Tag Archives: weight loss

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.

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.

The operation was a success and the doctors were able to save the beard.

Well, the surgery was a success. No complications. They excised 19.2 pounds of fat and skin directly and also lipoe’d out about 400 g. Operation started at 11:30 or so on Friday, I woke up in recovery about 8 PM. Drains are in and will stay in for at least four weeks. I was worried that they’d need to shave my beard to get oxygen in or whatever but it came out unscathed.

The most painful part is the abdominal plication which makes it impossible to laugh or cough without pain. I fell behind the “pain curve” fairly early on but have been doing OK now that Igot the narcotic jump on it. Standard meds are oxycodone and valium and I can’t get more than about two or four hours of sleep lest I fall behind again.

When it rains, it pours… in addition to my wounds, our dog went after a cat at my dad’s house and got a nasty gash on his chest. Behold: two pitful creatures alike in their misery. I’m just happy that he gets to wear the cone of shame and not me!

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