Recent Posts

Gwen M.
on 3/3/18 7:56 am
VSG on 03/13/14
Topic: RE: Dr in Philly area

There really isn't a way to say "I'm a size X now and expect to be a size Y after surgery." First, you'll have a lot of swelling post-op and, second, all bodies are different. You might not change sizes at all once the swelling is gone or you might go down two sizes.

Your best bet is to schedule a consult. You can do this via Skype if you don't want to travel.

I had my initial appointment with Dr. Michaels in February 2017, but I had to schedule my surgeries when they fit into my schedule - I was able to schedule all of my surgeries for exactly the days I wanted.

I was trending at 166.8 the day of my LBL and 156.1 the day of my leg lift. I have not yet reached my ultimate goal weight. I had surgery when I did because it was the best option for my long term life goals, with the knowledge that I might need revision surgeries when I reach my ultimate goal weight. (I wish Dr. Michaels had more thigh results on his website. There are some better pictures on his instagram, though.)

As for Dr. Capella - while I know some people have had great results with Capella, I'm turned off by the use of an assistant and his stitching technique.

I am about 95% thrilled with my legs. I had some wound openings and will likely seek revision for a few places due to those wound openings. The wound openings are a known minor complication with this surgery, as legs have the highest rate of complications. Mine more so, since my leg lift goes 3/4 of the way down my calves as well.

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

ruthmccord68
on 3/3/18 7:17 am
RNY on 11/05/12
Topic: RE: Dr in Philly area

Thank you so much for your input. That is saying something to travel from out of state. I travel in an RV during the winter months and have limited internet power. In the summer I live in south Jersey on a farm in the woods and have satellite internet and have trouble watching anything. Its so frustrating because I can't ever watch utube videos or stream shows. I'll try to do it at a friends when I can. Do you have any input on Dr Capella or any other Dr's? I want to have a consult with at least two of them. I am willing to travel but would like to stay in the North East.

ruthmccord68
on 3/3/18 7:13 am
RNY on 11/05/12
Topic: RE: Dr in Philly area

Thanks for the info. I have a few other question if you don't mind. I have so much loose skin that I feel like I don't know if I need to lose more weight or not. I don't really have a goal weight as much as a size. Currently I am 5'3" and weight 158 and am a size 12. I plan on having the skin removal surgery around May or June if the dr can get me in by then. I could lose maybe 5-10 more and be in a size 10 and would expect to be in an 8 when surgery is complete. I see you are 5'4" so you are slightly taller then me. What weight were you when you had the LBL and thigh reduction? Does what I am saying make sense? Also, how long of a wait did Dr Michaels have from appointment to surgery? He seems to be the busiest in the area. Also, have you heard anything about Dr Capella? Im asking because I was looking at his before and after photos and from the ones I picked that look like my body shape the after photos had awesome results and the "after" thigh photos were better than the ones on Dr Michaels website. I understand that its really hard to tell in photos so personal experience from peers is very helpful.

TDotDana
on 3/3/18 6:48 am - Toronto, Canada
RNY on 01/23/17
Topic: RE: Plastic Surgery in Cuba - compression garments

Thanks Gwen!

HW - 283lbs (1991)** LW - 206lbs (2014)**CW 265lbs **Slimband - March 8, 2013 ** 275lbs @ Preop Diet**  261lbs on surgery day**Referral TWH - Feb'16**Orientation TWH - May 11/16**Psychologist TWH (Dr Wnuk) - June 24/16 ** Social Work (Anna Wallwork) - July 20/16 **Nurse (Wei Wang) - July 25/16 ** Nutrition Class (Lorraine Gougeon) - Aug 15/16    Endoscopy TWH - Aug 18/16  Dietician (Laura Scott) - Sept 15/16 Surgeon Dr Okrainek Nov 18/16 ** PreOP @ TWN Jan 9/17 *** RNY & Lap Band Removal Surgery @ TWH Jan 23/17 w/ Dr Urbach

(deactivated member)
on 3/3/18 6:37 am
Topic: RE: 5 weeks post-op LBL/BL

Congrats on the new job and moving soon! I am sure you will love the warmer weather! My parents moved from NY (Westchester) down to Wilmington, NC 23 years ago and love it.

Congrats on the healing so well ... you look fantastic!

