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I can't believe that my insurance approved my tummy and thighs the first time! I'll be having surgery in January, any advice?
HW: 398.8 SW:356 GW: 175 CW:147
I know nothing about the coverage in Canada. I just wanted to wish you luck in your appeal.
HW: 398.8 SW:356 GW: 175 CW:147
Panniculectomy denial
Oct 07, 2019
Hello everyone!
It has been sometime since I posted on this website. I had gastric bypass roux-Y in January 2017. I have lost 130 pounds and have maintained the weight loss for the last two years. I look and feel great! The gastric bypass bypass was life-changing for me.
This question is for Canadians covered by OHIP.
I have had a consult with a plastic surgeon. Hesubmitted in all the paperwork for the panniculectomy. Ultimately, I?m going to have a complete abdominal plasty. Pay the difference. The problem is OHIP has denied the authorization to cover cost. My panni hangs half over my mons pubis (mons Venus). I hate how it sits in my lap while on the toilet. I have had rashes/excoriations & odour. I have purchased just about every over the counter sprays and powders to keep the area clean without too much success. I wear compression panties to hold it in but that is ultimately causing irritable bowel from the intestinal compression. I have gone back to see the surgeon. The biggest problem for me is that the Panis doesn?t hang well below the pubis symphysis. We have appealed the decision. I submitted a well written letter to the appeal board. My question is has every anyone ever been denied a panniculectomy and then ultimately the appeal reversed the decision?
I am feeling frustrated!
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Roux En Y - Jan. 4, 2017
HW 283 SW 260 CW 165
IN THE END WE ONLY REGRET CHANCES WE DIDN'T TAKE. 
I'm a teacher and had this done at the end of July so I was back to work just after 4 weeks post op. I was swollen and stiff but able to do a lot of teacher tasks, which are quite physical... just couldn't lift much. I got tired easily but was able to keep a normal sleeping schedule after about week 3 (naps all day until week 3). At a desk job, in my opinion, you'd def be ok after 3 weeks at home, maybe even 2. But don't pu**** because it just makes swelling worse!
HW: 286
SW: 264
CW: 163
RNY on 7/10/18 with Dr. K. Vaziri, Washington DC
Extended TT, Breast Lift, and Lipo with Fat Transfer to Buttocks on 7/24/19 with Dr. Joseph Michaels
Lower face and neck lift, 7/27/20, Dr. Henry Sandel
So, did you go back to work and if so when? If you you don't work, when do you think you would have been okay to return to a desk job? A low stress desk job where you could get up to walk if you need to or put your feet up under your desk.
HW: 398.8 SW:356 GW: 175 CW:147
I had my consults within 1-2 months of hitting goal, knowing it would be another 6+ months before I'd go forward with it. However, I hit goal and kept losing way below that. I was at my lowest weight when I had my plastics and have since regained about 8-10lbs from the day of my plastic surgery and now maintained the same weight for a year. My plastics look better now than they did when I was thinner (I had a 19.1 BMI on the day of my surgery, I was too thin).
Anyway, all that to say that if I did it again I'd give myself some time to bounce back if I was going to. On the same token I had plans to move several states away (which I did at 8 weeks post op) and I wanted the surgery done before I moved as I knew that getting the point of taking an entire month off was going to require some time spent at my new job first.
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
My surgeon says you should be at goal and maintain that weight for at least a full year before committing to palstics. Things can look very weird if you regain after having plastics done.
Sparklekitty / Julie / Nerdy Little Secret (#42)
Roller derby - cycling - triathlon
VSG 2013, RNY conversion 2019 due to GERD. Trendweight here!
I started researching surgeons and whittling down to my final list (I aimed for 3-5 potential candidates) when I was about where you are. That took a lot more time than I thought it would, so now might be a great time to start! I was at my goal weight when I finally did the consults (I did three), but they all required that patients be at a stable weight for at least a year, and at least a couple - if not all three - said not to gain or lose more than 10 lbs after plastic surgery (so....same as White Dove)
I found realself.com helpful for identifying possible surgeons - as well as doing a search on this site to see if anyone had used a surgeon in my region (I decided early on that I wanted to be within driving distance (maybe 2-3 hours away max) for various reasons. But there are people on here who've traveled long distances for this)
I don't think there is any harm in getting consults now. It may motivate you to lose your final 20 pounds. My SIL had a consult and did not get plastic surgery until a year or so later. He still honored his estimate.
Laura in Texas
53 years old; 5'7" tall; HW: 339 (BMI=53); GW: 140 CW: 170 (BMI=27)
RNY: 09-17-08 Dr. Garth Davis
brachioplasty: 12-18-09 Dr. Wainwright; lbl/bl: 06-28-11 Dr. LoMonaco
"May your choices reflect your hopes and not your fears."
My plastic surgeon wants you at a weight where you do not ever intend to gain or lose more than 10 pounds.
Real life begins where your comfort zone ends
donnaloza · 1 replies · 85 views
