Tag Archives: paleo

Circumferential Lower Body Lift Week 9

The first three weeks of being physically back to work are in the bag. The first week was rough, I was a little shaky and moving slow. Getting up and walking around (despite having an office job) proved pretty demanding and beat me down pretty good by Friday of my first week back. Second week back I felt stronger, actually started going out and walking a bit at lunch but I must have overdid it because between last Friday evening and this past Wednesday I felt like I had body aches from the flu. I think it was simple overexertion. With other life stuff going on I haven’t lifted weights in nearly two weeks as a result. But, today I was back on it and hit 135 for three sets of five off a high box and hit three sets of the same weight on deadlifts.

Pain-wise about 80-90% of the discomfort from the abdominal plication is gone, and it was really this week that I felt like a normal, mobile human being again. The scar is pretty much “dead” and will need to be re-sensitized as healing continues, so apart from the occasional poke from an undissolved suture, that’s not been an issue. My weight is staying in the 234-238 range, having finally stabilized there, and I’m basically staying protein/fat paleo only with a maybe a once a week true cheat here and there. The goal is to get down to 220 and stabilize there, and I may buck the fat intake a little bit to do so.

I’ll have some before/after photos at the 12 week mark, and am working up a recap of the experience including a laundry list of things that worked well, things I wish I’d approached differently, and overall thoughts on this procedure.

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Circumferential Body Lift Week 6: Back to Training

It’s been a week, folks.

I tapered down to 10 mg of Oxycodone on Tuesday split into two doses spaced 12 hours apart and took my last dose in the early evening. Had gnarly night sweats, nausea, malaise, flu-like symptoms for three days and then started to feel better on Thursday. Friday I was through the withdrawal and felt like a normal human being for the first time in six weeks. I was able to drive myself to my six-week evaluation at the surgeon’s office, where he cleared me to work out. That clearance came with the stern admonition to take it easy for the first four to six weeks, and to expect to occasionally bonk and feel like shit after heavy sessions for the next six months to a year. One year is the full healing time for the procedure, and now I just need to go back in a year for an evaluation, possibly sooner to look at some other plastic surgery options depending on where I end up at that time.

Body weight has been decreasing rapidly despite ramping up caloric intake markedly. Monday I was 242 in the evening and 239 in the morning and today I was 236 in the morning and 239 last night.

My first workout since the procedure was today. Six weeks to the day after being released from the hospital.

first session

Short session, it was just a get in there and see what I’m capable of type of thing… 135 off a high box felt like 315 did before the procedure. To be honest, I was happy just to not be pinned by 135 and work through three honest sets of five with a decently wide stance. It was brutal and I am having IOMS as opposed to DOMS (immediate onset muscle soreness, a highly scientific term that I just made up).  But, we all have to start somewhere.

Circumferential Body Lift Recovery: Week 2.5 Post-Op, or why Jackson-Pratt Drains SUCK

So, all the drains that were re-anchored last Friday came loose by Sunday. I was securing them with tape but was strongly advised by my surgeon to come back and get them re-anchored yet again.

The anchoring of a drain goes something like this: the pubic area above your genitals but below your waistline is numbed with some a cocktail mostly containing Lidocaine. After the numbing be happenin’, they pull a stitch about 1/2″ or 3/8″ through some of the meat next to the drain tube exit. So now there’s two bits of silk suture material coming out of your body, sewn fairly shallow into the flesh. They then tie several knots to give it a “leash”, wrap the suture material around the tube to secure it, tie it off with a couple more knots, then trim the excess. Boom, done.  I got six of these… two on each drain.

Within 48 hours, all six had pulled out of my flesh in an action very similar to one of those wire-hard-boiled-egg-slicer-thingies, or a wire cheese slicer. On top of this drain #1 (my problem child drain) quit producing altogether. So I’m thinking shit, I don’t want these to come out but at least one’s not producing and can come out soon! Hooray!