Gwen M.
on 3/3/18 5:43 am
VSG on 03/13/14
Topic: RE: Plastic Surgery in Cuba - compression garments

For the abdominoplasty and gynecomastia, I'd recommend something like this -- https://www.medicointernational.com/store/product-info.php?s c-150-male-above-the-knee-body-shaper-pid180.html

I used this for the arms, and it seems like it should be fairly unisex -- https://www.medicointernational.com/store/product-info.php?T -1105-Arm-Compression-Sleeves-pid577.html

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

Gwen M.
on 3/3/18 5:41 am
VSG on 03/13/14
Topic: RE: What did you pay?

Premiums should be paid with pre-tax money, so the only way you can declare them is if they're paid with post-tax money for some reason.

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

Erin T.
on 3/3/18 5:38 am
VSG on 01/17/17
Topic: RE: What did you pay?

Cool, we hit 10% too so that's all good and given bariatrics and diabetes I'll be adding to the pot I'm sure! Do healthcare premiums count in that?

VSG: 1/17/17

5'7" HW: 283 SW: 229 CW: 135-140 GW: 145

Pre-op: 53 M1: 22 M2: 12 M3: 12 M4: 8 M5: 10 M6: 11 M7: 5 M8: 6 M9-M13: 15-ish

LBL/BL w/ Fat Transfer 1/29/18

Gwen M.
on 3/3/18 5:20 am
VSG on 03/13/14
Topic: RE: What did you pay?

Yup! I think it's 10% now though.

VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)

Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170

TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)

Erin T.
on 3/3/18 4:01 am
VSG on 01/17/17
Topic: 5 weeks post-op LBL/BL

I will be 5 weeks post LBL on Monday. I was supposed to have a 4-week follow up with my surgeon I accepted a job in North Carolina when I was 1-week post op and it's hard to find time after giving notice to drive 8+ hours and be there on a Tuesday/Thursday without taking a full 3 days off. So, I've been communicating any concerns to my surgeon via email and I will see him at 8-weeks on 3/29. It will only be a 4 hour drive since we will have moved by then!

At 3-weeks or so I was told I could move to 2nd stage garments (ie: Spanx) and that at 4-6 weeks I 'didn't need to wear them at all unless I wanted to'. Well, I tried out Spanx for about 2 days and realized my swelling had increased quite a bit, so I have gone back to mostly wearing a surgical garment from waking until bedtime and I'm now sleeping without it. I know a lot of people may do the opposite, but I feel very much like I'm 'falling out' when I don't wear it when I'm being active. I sleep a lot better without the garment.

I haven't taken any Valium since 2/24, so I'm thinking I'm done with that. I figure I may have the need for it occasionally when I add back in working out. I can return to activity at 6 weeks, but my plan is to wait to talk to the doctor before I do more than just walking.

My glue is finally all gone. I got more vigorous with my loofa scrubbing because I was sick of it. I have one drain hole with a scab, one that the scab fell out of and there's a bit of a pit there and I have one open spot due to a 'spit stitch' (a stitch that came through the skin). The opening is about 2mm long and after I pulled the stitch out it dried up nicely. I have a few other stitches sticking out so I'll be interested to see if those cause similar issues. My butt pain seems to have resolved itself some this week too, that or returning to work in the office has made me sit on it for shorter periods of time and I haven't noticed. My tailbone is now very exposed and I have no fat over it so it feels bruised. That may be something I just need to get used to. I'm not sure biking will ever be my thing!

My breasts look fantastic, the scarring is already flesh toned and the vertical part of the 'lollypop' is the only portion I think you'd pick out if you didn't know I had surgery. My LBL scar is redder, but I'm still impressed by how it looks! I have one breast that has a small 'empty' area where it feels concave. I am assuming that might be a section he added fat to that didn't take. I will ask about it at my 8 week visit, but I sort of assume my body will move fat around to fill the void.

As a reference for how my weight changed - I was 130.6lbs the day of surgery and he removed 2.65lbs of tissue. I was 124.4lbs the day after I came home (9 days post op) and since have bounced in the 125-127 range. I actually would like to target being back in the 130-135 range, but I'm sure my body will get there on its own. I had 19% body fat going into surgery and I'll repeat the DEXA scan this summer.

I'm going to try and upload a censored picture of my front view, so if you're friends with me you should be able to see it.

VSG: 1/17/17

5'7" HW: 283 SW: 229 CW: 135-140 GW: 145

Pre-op: 53 M1: 22 M2: 12 M3: 12 M4: 8 M5: 10 M6: 11 M7: 5 M8: 6 M9-M13: 15-ish

LBL/BL w/ Fat Transfer 1/29/18

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