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42 Yrs Modified TT W/lipo on flanks replacement of belly button Muscle repair - Sturbridge, MA

UPDATED FROM Pfact
8 months post

Full tt

WORTH IT$7,000
Full tt revision permanent stitches 12/16/14

Pfact's provider

Arturo Aguillon-Bouche

Board Certified Plastic Surgeon

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Replies (5)

Looks good. How are u feeling?
Ty good this recovery has been a lot harder than the last also a lot different think last time the lipo site was what was so painful this time my mr is very painful still can't stand up straight it's been 3.5 weeks I'm guessing that's good means all is tight. I'm really happy but giving all my disappointments keeping it in check until I know for sure I'm good. How are you did everything heal ok is your incision better & are you still not happy w/your upper abs?
Wow you have been through so much but your end result so far is beautiful!
Ty :)
Hi, u look great. Have u seen any changess in ur stomach or is it still very flat bc ur abt 6wks po right. Im afraid tht if i get it done the second time around, i will end up like i look now and im paying too much money gor tht.
Is ur muscles still sore. Did ur ps inject any pain meds during ur surgery gor the pain like Exparel?
No I'm still flat but also still very sore & having really bad swelling by the end of the day :( think because I'm more active now I didn't have barely any swelling for the first 3 weeks but I was extra careful and didn't do much I'll post some new pics soon. Honestly I don't think I had muse failure I think my repair was weak from day one & as my muscles relaxed my stomach got bigger it was a slow progression... I can definatly see the difference this time I know when I'm swollen & usually wake up flat with minor swelling if your new ps is aggressive you'll get great results as for the BB dying I had the same risk but honestly did't care I just wanted to be flat & it was fine hope this helps let me know if you decide to do it
No exparel a pain pump for 3 days the pain was more burning & I couldn't stand straight for almost a month & I'm still sore but this is good means I'm very tight
Thx for info, really helps alot. Yes i definitely wnt to get it done, but im seeking anothr ps too but its hard to choose a ps bc u cant just go by the pics. U said tht u didnt care abt the bb dying but wht complications u wolud have had if it did die. I just wnt my surgery to go 100 percent smooth and finally be flat and done with this. Its so hard to pick a surgeon without seeing his work in person instead of photos. I would love to go to a ps who does revisions, im trying to find one in my area but i need to pick one soon bc i have trips coming up. Thx for being helpful. Take care!
As for the bb honestly I didn't ask a lot it wasn't going to change my mind he cut it one week prior to my surgery to make sure I'd get healthy blood supply & I did I think necrosis is a issue but that's a issue regardless with a tt would take a long time to heal & require a revision if you had no healing issues the first time you'll probably be fine but I had 100% confidence in my ps I felt he wouldn't do anything to put me at risk. Just make sure once you find your ps you make it 100% clear you want an aggressive mr! Permanent stitches some of us dissolve the dissolvable sooner than our bodies create scar tissue resulting In a poor repair! I know how you feel it's heartbreaking & sickinig to think about all the time I truly hope you get what you want maybe shop around to for a great ps at a good price
They're all around the same price though. Tht sucks tht i have to pay full price for a revision but if i have to i dont have a choice.
I know I invested 11000.00 is what my tt ended up costing me I better stay flat.
Thts a lot of money to invest but i think tht its worth it bc we're worth it. Atleast ur ps was willing to satisfy u n do a revision but i have to pay for anothr ftt. Thts a bummer! U certainly pick the rite ps!
Agree I still think your ps should do what ever it takes to please you so frustrating
If he does, he wont b aggressive on my muscles anyway.
Wow you've had a rough rode with your tt. I hope your healing well and that your last revision is your final one and that you're happy with the results.
Yes I'm finally happy fingers crossed it keeps improving thank you
I agree with time-for-me, I think that ur stomach will remain flat because mine started getting poochie at 1mo po when I go back and look at my posts. I think that you are good from now on. Congrats!
Thank you I hope so it's been such a pain still swelling but it's starting to get a little better
r ur muscles still sore bc of the tighting, ur ps did some serious tightening the second time.
Yes very I'll be 3 months tuesday & it still hurts to sneeze & I have to wear my binder to exersize cause of the soreness but I'll deal with it as long as I stay flat swelling is up & down some days r better than others.
It seems as though we will go through a lot to be flat, lol!
When ur ps did the revision, did he suture from ribcage down or bb down bc i saw a ps yesterday tht said my muscles were already tight abv my bb so he wasnt going to touch those but just lipo some fat out but last week i saw another ps tht said he will do tightening abv bb. My stomach is not the only thing thts stressing me out, its also piking the rite ps, they all say different things. I just dont know who to go wth. But they all said tht i have enough skin to get rid of my vertical scar. My daughter says tht i need help bc i'v seen abt 6 ps's and 2 said they wont do it. The others said tht i need a revision but they're all different. I have to make my mind up by the end of the month. The did say tht he used dissolvable stitches. Im just like you, i just want to be flat!!
How are you doing now? I can't believe all that you went through!!!! WOW! you look great in the last pics though :)
I'm doing great ty finaly happy :)
How are you doing? Still swollen? You do look great...I had my recision on 1/17/15, still abit swollen but I am working out alot so I assume that is why I am still swollen.
Yes still swelling it's getting better but some days are still bad usually after a tough workout. Are you happy with your revision?
Is the numbness the same or does it get worst with the second tt? With my tt im 10mo po below my bb in a small area im still kind of numb, is the numbness a bigger area aftr ur second tuck?
For me yes Im numb to my bb
UPDATED FROM Pfact
6 months post

