Re: Re: Post Panni by 12 days

[Guest guest]

Thank you for the input. I should wear my binder every day then? My surgeon

says it is up to me. I feel lots more support with it on just get hot and

sweaty at night. The additional work that you need won't be under general

anesthesia? Just local? My doc says he willl do " touch up " work after I heal

with

just a local....Doggie ears, and I don't know what else. Before my surgery

(as you said thanks to advice given here), I asked about the mons area being

lifted. I asked the PS and I asked my ob/gyn. Both said it didn't look like it

would need it and that surgery was pretty invasive if not necessary ?????

Doc said " you will be exposing your vaginal area to area and other things that

it should not be exposed to. " . Ob/gyn said that in order to do that, she'd

have to have a serious problem with infections etc in the " girlie " area. Well,

at this point my tummy is big and hard as a rock but sticking out. then it

goes in right above the panni bikini line and reminds me of a cliff! Hope this

gets better as I am not happy about it at all. thanks for all your good advice,

Marilyn

[Guest guest]

In a message dated 2/7/04 4:50:26 PM Central Standard Time, Mylou52@...

writes:

> Both said it didn't look like it would need it and that surgery was pretty

> invasive if not necessary ????? Doc said " you will be exposing your vaginal

> area to area and other things that it should not be exposed to. " . Ob/gyn

> said that in order to do that, she'd have to have a serious problem with

> infections etc in the " girlie " area.

-------------

Pardon me, but BULLS**T!

There is no exposure to the vaginal area...heck, they aren't anywhere

even close to the vagina! All you're talking about is having them pull the

skin UP from the mons and trimming a bit off the top of it before attaching it

to the abdominal skin that they pull down and trim off. It doesn't involve any

incisions in the genital area whatsoever.

I am NOT a doctor, but I cannot see any medical reason to NOT pull up the

area. Even when the panni/abdominoplasty is being done for primarily

functional,

as opposed to cosmetic reasons, there is no reason why the doctor should not

achieve the best cosmetic result possible. Leaving the mons saggy after

making the tummy tight is leaving the job half done.

I think it is PARAMOUNT that people discuss this fully with their

surgeons before they get on the table -- use your hand to yank up the area and

illustrate for him/her what you are requesting ... heck, DEMANDING. If they

minimize this as an area to address, or " poo-poo " your concerns, I would say

you're using the wrong doc.

I think it's important to discuss expectations with your surgeon

before hand -- and define what YOU will consider to be minimal acceptable

outcome.

One of my issues was that I wanted NO roll of flesh hanging over the top of

my pants after my tummy tuck -- I didn't care about the scars... I wanted the

roll GONE -- and I told the doc very clearly about it. She was aggressive, but

still left some ... and we went back three months later and she fixed it at

no charge.

Beth

Houston, TX

VBG - Dr. Srungaram

05/31/00 - 314 lbs.

11/01/02 - Abdominoplasty

11/29/02 - 160 lbs.

5'10 "

[Guest guest]

I agree with you wholeheartedly, Beth, EXCEPT for your description of how the

mons is addressed surgically. It CAN involve MORE than what you say, and I

know this because mine did! To the extent that I had swelling in the mons

area as a result of what was required to repair it surgically that it shut down

my bladder for awhile, requiring that I come home with a foley catheter for a

week till things " calmed down. " So it's a patient by patient approach, as it

always should be. Prolly the majority of patients will only require what

you describe, but some others will need more, as I did. But as you say, I am

shocked when I read how some people come home with (unexpectedly) droopy

coochies after their TT, and I wonder if it is a result of economics or of

surgical

expertise (on the part of the doctor in both instances), or a combo of both.

People need to be very clear in expressing what they want, and be insistent

that the doctor describe in detail what he/she will be doing surgically. I

had a surprise when I saw myself postsurgically LBL, but lemme tell you, it was

a very welcome and pleasant surprise. That's the kind of surprise I would

hope for all of us going through plastics.

Lucille

In a message dated 2/7/2004 11:09:07 PM Eastern Standard Time,

Graduate-OSSG writes:

> In a message dated 2/7/04 4:50:26 PM Central Standard Time, Mylou52@...

