Here is the TIME OUT PLAN

I came over looking for this for some friends, and saw you looking for it, so thought I would post it. I just had my 3rd round of plastics, Thigh Lift, and so I am about 18lbs swollen right now with fluids.  I am going on Lasix on Monday to help get rid of the excess fluid. The day of surgery, last Thursday I weighed 148, 2 pounds is breast implants, ha ha.  The day after surgery I weighed 166lbs!! I had fat injections to my buttocks, he lipo'd 600cc's out of each thigh and then injected 400cc's in each butt cheek since I was sooo concave! he also lifted the thighs and reduced my labial tissue in my pubic area.  I am sooo happy with the results thus far.  The scar on my back from my Lower Body Lift last December, also was revised this time, it had healed very wide. Anyway, please visit my picturetrail pics and you can see the latest pics.   www.picturetrail.com/debschueler  passwords for both albums are:  usafa123 Hugs! Deb >>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>> TIME OUT DIET I called my surgeon about six weeks ago and he put me on a regimen he calls Time Out - for the first two weeks I had nothing but three protein drinks (and he specified either Nectar or Essence because they are high in protein and low in calories) and all the water and crystal lite I could drink per day.  After two weeks he had me cut back to two protein drinks and add a salad with fat free dressing.  I have lost a total of 26 pounds since I started it - lost 16 the first two weeks but it has slowed tremedously now - and I'm not surprised.  The good news is that I am changing sizes so my body is adjusting.  Since starting this program I have more energy and feel so much better.  I know it's because I have "detoxed" by body from the carbs and sugars. He does use this for his maintainance patients who have started regain - he doesn't think that any regain is acceptable. After reaching my goal, I will continue to weigh every day and if I gain more than two or three pounds, I get right back on the time out program til I'm back to goal.  This is supposed to nip the problems in the bud before they become major issues like now.

KAREN B’S TIMER PLAN FOR GETTING BACK ON TRACK The idea of this is to stimulate your metabolism to start burning fat and stop the grazing!!! Of course, adjust the times to your schedule, however, do NOT go past 1 ½ hours between some kind of feedings. 6 am coffee, tea, or some other kind of warm beverage to get things going 7 am 8 or more oz of PURE water 8 am protein shake 9 am 1-3 oz of protein type food* 10 am 8 or more oz of pure water 11 am protein shake noon 1-3 oz of protein type food 1 pm 8 or more oz of pure water 2 pm protein shake 3 pm 1-3 oz of protein type food 4 pm 8 or more oz of pure water 5 pm protein shake (like while cooking dinner prevents tasting and grazing) 6 pm dinner 1-3 oz of food total, i.e., 2 oz of protein food, a bite or two of veggie and perhaps a taste of a complex carb 7 pm 8 or more oz of pure water 8 pm protein shake 9 pm light snack like string cheese, deli meat or cheese, about 1 or 2 oz total 10 pm 8 or more oz pure water · Pure water is very important to optimum health and to flush the fat cells through your body.  You may drink crystal light, diet Snapple, flavored waters, etc., however, you still MUST get in the 64 oz of PURE water every day and do not count the water in shakes or the flavored waters UNLESS you are flavoring them yourself with lemon, etc.  Propel is good, but still do not count towards your water. · You may make your protein shakes with just 1 scoop for 20 g of protein or less, but your total protein shake consumption must be at least 90 g.  I use the full 30 g portion for each of my shakes, but my body requires more protein supplement.  Please adjust accordingly, however the importance is actually drinking them.  You can make up a half a portion in 2-3 oz of water to equal 15-20 g of protein then your daily total of drinking 5 shakes would be around 100 g which is perfect for a proximal RNY. · You will find that by setting the timer, you will never be hungry, and in fact, by the latter part of the day, you will be surprised when the timer goes off to have water, protein, or food again! · All meals must have a beginning and an end.  No more than 15-20 minutes per mini-meal.   If you are full in five minutes, STOP and discard food or put away for the next meal.  It doesn’t mean that you can still eat during that hour.  This constitutes grazing. · Track your food in Fitday.  This helps. You will find that even though you are eating every three hours your pouchie can’t handle as much as it could have before. · If you aren’t carbophobic add some whole grains to your meals, but eat them LAST. Mix all protein shakes with water and ice only.  No milk or fruit.  This adds calories and causes cravings for more carbs.   You may add SF syrups, or mix your shakes with SF beverages, i.e., Propel, crystal light, Fruit 2-0, etc.

