Posted by JulieZ on October 31, 2009, 3:53 am
75.82.41.241
Hi Dr D.,
I have a scheduled Stage 2 with you coming right up on November 19th. I sent pics last month and I know the clinic has received them (I spoke with jeannette) but I don't seem to be able to get the point across that I would like to know ahead of time (like now, while I'm in California) what your opinion of my best options are for revision and lipo. I know we will also discuss this during the pre-op, but I would really like to have this time to think through my options. In my pics you can see that I might need a small implant or I might need fat injections. Or perhaps not. My lifted breast might need more lifting, etc. I would love to know your opinion, at least on the pictures. I'm sure some of it will change once you see me in person, but some ideas would be great for me to start wrapping my head around them before the big day.
I also am a little concerned about lipo and future weight gain. I don't think I could garuntee (to myself) that I will stay within a five pound up and down margin. I have always kind of been up and down within 10 pounds depending on -- well, everything! Mood, time of year, work schedule, holidays etc. If you slimmed my body with lipo, and then over the course of three or five years I gained 8 or 10 pounds would that end up making my arms like little hams? 
I am just having a hard time visualizing a best outcome. It's hard to be a long distant patient sometimes... I know you are beyond busy...what would be the best way for us to communicate about what you envision based on the pictures?
Thanks for everything Dr. D.
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