Well, I decided I've lost about as much weight as I'm going to lose post-sleeve, so it's time for a tummy tuck/abdominoplasty (with liposuction) to get rid of all the excess skin on my deflated body.
I'm having Dr. German Newall of Houston, Texas do the honors on December 2nd. Cost is $10,300. I talked with several plastic surgeons in the Houston metro area, but felt the most comfortable with Dr. Newall. What sold me was his "before/after" photo book: there was a guy who looked exactly like my body looks from the waist down in a "before" picture, and he looked incredible 9 months later. At that point, I was willing to quickly part with my money!
I asked if I could get a liposuction OR an abdominoplasty, he said I could, but he guaranteed me that I wouldn't be pleased with the results. I've got one stubborn pocket of visceral fat in the middle of my gut that refuses to go away despite massive amounts of cardio and weightlifting, so I need lipo plus the tuck to remove the "ultimate muffintop".
Interestingly, I'm more worried about this operation than I was with my sleeve.
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