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took your guys' advice and am going to meet with two other plastic surgeons who have STELLER reviews! Both have worked on bariatric patients, they both are pricier but also more local. I am excited about this process its something to look forward to

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On 6/18/2024 at 10:58 AM, ms.sss said:

well that's interesting!

this type of "control" over self-paid elective surgeries from one medical professional to another is i think unheard of around here. is that a common practice in the U.S. (or other countries?)

unless of course you are getting your plastics covered by insurance...in which case that would make sense...? though i had a portion of my plastics covered by provincial insurance (the panniculectomy portion of my tummy tuck), and even then i did not need to get approval/sign off from anyone other than my plastics surgeon.

I was completely self pay and needed sign off from my primary physician (along with other testing that proved I was healthy enough for a long procedure) and I had to get the same authorizations for each surgery so it might be common.

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2 hours ago, GreenTealael said:

I was completely self pay and needed sign off from my primary physician (along with other testing that proved I was healthy enough for a long procedure) and I had to get the same authorizations for each surgery so it might be common.

that IS interesting!

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14 hours ago, GreenTealael said:

I was completely self pay and needed sign off from my primary physician (along with other testing that proved I was healthy enough for a long procedure) and I had to get the same authorizations for each surgery so it might be common.

Yes, the surgeon also required blood work and an EKG test- I think? but needed my WLS surgeon and Primary signing off. Glad to see this is a normal practice somewhere else. :)

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2 hours ago, AmberFL said:

Yes, the surgeon also required blood work and an EKG test- I think? but needed my WLS surgeon and Primary signing off. Glad to see this is a normal practice somewhere else. :)

From my understanding is pretty common in Miami. These surgeons will require a lot of clearances because there is no prior established history. But my surgeon required clearances every single time like we were strangers 🤣

These were my requirements

62E4C4C0-9AC9-4C81-B63D-72276EEBF245.jpeg

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On 06/18/2024 at 14:16, ms.sss said:






granted, i get that either your wls or plastics surgeon would make a recommendation, but for your plastics surgeon to REQUIRE a "sign off" from your wls surgeon or primary to proceed for a self-paid, elective surgery, would be a red flag to me if indeed this is not normal practice in the U.S. i mean are they just trying to cover their asses or something??




seems off...


My PS required a sign off from my primary care doctor to say I’m healthy for surgery.
It may be a US standard for PS to adhere to.
Although I don’t think it’s a bad thing at all though. Being skinny doesn’t always mean “healthy” to withstand a certain amount of blood loss, anesthesia time, healing etc.

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On 6/18/2024 at 12:59 AM, AmberFL said:

I had my first consult last Friday and I liked her and the practice. From the consult to them answering my questions its been a pretty good experience. I tried another surgeon in my area who two women have gotten work done by and the first call seemed off. However the one I like, has beautiful before and after pictures but her Yelp reviews are not great. The surgeon I feel off about (haven't met with him) has great reviews. I am willing to put my deposit down on the one I like now to work toward it but I am nervous after reading the negative reviews. You may want to save money or choose a surgeon who seems more affordable. Know that health and safety should be a priority. Cheap surgeries can result in additional expenses in the future. I can't even imagine how much money you need to spend on an operation, for me it's something unrealistic. I try to read more new information about successful professions and people. Lately I've been reading here https://pl.bestcasinos-pl.com/nowe-kasyno/ about a new casino and I understand that our people are not poor. But I still don't understand how everyone earns money for new cars, apartments, surgeries. I guess I'm just not given this.

What did you all do?

This is a serious decision and it is important to consider all factors. Do not go to a cheap surgeon (save up your money) and do not rush into making a choice.

Edited by tomhanks22

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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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      Officially here for a long time, not just a good time💪
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    • KimBaxleyWilson

      Three months and four days ago... I was in Costa Rica having a life changing surgery! Yesterday we had a followup visit with Dr. Esmeral via video chat and this morning my middle number changed.  I'm down 47lbs and two pants sizes. I can wear a Large tshirt for the first time in like... 14 years! Woot!! Everything is going great. I have zero regrets. I went down to the riverwalk with a friend and walked 2 miles on Monday without even getting fatigued. And no more snoring or chugging pickle juice for crazy leg cramps! I need to go to the gym more... I'm making new shirts next week so that will motivate me. LOL But I'm also just not as TIRED all the time! I have a LONG way to go...but seeing the progress on the scales and in the mirror is a huge motivator!! Thank you all for cheering me on and supporting me!!
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      https://alluniqueguide.com/java-burn-coffee-reviews/
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