evaluate each patient and reply with the best option available for them.
So, I have evaluated your photos and have a few comments about your case:
First of all, let me tell you that I am very honest with my evaluations, but you will perfectly see that I do it in the patient's best interest. With me it's always safety first, and if a procedure will not give you an important change, I am the first one to recommend it's not worth it or if it's simply too much.
Now, you seem to be a great candidate for these procedures. Your BMI is pretty good (27.1) and you are wanting plastic surgery for the right reasons. I am very happy when I receive a consultation from a patient that understands that plastic surgery enhances the shape, but it will not make you loose weight, and that if you are over a healthy weight it's an absurd and unnecessary risk. That said, I do believe that you are wanting (and it's completely understandable) too much for one surgery alone. All of these procedures would not only put your life at risk (for the long period of surgery) but you could not be able to move with so much performed and that would be a problem as well.
Now, let me detail each area with the procedure I believe would give you the best possible outcome, and later I'll comment about the most recommended combination for you:
- Breasts: I would definitely advice you to get implants. Now the question here would be what type of lift would achieve the shape and breast format that you desire. Meaning, with a periareolar lift (aka donut lift) we could probably get a very natural (semi drooped) style of breasts. Now, with a vertical scar lift (aka lollipop lift), you could achieve more of that full breast shape (as in, cleavage without using a push up bra). Please send me photos of breasts you consider ideal, so I have an idea of the volume and breast format you're looking for (never for trying to imitate them). I really think you're a candidate for a periareolar (if any lift were needed), but this is just some of those things that we'd decide in a personal consultation because only by photos I couldn't answer with 100% accuracy.
- Abdomen: There is some evident and very important muscle separation seen in your abdominal region. This, added to the moderate skin and fat excess in the area, clearly tell me your abdomen aspect could be greatly improved aesthetically with a Tummy Tuck. The tummy tuck not only eliminates fat and skin, but it defines the waist line more, giving the patient a curvier body because of the "corset" effect created by the abdominal rectus muscle. Another good point on your favor is the fact that you have enough skin to have a very low positioned scar, meaning, this surgery should allow you to use a very low bikini bottom or panties if you feel like it.
- Body: Liposuction could also greatly improve your body silhouette by eliminating the unwanted fat from unwanted areas. In your case, the areas that mostly call my attention are, abdomen, back (upper and lower) and flanks (love handles). You're one of those cases that could greatly benefit from an important liposuction, so you have to make sure your blood levels are high (specially your hemo). If you have anemia, you cannot (and should not) have this surgery, as you may put your life at risk.
- Arms: You are a very good candidate for an arm lift (aka Brachioplasty). You have an important skin excess (and a moderate fat excess as well) in your arms that could be well treated with this procedure. Now, something you need to know is that removing so much skin would result in a scar (hidden in the inner side of your arms) that at least for the first year would be pretty visible (on your skin type with a year or two it tends to become pretty imperceivable).
Commen about combinations: when it comes to combining such a number of surgeries I always recommend patients to put priority numbers to the area that affects them the most. If you would ask me, your breasts are not that bad, and I would say they should be your last priority. For me, your abdominal region would be priority number one, and this could be treated along with the rest of your body with liposculpture. In my opinion, you should combine arms and breasts, and abdomen and body, or simply have the complete mommy makeover and forget about the arms for now, even though (at least by looking at your photos), it would seem your breasts are not in such a bad shape.
Karel, my assistant will send you your quote (usually less than 24 hours)for:
- Mommy Makeover (with Implants)
- Breast Lift (with Implants) + Arm Lift
- Tummy Tuck + General Liposuction
Any medical doubt you may have, please feel free to contact me directly to this address or via whatsapp to my cellphone at +18098017900.
