NEED HELP QUALIFYING FOR PLASTIC SURGERY

I 13 months out I reached goal at about 8 months out I lost 97lbs. my wls says the ONLY weight I have left is my massive hanging pannus(25lbs.). I was denied the first go round my wls submitted my request with no pcp notes. I was denied due to no documentation stating functional impairment. Although my pannus does definately hang below my pubic area and I am now seeing a chiropractor for back pain(started this week). I see my pcp on the 21st. and although the skin on my stomach does tend to from the slightest scratch. and hygiene is a chore I do NOT have and rashes or infections under my pannus... Has anyone EVER gotten approval without rashes and /or hernia?... HELP!!!!!!!!!!PLEASE.... Trust me if I knew how to give myself a rash I WOULD...please don't judge me by my last statement if you had 25 pounds of hanging skin and fatty tissue you'd be willing to do ANYTHING to get rid od it too. thanks for any suggestions

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