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Tricare and abdomnioplasty



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Anyone have Aetna? ?if so were you approved for plastic surgery?

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Ok Tummy Tuck take two....just found another surgeon and so far so good....submitting to insurance so fingers and toes are crossed!!

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Good luck!

Susan

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Any updates?

Susan

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Any updates?

Susan

Yes, went to see a new surgeon who was much better. Unfortunately I still got denied by Tricare. ???? I have decided to move forward anyway while they work my appeal. Surgery set for late April due to a cruise. I'm so excited but now nervous. Thanks for checking. Curious but not hopeful with the appeal!

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Fingers crossed for you. I'm sure you'll be pleased with the results. I go in next week to have my "dog ear" corrected. I have a skin flap on my left hip. It's an in office procedure, I'm looking forward to having even hips.

Susan.

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Hope you don't mind me asking but how did you get a dog ear? What exactly is it?

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I found this definition on line

removal of dog ears, which is a term used to describe the excess skin and fat at the ends of any type of incision is typically a simple procedure performed under local anesthesial

It is just a little flap on my hip at the end of my incision. I have it in one hip only. My surgeon said he was sure that was the hip his PA finished up in surgery and that his work was the good hip. It's fairly common after a Tummy Tuck. Make sure you ask your plastic surgeon about it. Since my surgeon is in a military treatment facility, I'm not having to pay to have it fixed. You'll want to know if you will have to pay out of pocket to have it fixed should it happen.

Google "dog ears from tummy tuck" and you can find pictures and lots of realself.com references to it.

I was told it would take about 40 minutes to fix, in office. No mention was made of needing pain medication afterwards. I didn't need any for the tummy tuck do I'm figuring this would be a breeze.

Susan

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Thanks for the info....I did find out that tricare is working my appeal, it would be very nice to have them cover a portion of it but I'm doing it anyway! Fingers are still crossed! Which base are you at?

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I'm at Ft Carson, CO. Good luck with the appeal.

Susan

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I used to work for the military medical system. Tricare doesn't cover plastics unless its medically necessary and that is hard to prove. I had an officer friend have it done and she had a lot of other issues that went along with it like pain and excess scar tissue. It took her almost a year to get approved.

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Well I am moving forward wether they approve or not. I submitted letters from 3 doctors saying it was not cosmetic. Can't do much more!

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I wish they would do mine without my RNY surgeons ok. I have a severe pelvic hernia, skin rashes and infections, the grossest smell PLUS I can't stop seeing my fat self still on my abdomen! I swear this is worse than the surgery and not being able to eat my fav foods.

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A panni is the only thing Tricare will pay for and that's with tons of documentation. A MTF with plastics can be an option but there are few and very long wait lists.

To be honest - as much as I'm appreciative for Tricare and MTF services - I would never trust them with my plastics. I want someone who I can see documented evidence and styles. I trust a civilian who's life revolves around plastics more so than a military doc. They each have their place but that's just my opinion.

If I could never afford a full Tummy Tuck I'd settle for a panni bc the rashes and skin breakdown is very dangerous. That being said I'm saving every dime I can to get the full tummy tuck!

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    • LeighaTR

      I am new here today... and only two weeks out from my sleeve surgery on the 23rd. I am amazed I have kept my calories down to 467 today so far... that leaves me almost 750 left for dinner and maybe a snack. This is going to be tough for two weeks... but I have to believe I can do it!
      · 0 replies
      1. This update has no replies.
    • Doughgurl

      Hey everyone. I'm new here so I thought I should introduce myself. I am 53y/o and am scheduled for Gastric Bypass on June 25th, 2025. I'm located in San Antonio, Texas. I will be having my surgery in Tiajuana Mexico. I've wanted this for years, but I always had insurance where bariatric procedures were excluded. Finally I am able to afford to pay out of pocket.  I can't wait to get started, and I hope I'm prepared for the initial period of "hell". I know what I have signed up for, but I'm sure the good to come will out way the temporary period of discomfort and feelings of regret. I'd love to find people to talk to who have been through the same procedure or experience before. So I look forward to meeting you all. Hope you have a great week!
      · 1 reply
      1. Selina333

        I'm so happy for you! You are about to change your life. I was so glad to get the sleeve done in Dec. I didn't have feelings of regret overall. And I'm down almost 60 lbs. I do feel a little sad at restaurants. I can barely eat half a kid's meal. I get adults meals often because kid ones don't have the same offerings at times. Then I feel obligated to eat on that until it's gone and that can be days. So the restaurant thing isn't great for me. All the rest is fine by me! I love feeling full with very little. I do wish I could drink when eating. And will sip at the end. Just a strong habit to stop. But I'm working on it! You will do fine! Just keep focused on your desire to be different. Not better or worse. But different. I am happy both ways but my low back doesn't like me that heavy. So I listened (also my feet!). LOL! Update us on your journey! I'm not far from you. I'm in Houston. Good luck and I hope it all goes smoothly! Would love to see pics of the town you go to for this. I've never been there. Neat you will be traveling for this! Enjoy the journey. Take it one day at a time. Sometimes a few hours at a time. Follow all recommendations as best you can. 💗

    • 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.

        Now I have a whole new big, bigger, biggest, best days ever. I am out there with those skinny people doing stuff i could never have dreamt of. Food is now an after thought. It doesn't consume my day. I still enjoy the good home cooked food but I eat smaller portions. I leave food on my plate when I am full. I can no longer hear my mother's voice saying eat it all up, ther are starving children in Africa who would want that!

        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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