how do you know when you are ready?

Hi all! I am a year out. I lost quickly! I have only lost 20 pounds these last 2 months so And for the past few months it has been stable. I weigh 165 and I am 5'6" and I wear a size8/10. My breasts are still large, a DD and sometimes an F. My back is killing me. My stomach is all loose skin, I mean there is some fat in there. I like the way i look but the skin and breasts are killing me with aches and rashes. I can pull on the skin like silly putty. I am afraid about the TT/Breast reduction. I have been going back and forth on the issue for a while. I go to see the Plastic surgeon on 9/29. I want to plan ahead and work it around school, so either in Jan or May. during the breaks. My question is how do you know if you are ready? My PCP, Obgyn, Surgeon and chiropractor all say I am ready. BUT how do you know? I am spending more time on this decision then on my intial decison to have WLS.

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