Mommy makeover: Abdomen & Waist Lipo, Silicone Breast Augmentation No Lift

Although I will eventually need a tummy tuck and...

Although I will eventually need a tummy tuck and partial breastt lift, at 31 I just wasn't ready to commit to those lifelong scars yet. I'm also not absolutely sure I am finished having children and so this combination of procedures can offer me improvement with much less cost, downtime, and scarring. I feel like I will get the tuck and lift when I am experiencing my mid life crisis in my 40's or something. I was also offered about a 10% savings I could not refuse since I am taking anther patient's cancelled surgery date that is literally one week away. My most important non-negotiables were that my surgeon is board certified and established as reputable and talented; and that my anesthesiologist is a board certified MD as well, not a nurse or CRNA. I'm extremely worried about the inherent surgery risks--especially with this being elective and have experienced both shock and guilt in that I'm vain enough to do this when I have two small children who need me so much. I'll update rapidly as this is all happening so fast!! Will post pictures tonight and add more detail about my background and other consult options that were recommended.

Before pictures....

I've gained about 35 lbs in the last year which is disgusting. You can see pictures of me about 30 lbs lighter just 10 months ago under questions I've asked in here. I thought I might want another baby so never pulled the trigger on a consult appointment earlier when posting questions, just browsed here obsessively looking for similar results and body shapes or types. Only 8 days and I'm super nervous and excited all at the same time!

Tomorrow @ 6:15 a.m.....

I will be in surgery prep. I decided on 520cc smooth round moderate plus profile silicone implants. Will be cleaning the house and making sure I am ready for tomorrow all day today. CAN"T WAIT!

Post op!!

Finished! Home and in bed. Loopy from meds. Was prescribed anti-nausea meds and a patch to wear that I placed this morning after shower. Kids went to their day care center super early right at 5:15 and we explained mommy will be in I lots of pain and tired for a few days so just be careful with me! I just yield them I'm
Seeing the doctor and he's going to fix me all up and it will take a few days to get better.

Took 3 pain pills, still feel some
Discomfort but bearable with meds. Mostly chest and arms hurt. Abdomen is not nearly as tough. I went dual plane for placement as for moderate sag. I'm having my partner ask how much fat was extracted tonight when Sattler calls to check in. Just curious. Hoping to peak more under garments tonight and will post! So happy I did it!!! Thanks for sharing and reading, I'm doing this as a thank you to all the ladies who i was able to learn from over the last 2 or so years.
My partner took today off of work and is working from home, he has been very helpful with getting me situated in bed. I got
One of those armed pillow prop things to sit and sleep at 45 degree angle to day and tomorrow. So happy I did. Better than massive soft pillows. I didn't really go all out shopping beforehand here's what I bought I'm a minimalist and figure my partner can make store trip as needed.....;

Upright pillow armed support thing
Front zip sports bra
Granny parties --- 4 pairs
New front button jammy fleece set (just one)
Senna laxatives
Tylenol pm and regular
Vitamin infused flavored waters--- zero calorie
Lots of fruits, strawberries, raspberries, watermelon, grapes and raw veggies
Precooked prawns
Precooked chicken breast strips
Salad mixes-kale and baby spinach
That's about it! I have vitamin e from pregnancies and old maid pads from pp bleeding.
I used old towels for bed and can't for potential drainage.

Posting up in bed going to take a nap and then maybe catch up on some
True crime ;) I'm also a student graduating in March so hoping to do some homework tomorrow and weds from bed with laptop. Classes and Thursday and Friday's so will see if I can make them, if not instructors are aware I miss this week.

Pictures for bed, thanks hunny.

Photos from 4am this morning pre-op

Before after boobs post op 10 hours

Last night and this morning....

