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I lost 180 pounds and I had 2 big fat rolls. The insurance paid for the bottem part cuz it hung down and caused rashes. The top roll above my belly button was not causing problems just looked ugly, so that part is concidered cosmetic. The part I am not happy with is the top part above my belly button. It is better than what it was but he said he pulled it as tight as he could but when the swelling went down that is when it showed that there is still a lot of skin left that needs taken care of.

I have blue cross insurance and the doc said they might cover to have another part of my body done so if they will do that since I have to have surgery again anyway I will probably see what else they will cover.

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Scrappy -- I forget if you only had a horizontal incision for your Tummy Tuck or if they did what is called an Anchor incision where you have a vertical incision plus the horizontal. I think I've also heard this called a Fluer de lis incision approach. I was told they can do my skin tightening and muscle tightening if they have the vertical incision also and the trade off is you can see the vertical incision. If someone has had a RNY, and it was open, they maybe have a big vertical incision anyway to it would be no more than same on that but for now, I don't have a vertical incision so I've gone back and forth on the idea of the Anchor incision but I think I'd rather be tight and firm muscle and skin-wise because I don't think I want to try a 2 piece swimsuit ever anyway. I'd rather look the best in my normal daily clothes given I don't live in a coastal area where I'd be at the pool or beach much.

Maybe he can do a touch up repair for you at no cost if you aren't happy or at least at a discount? I'd ask.

I'm like you with -180 lbs that I think I'm going to need a full set of incisions to handle all the excess skin - maybe 360 degree body lift like OHJuli did. She said she is glad she had the incisions go all the way around as well as up and down in the front.

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