Tim, thanks for the response. I had my pre-op appointment on Monday and they moved my surgery to May 4th. My doctor is going to do a combination procedure. I am have the MBR with nipple transplant and he is going to do liposuction for the fat and loose skin on the sides of my breast. He will do the lip first and then while he is doing the MBR he will cut and pull the extra skin from the side up into the breast area. He said that it might create some extra scaring but i am okay with that because the trade-off is i will loose all of that extra flab and skin. Will keep you posted with the results and hopefully some pictures.