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Excess skin after WLS



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I was low BMI (35.9), lost 80 lbs. I have a bit of loose skin around my tummy (which is where I carried most of my fat). It’s mostly invisible when I’m dressed but very apparent when I’m naked. As a fellow WLS patient said about herself… I look like a potato. Annoying, but I’d much rather deal with some loose skin than be obese!

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Did any of you pay out-of-pocket for your skin removal procedure and can you provide a range and the procedure type? My insurance already said they won't cover a panniculectomy, unless it's due to infection.

Sent from my Pixel 5 using BariatricPal mobile app

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11 hours ago, Kimpossible00 said:

Did any of you pay out-of-pocket for your skin removal procedure and can you provide a range and the procedure type? My insurance already said they won't cover a panniculectomy, unless it's due to infection.

Sent from my Pixel 5 using BariatricPal mobile app

I had my skin surgeries in 2017 and 2018 (and a face/neck lift a year ago). Before I started doing consultations, I'd read on bariatric internet forums (and it might have been this one) to expect $8K-$10K per procedure, with a lower body lift counting as two procedures since they do both front and back (in other words, it's more extensive than a panniculetomy). I had three consults in the US, and that range rang true. I did one email consult with a surgeon in Mexico, and his estimate was maybe half that (although I chose to stay in the US for my surgeries). I've had a lower body lift, an arm lift, a breast lift, and again, a face/neck lift.

EDITED to add: part of it depends on where in the country you have it done. You're probably going to pay more in a city like NY, Chicago, or LA than you will in a place like Knoxville, Tennessee. I know there are some people on this forum who had theirs done in Florida, which for some reason seems cheaper than other parts of the country.

Edited by catwoman7

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13 hours ago, Kimpossible00 said:

Did any of you pay out-of-pocket for your skin removal procedure and can you provide a range and the procedure type? My insurance already said they won't cover a panniculectomy, unless it's due to infection.

Sent from my Pixel 5 using BariatricPal mobile app

i did.

i had a Tummy Tuck, arm lift and breast lift all in one shot back in 2019.

im in canada (ontario) though, so the following prices may not apply depending on where you are from:

i paid roughly 15k CAD in total (~11k USD in todays dollars)

my provincial insurance covered the pannilectumy portion of the surgery and i paid the difference to "upgrade" to a tummy tuck (which is essentially muscle tightening and a bit of Lipo on the flanks)...and i think that "upgrade" cost me 2-3k CAD?

up here in ontario, pannilectumy is apparently covered if there is infection or whatever from the hanging over skin (which i did not have?, or if you lost 100+ lbs (which i did). i did not know this until my chosen surgeon informed me of it. i was already willing to pay for the whole thing, so the insurance coverage for that portion of it was just bonus for me.

p.s. i booked the next available surgery as soon as i reached goal which was 6-7 months later (so i had the deeds done at 14 months post wls)

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On 12/26/2022 at 17:45, Kimpossible00 said:

Did any of you pay out-of-pocket for your skin removal procedure and can you provide a range and the procedure type? My insurance already said they won't cover a panniculectomy, unless it's due to infection.

Sent from my Pixel 5 using BariatricPal mobile app

I had a Tummy Tuck, breast lift & augmentation, and arm lift just about 2 years ago. I paid out of pocket $16,000 but I know my surgeon’s prices have increased quite a bit since then.

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Also-lots of folks (myself included) have posted info including before and after pics over on the plastic surgery feed. Check it out!

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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.
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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. 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.

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