Which dr. helps you build the case for a panni?

Plastic surgery is way in the future for me, as I still have 150-200 pounds I'd like to lose, but I'm already getting rashes and irritation from the hanging skin on my stomach. I'd like to start making note of all of this with a doctor now, so hopefully the insurance coverage will be easy to obtain. Which doctor do you discuss this with? Your personal physician, your surgeon, or the plastic surgeon directly? I just want to be prepared when the time comes. Thanks.

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