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My Plastic Surgery Thread
Stella S replied to sillykitty's topic in Plastic & Reconstructive Surgery
A quick follow up / insurance covered by ER visit following complications. One worry down. -
Long term followup care- what type of doctors?
Azlanie replied to brooklynconceivable's topic in General Weight Loss Surgery Discussions
I am very recently post op. My surgeon sent my PCP a very detailed letter on how to care for me for the rest of my life. He stipulated certain things like what vitamins I should be taking and when, what sort of long term effects I may experience and any disorders that may occur due to certain complications. I am not sure how many other surgeons do this, but if you can call your surgeon's office, you can request that they send documentation and any long term care instructions to a primary care doctor or other practitioner you have been following up with. I would also ask them about the side effects you are having. I would highly suggest having your doctor also send copies of your medical records in the event they are not a part of your chart at your new doctor's office. -
Suggestions on how to find a good plastic surgeon post WL?
catwoman7 replied to rs's topic in Plastic & Reconstructive Surgery
yes - you want someone who has done a truckload of these things. Body contouring surgery on massive weight loss patients is a complicated subspecialty, so you want someone who does this all the time - preferably someone who specializes in this area - or barring that, at least someone who does A LOT of them (like maybe half their case load). Check realself.com for ideas. It's a site where people rate their doctors and discuss their experiences. It's all kinds of doctors, not just plastic surgeons -- although the majority of the reviews seem to be on plastic surgeons. -
Anyone have their sleeve surgery scheduled for next month? I will be traveling from the MidWest to have mine at Blossom Bariatrics in Las Vegas on 10/9 π€ Also will be my first time in Vegas! Starting the pre-op diet next Thursday and I have to admit...I'm just feeling like having a food funeral for all of my favorite meals. Scared I will develop complications and be super far away from my surgeon/medical team. At the same time, I am SO excited to have this tool to get ahold of my life! I would love to keep in contact with some fellow October newbies.....
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I'm scheduled for my sleeve at BB on 10/9! I have a friend who had hers done there in Feb of this year. Said the experience was absolutely wonderful from start to finish. I was skeptical too. So far, they have been super easy to work with. I also did the fast track program. The only thing I'm nervous about is the flight home and not having easy access to my surgeon if there are any complications. Please share your progress/experience with me as I'm looking to find friends who have also been sleeved here! <3
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* HELP HOW many days in hospital???
FluffyChix replied to New&Improved's topic in Gastric Bypass Surgery Forums
Had surgery at 9am and was out by noon the next day. No complications from my RNY. I'm in the US, so think it's a max of 2 nights assuming no comps. -
* HELP HOW many days in hospital???
elcee replied to New&Improved's topic in Gastric Bypass Surgery Forums
Mikkey asking this question on a mainly US based site wonβt give you true answers. Their health insurance is different and therefore no of nights in hospital would be different. In Aus most Drs will tell you between 3 and 4 nights for RNY. I ended up staying in 5 nights as I had a complication -
βοΈ Have you had VSG to Loop DS/ Sadi-s Revision? Share your experienceπ
SlimDreams posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Hi All! Iβm scheduled for a VSG to Loop DS revision next Thursday 9/26/19 with Dr. Walter Medlin In UT. I had VSG in SD with Dr. Takata In 2013, insurance covered it. It was successful and without complications. Pre VSG I was 297+... at my lowest I was at 180, With time and two pregnancies I lost restriction and gained. I was able to lose weight after both pregnancies but was not able to maintain it, or return to the post VSG pre pregnancy low. Despite maintaining a medium level of activity (depending on the week spin class/ triathlons/ 5ks/ 18-30 mi relaxed bike rides on the weekends/ lots of walking), I hovered around 235, now with low activity Iβm at 250. Iβm in my 2 week preop diet for the revision which is just as tough as I remember it the first time, maybe more. Little nervous for this surgery-more than I remember being for the VSG. This time Iβm going in self pay. Confident in my decision but nervous about the immediate aftermath, toilette issues/ rate of loss/ nutrient deficiencies- the usual. Dr doesnβt plan to touch the sleeve, unless any problems are seen in the EDG. Iβm loading up on vitamins and supplements now To get ahead of any deficiencies caused by malabsorption in the long run. Dr will determine Common Channel length at time of surgery at the moment it looks like it will be ~300 cm. Has anyone else had Dr. Medlin for their revision? Any tips for immediately after surgery? Iβll be flying back to SD the following Saturday-Anyone have to fly 2 days after surgery? Tips on flying post op, any general post op tips for this specific Bariatric surgery would be appreciated. I plan on updating this thread as I go along, and hope others might find it helpful in their research too. Thanks! -
Lymphatic Massage - Bilateral vertical Thigh Lift.