Muscle repair failed

failed muscle repair

Replies (5)

Did your ps tell you why it failed? prayers this time around you get the results you expect&deserve :)
No he didn't that's what so frustrating, I'm so worried it will happen again, he said he's going to double stitch & clamp, he did say it will be very painful so Im really nervous. Thank you I pray this will be it.
let's hope not. Get some heavy duty meds. I will keep you in my prayers.
Thanks:)
No he didnt, he said tht my muscles still seemed tight when he examined me n told me to sit half way up. I dont think tht he wnts to admit tht bc he would b admitting tht i need a revision, and he acts like my tt came out fine. He told me tht he would b proud to show my tt to anybody. Im glad tht he would bc i dont! Thnks!
YW :)
All we can do is hope or the BEST!
Omg another surgery?!! Do u have to pay for this?
No he's not charging me but still isn't making it any easier I'm so upset I have to go thru this again
I can't imagine. I keep wanting to call mine and complain just wish I could lose some weight.
Ya know you spent a lot of $ if you're not happy complain it like buying something you should get what you paid for! It's so hard to loose weight I don't even try anymore just maintain a healthy lifestyle ID definatly let him/her know your not happy before to much time goes by.
I know bit what I really don't like is the lumpyness of it and I figured he'd say give it more time or something. :(
two PSs I met with said they would reinforce my TT with surgical mesh. Because of my anatomy they said not suing the mesh would increase my risk of failure. You should ask your doctor about this. This mesh is apparently very much improved from the "old kind" and eventually gets absorbed into the body. Also, there is a relatively new painkiller being used for intense surgeries like this - it is called Experell. You should ask about that as well. It is supposed to completely numb you for 3 days. good luck.
Thanks for your advice I will ask I see him again 12-1
So do you need this done? Or have you had it done? Is it more painful than the first surgery? He's doing this in his office under local w/Xanax as a sedative I am so nervious I've had two other procedures done this way by him in his office that went great but this one is really scaring me. I can't seem to find any info on clamps being used
I am so sorry that you have been through all of this. I am recovering now from the same surgery. I would just caution you to get two more opinions. He has done a lot of cutting in you
Best of luck with your recovery I agree but he's will to repair for free it's obvious its failed very upsetting. I'm going to pay hospital fees cause I'm just not willing to take any chances on this repair I don't think I cou mentaly go through this again. Hope your feeling well & your recovery is smooth
OMG!!!! i feel so bad for you, i have had several complications from my TT i needed revision as well failed muscle repair, went to a different surgeon i also had BA that to needed revision i actually was very sick after the BA and my old surgeon ignored my cries for help!! i had to have emergency surgery 11days after i had the BA infection in breast pocket, hemotoma .a surgeon on call had to preform the surgery......than had revision for both tt and BA jan 2014.....i have to get another surgery to have them removed jan 27,2015 i also feel i need the full all the way around tummy tuck i feel your pain i wish i would have just left my body as it was all the money we waste to keep having it not turn out its so frustrating and depressing !! sorry for all that novel :) your resuts so far look amazing i wish i had those results too!!!!!! hope to hear from you soonyour realself friend......
Well I'm so glad you posted no one seems to have experienced as many problems as us so I didn't get to read all of your post lol quite a bit of history there, to be clear you had a tt revision & now your muscle failed again? You looked awsome & then last pic you looked just like I did when nh repair failed :( I'm scared I don't want to go thru that again so far I'm happy want to stay that way. I'm assuming you use a different ps that's awful hopefully you got $ back for your first surgery, so did you get new implants it looked like you did hope you'd atleast happy with those
UPDATED FROM Pfact
6 months post

