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on 9/30/19 9:41 am
My surgeon says you should be at goal and maintain that weight for at least a full year before committing to palstics. Things can look very weird if you regain after having plastics done.

Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!
I started researching surgeons and whittling down to my final list (I aimed for 3-5 potential candidates) when I was about where you are. That took a lot more time than I thought it would, so now might be a great time to start! I was at my goal weight when I finally did the consults (I did three), but they all required that patients be at a stable weight for at least a year, and at least a couple - if not all three - said not to gain or lose more than 10 lbs after plastic surgery (so....same as White Dove)
I found realself.com helpful for identifying possible surgeons - as well as doing a search on this site to see if anyone had used a surgeon in my region (I decided early on that I wanted to be within driving distance (maybe 2-3 hours away max) for various reasons. But there are people on here who've traveled long distances for this)
I don't think there is any harm in getting consults now. It may motivate you to lose your final 20 pounds. My SIL had a consult and did not get plastic surgery until a year or so later. He still honored his estimate.
Laura in Texas
53 years old; 5'7" tall; HW: 339 (BMI=53); GW: 140 CW: 170 (BMI=27)
RNY: 09-17-08 Dr. Garth Davis
brachioplasty: 12-18-09 Dr. Wainwright; lbl/bl: 06-28-11 Dr. LoMonaco
"May your choices reflect your hopes and not your fears."
My plastic surgeon wants you at a weight where you do not ever intend to gain or lose more than 10 pounds.

Real life begins where your comfort zone ends
I have about 20 more pounds to lose before my BMI is in the normal range. I've heard that some plastic surgeons want you to be at your final weight before surgery, and some want you to do it a little earlier. Maybe it depends on the particular procedure they're doing. In any case, I'm not ready for PS this minute, but I'm starting to think about it, perhaps for early summer 2020.
Should I wait to lose more weight before an initial consultation with a PS? Or would it be helpful to start looking into it now?
on 9/23/19 1:04 pm
I'll be going in February. :)

- HW = 290 (12/18/2018)
- SW = 264 (RNY: 3/11/2019)
- CW = 175
- Goal = 164
Just be careful of the pannilectomy incision placement- some are placed so they cannot he revised to a tummy tuck later.
A traditional pannilectomy can be very disfiguring and unattractive- make sure the surgeon lifts your mons pubis.
12/09 and 6/11, 9 skin removal procedures with Dr. Sauceda in Monterrey Mexico
Revised to the Sleeve after losing 271 lbs with the LapBand.
That is awesome to happy for you. Hope your healing process goes smoothly and you will out and about as soon as possible enjoying your new body.

I wanted to follow up and say I'm back down to within my regular weight range and am feeling awesome! I can't really tell if this is against forum rules so I won't directly link the image in the post body, but I wanted to post a before & after (brachioplasty and mastopexy w/ augmentation) for anyone who is interested in seeing. It is NSFW: https://i.imgur.com/sC8AydU.jpg
My implants are Mentor 355cc anatomical unders. I am 32 y/o, 5'3", 140 - 145 lbs. RNY was on 2/22/06 when I was 19 y/o and my highest weight was 293 lbs.
Here's the thing... you are numb for a long time. The idea of getting essentially cut in half terrified me, but you can't really feel the incision because all the nerves are cut. I was in a lot of pain for two-three days post op, but it was mostly my abs muscles because they repaired them. That was what really hurt, but it was less sharp and more burning/aching, and it becomes bearable quickly. Pain meds in the hospital and for about a week at home did the trick. Also, I can't remember most of the first day, so probably most of the really bad pain was lost in my post-anesthesia brain fog.
You can do it.
My advice is to spend some time thinking about results, and making sure you trust your surgeon.
This surgery won't change anything but physical stuff. It's expensive, and hard, and people will judge you for doing it. It won't get you more friends or make life easier. If you can get your mind to "go there," to the negative stuff, and still want this, you're ready!!
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