Revisiting Surgery Preparedness

A lot of people looking to have plastic surgery are desperate for information. What do you need? How will you feel? Whats gonna happen? Well, I’ve written a lot of posts about how I’ve prepared for my surgery (Tummy Tuck / Abdominoplasty with Placation and Arm Lift / Bracioplasty). Here, I’m consolidating and revisiting what I actually used and found helpful. If you want more detail of my journey, visit the “Plastic Surgery Journey” category to grab those posts.

First, lets start with what I haven’t mentioned on the blog specifically. Before the surgery, I packed a suitcase. This suitcase had everything I could wear in it. This way I could get my care givers to get me fresh pants or underwear or shirts without them having to dig around for them. Here’s what it had:

  • Four pairs of BAGGY pants. I specifically ordered yoga and sweat pants that were one size too big for me. They were comically large — until I had surgery and swelled up like a balloon. I had read other people having to wear their boyfriends pants, well Mr C is skinny so I had to buy my own. YOU NEED BIG PANTS. You need loose clothes. LOOSE.
  • Button up / zip up shirts. Your arms can’t function — how you gonna put a shirt on? How are you gonna access your stomach binder and drains. You’re gonna be wearing open front shirts – that’s how. I couldn’t even pretend to put on a tshirt until week 3.5 and I still don’t want to in week 4.
  • Brief-style underwear. You might not wear underwear at first. The drains might, like mine, be coming from your mons pubic area. I, however, found that I prefer to wear underwear so that the drain tubes are held in place when I pull up my pants. You don’t want your care givers rifling through your underwear drawer and bringing you lacy bikini bottoms.
  • Compression socks. These were required for my first two weeks.
  • Compression pants. After my first week appointment, I was told to wear compression pants to help with the comical swelling of my thighs.
  • Compression arm sleeves. Some people are fine with the ace bandages they were sent home in. I was not. Those things were tight and itchy and drove me NUTS. Order multiple types to see what you like. Then order and extra pair of the one you like. ‘Cause you can’t wear deodorant and your underarms get stinky so washing will be required at some point.
  • Zip front bras. Yeah, same as the shirts. I’m a month post op and still cant put on a regular bra.

The next most handy thing I had was clutch. CLUTCH. I’ve mentioned it many times already — LIFT RECLINER. I rented a lift recliner. Having your stomach done, you can use your arms. Having your arms done too? Kinda fucked then. The proper way the nurses showed us to move me around was to bend over and let the patient hug you and then rise with them. It sounds so easy but it’s not. You don’t have to buy this thing — rent it! I paid $150 for the month and that included delivery and pickup. I just googled “medical supply store” near me and found three places that rented them out. It was required. I lived in it. It was my world for 2 weeks solid. And it got me up without fail and without my care givers freaking out about ripping my arms open.

Something no one mentions but appears in all their videos: Straws. I bought some long bended silicone straws. Your arms are so swollen and tight you can’t reach your mouth. You need a straw.

My well organized baskets from this post: “Surgery in T minus 4 days“. All three baskets were useful. It was great to be able to move them around to where I needed them. The hygiene basket mostly stayed in the bathroom. The medicine basket mostly stayed in the kitchen (but note how I had labeled all my medication in layman’s terms. That was a god send for my caretakers. Also visit that post for details like how you’re gonna NEED some stool softeners). The wound care basket was clutch though. Sometimes we did my wounds in the recliner. Or in my bedroom after my showers. Sometimes it was even in the kitchen. We didn’t have to grab a bunch of stuff or worry about forgetting something, we just grabbed the basket. So convenient. Here’s what it had repeated:

  • Gloves
  • Bandages
  • Medical tape
  • Brand new clean scissors
  • Qtips
  • Polysporin (the latter two for around the drainage sites)
  • Antimicrobial soap
  • Alcohol wipes (using one of these to strip your drains makes it a breeze — tip of the day).

I’m gonna mention stool softeners again. I’ve never had a problem with constipation. Even after surgeries. So I wasn’t too worried about this. However, I was instructed to start stool softeners 2 days before surgery and a laxative after. You gonna NEED THIS. I did as I was instructed and about three days post op, I felt like I was shitting shards of glass. That’s AFTER 5 days of stool softeners. Do what you are told for sure.