After what I think was all the residual anesthesia wore off all the pain hit me at once. I started crying and couldn't stop for about 15 minutes while my partner tried to help me change pads over lip incisions and ring out blood and fluid soaked garment as best we could without completely removing it. I tried to take OTC pain reliever spaced in between narcotic and this was a BIG MISTAKE. Woke up in so much pain and crying again. Did not expect this much pain or for my garment, towels and blanket to become drenched in fluids. This is normal and positive from I've read and from Sattler told us but it is still alarming somewhat. One of my incisions appeared to be more bleeding than leaking fluid but this may be because I over did with trying to walk around the house bunch yesterday while I was still under effects of the anesthesia. Today I will be taking it way more easy. I will likely need a pain med refill as if I keep taking every 3 hours (which I discovered is the only way not to lapse into pain and try to reverse) I will be out my late tonight or early tomorrow morning. I have a feeling I will need these for a few more days. I woke up at 3:30 in pain and couldn't get back to sleep. Took more pain meds and now will try to dose off as they kick in.

Dr. Sattler returned my call last night when I called to ask about bleeding. Sounds likes everything is normal and will talk to Julie, the PCC later this morning about a few other non-urgent questions I have. He told me he was able to remove 1.8 liters of fat and was able to see my tummy looks pretty swollen but flat when changing pads beneath garment last night!!! My breasts are super tender and painful, and I'm hoping as they heal I will have more cleavage! Overall, I have no regrets and am very happy with my choice in both procedure and surgeon. Can't wait to start running again to lose all this extra weight now that my boobs and tummy finally will be improved after having kids. Will post again soon!

Got to shower and see my tummy! Loving these results so far. Can't wait for the weeks to go by so I can see the final! ??

Day 2, before shower! Almost all drainage has stopped aside from mild draining from one incision.

Also, never heard of this until I looked it up after experiencing it but apparently it's normal. When I inhale, a crackling noise followed by a swoosh sound occurs which I guess is caused by air pockets around the implant and should resolve itself within weeks!? Strange indeed.....
Anywho I'm loving my results so far but was unable to post pics last night with that update. Extremely happy I did not jump the gun with a full tuck quite yet. Dr. Sattler did an amazing job from what I can tell!! ???? I am not disappointed!

Pics not posting??


Trying to post pics again


Finally Photos Uploaded! Update on my night and morning......

Last night was rough but I got more sleep than the night before for sure! I've been taking 800mg Advil every 8 hours and trying to reduce pain killer intake by spreading it out longer and taking less at a time. It really is hard and painful to walk, get out of bed, and to move around in general unless I have pain meds in my system. Advil alone is not cutting it as of day 3.

My surgeon wrote me a new a script and met with me yesterday because they wanted to make sure everything was healing OK as I should not be in as much pain as I described. I have a large implant under the muscle and I had 2 liters of fat removed from one central area and am very swollen----this is why I hurt so bad. I doesn't help that I have a pretty low tolerance for discomfort or pain of any kind. I showered and did some homework last night from bed. Still not sure I will make classes Friday, definitely not tomorrow though. I'm already wanting to schedule more lipo!! LOL. Maybe some arms and thighs?? I am going to start my workout routine again as soon as possible. I'm excited to see my body look as nice as it did in my early 20's and am over the moon with how my tummy looks as of last night.

Just call me Boobs McGee

Feeling well enough today to try on some shirts and stuff just to play around and see how things will fit now. Some things won't fit anymore now that I am post op. Not exactly looking forward to going through my massive closet. I'm able to put my hair up, put my garment on and off without help, taking only one pain pill every 3 hours now. Looking at my flanks and may want a touch up towards my back area. Still swollen though, so I will just wait and see.

Just to add...

Also I have found after sleeping or staying in one position for awhile it is helpful to completely undo body garment and readjust while making sure abdomen skin is smoothed and straight. This helps with not only comfort but makes me feel better knowing my skin is not being creased or pulled in weird directions while healing. Itching has definitely set in. I also noticed when taking a break from my breast garment pain started to feel more intense after a bit. After putting it back on I instantly felt relief.


Lumpy and bumpy but only @ day 3/4. Good with my breast size, no regrets.

Just when I think I'm on the up...

Yesterday was the best I have felt post op and I was definitely the most active. I thought it was only going to get better but here I am 5 days post op and am
Still hurting when I move, walk, talk, pretty much anything that requires minor effort on my part. I let my pain lapse last night thinking I was on the up swing and before bed I was in lots of pain and regret and realized I'm not ready to stop pain meds yet. I started doing research and am finding such a wide variation in recovery experience involving pain associated with Lipo. Some ladies say they have pain for months while some say none at all? My pain is throughout the day but by far the worst in the morning and before bed.

