...start looking into plastic surgery. Not sure what's held me back BUT I think now is a good time. I have held steady (although I bounced) for about three years now and I do have lots of extra skin.
My priority is my chest/arms. In my head I think I can get approved for a breast reduction through my insurance (in my HEAD I have big enough breasts - and enough mass in them - to qualify lol) and then also brachioplasty.
So obviously the first step is the consult. For those who have gone through this, what should I expect to happen there? What questions should I ask? How far ahead of your planned surgery should you even do a consult? Also, if someone doesn't mind speaking about the financing options that they've encountered (even if it's not the one you went with).
I just want to hear as much about the logistics of this as possible. The logistics are the main thing holding me back at this point. When I get stuck on something, information is the best way for me to get un-stuck.
Thanks for your help!
RNY Gastric Bypass 1-8-08 350/327/200 (HW/SW/CW). I spend most of my time playing with my food over at Bariatric Foodie - check me out!
Ask where the surgeon places the incisions. Mine are in the middle of my inner arm. Some place them at the back of the arm, but when they are there they are always visible from behind. i did not want that. Find out of the stitches stay in or if they are removed. Mine were removed on day 10 and my incisions instantly widened. Wish I had asked about that.
My surgeon sometimes does financing but does require half up front.
Arms were my favorite surgery. They made the most difference.
Laura in Texas
52 years old; 5'7" tall; HW: 339 (BMI=53); GW: 140 CW: 150 (BMI=24)
RNY: 09-17-08 Dr. Garth Davis
brachioplasty: 12-18-09 Dr. Wainwright; lbl/bl: 06-28-11 Dr. LoMonaco
"If what you're doing doesn't work, change what you're doing - don't complain that it doesn't work."
The people I know who qualified for breast reduction had big ridges on their shoulders from bra straps cutting in and/or documented rashes under the breasts that had to be treated by a doctor.
For a panniculectomy insurance coverage will depend on how far down it hangs and if it has caused rashes.
At your visit you will probably be asked to strip down, put on a gown and then be examined by the surgeon. They will discuss options, insurance coverage and usually take pictures. The pictures are for their before and after files and for insurance submission.
You can also ask to look at before and after pictures of the surgeon's work. If the practice has a website, those pictures are usually posted there.
Real life begins where your comfort zone ends
Be prepared to bare all and have all your jiggly bits poked, prodded and lifted.
I am scheduled for 8/28 and am all out of pocket.
Ask about incision location. My surgeon likes to do them behind the arm, but he is going to do my on the inside like what Laura described. I am having a mastopexy as well, but my boobies are TINY -- according to the surgeon, I have to have them lifted before I can have them enlarged. That is my next step.
Ask about what all is included -- follow up/compression garments, etc.
Keep us posted!!
I am scheduled for in the morning to have an Fleur De Lis Abdominoplasty , panniculectomy, mons repair,and rectis repair. Insurance is paying 100% of it. I plan to do the arms and breast reduction next. I do have grooves on shoulders from bra straps and rashes on my arms. I am hoping they will pay for the arms, i know they will the breast. I am 21 months post op RNY and lost 100 pounds. I never lost anything from my boobs so I am thankful that I will not have to get implants for them
I went to an Obesity Help Conference and met (only 15 minutes appointment) with some plastic surgeons at the conference that specialized in body sculpting after massive weight loss. I think it is important that a majority of their patients are weight loss patients and not just face lifts, nose jobs, etc.
I chose a plastic surgeon in Detroit - a 4 hour drive (one way) for me. His name was Ayoub Sayeg. I had a fleur-de-lis abdominoplasty and brachioplasty at the same time. My arm incisions go through my armpit to just past the elbow. The incision faces my body - so it is not seen unless you hold up your arms. I had compression garments the first month or so. At three years out I have minimal scaring.
My insurance would not pay - so I "cashed out" a retirement account from a previous job to pay for my plastics.
I would also recommend you post your question on the Plastics forum, if you haven't done so. Nice to hear from you, Nik.