Tuesday, 8 August 2017

4.5 months update and excited about my third session!


It's been four and a half months since my second surgery. Here are some pictures:

As you can see, my left thigh is significantly slimmer! (I lipo-ed the entire left thigh over the past two sessions, and right thigh has not yet been touched.) 

This lifts my hip curvature and makes me look more hour-glass shaped. There is some waviness, which I hope will smooth out with time. The thigh looks a little unhealthy (saggy/lacking shape) at the moment, which I think is due to the lack of exercise. Shall resume proper workouts after I'm done with the right thigh. 

I'm quite happy with the fat retention in my breasts! It's hard for me to gauge the retention rate, but I'm just happy that I have bigger breasts now :) 

The lighting isn't very good in the photos. Will upload videos soon after my third surgery!

Really thankful that I decided to do this with Dr Arthur. Liposuction and fat grafting are risky procedures. I'm thankful that I haven't had any complications so far and results have been satisfactory. Although it is a significant sum of money, I don't have any regrets so far :) 

Sunday, 9 April 2017

Post surgery 1 week update

Second session of liposuction and fat grafting with Dr Arthur Tjandra

Hello all,

My second session wth Dr Arthur Tjandra involved the liposuction of the left hip, left lower buttock and saddle bag, left outer thigh and left back of thigh (Total 2 areas) + fat transfer to breasts + fat transfer to buttocks. 

A review of the breasts' and left inner thigh progress from the previous session:

Surgery video:

Post surgery day 1:

- Outer thigh is a lot less painful than inner thigh. Could walk fairly normally the next day.

- You will have to be awake during the fat grafting to buttocks as the doctor needs to flip you around. It is gonna be painful. But when I turned around and took a glance at my bubble butt taking form, I decided the pain was well worth it :)

It was an expensive surgery but I'm happy with the results so far! :) Thankful to have gone to Dr Arthur :)

Sunday, 12 February 2017

Excited about my next session :)

Hi all!

I am really excited because I've booked flights for my next fat grafting session in March :) Another update is...that I've decided to graft fats to my buttocks this time as well. Can't wait for a nicer ass!

Tuesday, 17 January 2017

Post surgery - 8 Weeks

Hello world,

I'm not someone who likes to take photos (esp selfies), so please pardon my lack of pictorial updates here! Since it's been 8 weeks post surgery, I decided to drag myself in front of the mirror to snap some photos.

The leg with the L marked out on it is the one that was lipo-ed. It's quite apparent that the pocket of fat at the top of my inner thigh is gone! That was one stubborn bulge that refused to go away no matter how many plie squats I did. There is still some uneven-ness along the inner thigh right now, and numbness around my knee/lower thigh. Full recovery takes up to 6 months. Furthermore, I work out very frequently, which would definitely have slowed down recovery a little.

On to my breasts:

My breasts have definitely shrunk a little since the surgery, and I'm not worried because it is normal and expected. As I have mentioned previously, it takes 3-4 sessions to increase one cup size. The fats grafted into the upper part of my breasts allows me to create a cleavage more easily even though my cup size hasn't increased. I'm definitely happy with the results! I would be lying if I say I'm not impatient though. I can't wait for my next session!

I was clearing out the notes on my laptop and came across my pre-surgery research notes. I was going to delete it (clearing all evidence haha) but I decided to organise it and post it here, so that I can refer back to it as well. I would like to think that I was quite objective during my research, but to err is human and I'm aware that I might have unconsciously/subconsciously leaned towards information that reassure me of my inclination to perform the surgery. Then again, research papers may be erroneous/biased as well and should not be read like the bible.

Fat retention

Across the board, average fat retention rate is about 50%. Dr Arthur's patients generally retain about 70%. What affects fat retention rate? Technique used by the doctor and individual physical composition.

Technique wise, how the fat is aspirated (fat aspiration = fat suction. Aspiration sounds better than suction doesn't it), processed and injected varies from doctor to doctor. Dr Arthur Tjandra uses a syringe cannula (3mm if i recall correctly), and he performs the surgery manually. 

It begins with the fat aspiration process, which is the liposuction procedure. I don't know if a machine is significantly more efficient than the syringe, as there doesn't seem to be a consensus among the research papers on this. However, on the safety front, I am very convinced that the syringe method has the upper hand.

1. Less traumatic. It is possible to aspirate a few ml of saline into the syringe, which serves as a "buffer system" or "shock absorber". Imagine it to be like a fluid/water bed. Apparently, it is not possible to have this shock absorber in machines. I'm not too sure why either. Probably has to do with some science principle on air pressure? With this cushioning fluid between the negative pressure in the syringe and the fat tissue, less blood will be be sucked out and hence trauma on the liposuction site is reduced. This also translates into shorter recovery time.

2. Control. The doctor is manoeuvring the syringe using his own hands, so he would be able to have an accurate feel of the depth and uniformity of the liposuction area. Precision. The markings on the syringe allows for the doctor to measure the exact amount of fats aspirated from each area. For machines, it would be an estimation

3. What if the machine breaks down?! I know this sounds absurd - that was what I thought when I first saw this online. But I stopped and thought about the two or three times when Excel has miscalculated or when the laptop crashed before I could save my work. Yes, I know that medical technology is probably way more powerful and foolproof than what I use, but there is still a remote possibility of the machine screwing up.

After the fats are aspirated, they need to be processed. Fat processing is mainly to remove the contaminants, so that only cleaned up fats will be injected into the recipient site. I think this helps to improve survivability of the fat cells. This is usually a trade secret, so I do not know how Dr Arthur's fat processing technique works. This isn't a deal breaker though, since Dr Arthur's patient results speak for themselves.

Finally, the fats are injected to the breasts (or wherever you want it to be). There is currently no consensus within the research community on the most effective method. This could be because there are too many factors affecting fat retention. According to one research, fats injected at a slower rate results in better retention than fats injected at a fast rate. (Gabriel, Champaneria, Maxwell, 2015). The rate of fat injection depends on the doctor's technique, which comes from experience. Another research states that the "volume of grafted fat in relation to the volume of the recipient site" plays a key role as well. "An understanding of the biology and volumetric capacity of the recipient site may lead to more consistent outcomes following fat grafting." (Del Vecchio, 2014). In layman terms, the doctor needs to have a good estimation of the the ideal volume of fat to inject into each breast. Apparently, injecting too little fats (e.g. 50cc) can decrease the fat retention rate as well, which is quite counter-intuitive. Bottom line is, both factors here -  rate of injection and volume injected, depend on the doctor's judgement. Needless to say, the more experience a doctor has, the better his judgement. 

I'm guessing that the reason why many doctors do not perform fat grafting to breasts is its unpredictability. It may tarnish their reputation, especially with unreasonable patients that push all the responsibility to the doctor. I would say that 70% of the fat graft retention depends on the surgery technique, while the other 30% lies with individual biological differences. Make sure that you do not lose too much weight and do not apply pressure to the breasts (pushup bras) in the first month or so!

Will post progress pics again in a month! In the meantime, I will muster every ounce of my self discipline to apply the scar bleaching creams.