3/29/08
Last time I wrote, I was about to see the surgeon who performed my weight loss surgery, and I was nervous that he was going to give me a hard time about the fact that I’d gained weight. Not only did he not give me a hard time, he reminded me that when I was at my lowest weight was when I was dealing with liver issues and suffering from chronic diarrhea. The liver issues resolved, the diarrhea stopped, some weight came back. It wasn’t unexpected.
At my appointment, he told me he wanted me to see the nutritionist for a regular visit, and also because they have a cool new machine that measures body fat without having to submerge you in the tank of water.
If I show up at that appointment and see a Tanita scale sitting there, I am going to be some kind of peeved! Ha. I kid. It’s an InBody machine, like this. I don’t know if it’s that exact model, but it’s similar.
Also, he asked if I was considering plastic surgery and told me they could refer me if I wanted. So I got my nutritionist’s appointment for mid-March and my plastic surgery consultation scheduled for February 29th, and went on my way.
As the appointment date for my consultation with the plastic surgeon drew near, I got more and more nervous and then finally I canceled and rescheduled the appointment. I knew the plastic surgeon was a professional, but the idea of standing naked in front of a strange man who would touch MY FAT PARTS had me a tad freaked out. I suspect most of you can feel my pain.
And then my appointment date with the nutritionist drew near, and I was in a busy time (getting ready to go on a short vacation) so I rescheduled that for next Wednesday.
So yesterday was the date for my rescheduled plastic surgery consultation, and as the day drew near, I don’t mind telling y’all that I was NOT looking forward to it. Fat or less fat, standing naked in front of a stranger is NO FUN.
My appointment was at 8:45 in the morning and I was making Fred go with me (and a good thing, too) so I left the house, picked him up at work, and went to the surgeon’s office. We’d thought that because my appointment was fairly early I’d get right in, but that wasn’t so. I signed in and had to sign some paperwork and give my driver’s license and insurance card for copying - the usual. If you’ve been to a doctor’s office, you know about all that. While I did that, Fred went and took a seat in the waiting room. Once I’d signed everything I needed to sign I turned around to walk into the waiting room, and there was this young, thin, blond woman sitting in the waiting room and if she’d been sitting in her seat the way it was intended to be sat in, she would have been sitting with her back to me.
However, when I turned around, she was twisted around in her seat looking at me, and I smiled at her - I always automatically smile at strangers who are looking at me, a habit I’d like to break now that I’m in my forties and don’t have to give a damn what strangers think of me - and she didn’t smile in turn. In fact, with a slight look of disgust she gave me the head-to-toe once-over, then turned around in her seat and continued texting whoever she’d been texting.
Highly amused - that’s the sort of thing that might have made me self-conscious once, but now I just think it’s funny - I sat down next to Fred, got out the notebook I carry around in my purse and wrote I just got a once-over and a look of disgust from the skinny blonde.
Fred nodded, took my notebook and pen and wrote She’s just here for the boobs.
I wrote We are TOTALLY old-school. If we were ten years younger, we’d be texting this back and forth instead of writing it!
We sat and waited to be called back to the exam room. A patient left, and I eyeballed her, trying to figure out what she’d had done/ wanted to have done, but I’m never any good at that sort of thing unless it’s over-the-top obvious.
Finally, my name was called, and we followed the nurse back to a room with two chairs and a TV. She asked a few questions, then started a movie entitled Body Contouring After Weight Loss (sound familiar? Probably you remember the big brouhaha when it won 16 Oscars a few years ago.) and we settled in to watch it.
It was BORING, but I will tell you that if the internet didn’t exist and I didn’t already know exactly the operations available and how they’re done and what the results and possible complications are, I might have found it riveting. Or at least interesting. A little.
We watched the movie, leafed through a couple of pamphlets, and then the nurse came to take us into the exam room. She asked a bunch of questions about my medical history, filled out some forms, and then told me to get undressed and put a sheet over my lap and a goofy little paper top over the top of me (she said I could leave my bra on, which I thought was a little odd), and then she gave me a pair of panties to put on. The panties, I don’t really know how to describe them. I guess “string bikini” would work. She delicately told me that rather than tuck my apron o’ flab inside the bikini, it should be outside the bikini so the doctor could see what he’d be working with.
I didn’t have the heart to tell her that my stomach flab wasn’t going to fit inside the confines of that bikini.