Until I wake up on Sunday morning with my pants soaked.

Drain #1 was NOT done producing, it just got clogged. The fluid has to go somewhere, so it just started dripping out in a constant dribble around the tube. I managed to manually unclog it by kind of “milking” the drain at the base and when I did, oh my gosh… I pulled 100 mL out in less than 5 minutes. I watched the drain exit area literally deflate like a dead beach ball. It’s clogged once since then but luckily I have been able to get it going again.

Went back down to Dr Pickart’s today and after numbing he put some nice wide, deep monofilament polypropylene (hopefully less reactive and less likely to just melt through my flesh) anchors. Did a real nice job, too. Drain #1 continued to be a problem though due to a slight nick in the tube about an inch and a half from the exit from my body when the old silk sutures were being cut off. The solution? Wipe with alcohol to degrease, let dry, and do a CLEAN and fairly tight wrap with electrical tape. I was using medical tape but the surgeon said that electrical tape is the best stuff to use for this.

In other news, on Monday evening after awakening from a brief nap, I felt a definite shift in my overall sense of well-being. I feel stronger, like I can walk around and do things, and most importantly I can almost stand up straight. I feel like the “I’m over the hump” moment has finally happened. And that damned “stitch” in my left side from getting in the car on Friday has really diminished in terms of overall pain and discomfort.

I’m just eager to see how much my squat form will improve with 20 pounds of fat and skin out of the way.

Circumferential Body Lift Recovery: Week 2 Post-Op

Week two flew by. No infection issues. Drain volume remained high and the only real issues were that three of the anchor sutures holding the drain tubes into my body had busted loose. At my Friday post-op, Dr. Pickart just numbed drain exit area (just above the genital area) and re-anchored the drains with new sutures.  Drain #2 was removed as it had actually started to work its way out too far to be useful; I was assured that the other three would compensate for the loss of one drain without any issue. To my delight this morning drain #1 stopped producing entirely, so I’m hoping that at least one more drain will follow suit by the next post-op this upcoming Friday. I’d like them all to taper off but this is an unlikely happening. In any event it was a great visit. I haven’t really talked about the surgeon, Dr. Pickart, very much on this blog but he’s a really cool guy. We always end up having very interesting, long-winded conversations about various life topics. He’s a smart guy, an excellent surgeon, and just a great human being in general.

After the post-op and on our way home, we stopped by work to grab a couple of books for a project I’m working on and to say howdy to my boss. Unfortunately, while getting back in the car (still a very awkward maneuver) I tweaked something in my left side. It feels like the stitch in your side that you get from running; just a very sharp, knife-like pain. I talked to the doctor about it today and he said that it could be a blown stitch or a muscle spasm from just having too much activity that one day (and it was a big day out, it’s an hour and a half drive from our place to the surgeon’s office). Luckily it’s starting to subside this evening and it’s not anything to really worry about long-term.

Food wise, I’ve been mostly staying paleo but trying to just keep inflammatory foods in check. There have been days with burgers and pizza but that was more in the first week where my body was just screaming CALORIES AND TASTY ONES NOW PLEASE WE NEED MORE CALORIES MAN WE JUST GOT FUCKED UP REAL BAD. The pain relievers really suppress my appetite so I have had things like a steak cooked in butter with some steamed broccoli or brussels sprouts, some chicken breasts and salad with avocado and tomato, basically just really simple high protein (and occasionally moderate fat). I have been drinking more Coke Zero than I would like to admit because it just cuts through the dry mouth from the pain killers in a very satisfying and relieving way. The past couple days have been just really appetite suppressed so I have relied on a multi-protein blend (Dymatize Elite Fusion 7) just to get something down the hatch. I am basically trying to get somewhere between PSMF and regular keto for recovery just to try to shred out a little body fat if possible (though I did have sushi and easter candy last night after having had very few carbs for the last few days).

That’s all for now. Till next week.