John LoMonaco

It is certainly preferable to do as many procedures as possible at one surgical setting to avoid 2 downtimes, 2 recoveries, 2 exposures to anesthesia and the added expense of 2 surgeries. Surgeons will stage procedures for several reasons. If there is a large amount of skin there may be a simple time constraint in removing it all. This type of work also requires a team approach in a specialty facility (in my opinion). Not all surgeons may be willing to enlist the extra help needed to move thee cases along, and not all facilities are capable of handling the recovery process for longer procedures. My typical staging is: Stage 1: lower body lift, breast lift, liposuction as needed, possible breast implants Stage 2: arms and legs plus touchups from Stage 1. Add breast implants to lift if not done at Stage 1. Hope this helps Dr. LoMonaco www.DrLoMonaco.com www.BodyLiftHouston.com

Insurance coverage is harder to get these days, and there are medical criteria that must be met. Each company has slightly different requirements but you need to know them so you can prepare your appeal in case you are denied. First-time approval for plastic surgery can happen if you submit the letter properly. Check out this section of my website and click under the "Tips for Getting Insurance Coverage" article for links to some of the companies plus tips on going through the approval process: http://drlomonaco.co...ient-resources/ Best Dr LoMonaco www.drlomonaco.com www.bodylifthouston.com

I generally will not relocate a port unless the patient desires a low-profile port or the bariatric surgeon has had trouble accessing it (they can flip after a lot of weight lo and from the sagging skin) Also, some patients feel that ports located under their ribs are uncomfortable;e and wish it to placed in the center, more under the breastbone. Hope this helps ! Dr LoMonaco www.drlomonaco.com www.bodylifthouston.com