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I believe the surgeon who is doing the procedure must seek the approval.....others may have first hand knowledge to the contrary but my tt had to be submitted by my plastic surgeon to which received a lovely denial letter.

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My PS had to submit as well & as far as I know, for any surgery the surgeon needs to be the one submitting. However, info from your bariatric dr will be helpful to your PS to get approval. You will need to show weight loss & how long you have kept the weight loss, which is best shown by your bariatric dr that followed you close since surgery. As far as I know, Lipo would not be covered by any insurance, bcuz insurance will only pay for what is "medically necessary" ..... I was approved for breast reduction/lift and the panniculectomy (tummy skin removal). Your PS may or may not charge you extra for the "tuck" part of the TT (which is the muscle repair, buck muscle repair is not really medically necessary). I had my port changed to a low profile port at the time of my TT & BR/BL & didn't have to pay for the "tuck" part.

Submit for everything you want & see what is approved.....all they can say is no! Good luck!

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    • cryoder22

      Day 1 of pre-op liquid diet (3 weeks) and I'm having a hard time already. I feel hungry and just want to eat. I got the protein and supplements recommend by my program and having a hard time getting 1 down. My doctor / nutritionist has me on the following:
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      1. NickelChip

        All I can tell you is that for me, it got easier after the first week. The hunger pains got less intense and I kind of got used to it and gave up torturing myself by thinking about food. But if you can, get anything tempting out of the house and avoid being around people who are eating. I sent my kids to my parents' house for two weeks so I wouldn't have to prepare meals I couldn't eat. After surgery, the hunger was totally gone.

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      Hello,
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