Hi all, I have more than 200 pounds to lose and I am just getting started but I was wondering if anyone who is on a *long* weight loss journey like me has ever had some plastic surgery done somewhere mid-way through the weight loss period? The reason I ask is because I have always had a very significant "apron", and after two pregnancies it has only gotten worse. I am constantly battling yeast infections down there, and it makes it challenging to exercise because no matter what kind of undergarments I wear (and choices are slim at my weight), I bounce all over the place.

Now I was banded only a month ago and I haven't lost that much weight yet. I know this is only going to get worse as I lose more weight. I imagine that by the time I lose weight down to my goal weight, my apron will be down to my knees! (gross thought). So I was wondering if it would make sense to get a tummy tuck or pannenectomy (whatever it is called when they cut off the apron) sooner, and then go for a full body lift when I get to my final goal weight. (notice I said, when, not if! gotta keep a positive attitude!)

I know this seems like I am getting way ahead of myself, but if I thought I could get PS sooner I think it would help keep me motivated...

Hi Future,

If you have a plastic surgeon picked out, I don't think it would hurt to get a consult/plan going. He/she may say you need to wait a while, but at least you will have a plan in place.

My PS likes her patient's to at least at the plateau stage, but I think is varies. I had breast reduction surgery after losing 80 lbs. in June. I am plateaud right now, but still am about 30 to 40 lbs. from goal, but my large breasts were just too much for me to bear and were keeping me from getting out there and exercising, so she agreed to do it.

I think it just depends on the PS, but I don't see any problem with going for a consult if you feel that the apron is going to get in your way.

My understanding is that it is not uncommon for a ps who specializes in bariatric ps to do a panniculectomy (get rid of the the apron only) in the middle of weight loss for exactly the reasons you express.

I don't know how much you need to lose first, and I wouldn't bother going to a ps who doesn't know a lot about bariatric ps or bariatric issues. I noticed you posted on Dr. Shulman's thread as well - he will be able to give you an expert opinion.

Good luck!