Take good care of yourself,
Dr. Luis A. Fernandez Goico
Cirugía Plástica Estética y Reconstructiva
C/ Sócrates Nolasco #4, 2º Pisto - Sala 3
Santo Domingo, Rep. Dominicana
C: (809) 565-0938
M: (809) 801-7900
On 2015-06-11 01:31, Consultorio Dr. Fernandez Goico wrote:
CONSULTORIO DR. FERNÁNDEZ GOICO
Cirugía Plástica Estética y Reconstructiva
C/ Sócrates Nolasco No. 4,
2° Piso - Consultorio 3
Santo Domingo, Rep. Dominicana
Begin forwarded message:
FROM: Maria Meikle Kratz
DATE: June 5, 2015 at 10:30:31 AM AST
TO: "Consultorio Dr. Fernandez Goico"
SUBJECT: RE: ACTION REQUIRED: NEW PATIENT INQUIRY FOR FG PLASTIC
Thank you for responding to my interest. I did take the pictures
that you asked for. I looked at them and just cried. I am so
repulsed by my body you have no idea. Although this body gave birth
to 5 amazing children, the after math is disgusting to me.
I am 50 years old, 6 feet 2 inches. I weigh 211 pounds as if this
morning. I had a complete hysterectomy in September of 2012. I am a
healthy female. I do not smoke or take drugs. I am active and work
full time as a flight attendant for a major U.S. Carrier. I fly
mostly international trips to Europe.
My hopes for surgery are a full tummy tuck with liposculpture of the
back, sides and abdomen. I am in desperate need of a breast lift and
modest augmentation. I also need a serious arm lift to remove my bat
I am so discouraged by my appearance, I truly hope that Dr. Goico
can help me!! I'm looking forward to hearing back from you.
Sent from my iPhone
On Jun 4, 2015, at 23:41, Consultorio Dr. Fernandez Goico
Hello Mrs. Kratz,
Thank you for your contact.
We have received your message through RealSelf.com  about your
interest on having a Mommy Makeover.
For online evaluations, we'd need you to send us photos exposing the
areas of interest ( if possible, ask a third person to take them and
try to avoid showing your face). The best angles for this surgery
are front, posterior and side view. As soon as I receive your
photos, I'll send them to Dr. FG and he'll answer you with his
evaluation and comments of your case. Right after this, I'll send
you a quote for the costs of the necessary procedure(s).
Please send me information like your actual weight and height, and
if you suffer from any known disease or have any health condition.
Also, if you'd be so kind on telling me when would you be interested
on having this surgery?
Let me know any doubts you may have.
Have a wonderful evening,
CONSULTORIO DR. FERNÁNDEZ GOICO
Cirugía Plástica Estética y Reconstructiva
Looking to make a change
I did have an interest in Dr. Almonte initially. She too is amazing and her skills as a surgeon are beyond PHENOMINAL! Unfortunately her office manager Lesley, is overwhelmed and takes forever to return an email. Had it not been for a RS friend contacting her, I still wouldn't have had a quote. It makes me feel that she is not interested in me or my surgery! She did send me a 1 line text saying "Be patient" I figured my money spend everywhere! She's not doing me any favors, so I think she sealed the deal for me to go else where!
I will keep you guys posted along the way!
Look fine with clothes on...
My first wish pic
Have a sx buddy
Paid my deposit!
I'm just thrilled with Dr. Goico. I highly recommend him to everyone who is undecided about choosing a surgeon. At least check out his credentials AND his work. Honestly, he could make millions with his skill and art form here in the U.S.
My sx date is November 18 and my sx buddies is November 17. We chose Serenity House for our recovery house. Now, to start ordering just the basics.
Deposit and plane ticket
That is the link for the visa. It's been a while since I've written. Not really much going on. However, I did get my tourist visa. I have read from others here on RS that if you purchase it before hand, you don't have to wait in the horrendous line in SDQ (city code for Santo Domingo ). The visa is only $10.00 USD. I'll just print it and bring it with me on November 15. My sx is on the 18. I will be staying at Serenity House for my recovery. I'm beginning my list of things to bring with me. I have the greatest sx buddy. She has done so much of the leg work and had made this very easy, I. Basically just following her.