Stella S replied to Stella S's topic in Plastic & Reconstructive Surgery
Let me start by saying I would do it all over again. Itβs been 2 1/2 months and it is hard for me to remember with emotion the recovery. What I can tell you is it was ugly. I know this doctor I trust this doctor the procedure has a 50 to 75% complication rate. I believe if I followed my doctorβs instructions I would be in that magical 25 to 50%. it was my third and final PS Surgury time 5.5 hours with 2.5 lbs of skin tissue removed. Plus a touch of fat not included in skin weight. I went home that day. I followed all instructions. 2 drains for about 20 days. but noticed a wound separation after 1 week. Hard to keep the groin still. I mean a person has to get up. Use the toilet and such. Urine did not help. A female can use a funnel or a female urine device... A hole opened that was 3 inches by 1.5 inches and a couple inches deep at its largest. It could not be closed with stitches or glue. Multiple MD visits and an ER visit. Packed it with saline gauze it closed at 7 weeks. It was scary I freaked. So compression gear was out because of chaffing I developed 2 areas of fluid build up and one became infected I took oral antibiotics for 8 weeks. My MD placed a small hole so that side could drain and another whole would not open along the incision. It was super uncomfortable it wasnβt painful but super uncomfortable. hot and hard an weeping It freaked me out. I missed like 6 weeks of work but did a small bit from home. Thank goodness I trusted the MD. Here is the thing - no skin hitting me when I bike or run It is pretty awesome. Nothing t rearrange. I have lost of what gained when home and on a high protein diet. My age - 46 could have placed at a higher risk. I think though mostly I was just unlucky. Now though I am pleased. Plus my health nsurance covered the ER visit. -
People have died or had horrible complications having their tonsils out (remember the Jahi McMath case?). I also seem to remember some case from a few years ago of someone dying after having their wisdom teeth extracted. But how often does that happen? Almost never. Same with weight loss surgery. The morbidity rate on gastric bypass is 0.3%, and it's even less with the sleeve. So you have a 99.7% or greater chance of pulling through just fine. Horrible complications are very rare, too. It only seems like they're more common than really are because people post about them. They're looking for advice and support. People who have never had a problem don't typically broadcast that fact. So you're getting a very skewed perception. Even minor complications aren't all that common. I had a stricture. Very minor and an easy fix. It happens to about 5% of bypass patients, making it one of the most common complications. I'd hardly call something that happens to 5% of us "common", but there you have it. Complications - minor or otherwise - just aren't all that common. I read those horror stories before I had surgery, too, and they scared the crap out of me. I finally just stopped, realizing that stuff like that almost never happens. My advice is to do the same. Focus on all the success stories instead, as they are INFINITELY more common!!
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Complications aren't common and that ones that are are typically fixable and not nearly as dramatic as whatever happened to that woman. I had some complications (ulcer/hernia) and some others in this thread did, as well, but I guarantee that none of us would ever say we regret it! I thought I did while I was going through the issues, but they were fixable and not-so-terrible in hindsight. Don't be afraid - this is life-changing and well worth it!!
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Usually there's other underlying issues before surgery like ulcers and previous surgery and stuff but as above complications are very minimal at best I think it was like 1% with bypass! Its good to do your research though and be prepared!
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Iβve been reading everything I can get my hand on in preparation for my bypass surgery that i should be getting a date for before end of the month. Most of you are so supportive and enthusiastic that it just makes the waiting hard. Until I read a post by a lady that had complications. And when I say complications that is an under statement. She ended up in the hospital over 257 days. Five surgeries. I am now hoping I have made the right choice. I have to lose weight. My health depends on it. I want to lose weight even more. But I donβt want to die either. I need some of your enthusiasm to get me back on track. My daughter (who is 38) says not to worry so much because every surgery known to man has at least one bad story behind it. I agree with that but could just a little if your wisdom to get me re-centered. Thanks to anyone who can help me.
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October 2019 surgery peeps?
