Dr. Schulman...I haven't been on the site in several months but I'm back now with questions, of course. I had the panniculectomy done December 5, 2008. They found that I had 2 large hernias when they did the procedure so the doctor repaired them. It was not quite the walk in the park I was hoping for. I had to wear drain tubes for 2 1/2 months because of a huge seroma. Finally, the tubes came out and now, it's looking great! Even with all the set-backs with my surgery, I'd do it over again! Basically, it was the hernias that caused the most problems after surgery. Is it my imagination or have my thighs actually gotten larger since the surgery or is it now I don't have the fat apron hanging down covering most of the top part? It's gotten so bad, skin is sagging below my knees now. I've lost 317 pounds so the sagging skin is to be expected and I actually am thrilled that I no longer carry around 469 pounds but the excess skin is horrible and disgusting. Now to my question, just because I had problems after my panniculectomy, would you think that a thigh lift would be as bad? I'm hoping and praying to have an arm and thigh lift done. My insurance finally covered my panniculectomy but it doesn't cover the other surgeries at all even though I get rashes and infections in the folds of skin both on my thighs and arms. I hate sounding like a whinner because I'm so blessed to have lost so much weight and to have had the panniculectomy, but now my thighs look even worse than before. After my surgery, I had to go to a place in Dallas to get fitting for a special binder to wear and the woman that was going to fit me asked what type of disease I had to make my legs look like they did. I tried to laugh it off but it just made me feel worse. I now avoid full lenght mirrors at all costs. For anyone that might need a TT or panniculectomy, go for it because the results from that are fantastic! Someday I hope to be brave enough to post pictures so everyone can see. To sum up this LONG question. Could my skin be sagging more now after the panniculectomy? Also, can an arm lift and thigh lift be done at the same time to save on expenses? My first surgery was done on an out patient basis so I didn't have the expense of a hospital stay but if they could combine the two, would it probably require a stay? Thanks once again, Dr. Schulman, for all your help!