I did begin a better eating program. I realize that this sx is not the solution for poor dietary habits. I found a spectacular and livable way to be healthy. Whole30 can be found on the Internet and you can eat real food. It's basically no refined sugars and processed food. That's a good school of thought to follow anyway. I will keep you all posted on my progress. Hope everyone is doing well!!!
Paid in full!
RH changed to Harmony Recovery House
Last minute change
I had my pre op testing done. My blood work was good, hero good, chest X-ray... everything was great. I have vericose veins. Suddenly Dr. G became so freaked out and said he wouldn't do the surgery. I came back to the recovery house and was ready to pack it up and leave. A very dear dear dear RS sister and 2 time veteran told me to have a second opinion. The more I thought about it the more I agreed that was the way to go.
My sweet friend contacted Lesley, DrAlmonte's assistant. From that point on, it all fell in to place. Lesley had me do more tests then a special test, Eco cardiogram. My heart is functioning perfectly. Dr. Almonte said she can perform the surgery and my life will not be in danger. Thank God. Keep me in your prayers. I'll be posting more soon
One more test...
It's 7:35 am here at CECIP. I'm showered and waiting for Dr. Almonte to come in. I slept surpringly well. My surgery is this morning and I'm Dr. A's first one.
I will let you all know a bit more when I'm on the flat side. ????????
Follow up visit & 2nd massage
After that I got cleaned up and went to my very 1st follow up with Dr. A. The entire office was so happy to see me. They are so sweet. Love them all. As if having my massage today wasn't bad enough, I received my faja. Ok ladies, to those of you who haven't had their sx yet, those son of a bitches are evil. Lol. I'm in a large now but was informed I will be moving to stage 2 after drain comes out. Over all, I had a great day. I don't have any pain unless I move suddenly. All is good.
Ok, so I made it to day 8. I am 1 week post op!!! Wooooohooooo. I feel fantastic. The anesthesia has worked its way out of my system and I have no pain (just some discomfort). I was taking the pain medication at night to help me sleep. It did help but it makes you SO SO constipated. (Sorry for that). Oh dear God. That is awful. So I quit taking the Percocet and will take an ibuprofen at night.
I'm draining quite a bit. I did have one clot in my drain. That was crazy to watch being removed. But after that big blob was taken care of, it's smooth sailing.
Massages are getting better. I'm beginning to look forward to them. It really is wonderful after its finished. I will go see Dr. Almonte today for my 1 wk check up. I'll have more to say after. Till next report my RS sisters! Much love. ????
I went to my own dr. here in NC. He said that my incision was one of the cleanest cuts he has ever seen!!! Hot damn!!! TEAM ALMONTE! Lol. I received a clean bill of health on my drain sight and my belly button.
On Saturday, day 15, my drain started leaking like a water fountain. By Sunday, it was pouring out every time I moved. The good news is I was able to contact Dr. Almonte's assistant surgeon Dr. Placencia. It was with record quickness she got back to me. She said my drain needed to come out and for me not to panic. Hell, it was too late for that, I was in full blown panic mode. Of course it was the weekend and my dr was not in. I sat around and wondered what I should do. I contacted another dear friend who is also a RS member and an Almonte veteran. I decided to take the drain out myself. That's exactly what I did. I had my alcohol and gauze, I pulled it out slooooooooowly, very very slowly.
Now all is good. I'm trying not to over do my activity. That's easier said than done. I really have no pain and no complaints. I realize it is a journey and slow process. So far, no regrets!!!
5weeks post op
6 weeks post op!
Anyway, I must admit at this point I feel soooooooo much better. I love looking in the mirror and no longer cringe when I catch a glimpse of my mid section. THe swelling depends on my activity level. I wear my Faja aka "the torture garment" thru out the day but I no loner sleep in in. I feel better with a little pressure on my tummy so I bought control top panties at Target.
