I totally agree that a vision is so important to stay on track. Often previous attempts to lose weight with both a positive and negative results can sometimes make us lose confidence. Please keep your chin up. If I can provide some guidance that I find works and it may appear a little odd. Trying to follow a lifestyle where you are perfectly doing everything required every single day, can and often does become very difficult. It is important to to have some flexibility. The 80-20 rule. Yes be on track and do everything you can 80% of the time then the remaining 20% we need to accept the option that we eat differently, may eat a little more and may be less active. The next step would be to be ok with this and accept it as part of life. This will make it easier to stay on track and be motivated. Also another note to keep in mind is revel and enjoy the better quality of life you have by losing your current amount of weight. celebrate the journey just as much as the final result you are seeking. Wishing you all the best of luck
Helen

I had a lower body lift, which is a tummy tuck plus they do your back side as well (so even more extensive than the tummy tuck). Although I personally haven't had a panniculectomy, I think they just take the excess skin off, so it may not be that painful. Tummy tucks and lower body lifts can be pretty painful, but I think most of the pain comes from the muscle tightening and the liposuction, which I don't think they do with panniculectomies.

some (not all) insurance companies/policies will cover panniculectomies if you have problems like the one you described that won't go away with conventional treatments. You need to go to a PCP about it and make sure you have him/her document it. If your insurance company is one that covers such things, they'll want a paper trail on it proving that it wasn't responding to conventional treatments.

He sounds like a man with a fat fetish, more in love with your fat than the person underneath. Your life is more important than anything or anyone else.

this is an excellent way of seeing it, thank you, im extremely nervous about my surgery next month, but your comment is helping me.

Most insurances will pay for skin removal if its related to a weight loss surgery. Go to a plstic surgeon near you, tell him your journey, he willtake pictures and turn it into the insurance company. That is how I had mine done.