I picked this up at my band surgeon's office yesterday. Thought I'd share:

Plastic Surgery - Surgery performed by a Plastic Surgeon to modify and change the appearance of an individual. The emphasis is on the change of one's appearance and no actual plastic is used for most of the operations.

Brachioplasty - This operation is performed to improve the appearance of one's upper arms. Excess arm skin is removed after weight loss. This operation is usually performed after all the weight loss has been obtained and is done under general anesthesia on an out-patient basis. This procedure is considered cosmetic in nature and is not covered by insurance plans.

Mastopexy - This operation is performed to improve the appearance of the breasts. This is an operation that lifts the breasts, changes the size and location of the nipple and aureola, and gives a firmer and more youthful breast. This operation is performed after weight loss has been obtained and is done under general anesthesia on an out-patient basis. This procedure is considered cosmetic in nature and is not covered by insurance plans.

Breast Reduction - This operation is performed to reduce the size and weight of one's breasts and to improve the shape of the breasts as well. In this operation there is a reduction both of breast tissue and skin of the breasts. This operation is performed under general anesthesia on an out-patient basis. This procedure is covered by many insurance plans but does have a minimum amount of breast tissue that must be removed. For this reason, one may have this operation performed before all of the weight loss to assure qualification for insurance coverage. Consult a plastic surgeon about this operation if needed soon after weight loss surgery.

Abdominoplasty - This operation, also referred to as a tummy tuck, is performed to remove excess skin and fat from one's abdomen. This operation is performed under general anesthesia on an out-patient basis. This operation is considered cosmetic in nature and is not covered by insurance companies. This operation would be considered after your weight loss is complete.

Panniculectomy - This operation is performed to remove the excess skin one has on their abdomen that hangs over one's pubis after significant weight loss. This is a medically indicated operation to improve the health of the skin on the abdomen that is frequently infected under the skin. This operation is performed under general anesthesia on an out-patient basis in most circumstances. This is a medically indicated operation and is covered by most insurance plans. This operation would be considered after your weight loss is complete.

due to so many infections (rashes ) under the breast and arms its not cosmo' its medical and my insurance is covering 100%!!! yahoooooo however im waiting til ireach my total goal (20 pounds to go) which all had started b4 lapband, now from what i heard if you had more than 2 infections, rashes they are to cover because its medical..check it out b4 spending money

Does anyone Know anyone that has had Apron on Tummy, and Arms done that is on Medicare? Medicare was really good about covering 80% of Lapband. Was not sure if they are as Cooperative about covering PS that is Medically necissary after all weight is lost,

I work for an excellent group of plastic surgeons... I will eventually will have surgery and I'm here if anyone has questions... There is a surgery that is covered by your insurance company if proven medically necessary... It's called a panniculectomy. The difference between that and a tummy tuck is that they only remove the excess skin versus tightening the muscles of the abdomen. If deemed medically necessary, your insurance company should pay for it

great post now i know exactly what surgery is for me thanks for the information

anyone from New Jersey that could recommend a top notch plastic surgeon in the NY/NJ area, for lipo, breast lift and possibly a tummy tuck? and how much do they cost? Insurance ( I have Aetna) pay for any of it?

TRY DR. ROSE IN FREEHOLD NJ HE IS RECOMMENDED FROM MY SURGEON FOR ALL BAND AND GASTRIC PLASTRIC SURGERY.

Wow. Thanks. I thought I would need a tummy tuck but I am pretty sure that after the weight loss, I would need the pann...... (the last one). I already have a lot of skin that hangs down over that area as a result of my pregnancies. Have hopes that insurance may cover it.

Wow. Thanks. I thought I would need a tummy tuck but I am pretty sure that after the weight loss, I would need the pann...... (the last one). I already have a lot of skin that hangs down over that area as a result of my pregnancies. Have hopes that insurance may cover it.

I do as well and hope with the loss of weight I can have this done

Just letting you all know, I work for a plastic surgeon (I had LapBand surgery over 4yrs ago)- and most of those surgeries are not covered by insurance. The panniculectomy is covered with proof of photographs showing the "apron" which is a lot of hanging skin. I'm not sure if this applies to all insurance companies out of state. But in NY it's very hard to have those procedures covered. I had a mastopexy/augmentation last year and I paid for it.

Good luck!

Good to know thank you

Hi everyone,

I am just about ready to start my hunt for a good plastic surgeon. I live in Gretna Louisiana (New Orleans) and if anyone knows of a good doctor that does Panniculectomy and Brachroplasty (abdomen and upper arms) in this area please let me know. Thanks guys.

What was incorrect?

Its a leg lift and the info you were given is incorrect.

Interesting thread

Edited October 30, 201411 yr by NewLife'sGr8

Helpful post!

I lost 300 pounds and keep it off and I 10 years Graduate.

I have documentation with my Doctor on all the issues!

I know my Insurance will approve all my reconstruction surgeries!

What the process get started?

Thank you

Sherri

I lost 300 pounds and keep it off and I 10 years Graduate.

I have documentation with my Doctor on all the issues!

I know my Insurance will approve all my reconstruction surgeries!

What the process get started?

Thank you

Sherri

Congrats Sherri, well done. I can tell you one thing, insurance has changed incredibly since I began my weight loss journey. I had a reduction and lift 10 mos. ago for breasts. Process was to find a plastic surgeon in my network, make an appt. go see, I know your problems are the same that most all of us have had. My surgeon had a form to check off everything, and it really was just about everything we have going on which I call 'the issue with the extra tissue'. Next step was my primary sent one page from two years ago that showed I had gone to see him and in that visit had X problem and he had noted 'plastic surgeon?' Sent that to the plastic surgeon who submitted photos, my form I filled out. They were so confident it was covered, they booked the surgery date my first visit. So they submitted the paperwork, images and surgery date for authorization, approved in I want to say less than 2 weeks. I have Humana.

I go to see plastic surgeon monday for reduction