I apply rose hip oil at night to my scar before I go to bed. I rub that in gently then put my cotton panties (granny panties) on and my control top panties over top of that. In the morning after my shower, I put the silicone tape over my incision. I think it is healing beautifully.
I remember in the very beginning after sx, I wondered why I did this? Why did I go to a foreign country and subject myself to this suffering? I also said " I will NEVER do this again"Lol. That was on day 4 post op. I have read and heard that day3 and 4 are tough for most women because of the anesthesia and medication in your system. But beyond that, I have no regrets!!! I love the new me, I love the results from Dr. Almonte. I think she is a fantastic surgeon. My sx buddy was my source of sanity while in the D R. I adore her. We have remained in close contact and will always be friends! I also had such a great support system at home. That means a lot.
I am planning a rd2 in October of 2016. I'm going to complete my journey and have my breast lift and arm lift. I will keep you posted on that as well. Dr. Almonte will be my surgeon!
So ladies (and gentleman), please post updates and pictures post op. It's so helpful to the future dolls!
Much love and Happy 2016 to everyone!!!!!
7 months P/O
The area above my TT scar is numb. I guess that will take quite some time for the nerves to heal and to get the feeling back. The muscle repair I had (if I actually had it) did not last. Even though my tummy is flat, I have to consciously hold my stomach muscles in so that it doesn't pooch out. That is my cross to bare I suppose. It still looks better than before my surgery.
I have maintained my weight and have lost a few additional pounds. I feel great. I would do it all over again without hesitation. I will post 7 month photos soon.
My advice to all the future dolls is:
RESEARCH your surgeon. MAKE SURE, and I can't stress that part enough, make sure you communicate EXACTLY what you want and exactly what your expectations are. Talk with your surgeon BEFORE your surgery. If you're not happy with the surgeon, CHOOSE a different one!!! Good luck dolls!
Just not happy with muscle repair
I have one MAJOR piece of advice for all future dolls. Make sure, I repeat, be ABSOLUTELY CERTAIN of your surgeons revision/ satisfaction policy. I can't stress this enough.
I will update this as soon as I hear back from her and give every detail I can.
Revision August 25, 2016
My first sx was sabotaged by the owner of the rh we chose to stay at. She told Dr. G many things that made me a bad candidate for sx. I learned all of this later. But that is neither here nor there. I had to come back for a revision of my stomach muscles, so I did the entire gamut. I feel like I look like a million bucks. The truth will be revealed after my massage.
I also wanted to talk a bit about the hundreds of recovery houses that are down in the D R and very few are worth a shit. My first experience was at Harmony house. The owner and her step mother ran it. I say that loosely but Nancy, the mother took care of all the day to day scheduling. She cooked for the patients, she cleaned the patients. She got the. To and from their dr's appointments. She truly nursed us back to health. What did the step daughter do you might ask? Well she lied to her patients, she stole from her patients, she went thru the bags if her patients and she was mean to her patients just to name a few...
The good part of this review is that the step mother cut all ties with the thieving step daughter, broke off all communication with that witch and has now opened a new recovery house. The new house is named Peace and Love. That speaks volumes. There is so much caring and love in Nancy's heart that it overflows on to everyone she comes in contact with. She loves taking care of people and she loves bringing them back to health. I can't say enough wonderful things about Nancy de la Cruz. Her home is very clean and welcoming. I highly recommend looking her rh up on face book an read some reviews. This is the second time I've stayed with her and you can believe I will stay again the next time.
1st Post Op visit
This has been crazy. First I picked Dr. Fatima Almonte. For reasons I won't go in to I changed to Dr. Fernandez Goico. So I arrive in the DR, have my face to face. Do all my lab work etc. he says he won't perform my surgery. Ok whatever. Who do I end up going to see???? Dr Fatima Almonte. It was meant to be. She and I had a consultation, had a couple tests and 2 days later she did my TT. I will have volumes to say after my 12 days here. Stay tuned.