> writes:

>

> > Both said it didn't look like it would need it and that surgery was pretty

> > invasive if not necessary ????? Doc said " you will be exposing your

> vaginal

> > area to area and other things that it should not be exposed to. " . Ob/gyn

> > said that in order to do that, she'd have to have a serious problem with

> > infections etc in the " girlie " area.

> -------------

>

> Pardon me, but BULLS**T!

> There is no exposure to the vaginal area...heck, they aren't anywhere

> even close to the vagina! All you're talking about is having them pull the

> skin UP from the mons and trimming a bit off the top of it before attaching

> it

> to the abdominal skin that they pull down and trim off. It doesn't involve

> any

> incisions in the genital area whatsoever.

> I am NOT a doctor, but I cannot see any medical reason to NOT pull up the

> area. Even when the panni/abdominoplasty is being done for primarily

> functional,

> as opposed to cosmetic reasons, there is no reason why the doctor should not

> achieve the best cosmetic result possible. Leaving the mons saggy after

> making the tummy tight is leaving the job half done.

> I think it is PARAMOUNT that people discuss this fully with their

> surgeons before they get on the table -- use your hand to yank up the area

> and

> illustrate for him/her what you are requesting ... heck, DEMANDING. If they

> minimize this as an area to address, or " poo-poo " your concerns, I would say

> you're using the wrong doc.

> I think it's important to discuss expectations with your surgeon

> before hand -- and define what YOU will consider to be minimal acceptable

> outcome.

> One of my issues was that I wanted NO roll of flesh hanging over the top of

> my pants after my tummy tuck -- I didn't care about the scars... I wanted

> the

> roll GONE -- and I told the doc very clearly about it. She was aggressive,

> but

> still left some ... and we went back three months later and she fixed it at

> no charge.

>

> Beth

>

[Guest guest]

I think we are on the same wavelength in this, Bobbie. I don't know what a

" fleur de lies " panni procedure is, but let me describe what I had done. I

have a SEVERE mons overhang going into my LBL. You literally couldn't see

my vagina unless I lifted that flesh overhang down there, which was separate

from the panni overhang ... okay? So my surgeon did what I would imagine is

routine pulling up, but in the mons area he also cut down. Think of the cut

into the genital area as the bottom of a " Y " , does this make sense? So he

pulled UP and then cut down and pulled that part IN also ... the result of which

I

have now quite a pretty mons, so my husband tells me (LOL! I think so too!)

AND there is no overexposure of clitoris or anything like that ... everthing

is completely normal. BTW I didn't require lipo in that area as what I had

there was an excess of redundant skin, but that was just me.

Lucille

In a message dated 2/7/2004 11:09:07 PM Eastern Standard Time,

Graduate-OSSG writes:

> Sorry Beth, but I could'n't DISAGREE more, for reasons stated above. The

> more you pull, the more open the labia becomes and the higher up the clitois

> and

> urethra become. You can only pull so much " upward, " and the rest of the

> fatty, jiggly outter " mons " area tjat os left must be lipoed for the best

> results.

> Mine was pulled upward as a part of my full panni (courtesy of my surgeon).

> Anything further would not have falled under the insurance codes, thus

> requiring an additional procedure. I appreciate my surgeon's honesty and

> experience

> and my surgeon is a female.

>

> Of coure, everyone's " mons " area is different. Mine was indeed jiggly and I

> was concerned (from discussion from this list) that I'd be left with a

> " boylike " area in the front if this was not addressed. I did discuss this

> fully with

> my surgeon and, again, she did what she could, with all honesty, that fell

> into the category of my full panni with the fleur de lies procedure.

>

> Bobbie

> Anchorage

>

[Guest guest]

The Fleur de lies is a great expression --- its a W with the incision hip to

hip and breast bone to pubic bone with an intersect over an arc over the pubic

area --- its seems to be the favored procedure for massive weight loss. I

will try to get around to pictures.

JJ

In a message dated 2/8/04 10:32:13 AM Eastern Standard Time, DisDog@...

writes:

fleur de lies " panni procedure is

J.J.

Medial Lap RNY May 10, 2000 (Military Doctor)

Panni 1/26/04 with Dr. Shastri Buffalo NY

300/179/160