Today was the first day I was able to take my kids to school. Every bump and turn was torture. I was really hoping to be able to make it to my school today, there are assignments I won't be able to make up :(. After last night, I knew this was unlikely but waking up throughout the night and then this morning I knew it was definitive. I just hope this doesn't last much longer. I am definitely able to use my arms more and am more flexible with my upper body movements. My breasts do ache and sometimes will have pain periodically. It's mainly the Lipo, my entire mid section that is bothering me still. I can feel movement (I think small natural seromas?) when I move under the skin. Super bizarre feeling. Anywho, feeling kind of discouraged as I was really looking forward to leaving my house and being out and about today, but it just isn't going to happen. Maybe I should not try to be so active even though this is encouraged? I always end up in more
Pain when I have done this so far.

Better end today...

I ended up being way more active tonight than before! Still super uncomfortable but was given a non-narcotic med to help going forward and hope it works! I did dishes, cooked dinner and made the bed with new sheets. All was not exactly comfortable but I did it! I really am missing spending quality time w/ my family. My partner has been battling a nasty cold and cough and has basically been a single dad this whole week. He is my hero! Tonight he got a little snappy, but I acknowledged his stress from this week he and seemed relieved to know I am understanding and grateful. I saw my tummy again today, and am nervous because a much milder version of that c-section shelf seems to be reforming. Also I was to have my waist done but I know that my back above my butt area (waist) was not worked on :(. I will bring this up during my post op appt. because I definitely mentioned this as one of my major concerns. No procedure is perfect or exact and I know my surgeon will welcome my concerns and work with me (as all reputable surgeons should and will), that is why I picked him! The work that was done is excellent. I am aware my stomach will not entirely smooth and tight----i carried huge babies full term and am short....but am really nervous because my stomach looked amazing post-op day 1-2 but now is slowly regressing it seems. This is probably swelling but I want to document my fears so ladies in the future can identify and see what my outcome is if they are in a similar position.

Add on..

I feel like I might be this "weird" type of patient. One who has amazing results just after but then it all goes to shit? Like my boobs for example weren't really crazy high or deformed looking initially but as of tonight they are super high, in my armpits, and just feel gross. And as I mentioned above my c-section shelf is making a comeback. :( Really, really hope for the best....not perfection but just for the best improvement that is attainable from my selected procedures in the long term. Prob should stop looking at myself daily and make it more of a weekly check-in thing? Too much stress with comparing myself day to day.

6 days post

My shelf just won't give up

Hugely Disappointed & Embarrassed

I had my first post-op today. Didn't go as expected to say the least.........

Initially during my consultation I was quoted for a tummy tuck and lipo to address my abdomen issues. I specifically remember grabbing my massive waist/flank area and saying " I WANT THIS GONE!" Sattler said he would aggressively lipo that area during my TT procedure. He had mentioned I could get good results from lipo of abdomen but I was thinking full TT at that point. After thinking it over, as described in my very first post, I decided to ask for a requote for just lipo and augmentation. The quote named abdomen and waist lipo; knowing the conversation we had at the consultation I figured "waist" included the area I emphasized hating so much. I remember talking about how it makes my butt look boxy etc., and how exciting lipo of that area sounded to me. Well I am now post-op and apparently they want another 3k just to do the "posterior flanks" area---like not even a surgeon fee discount!!? Isn't this classified as part of a women's waist in lipo?? Do a google image search of "waist lipo" and the first 9/10 images are of a persons backside. Apparently each surgeon has their very own definition of one's area of anatomy on the body, so be sure for him/her to physically show you before you pay what areas he/she will be working on.

