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I am scheduled in 2 weeks for PS. The doc suggests a panni, abdominoplasty and puboplasty. Insurance is covering the panni but the rest is on me and I can't afford all that so I must eliminate one. I have lost 181 pounds and am ready to experience the huge change everyone but me can see. I desperately need advice from those who know best which would give me the best reward for my limited funds. I can swing one or the other but not both. Also, can I manage the pain with meds or is it worth the extra $250 to spring for the pain pump?

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I would say have the full Tummy Tuck - I think you mean the mons lift when you say puboplasty? - My PS did that one (Mons lift) for free with my TT (full anchor / t incision) Though I did not have the belly muscles touched as I have hernia mesh in there

Without my belly muscles tightened I had no pain at all - Just a pulling forwards for a week.... I reckon the pain all comes from them doing the belly muscles as when they did my hernia - That did hurt alos - I didnt have a pain pump - I took pain killers for the first four days without missing them, - Hopefully someone else here will help you out on that one

I wish you good luck with your procedure :-)

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I am scheduled in 2 weeks for PS. The doc suggests a panni, abdominoplasty and puboplasty. Insurance is covering the panni but the rest is on me and I can't afford all that so I must eliminate one. I have lost 181 pounds and am ready to experience the huge change everyone but me can see. I desperately need advice from those who know best which would give me the best reward for my limited funds. I can swing one or the other but not both. Also, can I manage the pain with meds or is it worth the extra $250 to spring for the pain pump?

I would do the abdominoplasty. Bigger benefit for your buck, but depends on which bothers you more. Pain was minimal for me and VERY manageable with the pain meds. I had a TT/Panni on 10/17/2013

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My advice? Put some more money in the bank and wait for a full body lift. Getting it all done in one shot is a hell of better deal financially (for me, anyway) and getting through the healing. I am 8 weeks post op from body lift and brachioplasty.

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Curious what you decided. I lost over 150# and that combination of recommendations puzzles me based on the consults I had. I had the lower body lift as well. At first the idea terrified me but i can see now that I would not have had the best results with the Tummy Tuck alone. I went the Mexico - have a bunch done at once route - arms, breasts and the small thigh lift so no long scar. Rugged recovery, but now, wow, I am amazed at my own transformation. The only bad part is I still have side boobs, underarm extra skin but I just don't want to do an upper body lift which is the only solution to that problem so i will just live with it. It is easily disguised and really not THAT bad. Other than that, my skin problems are SOLVED...wooo hooo!!!

For anyone, i would recommend MULTIPLE consults because you start to really understand the options better.

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Surgery coming up this Tuesday. I'm doing panni, abdominoplasty and puboplasty. Insurance is covering the panni, I'm on the hook for the rest, just about $6000. Based on your experience, how many pounds should I expect to go and how much difference will it make in my pants size?

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at first, your weight will go up, due to swelling, and you will wear at least a size or two bigger. Once all swelling is gone, you may wear the same size as now, just better.

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