Panda333 replied to Cherylmilla's topic in PRE-Operation Weight Loss Surgery Q&A
Hi @veisor, Sure........I've went back and forth and for the most part was Pro-sleeve..Back in April of 2019 my surgeon recommended bypass but said sleeve would be okay and my PCP said sleeve....The sleeve seemed easier, less complications. sure there was the increased acid relux risk with sleeve but I've never had that so not a risk for me. But for me, someone who is overweight not from overeating but from pcos and other things, somone who diets and can't lose a pound, i needed the true metabolic change that the bypass brings. Also....in the pre op stuff they did discover i had acid reflux, although it never presented itself to me. additionally, my bmi is 50...so I want the proven long term results that the bypass brings. If you know of anyone or follow these boards, for some reason many people gettting the sleeve gain the weight back or have to have a revision. Not everyone, mind you..but a lot. My pre-op psychologist said it best. Whatever surgery you decide on, you have to believe it's the one for you or it won't work. She said don't get the sleeve with any doubts in your mind. Don't get the bypass with any doubts in your mind. -
I'm still pre-surgery...hopefully will have a date in october......I've went back and forth too and for the most part was Pro-sleeve. seemed easier, less complications. sure there was the increased acid relux but I've never had that so not a risk for me. But for me, someone who is overweight not from overeating but from pcos and other things, somone who diets and can't lose a pound, i needed the true metabolic change that the bypass brings. Also....in the pre op stuff they did discover i had acid reflux, although it never presented itself to me. additionally, my bmi is 50...so I want the proven long term results that the bypass brings. If you know of anyone or follow these boards, for some reason many people gettting the sleeve gain the weight back or have to have a revision. Not everyone, mind you..but a lot. My pre-op psychologist said it best. Whatever surgery you decide on, you have to believe it's the one for you or it won't work. Dont' get the sleeve with any doubts in your mind. Don't get the bypass with any doubts in your mind. π Good luck!!!
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What is the best/worst thing....
Healthy_life2 replied to KayLow42's topic in POST-Operation Weight Loss Surgery Q&A
Congrats on your surgery date. October 14th, right? The best things about WLS ? Getting my health and life back. Overcoming my old behaviors/reasons for obesity and making peace with the person I was in the past. Finding my true self again and discovering that Iβm an adrenaline junkie. Worst or hardest part? Weight loss is work. It took time to learn the basics, get past food stages and stalls. I had a gain my third year and worked it back down. I canβt say it was negative. Just part of the process. Iβm fortunate, my pain was well managed. I bounced back from surgery quickly. No complications and maintaining five years out. -
Complications almost 5 years out..
charlaclements posted a topic in Revision Weight Loss Surgery Forums (NEW!)
Gastric sleeve Surgery is December 2015. Lost 115 pounds, No problems until Tuesday. Stomach was off, no appetite, Wednesday some pain, Thursday severe pain, friday went to dr. Ct scan shows sleeve has Herniated into esophagus. As I breathe the diaphragm is constricting the sleeve and my scar tissue. The er gave me iv fluids, prescription for caraphate and said see a GI asap for scope.i am to stay on liquid doctor until then. My doctor retired so I have to find a new bariatric doctor. Any one have any experience with this issue? Use the Nicholson clinic in Dallas? Any help or ideas? Sent from my SM-G935R4 using BariatricPal mobile app -
I never thought getting 80% of your stomach removed and thrown in the trash any less invasive, although many people seem to think that. As for the bypass, it's been done for years and years and they have lots of longitudinal data on it. Techniques have improved substantially over the years to get around some of the issues they used to have. There are more complication risks than with the sleeve - but not by much. And as with the sleeve, most are minor. Other than a stricture, which happens to about 5% of bypass patients (making it one of the most common complications, I might add - although I'm not sure I'd consider something that happened to 5% of people "common"), I've never had any problems. I'd do it again in a heartbeat. And yes, type 2 diabetics tend to fare better with it. As for substantial weight loss, there are people who have had enormous success with both surgeries - but you get a bit more of a tail wind with the bypass due to the malabsorption the first 1-2 years (malabsorption of calories eventually stops - but malabsorption of vitamins does not - you have to supplement for the rest of your life. Of course, they're now requiring that of sleeve patients, too) I had GERD pre-surgery so it was a no brainer for me. But I would have leaned toward the bypass regardless because it's been around longer. At the time I had surgery, VSG was just becoming popular, and I had a fear of it being "Lapband II". It's proven itself since then (as in, it's not "Lapband II"), but I still have no regrets that I went with the bypass.
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Good luck. I pray that everything goes smoothly & there will be no complications.
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I love your pics and you are doing so well. Such an inspiration. Yummy food pics. I hope you continue to heal from complication. Peace.
