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I am team Dr. Joseph Michaels 100%! I had the best experience with him. He does virtual consults. I can't say enough good things about him.
Here is a post I did a couple of years after plastics, and it links to my original plastics post.
I would recommend waiting more than a few months. Many surgeons recommend that you spend 6 months to a year at your goal weight. I have had regain since my lowest weight, and had I had plastics at that low number where I stayed for like a hot second, I don't think I would still have such awesome results.
Where in upstate NY? I went to college in Ithaca!
on 7/29/19 11:39 am
Thanks for the tip about Dr. Sauceda. I've seen his name (probably on realself) so was wondering about him as well.
Yes, if I decide on going abroad, I'm definitely going to speak with my doctor to ensure I'd be able to come to her with any potential issues.
Lots to think about... Exciting but also overwhelming. It's nice to talk to folks who have already screened some of these doctors.
a lot of surgeons in Mexico seem to use recovery houses - I think they're a great idea! Another surgeon in Mexico who's pretty well-known on OH is Francisco Sauceda. I actually did an email consult with him - he's much cheaper than US surgeons - probably half the price, as I recall. Dr. Carmina Cardenas is as well, from what I've heard. They are both very well-respected and well-trained surgeons - in fact, Dr. Sauceda at one time worked in the burn unit at Parkland Hospital in Dallas. If you end up going to Mexico, either one of them would be a great choice.
overall, there are excellent surgeons abroad, and some not so good ones. You just have to do your research to make sure you're getting a good one. And from everything I've heard, Dr. Carmina Cardenas is very good.
I know what you mean about going abroad, though. I was tempted but decided to stay in the US in case there were issues. Although I suppose most doctors here would treat you if you had a complication - but maybe you should check with yours first to make sure that's the case. Just for peace of mind. It'd be a huge pain to fly back to Mexico. But if you're covered on this end for potential complications, you may be fine.
on 7/29/19 11:00 am
Thanks a lot & congratulations on your surgery. I would actually prefer to stay as long as possible. I live alone and know I will probably need to hire a nurse if I don't go through a surgeon with a recovery house. That's actually one reason why I'm leaning toward Dr. Carmina Cardenas. Although on the flip side, I'm hesitant about having this done outside the U.S. I've read horror stories about that but her reviews sound amazing. I'm flip-flopping on that for sure.

- HW = 290 (12/18/2018)
- SW = 264 (RNY: 3/11/2019)
- CW = 175
- Goal = 164
on 7/29/19 10:55 am
Thanks a lot for all this information!

- HW = 290 (12/18/2018)
- SW = 264 (RNY: 3/11/2019)
- CW = 175
- Goal = 164
on 7/29/19 10:54 am
Thanks a lot catwoman, I appreciate the info & feedback!

- HW = 290 (12/18/2018)
- SW = 264 (RNY: 3/11/2019)
- CW = 175
- Goal = 164
on 7/29/19 10:52 am
Thanks Maddymoe, I am also hoping for this winter, sometime Feb-March. I want to get down another 30 pounds and then settle into that weight for a few months to be sure it's stable. Good luck to you on your journey!

- HW = 290 (12/18/2018)
- SW = 264 (RNY: 3/11/2019)
- CW = 175
- Goal = 164
I read on here a couple of years ago to expect around $8K-$10K per procedure, with a 360 lower body lift counting as two procedures. I found that to be pretty much on the money when I was doing my consults. The surgeon I eventually went with was a bit more than that, but he's in Chicago (location can make a difference), and also, he insists on doing his surgeries in a hospital and makes you stay overnight at the hospital, which of course adds to the cost. The other consults I had do their surgeries out-patient (i.e., no overnight stay) in an ambulatory surgery center. I wanted the peace of mind, so I didn't mind paying extra - and it actually wasn't that much more than my other consults - maybe a couple thousand bucks. Again, the difference was probably mostly due to the cost of doing it in a hospital + the overnight stay.
I've heard of all of them except for Kovach, Giles, and Shuster. The others you mentioned are pretty well-known to the bariatric community and have excellent reputations.
I used Lawrence Zachary in Chicago who also has an excellent reputation and is pretty well-known in the bariatric community as well, but there are enough "stars" on the east coast (i.e., closer to you) that I would go with one of them. Plus if you're one of the few who experiences complications, it'd be helpful if your surgeon was within driving distance, I would think.
Edited to add that a lot of people do travel for plastic surgery, so it's not NECESSARY to have someone within driving distance, but it might be easier...
I paid $24k total. Others were slightly less, but really all the quotes were similar. For just the TT and breast lift it was around $20k, but I added on the buttocks fat transfer.
Dr. Michaels initially wanted me to do a 360 lift, but for some reason the idea of that gave me the creeps. So he did an extended TT but the incisions go almost completely around, so it was a good compromise (and a good way for me to save a bit of $).
I'm most excited about the mons area, which was a total mess before surgery. It is AMAZING now. Like I cannot believe the results, it's insane. He's a miracle worker.
Reach out any time you have questions!
HW: 286
SW: 264
CW: 163
RNY on 7/10/18 with Dr. K. Vaziri, Washington DC
Extended TT, Breast Lift, and Lipo with Fat Transfer to Buttocks on 7/24/19 with Dr. Joseph Michaels
Lower face and neck lift, 7/27/20, Dr. Henry Sandel