Recent Posts

RHBryan
on 3/19/18 2:54 pm - Atlanta, GA
Topic: RE: starting stuff - names of surgery/types - timing/when to start, order - any cost advice?

Nikita,

Thank you for replying to the original poster. I never thought about item #6 and it totally makes sense.

Whenever I wind up in the ER, you can see the freak out factor in their eyes once I mention GB.

RHBryan
on 3/19/18 2:50 pm - Atlanta, GA
Topic: RE: Arms & breast lift-thinking about it-May?

Holy Cow, my computer keys were stuck on the above message.

I think my laptop is on it's last lap.

I'm going to search the internet for arm compression garments.

Does anyone have a picture of them? Would the Atlanta humidity be miserable?

I'm going to start my calls in the morning. Here's hoping for a new beginning

R

RHBryan
on 3/19/18 2:48 pm - Atlanta, GA
Topic: RE: Arms & breast lift-thinking about it-May?

Ok, my previous message was a mess! I think my laptop is on its last lap.

R

CC C.
on 3/19/18 2:09 pm
Topic: RE: Day 10 post op LBL - long post

Super helpful, NB! Your drain seems like it's been a lot more a pain in the neck than most with all the leaking...

CC C.
on 3/19/18 12:16 pm
Topic: RE: starting stuff - names of surgery/types - timing/when to start, order - any cost advice?

How do you know if I should even have plastic surgery?

Very few people need plastic surgery. Those I'd put on the need spectrum are those who can't control rubbing and skin infections from overhang or those who can't do what they want to do in life because of the extra skin. But I think even if yiu don't have those issues it can still go a very long way to helping with mentally feeling whole again after the damage from obesity.


How do you know when to have surgery?

My PS says once you are at a stable weight for 3 months you can consider it.


Words/names: What are the usual surgery names? I think I want to fix my thighs and my butt needs to move up two feet. Bat wings are a maybe. Hospital + recovery times interest me too.

Lower body lift/360 body lift/circumferential lift are synonymous. You're cut all the way around the middle the excess is removed and the edges are sown back together with a lifted rear/hips and a flattened stomach. Many also have their abdominal muscles sewn tight too and some will do some kind of butt improvement with auto augmentation (using your own tissue to enhance projection) or fat transfer.

Brachioplasty: bat wing repair

Breast lift with or without augmentation bepending on your preference and existing tissue

Liposuction of various areas

Torsoplasty/upper body lift: can remove skin from the upper back, sides

Thigh lift: medial thigh lift cuts longitudinally down your thighs to remove excess skin. Crescent thigh lift cuts where your thighs join your body and pulls up


Costs: Any ballpark costs for some of these surgeries? I know they vary but it's like saying a car varies. Sure, but tell me $25000 for a new cheap car. some guideline?

Varies by location. Mexico is an option and cheaper than the US. It also varies based on how much time will be needed for your operation - more damage to repair = longer op = more $$.


Insurance:I was told Kaiser Colorado covers no plastic surgery period ever except as required by federal law. Do some people get coverage? I can wait and pick the right one.

It's pretty rare to get insurance help. Like lotto winning rare.

Pain!:With RNY, I can't have pain meds right? Well, tylenol. What do you do?

You can't have NSAIDS. There are lots of prescription pain relievers that aren't NSAIDS. That's said, I was looking at something that that lists the pain level for various operations and the lower body lift was "severe". Upper body stuff is more manageable I hear.

Medical Tourism: Any places, doctors to avoid? Bad outcomes? State the obvious. I like travel but I care about the anesthesia and the surgeon.

Mexico has some good surgeons. Research is important!

Do check out Realself.com. There some great info on there as well as surgeon reviews.

Nikitabanana
on 3/19/18 11:50 am
RNY on 05/25/16
Topic: RE: starting stuff - names of surgery/types - timing/when to start, order - any cost advice?

Hi there

I'm sitting at home recovering so I have time to reply lol.

I think it first depends on where you are from to help determine what's covered. I'm from Canada so here, in Ontario specifically, sometimes it will be covered (Pannilectomy) but that is just removing the "apron" with no contouring or muscle repair. It also depends on the size of the panni (part of the stomach that hangs down) and if there are medical reasons for it's removal (rash, infection, etc).

