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confused and lost about panni,



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I am supposed to be getting a panni, even though i have not lost all my weight. after going back and forth with insurance somehow it was approved even though i havent had the lapband for 18 months. I still have to quit smoking again, and i am supposed to be starting school in may, i can put that off but i dont know how much i should lose before surgery so that it wont look horrible. I am getting the surgery now because i lose my insurance next year. i dont even know what to ask my doctor because he wanted to do the surgery almost right away. can anybody help me?

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So, it sounds like they are recommending this for medical reasons - you have lost alot of weight and the extra belly skin is causing health problems and perhaps interfering with exercise etc? That is the main reason I have heard of doing this before losing all the weight... referred to as "staging" or doing it in phases. Most of us are told to be at a stable goal weight for at least a little while but it is very individual.

Have you had a consult with a plastic surgeon? They are normally free and really the best place to get your questions answered.

I had plastics, but it was much more extensive than a panni so i can't really give advice on what to expect with the panni. I will say that skin removed from the belly area has a bigger impact than one might think as it is tied into your lymphatic system etc and healing takes awhile. Your plastic surgeon should be able to lay out the plan for recovery too.

good luck!

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Honestly, I would do it. I haven't lost all my weight either, but if my insurance wanted to cover it I'd be on the table tomorrow!

Are there maybe some emotions attached to the idea of not having your pannus anymore that are making you re-think it the procedure?

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Hi Kyle. I am having mine removed in May. It is being done early, as Jane said, for health reasons. I am not at goal, but close. A second opinion never hurts! Good luck with your decision.

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How are you getting insurance to cover it? Mine specifically says panniculectomies are cosmetic and not covered. Is there a way around that?

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How are you getting insurance to cover it? Mine specifically says panniculectomies are cosmetic and not covered. Is there a way around that?

Some insurances do cover it with documentation saying it's medically necessary from your doctor. Mine covers it and I know a year from now, I'll be doing it too!

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My insurance will pay after 3 months stable weight and if you get frequent rashes documented by your doctor.

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I'm going to have to dig a little deeper.

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i have seen the plastic surgeon and he was talking about phases, the only thing that i guess has me worried is the rest will come out of pocket. I believe one of the reasons he is trying to do the surgery now is because i have severe back problems and the pressure from the hanging panni does make it worse. ive been trying to get into contact with the insurance lady at my surgeons office to get some answers bc basically i didnt meet the main criteria for insurance to cover it, and some how got approved after my insurance told me i would have to reapply in july. I just feel like he didnt give me enough information bc he wanted to see if i would be approved or not.

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    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. LeighaTR

        I hope your surgery on Wednesday goes well. You will be able to do all sorts of new things as you find your new normal after surgery. I don't know this from experience yet, but I am seeing a lot of positive things from people who have had it done. Best of luck!

    • Alisa_S

      On day 4 of the 2 week liquid pre-op diet. Surgery scheduled for June 11th.
      Soooo I am coming to a realization
      of something and I'm not sure what to do about it. For years the only thing I've enjoyed is eating. We rarely do anything or go anywhere and if we do it always includes food. Family comes over? Big family dinner! Go camping? Food! Take a short ride or trip? Food! Holiday? Food! Go out of town for a Dr appointment? Food! When we go to a new town we don't look for any attractions, we look for restaurants we haven't been to. Heck, I look forward to getting off work because that means it's almost supper time. Now that I'm drinking these pre-op shakes for breakfast, lunch, and supper I have nothing to look forward to.  And once I have surgery on June 11th it'll be more of the same shakes. Even after pureed stage, soft food stage, and finally regular food stage, it's going to be a drastic change for the rest of my life. I'm giving up the one thing that really brings me joy. Eating. How do you cope with that? What do you do to fill that void? Wow. Now I'm sad.
      · 1 reply
      1. summerseeker

        Life as a big person had limited my life to what I knew I could manage to do each day. That was eat. I hadn't anything else to look forward to. So my eating choices were the best I could dream up. I planned the cooking in managable lots in my head and filled my day with and around it.

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        I still cook for family feasts, I love cooking. I still do holidays but I have changed from the All inclusive drinking and eating everything everyday kind to Self catering accommodation. This gives me the choice of cooking or eating out as I choose. I rarely drink anymore as I usually travel alone now and I feel I need to keep aware of my surroundings.

        I don't know at what point my life expanded, was it when I lost 100 pounds? Was it when I left my walking stick at home ? Was it when I said yes to an outing instead of finding an excuse to stay home ? i look back at my last five years and wonder how loosing weight has made such a difference. Be ready to amaze yourself.

        BTW, the liquid diet sucks, one more day and you are over the worst. You can do it.

    • CaseyP1011

      Officially here for a long time, not just a good time💪
      · 0 replies
      1. This update has no replies.
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