Question:
Tummy Tuck Question.

I went for a consult for a Tummy Tuck and a Breast reduction. He said that I Needed both and that we would do them separately, 3 months apart. He said that on the Tummy Tuck he thinks he will take off about 8-10 pounds. GET THIS THOUGH.... I have to do it twice! Apparently there is too much for him to take off in one sitting. so when I go back for the breast reduction he is going to take the rest off, ( I have to pay for that out of pocket) He says that I have a double roll, I call it a snowman minus the head. SO I have to do it twice. I asked him if there is anything I can do? He said no it was just my shape. Has anyone heard of this? He told me it should be no problem getting an approval. I should hear in 2 weeks. I mean yes it is bad but I don't think that mine is so much worse than everyone else's that I have to have it done twice. UGH this is so frustrating. I'm scared enough to do it once, only to be told you need it twice. GREAT :( What should I do? I am 5'6" and weigh 158. I wear a size 8 or 10. I admit that I am little in my arms and legs and carry my weight in my breasts and Tummy. I still don't fit into a DD bra. The Dr U saw has done almost all of the people from my support group and they didnt have to do it twice, most of them hadn't lost as much weight as I had and were still over 200. He is going to do the anchor and is NOT going to work on my muscles. Nicole    — nicole79 (posted on October 1, 2003)


October 1, 2003
Nicole, I'd get a 2nd opinion. I had alot of fat rolls (like a snowman) and I didn't have to do it twice. I also had muscles tightened which is STANDARD practice. Why isn't he on you?! That is very odd. I'm also 5'6" tall and I was 170lbs before PS and he took off 7lbs. I also had the breast AND arms done at the same time as the extended TT. It took 9.5 hours. Email me at [email protected] and I will send my before and after pictures so you can see the difference.
   — Kris T.

October 1, 2003
Have you considered getting a second opinion??
   — Margaret K.

October 1, 2003
Hi Nicole. It seems rather ridiculous to me that you would have to go in twice. I was 269 lbs. prior to WLS and am now 160 lbs. I'm 5'5" and I'm scheduled for my TT January 6th. My surgeon told me that since I carried most of my weight in my abdomen that there would be a lot to be removed but that I could either have the one incision around the pubic area or have the anchor incision. It was up to me. I would definitely get a second opinion. If you're up to traveling for this surgery, my surgeon, Dr. Mark Migliori in Edina, MN is rated one of the best. You could call his office if you'd like at (952) 925-1111. Hey, I had a thought, you want to get a breast reduction and I want to get a breast enlargement----maybe we could arrange a transfer :) (LOL!!!). I wish you the best of luck. Congrats on your success thus far!
   — Andrea H.

October 1, 2003
Hi Nicole: I can see him not wanting to take off too much at once if he has to go back and do the breasts later anyway, but I really don't understand him not doing any muscle work. Is it a panniculectomy or a adominoplasty? I thought the difference between them was primarily the muscle tightening. I wouldn't pay for, or let my insurance pay for, an adominoplasty if it didn't include muscle tightening, because that's a more expensive procedure because of the tightening. I agree with the other people who answered, you need a second opinion. It could be that he's trying to save you the scar from the anchor cut because he thinks the two part sections through the breast work will work out the same? I think you need to get clarification from him if you are still considering going to him. Something just isn't adding up right, but it may well be because we don't have all the information. I'm waiting on preapproval so we may end up having surgery around the same time. Write me directly if you'd like. I'm part of the plastic surgery yahoo group and there's all kinds of information and experienced people over there. You'd be welcome to join us. Good luck. S
   — sherry hedgecock

October 1, 2003
Run as fast as you can towards the exit. You shouldn't have any reservations about the surgeon and be totally clear on your procedure. I've seen enough procedures done on TV, read enough literature and seen enough people talking on this website, to know that you shouldn't have to have to two surgeries. Second opinion should be the first thing you do.
   — Michawn

October 1, 2003
That seems kind of strange, expecially if he's only removing about 10 pounds of skin. I lost 125 pounds and had 5 pounds of skin removed and they did a hip to hip incision and tightened my abdominal muscles. I would get at least 2 more opinions from other plastic surgeons. Just because there recommended by the WLS surgeon and the support group dfoesn't mean there the best. The one recommended by mine definately is not and I'm glad I didn't use him.
   — Patty H.

October 1, 2003
That's why they do the anchor incision, to fix the snowman look. Find another surgeon experianced in reconstruction after massive weight loss. You may find one that will do your lift at the same time (I did).
   — mom2jtx3

October 1, 2003
Original poster here. HE IS DOING THE ANCHOR CUT. The breast reduction would be covered but he told me for the second part of the Tummy Tuck that I would have to pay for that.
   — nicole79

October 2, 2003
Nicole, it sounds like he wants to make some extra money off of you. RUN to another Dr!!!
   — Kris T.




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