Yes Shannon,
It is a long road on which you are walking with competence, patience, pertinacity, and attention.
You won't get a traffic ticket.
I agree with what mari said: your photos show how you are improving, and that a year (since your first surgery) will soon seem to go by faster than you think.
Great commentary also by J. R. "Bob" Dobbs; It makes a lot of sense, at least for those who are not in the middle of the problem.
Your idea of becoming a professional as a counselor and helper in the area is excellent; your experience and publications you wrote, could become a great and unique serious book, and a Vade Mecum for instructing lipo-lymphedema patients.
Unfortunately I can't give you any substantial help, but I'll have coffee with you at Kofi.
Congratulations girl!