Skin Removal Surgery - Lower Abdomen
contingencyplan
Posts: 3,639 Member
I had it done exactly two weeks ago and am currently at home recovering. I figured I should post about my experience to let everyone know.
First of all, it was all paid for by insurance (minus a $20 copay for each visit) due to the severity of mine. If it hangs low enough to obstruct view of the genitals when viewed from the front, insurance will generally cover it. This is one of the exact criteria you must meet apparently. I lost 125 lbs over 3 years through simple nutrition and exercise.
I was not allowed any caffeine or anything containing stimulants or blood thinners for two weeks prior. The day before, no solid foods after noon and I had to do a bowel prep using a bottle of magnesium citrate (available over the counter for like 2 bucks). Instructions were to drink half the bottle at noon, the other half at roughly dinner time.
I reported to the hospital the following day where they went over again with me all the possible complications that could arise (they already went over it with me in a pre-op evaluation but just a CYA) I was then put on an IV. They wheeled me into the operating room and I don't remember what happened after that because I went under. I awoke as they were wheeling me into the post-op recovery room. I was on strong painkillers. There was aching down there but not severe. They then put me into my own room in the hospital. The nurses were very nice to me and made sure all my needs were taken care of. I had JP drains in me (two of them) that were sticking out from directly above my genitals. These drains were to be emptied 3x daily.
They gave me a choice in the hospital of percocet or morphine for the pain, but I never once at any point felt any pain severe enough to need morphine (although it probably would have helped me get to sleep easier). Sleep was . . . erratic. I never slept more than 3-4 hours at a time without waking up to a dull pain across the incision area that required more painkillers. They injected antibiotics into my stomach near the incision area every few hours. I had a catheter in me. They also made me get up and go for walks every few hours up and down the hospital hall.
They released me the following day. I now had to empty the drains myself. I had a back binder on and dressings that needed to be changed daily. My mother, being a nurse, did it for me. They told me I was able to shower the following day but the truth is standing up was not really a possibility for long enough to shower, so I didn't get my first real shower until about a week and a half later. I was stuck bent over into an L-shaped angle. That would get better as the days went by.
I stopped taking painkillers approximately 3 days after being home because there was no more real pain except for the occasional sharpness showing I had moved in a way I shouldn't be. I returned to the doctors office a week and a half after the surgery to have the drains removed, a painless procedure. One of them had to stay in however as it was still draining a fair amount (I was required to monitor how much drained in a log book they gave me). I am returning next wed to have that one removed.
If anyone has any questions, feel free to ask me.
First of all, it was all paid for by insurance (minus a $20 copay for each visit) due to the severity of mine. If it hangs low enough to obstruct view of the genitals when viewed from the front, insurance will generally cover it. This is one of the exact criteria you must meet apparently. I lost 125 lbs over 3 years through simple nutrition and exercise.
I was not allowed any caffeine or anything containing stimulants or blood thinners for two weeks prior. The day before, no solid foods after noon and I had to do a bowel prep using a bottle of magnesium citrate (available over the counter for like 2 bucks). Instructions were to drink half the bottle at noon, the other half at roughly dinner time.
I reported to the hospital the following day where they went over again with me all the possible complications that could arise (they already went over it with me in a pre-op evaluation but just a CYA) I was then put on an IV. They wheeled me into the operating room and I don't remember what happened after that because I went under. I awoke as they were wheeling me into the post-op recovery room. I was on strong painkillers. There was aching down there but not severe. They then put me into my own room in the hospital. The nurses were very nice to me and made sure all my needs were taken care of. I had JP drains in me (two of them) that were sticking out from directly above my genitals. These drains were to be emptied 3x daily.
They gave me a choice in the hospital of percocet or morphine for the pain, but I never once at any point felt any pain severe enough to need morphine (although it probably would have helped me get to sleep easier). Sleep was . . . erratic. I never slept more than 3-4 hours at a time without waking up to a dull pain across the incision area that required more painkillers. They injected antibiotics into my stomach near the incision area every few hours. I had a catheter in me. They also made me get up and go for walks every few hours up and down the hospital hall.
