The Past Seven Months

I haven’t written anything in the past severn months. Why is that?

Mostly because, well, I’ve just been living my life. My new eating habits are “for the rest of my life” so I’ve been figuring it out. I have my routines and mostly stick to them.

I continue to walk the dog at least once a day, and on the weekends I walk up to 3 miles. At the Gay Pride parade I marched with different contingents and walked over 5 miles. I can do this! I still have back back pain because my back is really screwed up, but I can deal with it day to day. Some days it’s worse, some days better.

I still do yoga. I have lessons weekly and try to do my practice at least a few times a week. It really helps. I had a whole course of physical therapy for my back, and that helped too. Mostly I learned some good mobility, strengthening, and stretching, and it nicely complements the yoga.

I went bowling a couple of days ago. All good.

I walk around our property, do physical things around the house, and all is well.

I’ve done 2 plane trips and 1 driving trip and did really well. Didn’t even board with the disabled people, and I’ve stopped parking in disabled spaces.

So what do I eat? I generally eat some protein and fruit and decaf coffee (with half and half) at breakfast, a salad with protein for lunch, a snack of crunch protein things like nuts or parmesan crisps, and dinner of protein, veggies, and sometimes a small amount of carbs. I snack at night, which continues to be a problem, but I try to keep it “clean” – sugar free candies or other treats or some more protein. I average about 1400 calories a day, under 75g net carbs, about 100g of protein. I drink about 100 oz of water a day. It’s all a good routine. When we travel it’s worse because there are other treats available, but we bring foos so as not to snack on the plane or at airports, and get groceries delivered to hotels so we eat our normal food and not more junk or restaurant food. I let myself indulge a bit, and have been as high as 1900 calories and up to 100g of net carbs. I still track what I eat most days because it keeps me accountable. I skip days that are particularly stressful or busy, but I try not to skip more than one day a week.

My weight was 207 when I had my original plastic surgery. I got down as low as 192, and then hung around 196 for a while. I’m hanging around 200 now. I’m OK with the weight, but my shape is weird. I’m having a “revision” plastic surgery on September 17 to deal with some of the upper belly fat. I’m doing that because I look funny in clothes, narrow at the hips, small breasts, and a round midsection. I can’t get clothes to fit right either. My hips are a size 7 and my belly is a size 18.

My A1C has been steady around 6.3 which is great for a diabetic. I’d like it lower, but my body will do what it will do. All other blood work is great. The only meds I’m on are Candesartan for its kidney protectant properties and to keep my blood pressure in check, and a low dose of Lipitor to keep my good cholesterol high enough.

Great outcome – all a rousing success in terms of my original intention for having the surgery.

Choice of Surgeon

For those looking for a surgeon in the SF Bay Area, I went with Dr. John Connelly, who’s with Sutter out of Mountain View, surgery at their Los Altos facility. These are reasons I picked him:

  • I was at a higher BMI than many surgeons would accept; no issue for him.
  • Competitive price for the items insurance didn’t cover.
  • Part of my healthcare group (Sutter) so easy to coordinate with my PCP and the doctor who did my hernia repair.
  • The practice was recommended.

So far I’m extremely happy with the care, and the results are good although really too early to tell (only 2 1/2 weeks post-op).

Progress at 17 days

Still have a drain. Off all pain meds except occasional Tylenol (like at night). Weight is around 196. Still super swollen. Fairly uncomfortable due to the swelling and drain, and itchy at the incision sites. Nipples are super sensitive, although better every day.

Plastics after a couple of weeks

The first week was bad, on big pain meds and badly constipated, slept a lot. Second week more mobile, started taking short walks. After 2 weeks I started sleeping in my bed again. Still uncomfortable. Feels like I have a heavy, warm stone strapped to my lower abdomen. But better every day.

Surprised at how it feels

I guess I never really asked what it would feel like to have a whole bunch of skin cut off my body, so now I’m finding myself surprised. It feels like I have a huge burning stone strapped tightly to my midsection, one that itches and occasionally hurts more. Additionally my nipples are incredibly sensitive and I itch all around.

Journey

Interesting journey…

HW: 320

SW: 281 (sleeve 6/7/21)

Got down to about 207 and pretty much stopped losing. I decided I was ok with my body even at that size so decided to look into plastics, especially since my huge belly overhang and mons got in the way of so much physical activity. On 11/9/22 i had an extended panniculectomy and extended maxopexy (breast and side lift) where they removed 17 lbs of skin.

9 days post-op I now weigh about 196. I’m terribly uncomfortable from the surgery and nauseous/constipated. But better every day. No idea where the next step in this journey will take me, but it’s been a wild ride!

Here are a couple of pictures: close to my high weight a few years ago, and at my wedding a few weeks ago.

Here is my drivers license picture versus Halloween this year.

Day 8 after plastic surgery

Itchy, still have drains, and feeling tight and swollen. Spent 6 hours in the ER yesterday with some nasty constipation. Today doing what is essentially colonoscopy prep, after determining nothing structural going on. Luckily off the big pain meds.

Now very tired…

One week out – impatient!

I had plastics a week ago: extended panni and breast lift. The experience hasn’t been bad: I have pretty good movement and I’m now only on Tylenol for pain. But I feel like I’m barely smaller! Saw the doctor a couple of days ago and he says I’m doing fine, but I’m so swollen! They took off 17 lbs of skin and I can still wear the same bra and pants! How long does the swelling last? When am I likely to get anywhere near my final size? I’ve been waiting so long to buy clothes…I’m impatient!

Plastics

17 months post-op from my gastric sleeve, after having lost 113 lbs, and just had an extended panniculectomy and mastopex (breast lift). 17 lbs of skin removed!