“Basically, she said you should let it all hang out!” Fred snickered. While I undressed, he went down the hall to use the bathroom. I’d just gotten the panties on and situated myself on the exam table when there was a knock at the door and the doctor and nurse came in. A moment later, Fred walked back in.
The women who’d told me that the surgeon had a good bedside manner were right. He told me to get up and come to the end of the table where there was a mirror on the wall, and he had me look at myself in the mirror while he - well, the only good word to describe what he did was “manipulate.” He manipulated my fat, showing me exactly what a panniculectomy would do, and then he was all “Any questions? Bye!”
I gave the nurse a confused look, and she said “Weren’t you interested in a lower-body lift?” and I nodded, so she went back out and got him. He apologized and said he’d gotten his wires crossed. He did more fat manipulation (at this point, though I’d kind of been holding up the sheet to kind of cover myself, I let it drop. Because the doctor and nurse have seen it all, I’m sure, and god knows Fred’s seen me naked plenty of times, so I wasn’t sure why I’d bothered to try to keep covered.) and showed me what the rest of the lift would entail.
Just a note here to point out when I say “lower body lift”, what I mean is “belt lipectomy” - ie, a tummy tuck that goes all the way around. Some practices include a thigh lift in the lower body lift, but this doctor doesn’t and I’ve heard of enough people who’ve had issues with their thigh lifts that I don’t think I want to chance it at this point.
He asked if that was all, and I told him I was interested in a breast lift (I should have told the nurse that I was interested in all this stuff beforehand, I’m guessing, but she said “Body lift?” and I said yes, thinking that there’d be a time during the health history or something where we’d get more in-depth and I could mention the breast lift, but that didn’t happen) and since I was wearing my bra, he had me sit on the table and unfasten my bra and take it off. He asked if I was happy with the volume of my breasts, and I jumped right in to let him know that I only wanted a lift, no implants. He got grabby (in a professional way, of course) and discussed how a lift would be done. He even said that he could extend the incision to under my arm and get the flabby bit there, which made me happy.
After that, he asked if there was anything else, and I grabbed my waggly underchin. He said I could get dressed and left the room. The nurse decided to take me down the hall to get pictures of me for their records and to send to the insurance company when they submit my preapproval request. Having naked pictures taken is about as fun as you’d imagine, but she reassured me a couple of times that my face wouldn’t be in any of them except the underchin pictures.
Then I got dressed and sat on the exam table. A few minutes later the doctor came back in and he sat next to me on the exam table and as I held a mirror up he told me that I had very good skin tone and looked youthful for my age (”Why, THANK YOU, doctor!”, I thought but did not say. ‘Cause he was stating it as a matter of fact, not complimenting me.) and rather than a full face lift (which I guess is how they usually take care of the saggy underchin area) he’d do a neck lift that would involve incisions around my ears. I could live with that - I just need to learn to stop tucking my hair behind my ears!
He carefully went over the possible risks for each procedure, and then Fred asked if all procedures could be done at the same time. Turns out that due to the time spent under anesthesia (and, I would guess, the recovery time), he’d want to do the lower body lift by itself, then the breast and chin lifts could be combined.
We had a few more questions, and then he left us in the capable hands of the nurse.
The nurse asked a few questions and went off to get a quote for us. Hopefully the insurance company will cover a panniculectomy and then we’d pay the difference between that and the lower body lift (the lower body lift, as we were told, is three different procedures - the panniculectomy takes care of the hanging apron at the bottom, the tummy tuck takes care of the upper abdomen (between the belly button and ribcage) and then the back part, which I believe is considered a “buttocks lift”). She wasn’t able to get us a quote right away, because she had to get some information from the hospital about anesthesia or operating room costs or something, so she said she’d call yesterday afternoon and give me the information, and mail it as well.
They never did call yesterday afternoon - I don’t know if she didn’t have a chance to get the quote together or just got busy, or what - so if I don’t hear from her by Monday afternoon I’ll call the office.
It takes around 4 - 6 weeks to hear back from the insurance company, so if they submit it right away, it could be mid-May before we hear back, and then depending on his surgical schedule, maybe it’ll be the end of May or sometime in June before I’d be able to have the lower body lift done. Originally I thought I’d wait until Fall to have it done if I couldn’t have it by the end of April, but I REALLY want this done (the hanging skin on my tummy bothers me) and Fred’s okay with that, so maybe I’ll be spending my summer recovering from plastic surgery!
I will, of course, let y’all know what happens!