muscle repair failed

so devistated my stomach has been hugely bloated very uncomfortable went to see my ps & he said my muscle repair failed! If I didn't have bad luck I'd have no luck, have to have surgery again the whole recovery process all over I'm just devistated if anyone has been thru this I'd love to know what to expect as for now I'm scheduled for 1-24-15 not happy I have to wait they are going to try and get me in sooner I hope. Any helpful information would be greatly appreciated

Replies (4)

Ps called having surgery 12-6-14 atleast its soon still can't believe I have to do this again
I had the same thing happen-you can read my review on both TT and TT Revision Pages. Are you going to same or different PS?
Same surgeon he's fixing it for free was your revision as painful as your first TT ? You look fantastic by the way I hope I will... I have been dissatisfied from day one so I had all the other procedures hoping it would improve my results I passed the bloat look off as swelling but it's 10x's worse now.. I Just want a flat abdomen any advice I have a list of questions for him when I see him on 12-1 I need to know it will hold what could of went wrong I'm so sick of surgeries. Thank you for commenting their aren't many people who have had this happen.
I know what you are going thru. My second surgery was a breeze and I had lipo, BA and BL with it. I did have Exparel and I know that helped but this one just felt different. I remember thinking 2 days after my first one that it wasn't done right, it didn't look right. Here is what I can tell you. Make sure he uses permanent sutures. My first surgeon used dissolvable. Just in case your body is still healing by the time your sutures dissolve. Secondly, don't do any ab work for 6 months. I know it's hard, I am a fitness buff like you but twisting and jerking can ruin the repair. Also if you vomit from anesthesia tell them so you can be premeditated. No reaching for quick movements for 10 days post surgery. Any kind of jerky movement can cause stitches to break. Other than that, there is no way to know why your repair failed. Good Luck, you will be fine . I just updated my review if you want to read it.
Thank you so much very helpful I won't be put to sleep he's doing it in office I'm very scared but really have no choice
I did it that way and don't remember a thing it'll be fine :)
You did so just Xanax & local Anastasia
I didn't have Xanax just local and I was glad I did saved money and didn't rem a thing. It'll be fine.
What exactly is he doing in the office?
Re-tightening my muscles
Is it a surgical suite? Will you have an IV? Is the answer is no, there is no way that is happening in a regular doctor's office. I would make sure you are having that done. Ask him if he is tightening your fascia, which is how they redo a repair. That involves cutting thru skin and fat to get to it. I would hate for you to go thru another procedure and not get the results you are seeking.
In a surgical suite in his office no I've Anastasia to operating site & Xanax to relax. I will ask him I have a list of questions thank you so much you have been extremely helpful
That doesn't sound like you are getting your muscles tightened with just a local anesthetic to the site and xanax. They actually want you under general anesthesia when they do the repair so your abdominal muscles are relaxed. This is never done under local. Please clarify this with him, you've already been thru so much.
They do perform this while ppl are awake I know of someone on this site that has but I have a list of questions for him and that is definatly one of them im so overwhelmed with it all I just want my stomach fixed
