Topics in this digest:
1a. Re: Removing Excess Skin
From: Terri Bailey
2. Re: Removing Excess Skin--low back pain
From: ahmagain@yahoo.com
Messages
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1a. Re: Removing Excess Skin
Posted by: "Terri Bailey" terri.bailey56@yahoo.com terri.bailey56
Date: Wed Nov 4, 2009 5:28 pm ((PST))
Hi Aime,
I am actually going through the process of trying to have my stomach and my breasts reduced following WLS. I just got a packet from the surgeon I'm having a consultation with in two weeks. The criteria, which I know my Community Blue accepts, follows:
Abdominoplasty - you must meet ALL these requirements
1) Documented weight loss of at least 100 pounds or the panniculus must hang below the level of the pubis
AND
2) The panniculus is so large that it causes uncontrolled intertrigo (which is unresponsive to conservative therapy including topical drying agents, corticosteroids, and appropriate antibiotics), or skin ulceration, or skin necrosis, or chronic intractable low back pain (for PHP insurance you must be able to present pictures (frontal and lateral) that have been taken showing chronic skin changes
AND
3) Sufficient time has elapsed (a minimum of six months) so as to ensure maximum weight loss and weight stability
Breast Reduction - you must have documentation at your physician's office of two or more of the following clinical indication and physical findings:
1) Pain
a) Documented pain in the neck and/or shoulders or postural backache which must be of long-standing duration and increasing intensity AND
b) Failure of a minimum of three months conservative therapy, including an appropriate support bra, exercises, heat/cold treatments and appropriate steroidal anti-inflammatory agents or muscle relaxants
2) Ulceration of the skin of the shoulder or should grooving not responding to conservative treatment
3) Intertrigo between the pendulous breasts and the chest wall that has not responded to dermatologic treatment
4) Lordotic posture
5) Ulnar paresthesias
In addition to the above clinical indications, BOTH of the following criteria must also be met:
1) The patient must be old enough that the breasts are fully grown
2) The amount of breast tissue removed from each breast must be equal to or greater than the 22nd percentile cutoff weight for body surface area (to be determined by physician if you meet this)
I looked up a couple of terms I wasn't familiar with:
Lordosis is defined as an excessive inward curve of the spine. It primarily affects the lumbar spine, but can occur in the neck (cervical).
When found in the lumbar spine, the patient may appear swayback, with the
buttocks more prominent, and in general an exaggerated posture. Lumbar lordosis
can be painful, too, sometimes affecting movement.
Ulnar neuropathy is an inflammation or compression of the ulnar nerve,
resulting in paresthesia (numbness, tingling, and pain)
in the outer side of the arm and hand near the little finger.
Hope this helps and isn't information overkill.
Terri
--- On Wed, 11/4/09, belliesmom@ymail.com <belliesmom@ymail.com> wrote:
From: belliesmom@ymail.com <belliesmom@ymail.com>
Subject: [After Weight Loss Surgery] Removing Excess Skin
To: afterweightlosssurgery@yahoogroups.com
Date: Wednesday, November 4, 2009, 6:50 PM
Hi,
I had gastric bypass surgery almost eight months ago and am doing great. I have lost 110 pounds and am feeling better than I have ever felt before. I met with a plastic surgeon yesterday to begin formulating a plan to remove the excess skin, as there is a lot. I wanted to give myself plenty of time to save up for what I knew would be an expensive surgery(s). Much to my surprise the surgeon said that it is extremely rare for insurance to cover any part of the surgery aside from breast reduction, if I can qualify for it. So, I am wondering if any of you have had the surgery and, if so, were you able to get it covered by insurance.
Thank you!
Aime
[Non-text portions of this message have been removed]
Messages in this topic (11)
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2. Re: Removing Excess Skin--low back pain
Posted by: "ahmagain@yahoo.com" ahmagain@yahoo.com ahmagain
Date: Wed Nov 4, 2009 5:41 pm ((PST))
How big do you think your panniculus would have to be to cause low back pain? My surgeon had told me my low back pain could be from my panniculus. I have constant low back pain now at 137 lbs that I didn't have at 297 (it started around 150 lbs).
I think mine hangs 8 cm past my pubis but I'm not sure. I'll have to find his letter. But its not as extreme as some people experience.
Anyone know? Or anyone else have low back pain since surgery and have a different explanation for it?
Thanks!
Anna
RNY 12/01/08
297/267/137
Sent on the Now Network™ from my Sprint® BlackBerry
Messages in this topic (1)
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