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What if someone came to your class and said that they really, really want to lose weight, but can't afford fitness classes and asked you to instruct them for free? I mean they'd be advancing their health, so what would you say to them?

5'6.5" High weight:337 Lowest weight:193/31 BMI: Goal: 195-205/31-32 BMI
Are there any surgeons in or around the state of Oregon who will perform skin removal for surgery FREE? I have gone around and around with my insurance companies and they are having none of it. Since it is cosmetic and I have no rashes or anything. I am stuck! I am a Zumba fitness instructor and it sucks having to wear long sleeves while working out. Because of all my extra skin its preventing me from getting fitness jobs in some organizations because I don't "look" the part and its holding me back from certifications in other formats. I cannot expand my career in the fitness industry.
so, because you want a job as a Zumba instructor, surgeons should give you free surgery?
Really?
Why would a specialized medical professional perform this intensive surgery for free?
I mean.. maybe you can find a plastic surgeon who specializes in reconstructive surgery after weight loss who is also a zumba aficionado and barter free zumba lessons for life?
VSG with Dr. Salameh - 3/13/2014
Diagnosed with Binge Eating Disorder and started Vyvanse - 7/22/2016
Reconstructive Surgeries with Dr. Michaels - 6/5/2017 (LBL & brachioplasty), 8/14/2017 (UBL & mastopexy), 11/6/2017 (medial leg lift)
Age 42 Height 5'4" HW 319 (1/3/2014) SW 293 (3/13/2014) CW 149 (7/16/2017)
Next Goal 145 - normal BMI | Total Weight Lost 170
TrendWeight | Food Blog (sort of functional) | Journal (down for maintenance)
Are there any surgeons in or around the state of Oregon who will perform skin removal for surgery FREE? I have gone around and around with my insurance companies and they are having none of it. Since it is cosmetic and I have no rashes or anything. I am stuck! I am a Zumba fitness instructor and it sucks having to wear long sleeves while working out. Because of all my extra skin its preventing me from getting fitness jobs in some organizations because I don't "look" the part and its holding me back from certifications in other formats. I cannot expand my career in the fitness industry.
Yes! I believe he quoted me 11 1/2 hours and did it in about 10 hours. I had a BL (fat transfer, no augmentation) and LBL.
VSG: 1/17/17
5'7" HW: 283 SW: 229 CW: 135-140 GW: 145
Pre-op: 53 M1: 22 M2: 12 M3: 12 M4: 8 M5: 10 M6: 11 M7: 5 M8: 6 M9-M13: 15-ish
LBL/BL w/ Fat Transfer 1/29/18
I would like to know how long did it take for Aetna to approve skin removal surgery? Dr submitted all requirements but i have no estimated time frame? Anyone?

1wk post op CW: 169| BW: 261| SW: 251,
on 9/20/18 8:09 pm
I had a laparoscopic hysterectomy a year and a half ago, 6 months after getting sleeved. It was not planned and not fun. I had fleur de lis abdominoplasty three weeks ago. Planned, but still not fun. I have to agree with almost everything said: hysterectomy first, then probably 6 months to get over the severe swelly belly and really heal up before going another round. My laparo hyst was super easy (compared to my c-sections) and I healed up really well, but at 6 months post sleeve, I felt like I had barely healed from the last round. I cannot even imagine trying to fly somewhere 2 weeks after my hysterectomy, not to mention major surgery. (As an aside, my plastic surgeon won't even do a body lift the same time as abdominoplasty, due to the spike in complications and blood transfusions after the 6 hr mark. (http://www.obesityhelp.com/articles/body-contouring-after-ma ssive-weight-loss-can-procedures-be-combined). I'm kind of shocked your plastics guy is so non-chalant about it. Is this just way, way outside of his expertise?)
The incisions on a laparo hyst look super small, but there's about a millionty little stitches in there. They have to take out a major structural support part that's attached all over the place and completely seal everything off. That kind of thing takes a long time to completely heal up from and you really don't want to mess with parts where your insides and outsides meet. Not to mention losing your uterus is quite a shock to the system; I kept my ovaries (apparently fallopian tubes are now considered the bad part?) and they still freaked out for a few months. Definite hormone roller coaster until it finally settled out about three months later.
It sounds like you already have a lot planned on the plastic surgery front. I would listen to the GYN surgeon; she's the one who knows how long you really need to wait before another surgery. (Also, if you have *any* problems post hysterectomy, find a good pelvic floor PT.)
on 9/20/18 7:18 pm
I'm sure there are more comprehensive answers out there, but I'm currently recovering from fleur de lis abdominoplasty and scoured the interwebs for such a list. I realized while recovering this is my *fifth* abdominal surgery (including two c-sections and a lapro hysterectomy) and I would have found most of these things helpful for all of them. Having said that, my newest incisions run from between my breasts to just above my pubic bone and from outside hip to outside hip. In addition to the muscle repair and skin tightening they did. So some of this might be total overkill for you.
- electric recliner, preferably with independent head and foot controls and lift chair capability (I stopped using the lift during week two, but man was it nice. They should hand those things out to all abdominal surgery patients.)
- some pillows and blankets for sleeping in said recliner; I used a moibus neck pillow for sleeping, kept another pillow under my knees for comfort, and kept a third pillow handy to throw over my incisions when a cat came to visit; emergency incision inspector paws are extremely painful.
- walker with seat, amazing for the drugged up, hunched over stagger to the toilet; also a nice high seat at the table or for doing laps in the hallway. (At three weeks only the cats are using it for "Whee! A hangry seat that rolls when I jump up on it to yell at you!"
- toilet seat riser, which I really wish I had been able to use with the ab repair; standard toilets are a looooong way down.
- ice blankets; mine says CoreProducts Soft Comfort and is a huge ice pack with a soft cover and has been awesome for incision pain and swelling. I have two and swap them out.
- RTD protein drinks/protein water/hydration drinks/bone broth/hot tea and a big old water bottle. Post surgery you have to keep your protein up and stay hydrated.
- warm, non-skid slippers/shoes because you're not bending over to put on socks or tie shoes. (I finally got the wool lined birkenstock clogs I've been coveting and they are amazing. Sometimes I sleep in them. In the recliner.)
- the afore-mentioned cotton tank (or in my case quick dry cami with shelf bra) to go under your binder so you're not a literal hot mess.
- button in the front nightgowns mean not having to pull things over your head; cheap Amazon swing dresses mean no pants and no waistband pressing on your incision.
- dry shampoo and camping type bath wipes are great if you have drains and can't shower for a few days.
- I like arnica gel for the parts of the abdomen that are NOT covered in stitches.
- books, movies, knitting, video games, or something else to keep you entertained and off your feet after the pain meds end and you start feeling a little better.
- small bedside table/chair/tv tray to hold all the stuff; a battery and cables to charge it; and a small notebook and pen so people can help you log your meds properly - never, never get behind on pain meds.
I hope it goes amazing for you ;-)
Wow - that's awesome! I'd like to get some of that! Thanks for the information! Was that because surgery didn't take as long as estimated?
I got a small refund. I think $600-$800.
VSG: 1/17/17
5'7" HW: 283 SW: 229 CW: 135-140 GW: 145
Pre-op: 53 M1: 22 M2: 12 M3: 12 M4: 8 M5: 10 M6: 11 M7: 5 M8: 6 M9-M13: 15-ish
LBL/BL w/ Fat Transfer 1/29/18