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πππππππππππππππππππππ ππο»Ώο»Ώο»Ώο»Ώο»Ώπππππππππππππππππππ 22 MONTHSο»Ώ POST ο»ΏVSG/ 2 MONTHS POST RNY CONVERSION πππππππππππππππππο»Ώπο»Ώπππ β€β€β€β€β€ weight unknown: on a trip β€ο»Ώβ€ο»Ώβ€β€β€ο»Ώ I suspect my weight is in the 150s still as I can see/feel it in my skin but i will not be near a scale for at least another week. Not worried about it. Updates: Developed a stricture and had a dilatation to fix it. No big deal π Cannot eat mechanically separated poultry (turkey sausage, chicken deli meat, etc) my body rejects it. Mostly maintaining despite conversion/complications π Life is basically back to normal so... Selfies and food pics (boring because variety was halted for bit)
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I worried about this as well and am currently looking at medical tourism complication insurance. I found this company but am continuing to research it. It does give me some peace of mind as I'm not sure if my insurance would cover complications related to a procedure that they don't cover. But I also am not too worried, as complications are extremely rare! https://www.globalprotectivesolutions.com/individual-and-companion-travel-accident/
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complications aren't that common, and usually when you have them, they're pretty minor. I had strictures at four weeks out and eight weeks out (they almost always happen during the first three months post-surgery). Easy fix - and also, they happen to about 5% of RNY patients, making them one of the most common complications. I'd hardly call something that happens to 5% of patients "common", but that should give you an idea of how common complications are - basically, they're not. I think it seems like they're a lot more common than they are in reality because people post about them. People who have never had complications don't usually broadcast that fact, whereas people who *do* have complications sometimes post to get advice or support for dealing with them. as to your other concern, I had my RNY at age 55. Yes, I'm more wrinkled than I was when I weighed over 300 lbs, but I think I look my age now (I had plastic surgery for my body, but not my face - again, I think I just look like your average 60-year-old now. Before, I always looked young for my age)
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Hi: I am 1 month pre-op RNY and Iβm nervously excited. Iβm not too scared about the surgery part as I DO expect to wake up. But I am scared about complications. I have read enough on here and elsewhere to know that bad things can happen. Iβm worried about how I am going to feel afterwards. Not so much the surgery pain because I have had surgery before. Iβm more worried about fatigue and possible sadness. Iβm worried about what I will eat when regular food is reintroduced. I read what people eat and not much of it is what I like. It seems the healthy things that I like are off limits. I donβt eat a lot of protein but I do like protein shakes so I expect that they will be a part of my life forever which is ok. I also hear that tastes change so maybe I will start to like things that sound awful to me now... Iβm slightly worried about how my appearance will be regarding mainly my face. Iβm 55 and Iβm not wrinkled much right now probably because my chubby face helps. I have had said chubby face for 20 years so I donβt know what my middle aged face looks like at a normal weight. Last time I was thin, I didnβt have wrinkles. Lol. What a kick it will be to be a healthy weight and have an unrecognizable face! Lol I am not too concerned about loose skin because most of my weight is in the belly and that looks pretty bad right now so it will just look a different kind of bad. And there are always plastics... Iβm hoping getting this stuff off of my chest will help me and maybe others would like to get these things off of their chests, too. Thanks
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Medicare coverage for revision
WOLVESFAN1 posted a topic in Revision Weight Loss Surgery Forums (NEW!)
I will be having my gastric sleeve converted to the RNY hopefully, in December. I was told by my provider that they never had to get the authorization up front with Medicare. She said they submitted the letter of medical necessity with the claim when they filed and they never had any problems. I believe that Medicare has guidelines you must follow in order for them to cover my procedure. The problem is I'm not overweight, but I'm being revised due to spontaneous reflux. Everything I eat the majority of it comes back up. I definitely have the medical necessity. In my doctor's notes he states that I am malnourished and not receiving the nutrients I need to sustain life. So, basically if I don't have the procedure I'm not going to live a lot longer. My BC/BS of AL will not cover it because I had the original procedure out of the country and didn't follow insurance guidelines that are typical for WLS. I had other insurance at the time I had the surgery. The surgery was done probably 10 years before I became effective with BC/BS of AL. I've contacted Medicare to see if they would cover and was told yes if medically necessary. Since the self pay is a lot, I want to feel warm and cozy on the idea of the surgery being covered by Medicare. Has anyone had the revision due to complications only and Medicare cover? Thanks!