They released me the following day. I now had to empty the drains myself. I had a back binder on and dressings that needed to be changed daily. My mother, being a nurse, did it for me. They told me I was able to shower the following day but the truth is standing up was not really a possibility for long enough to shower, so I didn't get my first real shower until about a week and a half later. I was stuck bent over into an L-shaped angle. That would get better as the days went by.
I stopped taking painkillers approximately 3 days after being home because there was no more real pain except for the occasional sharpness showing I had moved in a way I shouldn't be. I returned to the doctors office a week and a half after the surgery to have the drains removed, a painless procedure. One of them had to stay in however as it was still draining a fair amount (I was required to monitor how much drained in a log book they gave me). I am returning next wed to have that one removed.
If anyone has any questions, feel free to ask me.
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Replies
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Your story is interesting. It is possible my husband may need this in the future so I am interested in how your recovery goes.0
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I have lost only 28 lbs but mostly of it in my abdomen area. I can feel my excessive skin jiggle like crazy. I exercise alot but am wondering as my weight loss increases if I will have to have surgery to remove the excess skin. Good Luck and I hope you feel better soon. I had a c-section with my first son so we probably experienced the same pain in our abdomens.0
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I am going in on the 24th for a circumferential body lift and started a blog to follow me leading up to and during and after. Did you have to have any abdominal repair done?? I was told by my surgeon this is decided when they have you opened up and that if repair was needed that it would be far more painful than the incision site for the removed skin... He said it feels like you have done 10,000 crutches a day for 4-6 weeks! LOL... He said I will have 4 drains in and my wife will have that job, she already told be I will owe her bigtime!!! lol.... Best of Luck on your continued recovery and I will be interested in following.....0
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Good luck on your recovery. It sounds as if you are doing great so far.0
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I am going in on the 24th for a circumferential body lift and started a blog to follow me leading up to and during and after. Did you have to have any abdominal repair done?? I was told by my surgeon this is decided when they have you opened up and that if repair was needed that it would be far more painful than the incision site for the removed skin... He said it feels like you have done 10,000 crutches a day for 4-6 weeks! LOL... He said I will have 4 drains in and my wife will have that job, she already told be I will owe her bigtime!!! lol.... Best of Luck on your continued recovery and I will be interested in following.....
No, no abdominal repair was needed. They told me that would be a possibility but that they wouldn't know until they had me open. Thankfully mine was best case scenario, complication-free.0 -
Recovery so far is going smoothly. I can stand upright now but it is difficult and uncomfortable to do so.0
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Great job on the weight loss! I hope your recovery goes well0
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I'm such a weenie. Reading that made my arms feel like jello. I couldn't do it...I say that now. We'll see when I'm at goal weight though. Thank you for sharing your story.0
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Great job on the weight loss! "Bowel prep" and the catheter sound horrible! I had a tummy tuck in '05 and didn't have to do either, I remember the drainage tubes though - and I slept in a recliner for 2 weeks because I couldn't lay flat or stand up straight! Obviously with a TT there was abdominal repair, and I hurt from the belly button up to the sternum. Felt like I'd been hit by a truck. Best of luck in the rest of your recovery!0
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Thanks for sharing your experience and congratulations on the weight loss. I wish you a speedy and full recovery and I hope you are infinitely satisfied with the results. After pictures would be lovely when/if you feel comfortable sharing them.0
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Best wishes on your recovery!!!0
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So glad you posted this. I also will have a TT after losing my weight, and staying at my goal weight for 6 months. I have been far too heavy for far too long for my skin tom shrink back..plus, my elasticity is next to nothing.
I wish you a speedy recovery and a awesome new swimming suit for next year!!
Blessings, Sis Nicolette0 -
I had it done exactly two weeks ago and am currently at home recovering. I figured I should post about my experience to let everyone know.
First of all, it was all paid for by insurance (minus a $20 copay for each visit) due to the severity of mine. If it hangs low enough to obstruct view of the genitals when viewed from the front, insurance will generally cover it. This is one of the exact criteria you must meet apparently. I lost 125 lbs over 3 years through simple nutrition and exercise.
