I have a question about getting insurance approval...

Howdy y'all. I'll be a year post-op tomorrow, and it still may be too early to tell, but it looks like I may possibly need an arm lift. I was thinking the other day... I have a lot of shoulder pain in the muscles that is constant but worsens when I am using my arms a lot. Could that be caused by the excess skin that isn't going away? I know it sounds odd, but I'm wondering if I could use that in my argument for insurance approval. What do y'all think?

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