Rent a rollator or have chairs strategically placed. You’ll need a chair in the bathroom for brushing your teeth. You’ll need a chair in the shower. I also used it in the kitchen where I emptied my drains. But DON’T USE A WALKER! My doctor was very adamant — NO WALKERS. He said for 24 hours you can hunch. After that, your abdomen needs to be standing tall. You can walk loose and bend at the knees to relieve the pressure on the incision but you don’t want those newly repair ab muscles to heal in a hunchback position. No one needs that.

Pillows! Get all the pillows! Your arms need to be raised at all times. Or your hands will swell. It sucks. You also need a pillow under your knees — EVEN IN THE RECLINER. This reduces strain on the tummy tuck incision. You’ll need this when you move to the couch or bed too.

Binder. I already mentioned the arm sleeves. But you’ll have a tummy binder too. The one I was sent home in was difficult to put on. I had to have a friend come help Mr C put it back on me every time I took a shower because you have to have them so tight and well, your own arms are useless. At two weeks I switched to one I got on Amazon with three “belts” that velcro instead of one big piece. This means you can just stick one on there immediately to hold it around you. This allows you to line up your foam pads, move your drains, and make sure it’s centered. Then you can pick one of the other “belts” and strap it tight. Then pick another. Then another. Then keep doing them over and over in increments until you have it on tight enough. I bought this one from Amazon. I’ve got another being delivered this week that has more boning. We shall see if I like it better.

Lanyard or drain pouch. They sell pouches that hang around your neck to hold your drains in the shower. My doctor actually gave me a lanyard with their phone number on it so I could hook my drains to that in the shower. I also used it when I was sleeping in the recliner covered in pillows to attach my phone to. I had very limited reach and a lot of pillows all over me. Being able to retrieve my phone from around my neck was clutch for the first few days. And you gotta have something to hold your drains in the shower. Period.

Protein drinks. I drink Premier Protein but your body needs protein to heal. A LOT of protein. And you’re wearing a corset so you cant eat it all. Drink that shit.

This last thing — I hope you don’t need. 4 weeks in, I was doing great. I was undoing my drain dressings so I could hop in the shower and… I nicked a drain tube. It immediately lost suction. I freaked out. I called the doctor and they told me to go buy “medical foam tape” — it’s waterproof and stretchy. I sent Mr C out immediately to get some while I panicked about how I done fucked up. After a few attempts, though, I got it to hold suction again. So yeah, life saver. Be careful with those drains!

EDITED TO ADD: Toilet riser. I was in the best shape I’ve ever been in going into this surgery so strong legs were a key ingredient. Yeah squats! However, our house has “comfort height” toilets. If you have those regular short toilets, buy you a cheap toilet riser. It can be cheap — you don’t need it to last a year or two or three, just a few weeks. You’re only gonna have your legs to get you up off that toilet — don’t go down so low you can’t get back up!

Four Weeks PostOp

Today marks four weeks from my surgery (Tummy Tuck / Abdominoplasty with Placation and Arm Lift / Bracioplasty). I’m healing up really well! I still have the small opening in my tummy tuck scar, but it is healing up slowly and not infected or anything.

I still have my cursed drains. They have to be below 15cc each for three consecutive days to be removed. They’ve been hanging out around 60-75 all week. So yeah… I had hoped I could get them out Friday when I get back in town. Looks like I’ll still have them when I return to work! At least I’m working from home.

Oh, speaking of. Sunday, I got a text from my boss that he quit. He’s the only person I knew and the one who hired me. So that’s weird. No idea what this job is going to be like.

Anyway, post-op. I’m doing well. I can take care of myself completely now. I can even do my own bandages over the drains and stuff. Swelling has gone down tremendously. I can reach my feet! I’ve missed my feet. I can put on my own socks! I’m still really swollen in the stomach and arms, obviously, but my legs are returning to normal.

Another 11 hour journey in the car tomorrow. Last one was rough. I got nausea even with the anti nausea patch and had to resort to my surgery anti-nausea pill. We had to stop every two hours per doctors orders, but it was more like per my bladder.

