What is laser you ask? You’ve never heard of this being used in Germany?! Well, you’d be right. While laser has been around for quite awhile (even longer than tumescent lipo), it started to become utilized here in the Netherlands as part of arm liposuction. I can’t say how other surgeons here do it, but mine does normal tumescent liposuction on both arms first and then hits both arms with the laser to heat up the skin.
If all goes right, there won’t be any need for an arm lift. Trust me when I’ve seen the results from someone else who has this done in the Netherlands (different surgeon) and the results are spectacular. Her arms were bigger than mine so I’m hoping my results are just as good. Especially since I’ve been heavy lifting almost exclusively my upper body the last 26 weeks so I have some muscles to show off. Green (hulk) paint, please standby!
Arm Liposuction Surgery – Last Surgery of the Day
Apparently my surgeon likes doing arms as the last surgery of the day because it’s fairly quick. I arrived at 1pm, but they still weren’t ready for me so I was called up from the waiting room at about 1:40 instead. One of the nurses figured out a few surgeries ago I do understand simple dutch so she was speaking to me in dutch and I was answering in english.
- Take off clothes and put them in the locker
- Shove the suppository where the sun don’t shine with the rubber glove
- Put on the barely there thong (that actually fits much better now that most of my ass is gone)
- Put on the booties that never seem to want to stay on my feet
- Put on the hospital gown (which also fit much better w/o my butt taking up room)
- Put on the hair net
The Talk With the Doc
When I was done being dressed, I was taken to the bed and we went through the standard questions. Have I eaten, did I take anything other than my birth control, did I start my antibiotics, so on and so forth.
Then, when the Doc came in to mark me up, everyone gathered around because they wanted to see how everything was going too. The Doc commented that my butt was still swollen (over the tail bone) and we talked about that for a few minutes. As of this week it’s only 6 weeks since my butt liposuction so we agreed that there was time to go and nothing to be worried about.
My surgeon then marked up my arm. Since my forearm is starting to grow, he decided to take that fat out as well as some from the top and back of my shoulder.
After that, it was just nap time.
Into the Room I Go and Great Fashion Sense
Now, I fully regret I didn’t ask someone to go and grab my phone so they could take a picture because I got dressed up for this operation.
For once they didn’t strip me naked, they just rolled the gown down around my waist and I got to keep the booties on my feet. Once they dowsed me in the (ice) cold iodine alcohol solution, they got me up on the table. That actually kind of hurt since I was right on the swollen spot on my butt. So they got something for under my knees and I was able to roll over on a butt cheek to stay off of it.
At this point they put some yellow tinted goggles on me and wrapped a medical sheet around my head and taped it on. The goggles were for the laser and the very fashionable head covering was to keep everything off of me. I thought it was a little silly in the beginning, but soon I realized why they do this… not to make you look goofy. Trust me on that…
No Wait Between Induction and Liposuction
In all my previous liposuction procedures, my surgeon would fill the area with tumescent fluid and then leave me for 20-30 minutes. This time he filled up my left arm, then right, then went to immediately start liposuction on the left arm. Apparently enough time passes between the two arms being filled that he’s able to start immediately. I wouldn’t be surprised the lesser amount of fat and smaller work space also speeds up the numbing process.
So he started on one side of my left arm and was having me roll over and twist in all sorts of interesting positions. Then he went to the right arm but it HURT. So he filled it with some more local and went back to finish my left arm in order to let the local really soak into my right arm.
Let me tell you, the left arm was nothing. Even with more local in my right, it still hurt like hell. But, if you’ve stayed with me through all my surgeries you’ll notice a trend. My right side has always hurt more than my left. Right calf, right thigh, right butt cheek, and now right arm. I wouldn’t be surprised if the left side of my stomach is a cake walk compared to my right (more about that later).
At some point during the liposuction portion, my surgeon and the nurse realized they had an American who couldn’t escape them. So they started asking me about the upcoming election (seriously, being an American living overseas during a presidential election is tiring. EVERYONE wants to know our opinion). Since it was during my right arm I’m kind of grateful because it was a distraction.
Why They Gave Me My Fashionable Hat
The googles were supposed to be for the laser, but both the goggles and hair covering served a great purpose. It kept fat and tumescent fluid from getting in my eyes and in my hair. Seriously, that stuff was getting everywhere.
During infiltration there was a few times the hose popped off the cannula that was being used for infiltration and fluid went all over me. Then there was some times during lipo where my arm was pushed over my face and all that fluid inside started leaking out. At some point I got tumescent fluid up my nose! And at the end I found some fat globules on my hand.
So yea, I’m sad I don’t have a picture (it could have been my 2016 christmas card!) but glad I had it all on.
Finishing Up With the Laser
Once all the fat was out of my arms and my surgeon checked to make sure everything was even, came the laser. Basically he threads the laser into what looked like a cannula of some sort and then he goes and sticks it into all of the areas to heat up the skin. This will eventually make it all retract so that hopefully an arm lift won’t be necessary.
From how I was laying I really couldn’t see the laser in the skin, nor did I feel anything at all. There was no heat, no stinging, nothing. The laser part of this procedure was completely and totally 100% pain free.
Tidying Me Up and Getting Me Out the Door
After the surgeon was done, the nurses patched up the holes and put on the compression. The compression is kind of hysterical, they take an XS Mediven Thrombexin 18 Anti-Embolism Stocking and put it on my arm, cut off the foot and cut a hole for my thumb. I figured I’d get a good pair of arm compression sleeves the next day at my post op checkup since that seems to be when I get the good compression. This worked, and why ruin a good pair of compression with all the leaking?
After the compression was on, they made a bolero out of the medical grade “puppy pads” , got my gown put on properly and into bed for my post op snack (I was rather disgruntled that there was no ontbijtkook (a sweet spice cake the dutch eat for breakfast). Ah well, so be it.
Back at the Hotel
The nurses at the clinic told my husband and I to either see if the hotel needs their windows washed, or get a whole bunch of pillows to keep my arms propped up so that the tumescent liquid drains out of the punctures in the arm pits and doesn’t get the fingers all swollen. Needless to say, I was toast (especially taking the afternoon surgery spot) and I opted for the pillows.
Arm liposuction hotel tip: get extra pillows from the hotel, and request garbage bags as well. This way you can cover the pillows with garbage bags to keep them clean and you can build yourself a pillow empire to prop your arms up on.
As far as pain went, I totally forgot to pack my paracetamol and only had the Tramadol with me. While pain wasn’t horrible, right before falling asleep I did pop one just so the pain didn’t wake me up in the middle of the night as the LA drained out. And it wasn’t very far after this until I fell asleep because like I said, I was pretty tired. Unlike with all the other surgeries, I only woke up once needing to pee and that was pretty much it.
Oh, and if you’re wondering what I’m holding up and pointing at… that is one of the best damned macaroons I’ve found in Europe which is by a company called Madame Cocos. They’re big, dense, and crispy. My mother and husband found them at a weird fruit festival back in September, then we found Madame Cocos back in Rotterdam at the Markthall and I made my husband SWEAR that he’d get some for me so I’d have them post op.
Needless to say, there was a 3am wake up call where I was starving and I may have gotten into the macaroons….