Recent Posts
Hi all! I know everyone is different, but I'm curious as to how after surgery did it take for your swelling to go down? I'm 4 weeks post-op (ETT, BL, AL) and still have quite a bit of swelling. Mostly I'm just sick of the compression garments. I appreciate any information you can provide. I need to see some light at the end of the tunnel!
Hi! I'm 4 weeks post op (Dr. Michaels) for a ETT, BL (w/o implants), and AL. I'd love to go back for my butt and thighs, but can't stomach the thought of paying more money.
My surgeon recommended a LBL and AL, with BL in a 2nd surgery, but I wanted to make sure I got my worst areas taken care of in one surgery in case pain or funds prevented me from additional surgeries.
I must say that my breasts are phenomenal! I can't believe he got those loose floppy things sitting so high and firm without implants!
Check with your surgeon on when a mammo is OK...usually I like to wait 4 to 6 months. There can be areas of scar or fat that warrant further workup after any kind of breast surgery, and its never a bad idea to get your PS involved as they may well know what or where that area is (usually at the bottom of the breast.)
Plastic Surgery
Houston, Texas
www.DrLoMonaco.com
www.BodyLiftHouston.com
Plans vary so check the language. In general, you must have several months of skin breakdown not responding to treatment to get the excess skin removed.
I've got a page on my website that I think has the BCBS language:
https://drlomonaco.com/patient-resources/
Keep us posted !
Plastic Surgery
Houston, Texas
www.DrLoMonaco.com
www.BodyLiftHouston.com
yea - that's why I went with someone in Chicago, even though Dr. Zachary is more expensive than some of the other superstars. I'd have to factor in the travel expenses (plane tickets for two, plus a couple of weeks at a hotel), plus I'd only be able to go to maybe two post-op appts, and there's the issue of what do you do if there are complications... Figured in the long run, it was just better for me to stay in the area (Chicago is a couple hours from here, but it's do-able. I made it to four post-op appts after phase 1, and if there was some serious complication, it would be easy enough to drive down there...)
on 12/1/18 12:32 pm
Thank you. I will do that! I have considered Mexico, I'm just nervous about needing to travel again for any possible complications. But that would be true if I flew anywhere for surgery, rather than staying at a driveable distance. Hopefully I won't have any complications, of course!
I'm sure there are people of Dr. Michaels' caliber on the west coast. I've heard Dr. Katzen in Beverly Hills mentioned quite a few times, for example. I'm sure there are others - it's just that I didn't research west coast possibilities at all since I'm east of the Mississippi and there are a handful of well-known specialists on this side of the country, too. There are also a couple of very well-known specialists in Mexico, too (Dr. Sauceda and Dr. Cardenas). There may even be one or two up in the PNW - just check around....
on 11/30/18 1:51 pm
Thank you so much, Dr. LoMonaco! That information is helpful. I know that our Laura in Texas has mentioned you many times, and her happiness with your work is profound. I appreciate your comment.
You can call them and see if all the documents were submitted. This is the most common delay. Id say it usually takes a couple of weeks to get approval.
http://www.aetna.com/cpb/medical/data/200_299/0211.html
AETNA requires the skin hangs below the pubic area and you have 3 months of documented skin rashes that don't respond to treatment for surgery approval.
Plastic Surgery
Houston, Texas
www.DrLoMonaco.com
www.BodyLiftHouston.com
I think it may work for small areas of fat. There are growing reports of cases where the fat in the treated areas actually increases and it is felt these cases are under-reported. I have seen 2 in my practice in patients done elsewhere. One study indicates it may occur in 1 out of 138 patients.
https://www.sciencedaily.com/releases/2018/06/180629182037.h tm
My concern with it for weight loss patients is that it would do nothing to help tighten the skin, which is really the main issue after weight loss !
Plastic Surgery
Houston, Texas
www.DrLoMonaco.com
www.BodyLiftHouston.com