Abdominoplasty and BR, when still 200 +???

Ok I have been approved by the insurance company for a breast reduction and abdominoplasty.However I am kicking out an extra 4 grand because the PS said that the abdominoplasty just covers the removal of skin, not the tightening of muscles and lifting of the pubic area and such and he will only complete the abdominoplasty if everyhting is done because he does not like just the results of the abdominoplasty. Also I am wondering what exactly is a lower body lift and should i try and get the insurance company to approve that also? I started at 388 and am down to 235 -I want to lose this last 40-50lbs and am going to try and get as much off as possible before my abdominoplasty which I tink i'm going to schedule for the second week in may? Am I giving myself enough time and has anyone out there found that even when they were in the 200's and had their stomachs done and flattened they were happy with the size that they were? And even if i decide to lose more weight after the abdominoplasty will my skin sag again? BTW I'm 5'6 235 wanting to get to 200 be4 surgery? Any thoughts. advice,etc???

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