Wild West

It’s like the fucking wild west over here! I saw the doctor today as scheduled. 19 days post-op. He barely looked me over. He did look at the little wound opening but it’s not bad apparently. I had to make him look at the drain holes to make sure they were fine. He asked if I had any questions. Oh I have questions.

Can I switch to this binder (I had pulled it up on Amazon because I forgot to bring it) instead of the one they sent me home in?

As long as it’s supportive you can wear whatever you want.

Do I still need the lipo foam?

Is it bugging you?

Yes?

Then you don’t have to use it if your new binder supports your back.

I’ve been sleeping on a wedge with my shoulders and knees raised on my back but I’m a side…

You can sleep however you want.

However I want? FUCK ME. I’ve been over here on the couch carefully positioned between two wedges on my back with my arms out. And you’re telling me I could be in my bed on my side? It’s the Wild West! Wear what I want, sleep how I want. What the fuck!? I thought we had rules!

The only rule that stands is that I can’t have these bastard drains out until they are under 15cc per drain per day. Fuck. They’re around 100cc right now 🙁 I swear he put them right there so I could see what it was like to have balls.

Well, Mr C is very happy he doesn’t have to help me get in that old binder anymore. New binder is much easier to put on.

Some Things 12/17

1) My poor sweet kitty, Jack, has a cold. Yesterday, bless him, he was a mess. Sneezing and mouth breathing with watery eyes. K was going to help me take him to the vet today but he’s doing much better. He woke up when I did and went straight to his food bowl. He ate a good bit and meowed (you can tell he sounds congested) and harassed me and purred for pets. So he’s feeling much better. I’m so glad.

3) I hear Mr C whistling the Top Gun theme song. I guess Christmas music is getting old. At least he’s happy. He only whistles when he’s happy.

2) My surgery recovery is well. I had two breakdowns yesterday. One, the physical. I noticed leakage from my tummy tuck incision. Oh no. I freaked out. I sent pictures. I talked to the doctor. It’s dead skin and a popped stitch. It might turn into a gross wound that takes a while to heal. But it’s normal. Just put some ointment and a bandage on it. EWWW. Dammit.

The second breakdown was mental. Combine me worried about my precious being sick with a OPEN WOUND – Panic. I had a panic attack. I laid down for bed (on the couch) at 7:30 pm. I was so upset with myself. “What have I done!?” And freaking out — I did everything right! Tons of protein, being careful, watched all the videos, got all the supplies, followed all the directions — why me boo hoo.

One Week Post Op

So it’s been one week since I had my tummy tuck and arm lift. I had a follow-up with the nurse this morning. Since everything looks great, I get… MORE COMPRESSION. You thought that binder was tight before — wooh, no way baby. This thing is now as tight as if you used some cable tighteners to get it cinched. Damn. Like I ain’t bending at all. Not because my abs can’t, but because I have been bound so tightly. I feel like a china doll.

So my belly button hurts. Hence I’m not napping, hence I’m posting here. I’ve been trying to get a good way to access my laptop but I just can’t. My arms need to be raised, so it makes logistics difficult. This also very much bothers my cat. The pillows take up my lap. So now whenever I go to move or get up and move the pillows or especially when I’m sitting back down, before the pillows are out, he pounces on an open lap. Poor guy.

So I’m looking great according to the nurse. They took off 15lbs total between skin and lipo. I have a very swollen hourglass. Comically swollen. Over 7lbs of what they took off was skin. Bleh. I saw the pictures. It was a lot.

I’m so glad I prepared for this surgery. I knew what to expect and I went in as prepared as I could be. The lift recliner is REQUIRED. It’s where I live. It allows me to get up and sit down on my own. It’s required. The crossfit that got my legs ready to be able to squat all my weight easily — also required. Thank GOD. If I was my old jello self, I just don’t know how I’d be getting around. Also, thank God for our tall toilets. If you have standard short toilets, you’ll want riser.

