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Hello everyone

I need some bp regarding a penni. I was sleeved on 6/18/13 and so far I have lost a little over 100lbs. However, I've lost 145lbs since my first visit with my surgeon. My issue is I still have 140 lbs to go until goal. My penni is now getting in the way and affecting my everyday life. It sticks to my thighs, hurts underneath because skin is being pulled, still cannot lay on My back and so on so on. I have BcBS od CA and i was wondering if anyone has any experience with having this done prior to goal and if they will pay for it.

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I'm. 3 days postop from panni surgery but I was under goal.

What your insurance pays for is individual. When it does pay, you must have medical documentation to prove you meet the requirements. My insurance made no mention of needing to be at goal. If the pannus is causing you the problems mentioned, start getting your doctor to prescribed creams and to take pictures.

The panni surgery will only remove excess skin but will make your life easier. Good luck

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With the amount of weight you have lost and the expected amount to still lose, I'm sure the reasons for getting a penni would be unquestioned. However, everything I have read and heard suggests, it will probably not be considered until you are almost at your goal. You would certainly not be satisfied either if you had it done too soon, only to end up with lots more sagging skin and problems upon reaching your goal. Good luck. congratulation on your great success. Keep up the excellent effort.

Edited by Recycled

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With the amount of weight you have lost and the expected amount to still lose, I'm sure the reasons for getting a penni would be unquestioned. However, everything I have read and heard suggests, it will probably not be considered until you are almost at your goal. You would certainly not be satisfied either if you had it done too soon, only to end up with lots more sagging skin and problems upon reaching your goal. Good luck. congratulation on your great success. Keep up the excellent effort.

Many of the super morbidly obese end up with multiple PS procedures. A pannus that is too huge can impede further progress.

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Have you looked into compression garments until you stabilize?

Edited by PdxMan

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Vogue said :


Many of the super morbidly obese end up with multiple PS procedures. A pannus that is too huge can impede further progress.

I was unaware of this. What you say certainly makes sense, I didn't know insurance companies would consider it more than once. Thank you for this information.

Edited by Recycled

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I was thinking that I had to get to goal before it would be considered. However, that has changed. I am sitting here at work and I have this aching pain under my guy. Something def has to be done.

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What is panni surgery?

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It when they cut you gut off.. Hmm... The bottom of the stomach that may hang over your pants.. Ur private parts etc

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Similar to Tummy Tuck?

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Stupid time out double posting monster

Edited by vogue

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Similar to Tummy Tuck?

A tummy tuck involves muscle repair and / or tightening plus Excess skin removal and often some contouring of the abdomen area

A panniculectomy. ( panni) is the removal of excess skin that lies below belly button only

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Congrats on your amazing success!

I think you should start documenting as has been mentioned AND consult with some local plastic surgeons. Most of them do consults for free... and I would look for someone who has a good history with massive weight loss patients. Realself.com is a good starting point to search for docs, see photos etc. I too have heard that it is sometimes done in stages since a very large panni is physically uncomfortable and can impede you from exercise. It is my understanding that it would be possible to "revise" and do a real Tummy Tuck or lower body lift once you get to goal if you want to - but those are questions for the surgeons. Again, consults are usually free and very educational...

Good luck!

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