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EXCESS SKIN - Weight Loss Surgery

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November 6th, 2012


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msroxy2
03:00 pm - EXCESS SKIN
So I was wondering, for those of you who have already had a weight loss surgery. How long do you have to wait to have the excess skin removed? The surgeon has already told me that if it's a problem that she would recommend a tummy tuck. But when I see the youtube video's I wonder why people aren't getting the skin removed.

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Comments:


[User Picture]
From:anthylorrel
Date:November 6th, 2012 09:12 pm (UTC)
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I'm assuming a lot of people don't get it removed because of various insurance issues or the fact that their doctor doesn't want to do any surgery like that until they are done losing weight in order to avoid multiple surgeries.
[User Picture]
From:msroxy2
Date:November 6th, 2012 09:19 pm (UTC)
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yeah that makes sense. I've talked to my insurance carrier already and they did say as long as it wasn't for cosmetic reasons it would be approved. Of course I would have to get referrals/recommendations for the tummy tuck. I was just wondering why so many people leave that skin hanging.... thanks for your prompt reply
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From:haywagonsmom
Date:November 6th, 2012 09:27 pm (UTC)
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You sound very judgemental. There are many reasons people don't opt for COSMETIC surgery. Sure there are some people have medical reasons for getting a panniculectomy but that is a medical procedure. A tummy tuck is a cosmetic procedure. I had WLS to get healthy not to look a certain way.
[User Picture]
From:msroxy2
Date:November 7th, 2012 03:47 pm (UTC)
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I am not being judgmental at all. I am asking questions and getting advice like everyone else here.
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From:cainle_bean
Date:November 6th, 2012 09:46 pm (UTC)
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In my case, I cannot see subjecting myself to more pain and time off work. My insurance would cover a pannus reduction due to the possibility of infections, but I found using powder reduced my problems on any areas.

Its a personal choice for many. For some, plastic surgery is necessary due to infections and other problems.

I have been offered it twice by two doctors. Unless I have a problem in the future, no more surgery for me.
[User Picture]
From:msroxy2
Date:November 7th, 2012 03:50 pm (UTC)
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Please excuse my ignorance but I really don't know, which is why I am asking questions...Are you using regular powder? Like baby powder?
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From:cainle_bean
Date:November 7th, 2012 11:54 pm (UTC)
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Most of the time I do use talc powder. I have gold bond that i use if needed. But overall the talc works great for me. I cannot use anything with perfumes (allergies) and I get hot and sweaty at work often, so this helps keep down on chafing and infections.
[User Picture]
From:msroxy2
Date:November 8th, 2012 04:14 pm (UTC)
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ok great!! Thanks for the tips!!!
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From:goodscagirl
Date:November 6th, 2012 10:07 pm (UTC)
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Because in having kids and after that I'd have little kids. Little kids and that surgery would be disastrous.
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From:whyintellectual
Date:November 6th, 2012 10:21 pm (UTC)
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I cannot afford a full bilateral stomach procedure.
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From:thenewchristina
Date:November 7th, 2012 12:41 am (UTC)
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My surgeon said he wouldn't recommend it until 18 to 24 months out. Even then, it would depend on if insurance would cover it.
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From:msroxy2
Date:November 7th, 2012 03:51 pm (UTC)
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Is that because you are still losing weight during that time?
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From:thenewchristina
Date:November 7th, 2012 04:56 pm (UTC)
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I believe so.
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From:girlnade
Date:May 23rd, 2013 02:06 pm (UTC)
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When I asked my doctor she told me she wants me stable at my goal weight for at least a year before any skin is removed.

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From:wobblerlorri
Date:November 7th, 2012 04:08 pm (UTC)
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1. After WLS it's called plastic surgery, not cosmetic surgery.

2. It's extremely painful and will leave noticeable scars, especially if you go for a full body life. You will have scars under and along both arms, down the insides of both legs, and in various places on your abdomen. You will NOT look like you've always been normal size. And if you're a dark complected person (even if you're white) you run the possibility of keloid scars, which IMO are worse than a bit of loose skin.

3. The amount of loose skin you have will depend on your age, the elasticity of your skin (a genetic thing), and how much you've yo-yo dieted, losing and gaining weight.

4. After WLS you go through a "honeymoon" stage that lasts a varying amount of time depending on what surgery you have, where the weight just seems to fall off. After that, further weight loss will depend on YOU using the tool -- portion control, proper nutrition, and exercise. So yes, many people are "still losing" weight 18 to 24 months out.

