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Are you wearing compression clothing? That might help the skin shaking.
Are you sure your students care about your loose skin? Or is that something you're projecting them? If they do care, perhaps you can ask them for financial assistance?
Do you want to work at places that judge you for your excess skin and your weight loss success?
You've posted about this issue before -- https://www.obesityhelp.com/forums/plasticsurgery/6036560/sk in-removal/
I'm honestly astounded by your claims relating to being a zumba instructor. I've taken countless fitness classes (and zumba) at countless gyms and I've had fitness instructors of all shapes and sizes over the years. Never once have I heard anyone make disparaging comments about instructors with "atypical" bodies. In fact, the classes I've been to with atypical-bodied instructors are often the most well attended ones.
In lieu of surgery, I recommend that you find some good compression gear (Under Armour tends to be my favorite brand) and invest in therapy to help you reframe how you think about your body's quirks. Your insurance will likely cover therapy, so it's a win-win.
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)
I admit I am my own worse critic. I do wear compression sleeves. Still shakes. And it's hot and hell. Every summer especially I risk overheating cuz I cannot wesr short sleeves. The one time I did I was mortified when my arm**** me in the face. I can deal with the rest of my body but my arms I cannot. Clothes I have to buy too big in order to fit my arms. It just sucks all the way around.
Maybe the students dont notice as much as I do but i know how it looks. And I'm trying to move into other areas of fitness. Zumba is more accepting of body type. Body pump for example is not.
*sigh*
guess i will keep trying to win the lotto.
He is concerned with complications with being overweight. He is saying he would do the panni but not the others if I wanted to do the one but I think it is better to do it all at once but going to try. I did get another opinion and she said she would do the panni but the more I lose the more she can do so they may be on the same page. I am frustrated with him because my initial consult was to find out what I needed to do to get it and he is the one who said he could do it and literally changed his mind 2 weeks before the surgery.
Did you have it done? If so, any complications? Were you still overweight?
Thank you. Good to know. Did you have any issues? He wants my BMI down below 40 and I do want to lose more but it may take me forever.
Hi, I fell back into bad habits of not drinking my protein shakes, however, I will be so on it for a few months before my surgery. I am hoping to have surgery in January. I am so scared.
Teresa

I wi**** was that simple in cutting out. Too many medicals bills for emergency surgeries & female problems and my student loans and im a single mom with no help from a deported baby daddy. So I seriously need help at this point. Another loan (another payment) at this point, no can do. Thats why I am trying to figure out a way for insurance to at least help me. Fitness is not my career but it helps me pay bills and I am limited because of this skin.
I am also a single mom of 2 via adoption so there never was a baby daddy to help me with anything, yet I still managed to get the plastic surgery I wanted.
OHSU has a plastic surgery residency program. Call and ask for a consult as you work on getting insurance approval.
I wish you the best.
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."
You can read your health ins policy to see if there is any way.
I my experience, LaurainTexas and HollyKim are giving an accurate answer, even though it is not want you want to hear.
If there is anyway, starting with the exact wording of you policy may give you a way.
Sharon
Never is too old. I was 58-59, but your surgeon will tell you, as they would with a person of any age, if you are healthy enough to endure the surgery. Please remember that plastic surgeries can be much longer than the WLS. Up to 8 hours, so that is another consideration with age. I would suggest getting a consult with a PS that charges low or no initial fee.
Before you go, I suggest taking some pics of yourself, nude without the head. That way it is easier to view your body objectively and see what really bothers you the most. I suggest that you consider correcting what bothers you the most first, because you might be one and done, so take care of what bothers you the most first.
You want to be in the best position to discuss outcomes with the surgeon.
Sharon
Great - how are the prospects of PS
Sharon