The rollator is up for debate. A walker is completely unneeded and bad for you. My doctor wants me walking upright — not hunching. Today I got in trouble for hunching too much and I thought I was doing damn good! However, the rollator is a very convenient that seat I can easily roll where ever I need it. The height of the seat makes it easy to get in and out. I use it in the kitchen to empty and clean my drains. I use it in front of the bathroom sink to clean up and brush my teeth. I use it in the bedroom to sit on when I get out of the shower and need help getting dressed. Plus I can easily move it around on my own. So I’m extremely glad I rented it. But strategically placed chairs could serve the same purpose.

I’m also glad I labeled all my medicines in layman terms. This has helped me as well as my care takers. Need a muscle relaxer? Whats it called? I don’t give a shit, it’s the one that says “muscle relaxer.” Oh and thank God for protein shakes! I’ve been living off them! Thanks to K3 who keeps ordering them for me with her Sam’s Club membership.

Recovering day 3

So it’s Saturday. I had my tummy tuck and arm lift on Wednesday. My recovery is going well. Thank goodness for all the cross fit I’ve done before hand. The back and leg muscles are doing me quite well. The “lipo-itch” is starting to kick in. Man, I want a back scratcher! But thanks to the lift chair I can easily get up and down. Well, “easily” isn’t quite right, but I can do it. Lift chair is the VIP of the household right now. I hope the inventor is making a ton of money off this product.

My poor Jack (cat) is unhappy. He hasn’t been able to sit in my lap and my niece is bugging the shit out of him. He hissed at her a minute ago. Ha. Told you to stop bugging him. He’s like 80, just let him sleep.

Thankfully I’ve been getting good sleep. The antinausea pill makes me sleepy.

“Tomorrow, tomorrow, it’s only a day away…”

So the big day is tomorrow! Tummy tuck and arm lift. 8:00 AM. Gotta be there at 7:15 AM and have three different drink mixes drank before 5:15 AM. Got it. I plan to wake up at 3:00 (it’ll be more like 3:30 before I make it downstairs), drink all the drinks that I’ve already mixed and put in the fridge. Surf Facebook while I do that. Then I’ll shower and scrub down with my antimicrobial and get dressed and ready to GO.

Yesterday they delivered the lift chair. It’s very fancy and brand new. Dear God, I hope Jack doesn’t scratch it. I also got a walker. However, today the nurse told me not to use a walker! She said I should walk hunched over for the first 24 hours. But after that I should be trying to stand up straight. She said you don’t want your abs healing all scrunched up. Makes sense. Not a total waste though. I got the walker with a seat on it. It’s the perfect height to sit at the bathroom sink and brush my teeth, freshen up, and clean my drains.

Let’s see. I took two fresh towels downstairs for cleaning up and what not. I have everything where it should be. Loads of pillows. I even bought straws. No one listed straws on their lists but they’re all using them in their videos. Big brain, that’s me 😉

I’m going to try to not watch anymore youtube videos about other people’s recoveries. It’s a bad habit I picked up. People range from “Oh I went and got starbucks on my third day” to “Kill me, this was a terrible mistake, I’m two months out and still can’t walk upright or lift my kids.”

I got this. We got this.

Surgery in T minus 4 days

For those scouring the internet for pre-surgery advice, this post contains my supply lists for my upcoming tummy tuck (abdominoplasty) and arm lift (brachioplasty).

l’m getting ready for my surgery. Thanksgiving is over. ALL the Christmas decorations are up inside and out. The medical equipment I’m renting is being delivered on Monday. I’ve got all the prescriptions filled and labeled in layman terms. (Except for the pain killers. Mr C will fill those day-of). I’m organizing like I’m nesting or something.

