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This is what i did. Insurance (provincial insurance, as im in canada) paid for the panniculectumy and i paid for the difference to upgrade to an abdominoplaty (tummy tuck), which was basically the inclusion of muscle tightening and some lipo on the flanks, and, in my case, a bit of a mons lift i sweet-talked my surgeon into lol) If I remember correctly, i had to pay $2K for the “upgrade”. But as mentioned im in Canada and this amount is in Canadian dollars so not sure how this would translate to your locale. But as a verifiable PRO-plastics person, if you have the time and means to do it, DO IT! Its a game changer! PS…if u are curious, go to the albums section in my profile you can see a progress pic collage that shows my before and after plastics (and the whole WLS process really). The bottom row is post-plastics.

Hi Juniper, I was in about the same situation. I got my band in 2012 and started having significant reflux last summer. I had my band unfilled which helped the reflux but I packed on 40 pounds. I went to Inova Bariatrics and talked about revision to bypass; they said I had to go through the whole program again, which I did. I did not have the supervised diet part and I continued to gain weight until I went on the 2-week liquid diet just before surgery. I had the band removed and the bypass done March 21. I have Federal Blue Cross and they approved as soon as I met the requirements, including cardiac clearance, primary care physician clearance, etc. I don't quite get where your diet supervisor is coming from; I had comorbidities in addition to the high BMI - reflux was one of them (high bp was the other). I think your doctor is right that the reflux should be enough because reflux is one of the signatures of the band. I wish I had known that in 2012 - I would have done the bypass then instead. If you stay with that practice you might be stuck (pardon the lapband pun) doing as the diet supervisor commands. Different practices have different rules. I like my practice very much but they're in Fair Oaks and Woodbridge, likely a huge trip for you. Remember, even though the pre-op diet is very difficult the reward will be worth it. You can do this!

Yes, I have those an air fryer and non stick pans. I don't add fat to anything unless I am making a huge recipe of something and it calls for a little, even then I try to cut it back, remove it or substitute. I got in touch with my nutritionist yesterday, he said it is there just to make you aware and paying attention. I shared a bunch of my meals and he assured me I am doing perfect and not to stress about it.

Just stopping by to encourage you! It is pretty darn cool you’re seeking to change back to Better habits. I pray you get all the courage, information & will power to get back on track. I’m not even 2 months out so I can’t offer advice on getting back on track after surgery but when I changed my habits prior to surgery it did seem daunting: I took it one day at a time one meal at a time, sometimes one hour at a time lol You got this though

I had my surgery at an office almost 2.5 hours from where I live. They did almost all my pre-op insurance requirements via zoom. It was so convenient, took less than 5 minutes out of my day. Definitely ask if that qualifies for the insurance requirements. For the actual surgery I rented a house for 4 nights in the area. My kids are still excited about the vacation (they were 2 and 5 at the time). I stayed the night before, second night in the hospital, then two more nights before I had my post-op and we left town right afterwards. It was no problem at all.

the times I was under 300 lbs (like around 285), I didn't need an extender in regular-sized planes. I did on those little commuter flights, though. If the belt doesn't fit, just ask one of the flight attendants for an extender. They probably get at least one of those requests on every flight.

OMG! YESSSS! The mood swings are so intense. And super unfortunate. I am now in that stage of nonstop crying and nonstop anger. I've been able to control my anger and not lash out but sometimes I do make some very strong remarks to my boyfriend and I feel so guilty. I cry all the time -- I definitely release that LOL. At times I just isolate myself to make sure I keep myself controlled. I will say I feel better today compared to how low and intense I felt last night.

On this site you will never ever be judged. People on here are really helpful and no problem is too big or small. I have never been on shakes but from what I have read on here, some people have reactions to certain ingredients in some of them. It gives them extreme bowel movements and nausea. Your team need to earn their money and help you. You can not continue like this, get help please. Let us know how you get on. I wish I could hug you

this is a good video to watch on it (until someone actually answers your question)

I had a 150 pound loss with my Lap Band, but never got to goal. And now I'm contemplating revision to RNY. I did have a tummy tuck 2 years ago. My surgeon was wonderful. She submitted to my insurance for a panniculectomy, but she said what I needed was a fleur de lis tummy tuck. So insurance approved the panniculectomy, but my surgeon did the fleur de lis, hernia repair and diastasis recti repair, and she didn't charge me extra. She is amazing. ❤️ One other note that I will add is I have a friend who was never a bariatric patient, but she had 4 kids and needed a tummy tuck, and her ob/gyn did the tummy tuck. She did not have good results at all and now regrets the decision. I would highly recommend having a plastic surgeon do your surgery. I think it's just a matter of finding the right surgeon in these situations.