Thank you so much for posting these photos! My butt is concave as well and I want a nice perky butt. Heck, I've worked hard for it but I just don't have the genes in me!

So you've been back for two rounds! My pre-op stomach has a lot more skin - but I'm older and was fatter to begin with probably. I am shopping for plastic surgeons now and am not adverse to going out of the country! Heck, I went to Brazil for my DS.

Dianne from FL (aka - swimming in skin) Edited to add: I forgot to tell you that you look great! And the food plan that you use is sort of like mine. I eat about every hour and a half. Before plastics, I plan on "protein loading" to help the healing process. THANKS again.

You would never regret going to Dr Fuentes.  He is the best plastic surgeon and also the clinic is super nice.  It is across the street from a top notch hospital that is approximately 80% Americans.   The surgeons are better than any I have ever consulted with, and their skills are amazing.  They do more WLS patients than most plastic surgeons do, and the aftercare is amazing!! I am going to have my arms done some point in the next year or so, but I am going to Nursing School in October, so it will have to wait until after school.  My friend had her arms done there and she said the scars were pencil thin.  She is about 1 month post op now. I am really happy to answer any questions about surgery at CosMed, and tell you how to do it.  Going there is easy and there is a guy you can pay $65 to and he will take you in his van back across the border to the airport or parking lot and he has a fast pass so it won't take as long. Lots of people fly in from all over to San Diego and have Alex, the driver pick them up and take them to the hotel.  There is also a recovery house you can stay at and she is an RN and was Dr Fuentes' nurse for 16 yrs.  She is the nicest lady!! Her name is Perla.  If you get to the point you want to send him your photos, he will send you a quote over the internet and he is really good at judging by pics.  Most people send in about 10 photos of 360* full and close up shots, and he will take about 2 weeks to get back to you, but he will send you his opinion of what you need, and the order in doing it, and the prices.  I paid $5400 for my lower body lift, and that included everything.  one night in the clinic, anesthesia, and any post op aptts. He also did major muscle repairs to my abs and buttocks.  All that got lifted up too.  My outer thighs and my pubic areas. It was a hard recovery, no bones about it, but soooo worth it!!  My abs are soooo flat and rock hard!! I paid only $3900 for my breast lift with augmentation.  He used the Cohesive gel implants, gummie bears and they are so real feeling.  I just love my new boobs, as does my hubby.  He was able to do the lift and implants via the areolas, and no incisions anywhere else. I just had the thigh lift done, and for that I paid $6050  That was really cheap, and combined with the LBL, very cheap. He did lipo of each thigh and down to the knees and upper hip areas.  He got out 600ccs of each leg and then injected 400cc's into each butt cheek. Dr Fuentes does more fat injections/grafting than any other doctor in the USA.  Dr Roberts in SC is a famous guy for that, but he charges around 10,000 for just the lipo and fat grafting!! I paid only $500 for the fat grafting!! Anyway, please feel free to email me if you want to go down there. I stayed at the Lucerna hotel, and it was sooo nice!!  I stayed 2 nights and with room service, I only paid $213 with taxes and fees.  The room was fabulous!! :) Anyway, take care! Dr Fuentes' email is:  [email protected] Just email him and he will tell you what you should do (if you send him pics)  It is safe to send him nake pics :) Love ya Deb

Deb, You look Great...I looked at your pics.  All I could think of was - Can you say Ouch???  Just how painful was all your surgeries?  You are a very brave woman....but I do have to say again just how wonderful you look....you didn't look bad before all your surgeries to me.  I know what it is like to take off your clothes and be reminded everyday of what life was like as a heavy person, because of all the skin and all.  I can see how happy you are with the results and that is what counts.  Take care and thank you for sharing your story and pics it is something to think about.  deb k

Deb, Wow, Wow, Wow is all I can say.  You look absolutely Amazing.  The whole Time I was going through your albums, I thought... hey this could be me she looks fantastic.  And I kept going, assuming you were the same age as me.... I'm 31.  You are an inspiration, and you so do NOT look your age! Congratulations on your sucess and speedy recoveries from your plastics. Take Care... Daisy