I was not allowed any caffeine or anything containing stimulants or blood thinners for two weeks prior. The day before, no solid foods after noon and I had to do a bowel prep using a bottle of magnesium citrate (available over the counter for like 2 bucks). Instructions were to drink half the bottle at noon, the other half at roughly dinner time.
I reported to the hospital the following day where they went over again with me all the possible complications that could arise (they already went over it with me in a pre-op evaluation but just a CYA) I was then put on an IV. They wheeled me into the operating room and I don't remember what happened after that because I went under. I awoke as they were wheeling me into the post-op recovery room. I was on strong painkillers. There was aching down there but not severe. They then put me into my own room in the hospital. The nurses were very nice to me and made sure all my needs were taken care of. I had JP drains in me (two of them) that were sticking out from directly above my genitals. These drains were to be emptied 3x daily.
They gave me a choice in the hospital of percocet or morphine for the pain, but I never once at any point felt any pain severe enough to need morphine (although it probably would have helped me get to sleep easier). Sleep was . . . erratic. I never slept more than 3-4 hours at a time without waking up to a dull pain across the incision area that required more painkillers. They injected antibiotics into my stomach near the incision area every few hours. I had a catheter in me. They also made me get up and go for walks every few hours up and down the hospital hall.
They released me the following day. I now had to empty the drains myself. I had a back binder on and dressings that needed to be changed daily. My mother, being a nurse, did it for me. They told me I was able to shower the following day but the truth is standing up was not really a possibility for long enough to shower, so I didn't get my first real shower until about a week and a half later. I was stuck bent over into an L-shaped angle. That would get better as the days went by.
I stopped taking painkillers approximately 3 days after being home because there was no more real pain except for the occasional sharpness showing I had moved in a way I shouldn't be. I returned to the doctors office a week and a half after the surgery to have the drains removed, a painless procedure. One of them had to stay in however as it was still draining a fair amount (I was required to monitor how much drained in a log book they gave me). I am returning next wed to have that one removed.
If anyone has any questions, feel free to ask me.
My sister had this done last May (2011) within a week of knee surgery, I might add!
I don't think hers was covered by insurance, but she had lost about 90-100 lbs in a year and definitely needed it done. I took care of her. It was a rough recovery (especially being concurrent with recovery from another major surgery). She had outpatient surgery and didn't stay in the hospital overnite and also never had ANY drainage in the bulb for some reason, which concerned me and puzzled the surgeon, so he had to drain it with a large needle in a couple of subsequent visits.
All in all, I know she's glad she had it done. It really gave her a confidence boost to be rid of the large flap of skin.
Thanks for sharing your experience. I hope it continues to go well. :happy:0 -
Good job with your weight loss success! Thanks for sharing your story and I wish you continued success!0
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Man I wish to the best of luck, I sure hope you took some photos to share, I'm going to need to have this done as well and appreciate you sharing with us.0
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So far do you believe it was worth it? I do not need to loss that much weight however after my second child and a umbilical hernia repair I have a flap it doesnt hang down low enough to be covered by insurance but I am considering the surgery and want to know your thoughts/ feelings on your results thus far.0
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Thank you so much for sharing this! I have had five kids and when I get nearer my goal weight I will be getting an abdominoplasty done. I have had five c-sects and have been told the pain isn't as severe as that. (And you can have better painkillers, lol).
Have you had before and after photos done?0 -
Thank you so much for sharing your experience. I have thought about what to do when I lose my weight...because I will have excess skin (blecccccch) and I know the thought of excess skin has prevented me from even STARTING to lose weight in the past... I will be looking forward to reading more of your recovery.0
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So far do you believe it was worth it? I do not need to loss that much weight however after my second child and a umbilical hernia repair I have a flap it doesnt hang down low enough to be covered by insurance but I am considering the surgery and want to know your thoughts/ feelings on your results thus far.
For me it was worth it but I don't know if I would go into debt for it0 -
Thank you so much for sharing this! I have had five kids and when I get nearer my goal weight I will be getting an abdominoplasty done. I have had five c-sects and have been told the pain isn't as severe as that. (And you can have better painkillers, lol).
Have you had before and after photos done?
I didn't have before photos done as they would be indecent0 -
Thank you for sharing i have been considering the same.0
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