  1. You will know if you want/need plastic surgery. No one can answer this question for you in my opinion. Speaking with surgeon's about what bothers you and what you want and what they can do with the outcome will help you decide. It's important to be realistic about your expectations but a good surgeon will explain all of that. Asking these questions and research is a great start!
  2. Most surgeons (in my experience) want you to be at a stable weight for 6 months to 1 year min. Hopefully at your goal weight.
  3. There are many thigh lifts (medial thigh lift, etc), bracioplasty (I think this is the arm lift/bat wing removal) and then there is the lower body lift (lower belt lipectomy) that's what I just had done. It cuts you all the way around your mid section below the bikini line and pulls everything up (this helps the butt lift and thighs) and pulls everything down (helps with saggy stomach skin and tightens the back and sides) plus muscle repair (stitching the muscles together to tighten them). I had this done at a plastic surgery clinic - 2 surgeons, 1 anthesiologist and many nurses. I didn't do it at a hospital. My surgery was about 3+ hours and I stayed at the clinic overnight and went home the next morning.
  4. This procedure cost me approx $19,000 (CAD) I also had fat transfer to my butt included in this cost. No part of my surgery was covered, I had to pay myself.
  5. I'm from Canada - can't comment on this, sorry
  6. I also had RNY almost 2 years ago. Make sure you go to a plastic surgeon who has a lot of experience dealing with WLS patients. Mine does and won't prescribe NSAIDS but I was given pain killers/narcotics.
  7. I see a lot of people go to Mexico and there may even be a page dedicated to this but I'm not certain.

Good luck with your journey!

Referral sent: 1/26/15 / Sleep study: 2/23/15 / Orientation: 4/20/15 HRRH / Meet Dr. Hagen: 11/17/15 (no show) / Meet Dr. Klein: 12/10/15 / Trio appointments: 2/11/16 / Follow up appointment SW and RD: 3/16/16 / Dr. Glazer: 3/30/16 / Dr. Klein: 5/9/16 / Surgery date 5/25/16 / LBL with Dr. Nandagopal 3/9/18 - PS SW 155

HW - 280. Opti start - 280. Surgery day - 266. CW - 142.

SiennaSun
on 3/19/18 11:25 am - CO
Topic: starting stuff - names of surgery/types - timing/when to start, order - any cost advice?

I did bypass 15 months ago and lost about half my weight. I'm at average BMI and really happy with my body for 5 months now. 23.3 BMI Flappy skin better than fat but I'm not normal even though I'm normal weight, finally! So, can my peeps please help with some basics? No one plans to fail but I think it's honest to say we all fear it. I'm cautious and vigilant now but it's also very new. I walk almost two hours, six days a week. I can function with the skin and hide it well except with Significant Other and swimming. We aren't rich so this is a nice to have and we will not be buying a car and giving up other things to make this happen, but we have enough that we can pay.

  1. How do you know if I should even have plastic surgery?
  2. How do you know when to have surgery?
  3. Words/names: What are the usual surgery names? I think I want to fix my thighs and my butt needs to move up two feet. Bat wings are a maybe. Hospital + recovery times interest me too.
  4. Costs: Any ballpark costs for some of these surgeries? I know they vary but it's like saying a car varies. Sure, but tell me $25000 for a new cheap car. some guideline?
  5. Insurance:I was told Kaiser Colorado covers no plastic surgery period ever except as required by federal law. Do some people get coverage? I can wait and pick the right one.
  6. Pain!:With RNY, I can't have pain meds right? Well, tylenol. What do you do?
  7. Medical Tourism: Any places, doctors to avoid? Bad outcomes? State the obvious. I like travel but I care about the anesthesia and the surgeon.
Nikitabanana
on 3/19/18 10:50 am
RNY on 05/25/16
Topic: Day 10 post op LBL - long post

I'm writing this just to share my experience thus far because I found it helpful to read others experiences while waiting for my surgery.

Today is day 10 post op. The pain is manageable and would be better described as discomfort rather than pain. I had LBL with fat transfer (9lbs of skin/fat removed).

Looking back, the first 2-3 days were a blur mostly due to the medication. I definitely needed a support person to help me getting up and sitting back down and with showering, changing dressings and putting the binder back on.

I am now independent and don't require assistance with normal activities however I cannot lift so I need assistance with lifting things/moving things more than a few pounds.

I have been working from home since about day 3 just answering emails. I was able to take breaks/naps when needed. I physically went to work yesterday for 3 hours and it was ok. I still have my drain in so that is my biggest limitation right now. It's in my groin and leaks so I have to be careful that it doesn't look like I peed myself. Sitting in my work chair was a little challenging. I made my first day a Sunday purposefully for people wouldn't be there. I worked from home today but plan on going in tomorrow.

I drive about 1 hour each way to work so yesterday my hubby drove me but tomorrow I will drive myself.