I’ve got three baskets: Hygiene, Medications, Wound Care:

Since I’ll be living downstairs for a while I loaded up the hygiene basket:

  • Body wipes for between showers
  • Face wipes
  • Chapstick
  • Deodorant
  • Tooth brush and paste
  • Mouth wash
  • Razor
  • Body Spray
  • Dry Shampoo

The medication basket contents were all laid out by my doctor:

  • Lots of prescriptions. Nausea, Motion Sickness, Antibiotic, Blood thinners, Muscle relaxers
  • Tylenol — the only over the counter pain killer I’m allowed to take starting last week
  • Probiotic
  • Stool softeners (to start Monday)
  • Laxative to start day after surgery
  • Arnica because everyone on the internet swears by it

Then we’ve got wound care:

  • Gloves
  • Bandages
  • Medical tape
  • Brand new clean scissors
  • Qtips
  • Polysporin (the latter two for around the drainage sites)
  • Antimicrobial soap
  • Alcohol wipes

I also bought something so morbidly embarrassing — but better to have and not need than to need and not have: A poop stick. To wipe your butt. LOL

I’ve got wedge pillows for when I can upgrade from the recliner to the couch for sleeping. (Our bed is crazy high so that one will be a while off). A Travel neck pillow for sleeping in the recliner. I’ve got lots of compression socks (Have to wear them for a week). I bought an extra binder so I can keep one clean (It’s basically a 16 inch wide elastic band ill be wearing for 6 weeks). Two sets of arm compression sleeves. Three front zip bras. Four pairs of comfy pants that are comically too large for me. That’s because everyone says you want BAGGY clothes. Four button up plaid shirts — we’re bring grunge BACK! One fancy shirt that zips up and has pockets to hold your drains. Oh, and a boppy pillow for my arms. They need to be raised and in physical therapy they use boppy pillows for that. So I stole their idea.

I’m renting a lift recliner and a walker with a chair built in. I’m hoping to call them early enough on Monday to try to get one of those tables that goes over a hospital bed to use with the recliner for my laptop.

I’m not ready. But I’m ready.

Christmas is coming

For those who don’t know, mom died last Christmas day. Now.

We’re putting up the Christmas decorations. I need to get everything ready before my surgery. Getting moms room done was easy. I didn’t take down her tree last year, I just shoved it in her closet. So All I did was get it out, change out the blankets and pillows and get a few more things from her closet. Easy-peasy. And I actually liked seeing it back the way she left it.

Last night we did one of the Christmas trees. The living room tree. And it sucked ass. She gave me like a third of the ornaments on there (if not more). The cat ball. The jelly fish the year I was a jelly fish for Halloween (she was so proud of that one, perfect find). Even the ones she didn’t give me, I remember showing her proudly or picking out with her. She’s always been around when we do the Christmas tree. Mostly she’s usually here as we put it up. Even if not, I’m always excited to tell her about it and for her to see it when she visits. We always go to at least one Christmas market and pick out a new ornaments each year.

The nativity wasn’t bad even though she’s given me pieces of it. She was so proud one year to give me the very coveted shepherd and camel set. I guess it wasn’t bad because she got to see it hit peak glory last year. I built a creche for it and we had a sideboard in the dining room for it. It spreads out beautifully. I’ve got it lit with LEDs. I added the beautiful mercury glass trees she gave me. I adore it. I don’t know of a more beautiful nativity that anyone else owns.

So mom saw that and that pleases me. I guess that’s why her room was the same. She knew what it looked like. She was super proud of the ribbon window swag I made her for her bedroom window. She told me exactly what she wanted and supervised the whole thing. I only added one thing: A beautiful cardinal that I know she would have loved.

There’s two more important boxes to go grab and decorate with. One of them being breakables and one being soft things. Soft things like Christmas stockings. Like moms Christmas stocking. What the fuck do I do with her Christmas stocking?

I’d lay it on her bed, but my sister-in-law will be staying in there while I recuperate from surgery and she’s very emotional. But I don’t want to just leave it boxed up. I don’t want her to be gone. She can’t be gone.

*Tears up* So it’s just been easier to lay here on the couch and not go get that box.

Making a list, checking it twice…

I’m making a Walmart list. I hate going to Walmart so it’s pretty damn rare that I do. However, with my surgery supply list, it’s just more economical. My surgery is is a week and a half! What!? It came up so fast! I’ve got to go get all the supplies I’ll need. So I’m making my list.

Man I’m so excited and nervous and anxious. I haven’t been sleeping. I’m gonna look so good — but the results will take months and they’ll be hell to pay in the mean time. Hell to pay in months of swelling and who knows how much pain. I think a lot of pain.

I can’t believe I’m doing this! It’s happening.