As Julie, the PCC handed me this quote I was outraged. I can't afford another 3k to get what I had clearly stated I wanted done since day 1. Julie explained to me this would have taken another hour and I would have been flipped over and just my sides were done per "waist" area down to the table. Fine, but thats not what I said I wanted. I inquired why we didn't schedule the extra hour in the first place as it would have cost me MUCH less and save me from a 2nd procedure? I asked if it was because I took someone else's appointment time in the OR, was the surgery time and not just the date prearranged leaving Sattler to do just what he could in the amount of time that was already paid for and scheduled? Why was this area not addressed??? I didn't really get an answer and I was feeling flustered as I walked out of the appointment room towards the exit.

Make sure you clarify with any surgeon what he/she considers as an "area" even if you think you've done your part in describing what you want. I assumed "waist" would address my expressed concerns--- but it didn't. I can't believe it.

Now on to my other concern......

I explained I was still in pain, specifically mornings but at times its worse than others. What I shared with Dr. Sattler was completely invalidated. I was told this is abnormal, and patients don't need/ask for anything other than advil 5-7 days out from the procedures I had. I was told the non-narcotic he prescribed Friday is not as strong as Advil and so just take Advil from now on (which I already figured out on my own over the weekend). I felt like he didn't believe me, that I was some "drug seeker" or something because he was so dismissive about my description of pain I am still experiencing. Is this normal?? Can any of you please tell me when your pain was low enough to just get by on advil without being miserable when moving around? I'm feeling totally defeated and embarrassed that I still need something stronger than advil after my appointment this morning and at day 7?? Left his office without scheduling my 6 week post op because I just couldn't be there another minute this morning. I was too embarrassed and upset.

Saw my primary doctor...

Cried all the way to my kids school this morning because 1) mornings are super painful and 2) I'm and emotional wreck after yesterday's appt.

I was able to see my pcp this morning who double checked my body for signs of infection, acknowledged that I have no history of drug or prescription pill abuse, noted I have had c-sections, rhinoplasty & septoplasty, and a broken back requiring a brace for 6 months and I have NEVER requested odd amounts of pain relief attention post op. I haven't had pain medicine prescribed since my daughter's birth! She acknowledged with all the heroin and opiate users that providers are commonly withholding proper pain tx in fear of all the crackdowns on pill mill doctors and the DEA. How sad for people who are not actually drug seekers and are actually experiencing pain and Advil is not enough. Not to mention I have been taking 3 times as much Advil as advised on the bottle, dr Sattler and Julie have been having me take 4 200mg every 8 hours equally double what the brand advises is safe within a 24 hour period. However, their regimen of what they "think" is "normal" for post op pain never was sufficient and so I was taking more and more Advil throughout the day to try and make myself comfortable. My doctor, who I have a history with actually believed me when I told her I need something mornings and nights when swelling is the worst. She ended up doing what I thought my surgeon would: she is treating my pain! I'm super bummed about the whole experience. I feel uncomfortable and labeled now so don't even want to call with questions. There are some other things that happened that I chose not To mention in my previous posts in effort of staying positive, I may or may not share those experiences later. I feel like this is so majorly important when you are selecting a surgeon: you should know how your pain will be managed even if you end up not being The ideal and "normal" patient post op. Honestly, I would be afraid to do anything major again that is elective after this.

Julie & Sattler both followed up with me........(Happy)

After my post-op I had sent Julie an e-mail explaining how I was feeling about the procedure and what it included, and how I was under the impression "waist" would take care of my "flanks" which was one of my main areas I expressed wanting to improve initially and was also part of my original quote. I had gotten calls from both Sattler and Julie and they left messages apologizing for the misunderstanding and letting me know they really wanted me to be happy with my results and could see why I was upset after realizing how confusing "flanks" vs. "waist" is to patients. Dr. Sattler left me a voicemail letting me know he will cover this area for no cost in his office under a local anesthesia!!! I am so relieved. I had a really good conversation with Julie this morning as well, and I feel so much better about everything. I am really grateful and impressed how genuine they are in wanting to make sure I have the best results and am happy with my outcome. I can do the in-office procedure anytime! Maybe as early the end of this month! Feeling oh-so-much better today.....
Seattle Plastic Surgeon

4 out of 5 stars Overall rating
4 out of 5 stars Doctor's bedside manner
4 out of 5 stars Answered my questions
3 out of 5 stars After care follow-up
5 out of 5 stars Time spent with me
4 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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