This period of time is given so that you will have reached a more or less stable weight. You'll find you will reach a weight your body is happy with, and you'll bounce around it by 5 or 10 lbs.

Personally I never considered plastics, because I keloid extremely easily. I don't consider replacing loose skin (which I don't have much of anyway) with huge purple snake-like scars all over my body much of an improvement.

Also, most surgeons won't do plastics until you reach your WLS surgeon's goal, which you may never do.

-----

On a different note, have you done much research on WLS and the various types? Because you have to know as much as about the surgery, which one you want, the pros and cons of it, and the entire process before and after the surgery first. THEN you get to worry about plastics.

Do your research and choose a surgeon and a procedure first, make sure you understand this is a lifelong change in your lifestyle, not a temporary diet, and understand that you may not lose "all" the weight you'd like -- your body may have a very different idea of what YOUR "normal" weight should be. Success for WLS patients is considered to be losing 50% of your excess weight and keeping it off for 5 years.

Case in point: I had open proximal RNY in Nov 2004. I started at 343 lbs. I lost 30 lbs in my honeymoon phase, which lasted about a month for me. Every lb since then has been a struggle. I lost relatively easily down to 250 lbs, then literally starved and exercised myself down to 224. Deciding I didn't want to develop an eating disorder, I went back to eating more normally (for an RNY patient), and went back to 255 quickly.

Since then I've bounced between 255 and 265. I've come to terms with it. My original surgical goal was 180. I've realized that the goal of the surgery is NOT to reach some arbitrary weight or to look like someone else's ideal of physical attractiveness -- it's to become and stay healthy.

Weight loss surgery is more of a surgery on your mind and the way you think about yourself, food, and physical appearance than losing weight.

Lorri
Open proximal RnY 11/2004
343/255/healthy
[User Picture]
From:girlredefined
Date:November 8th, 2012 12:01 am (UTC)
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This is so well said.
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From:msroxy2
Date:November 8th, 2012 04:22 pm (UTC)
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Thanks Ms. Lorri, I appreciate your input!!! I am in the process of doing my research now which also includes me joining other WLS support groups so that I can get more insight from those who have already been through the procedure. Thanks again !!!
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From:mcval
Date:November 8th, 2012 01:04 pm (UTC)
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I had a band placed in December of 2010, and had a lower body lift in March of 2012. I still had about 15-20 pounds to lose, but my plastic surgeon said i could lose that much without really impacting the lift. Because much of that weight was in my upper arms and legs, and my tummy looked awesome and didn't really have any excess left. But then my band slipped horribly, and had to be removed in an emergency surgery in May. Goodbye, beautiful unmarred tummy - that surgery left me with several new scars. *sigh* And then i started gaining, slowly, but it was still unacceptable. So i had the sleeve done in October. Now i'm 1 pound less than i was at my lowest post-band weight, but i have about 8 scars on my abdomen. Hopefully they will fade.

And i'm seriously going to need an inner thigh lift when i finish with the weight loss, cuz they are getting baggy. :D

Anyway, i'm rambling. I think the decision of "when" and "if" is very personal. And it depends on what matters to you. For me, having the excess skin on my mid-section gone was the goal - it made me miserable. The little scars i can deal with.
[User Picture]
From:msroxy2
Date:November 8th, 2012 04:24 pm (UTC)
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Thanks for sharing...
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From:hippo__dignity
Date:November 9th, 2012 06:43 pm (UTC)
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My surgeon recommend to wait at least two years after WLS for plastics. I am past that time frame and started looking into it a few months ago, but I do not have health insurance at the moment. FYI, WLS is considered a pre-exisiting condition, so if your current insurance pays for your surgery, if you ever lose that insurance, it makes it much much harder to get new health insurance. I don't ever anticipate having a health insurance plan that would cover any plastic surgery or skin removal and the estimate I got from a plastic surgeon for all the work I need done was about $30,000. So, that's why I haven't had it. But I'd love to get it!
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From:girlnade
Date:May 23rd, 2013 02:08 pm (UTC)
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I think this has been pretty well answered, but the only reason I have no gotten it yet is because it's $9K out of pocket.

I weight train/ body build and it's SO discouraging to have a 6 pack under a bag of skin. I'll eventually get a tuck, when I can justify spending that much on myself. It's all about personal preference.


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