I went grocery shopping with hubby on day 8 and it was no problem. Just had to take it slow.

I've felt weak and tired but listen to my body and rest/nap when needed.

I'm still sleeping in a recliner and feel that's most comfortable.

In hindsight, here are the things I couldn't have gone without:

-Support person for 72 hours post op minimum

-Puppy training pads - I used these to sit on the couch, car, etc. They are waterproof disposable pads and helped protect the furniture from my drain leaks. Also nice because I was without panties for a few days post op and didn't want my bare bum on things

-lanyard for my drain bulb while showering

-gauze and lots of it to sop up my drain leaks and cover my incision line for a few days post op

-quick grab protein snacks (turkey bites, deli meat, light baby bel cheese, etc)

-recliner

-table beside recliner for necessities (Kleenex, water, lip balm, remote, meds, phone, book, diary, etc)

-long tongs - these helped me reach things that were just out of reach so I didn't have to stretch too much

-pillows for propping (I needed these behind my back, under my legs, beside me for my arms, etc)

-comfy warm socks

-House dress (I wore a Roots cotton pullover loose dress - made a huge difference to wear this with no undies - sometimes when needing to pee it was such a feat just to get to the washroom that simply pulling up the dress and sitting made a huge difference)

-men's non-ribbed under shirts for under the binder (I use men's small walmart brand, they are nice and long but keep a barrier between your skin and the binder. I change this undershirt at least twice a day to keep things clean as some areas leak a little. I initially had 4 but sent the hubby for another pack and now I'm thinking I could use another 4 so I'm not doing laundry every other day)

-bottled water (easier than getting up to refil your bottle because you need to drink a lot)

I think those are the staples from my perspective. I also found it helpful to keep a log of everything - when/what meds I took, naps, bowel movements, etc. The days start to blend and when the dr asks these things it was easy for me to look back in the journal and tell him.

I was told recovery would be 4-6 weeks. I feel right now that my biggest barrier is my drain. If I didn't have my drain in then I would have likely been back to work late last week. I'm nervous about going to work with it because I don't want it to leak and I don't want people to see it and it's pretty bulky.

I'm not walking completely upright but just about. I can straighten up but it really pulls in my groin area. The surgeon said he'd like to see me walking upright by this Thursday so I've got a few more days to practice.

Lastly, this surgery has been easier than I expected but I was prepared for pure hell. It's a big surgery and your body goes through significant trauma but for me it hasn't been too bad and I had extensive muscle repair too.

My belly button is going to be a problem I think as it had a crust over it that they told me I had to get off with peroxide. I've done that but it doesn't look good. I'm following my PS's instructions and we'll see what he says on Thursday.

Thanks for reading and good luck on your journey!

Quick facts:

Surgery date weight: 155lbs

Weight day after surgery: 150lbs

Lowest weight (2 days ago): 147lbs

Current weight: 149lbs (swelling since scale shows increase in water weight)

Total inches lost (day before surgery compared to yesterday):

Waist: 1.5 inches

belly button area: 4 inches

apron hanging area/thickest part: 6.5 inches

Referral sent: 1/26/15 / Sleep study: 2/23/15 / Orientation: 4/20/15 HRRH / Meet Dr. Hagen: 11/17/15 (no show) / Meet Dr. Klein: 12/10/15 / Trio appointments: 2/11/16 / Follow up appointment SW and RD: 3/16/16 / Dr. Glazer: 3/30/16 / Dr. Klein: 5/9/16 / Surgery date 5/25/16 / LBL with Dr. Nandagopal 3/9/18 - PS SW 155

HW - 280. Opti start - 280. Surgery day - 266. CW - 142.

CC C.
on 3/19/18 9:36 am
Bonroxie19
on 3/18/18 9:15 pm
Topic: RE: LBL and some lipo, 3/7/18

Update on LBL and thigh LIPO

surgery was 3/7/2018

i spent one night in the hospital. Healing is coming along fine. Was off the pain meds in 4 days. Drains were in for 9 days. Only set back i am allergic to the tape being used over the stitches so i now have a ton of water blisters along my hip line where the compression binder sets. So now i have medicated pads on those areas, i am wearing a tank top under the binder to keep the binder from touching the blisters. The doctor has said he as seen it before and not to worry. Will post some pictures in a few day.

Bonnie RNY 2/11/15 by Dr. Takahaski

5'3" SW 230 pounds, GW per Dr. Takahaski 150 pounds, CW 132 pounds (10/1/17)

BMI 19% Bod Pod test 1/29/17 13.1 mile half marathon, 1 hour 59 mins (8/21/2017)



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