kaybird

Bariatric Surgeon Performing Panniculectomy

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I had gastric sleeve sx 12/2015 and I am now scheduled for a panni. SW 223, CW 160, GW 150

My insurance bcbs has approved the panniculectomy. I have a preauthorization for the bariatric surgeon to perform the procedure and I also have a preauth with a plastic surgeon. 

The plastic surgeon would be performing a full abdominoplasty "Tummy Tuck." The bariatric surgeon, Panniculectomy only. 

I do not have a huge pannus and I consulted with another plastic surgeon who actually told me that I didn't even have a pannus. Anyway, the bariatric surgeon is who I am leaning toward and I already have the surgery scheduled for the end of next month with him. ONLY because, if I go with the plastic surgeon I must pay everything up from front ($7800) and whatever insurance reimburses is returned to me at a later date. NO ONE is able to tell me how much bcbs will reimburse for the panni... I have talked to everyone involved, including the insurance company on several occasions. The plastic sx stated that the reimbursement would range from $1,500-3K, thus at best case scenario, I would be out-of-pocket close to $5K. If money wasn't an issue, I would totally go with the plastic surgeon! I really would like to have the full package with abdominoplasty. 

The bariatric sx that would be doing the panni def leaves you with a belly button. He also seemed very confident that I would be satisfied with the results. I really want to believe this!

Has anyone had a panniculectomy performed by a bariatric surgeon? If so, I would love to hear from you. Has anyone had panni and wish they had tummy tuck?

Thanks so much!!

Edited by kaybird
typo

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Hi kaybird. Congratulations on your weight loss success and on getting insurance approval for your pannulectomy. Both are great news. If it were me personally, I'd finance the surgery with the plastic surgeon, immediately apply the reimbursement to the balance on the account, then pay it off. You will be happier with the results of the more comprehensive surgery, both in terms of how much work is done and level of skill to which a surgeon specifically trained in plastic and reconstructive surgery will perform the procedures. You have to live with the results for the rest of your life. 

Admittedly this advice is easy for me to dole out; money isn't an issue for me. Only you can do the required soul searching and assessment of your own personal situation and the tradeoffs it may dictate. Even if you go with the less comprehensive solution, it will be an improvement.

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Thx for the response! At first, I was def deciding on going with the full tummy tuck, but the bariatric surgeon convinced me that he could perform the "panniculectomy" with desirable results. He stated that he would "throw in" a few stitches to my muscles, have belly button, etc. I consulted with 3 plastic surgeons and all 3 stated that I didn't need lipo. 

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I agree with Wendy.  I've been told I don't new lipo because there is not fat but that the full tummy tuck will provide better long lasting results.  Personally I'm thinking a little extra debt won't matter if I'm really happy with the results.  Of course I have another consult Tuesday so that opinion could change. 

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I agree that you will likely be happier with the tummy tuck. I went into the surgeon's office thinking I would do panni only, but she said that I would get much better results with a combo panni/tummy tuck. Panni wouldn't take care of the upper areas.  I may need a bit of lipo.  Surgery is scheduled for 02/27.  Good luck to you!

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