did you have iv sedation or did they have you take muscle relaxer or tranquilizer? Im not seeing anything where doctors like to do it awake cause muscles Won't be fully relaxed and not gaurenteed a good fix. So needless to say I'm freaken out think I'm going to see if I pay hospital fees if he'll do it that way or atleast iv sedate me. Let me know please how you did it & exactly what u had done
I was hooked up to and IV and strapped to the table like they do. And was givin the local in my leg. U sleep through it but they can wake u if they need to.
Ya he's not offering me iv sedation & from what I'm reading Xanax isn't going to cut it I'm going to call & see what my options are im so sick of spending money on this I could scream! Thank you for your help I'll let Ya know what he says
Omg. What a roller coaster. I can't imagine how frustrating this must be for you. I sure hope he's not charging you for this.
No actually he did a full TT this time I only had to pay 2000.00 for hospital. So far I'm very happy w/what I see but given my past disappointments I'm not going jump the gun, I'm definatly flat never was I this flat w/the first one my gut tells me he wasn't aggressive w/my repair the first time & I was pushing everything exersize so on I was doomed from day one. This time I honestly don't think I'll even exersize for 3-4 months so affraid to ruin it.
Please take it easy. And I still think he should Pay here Anesthesia and operating room fees. He didn't tell my lipo on your back or an extended time attack originally, which , Additional expenses. He should've either did less lipo or lasee lipo which tightens the skin extended in the first place
I couldnt fully exercise until 5-6 months. I couldnt completely lay on my stomach until 6 mos.
Ya something was definatly wrong the first time really had little pain in abs all was in lipo sites pisses me off cause I know my muscle repair was weak to none I've been unable to even Stand for more than five min at a time this time around completely different oh well can fix the past just hoping all is good from here in out and I stay flat with out a doubt I'm flat as a board never did I look like this with the first one always had a rounded lower belly hated it I'm sure I'm swollen but I really can't even tell if I am I can only imagine how good it will look once it's gone it's been such a long journey ... Hope your feeling better about your results how are you doing? Are you feeling any better
No, my stomach is still looking the same, very round in lowr abs. Aftr my tt i was nver flat but my ps always said tht my stomach was swollen. It always had tht little pooch but the pooch as gotten bigger. I dont know how to convince him to do it again, he says all i need is a little skin taken off but it still wont be flat. I already made two appts to talk to him and he said tht he wnt tightened my muscles ovr again or if he does it would not look right. I dont know what more i can say. Well, i wish u all the best with ur results. Take care!
Sorry I know u must be so frustrated did you try & plank see if your abs form a hammock and what it looks like then you'll know if it's the muscle or u may just need a little extra lipo at this point id get a second opinion you deserve to be happy
WOW how does one know the MR is failed ?
I'm not sure it failed I think it was a weak repair & as time passes the muscles naturally relax and I got extremely bloated look being no extra skin it was as if my organs were pushing out I had a round ness to my abs from day one I just thaught it was swelling
I hope my surgeon would do that kind of repair I need to ask if he does revision if I want it or he thinks I dont need one ? Im putting the buggy before the horse! (sigh)
No all you need to do is be clear you want a strong muscle repair.
Will do I go tommorrow for consult my husband tells me at Noon he is coming with me HUMMMM Not sure if this is a good or bad sign LOL