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looking into panniculectomy - 9/4/2013 4:43:06 AM

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I admit that I am fat but I have been having problems with my pannus. that is part of the belly that has done lap over the belt line as I call it. I am modest and wear pants over it, unlike people who just wear pants under it.

Mom brought it to my attention that since I have been having numerous rashes in the fold, I should consider getting a panniculectomy done. It is similar to a tummy tuck but with the rashes, Medicare/Medicaid should cover it.

I am calling my doctor for an appointment next week to look into it. Some doctors consider it cosmetic surgery but with the rashes I have been having, I won't mind getting this done if it makes my life better.

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RE: looking into panniculectomy - 9/4/2013 11:41:14 AM

LittleGirlHeart

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let me know what your dr says. this is interesting to me since i have the same issue with my flapof fat that overlaps mycrotch . and it's constantly sweaty or wet or irritated no matter how properly i try ot take careofit .

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RE: looking into panniculectomy - 9/4/2013 1:20:07 PM

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From what I understand, you need to be treated for the problems...the rashes, the wetness, sometimes the smell and cysts. At times, you will have to be referred to a dermatologist. One woman was rejected at first until she got her ducks in line and the insurance company okay it.

It is different than a tummy tuck. That is a totally different procedure and Medicare will not cover it. I was lucky to have Medicare cover my blocks and nerve burnings. I still have some trouble walking about in the stores and standing up, doing dishes. Because of my upper back being in pain most mornings, I get to see a chiropractor each week to get the disks popped back into place.

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RE: looking into panniculectomy - 9/11/2013 1:29:38 AM

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While you are waiting for a definitive answer re: surgery, here are some things that will prevent the rash problem. Your skin, when touching itself, will sweat. This can either cause a yeast infection of the skin, or it can cause a burn like injury due to the moist skin and the salt of the sweat being trapped in the skin. To treat either, bathe the area a couple times a day, use a blow dryer on low to dry thoroughly. Spray the area with an over the counter foot fungus spray (Lotrimin, etc) and dry once again. Fold a bit of soft cloth (like a strip of old T shirt) and place there to keep the skin separated; you can also use folded toilet tissue, or paper towel. Change the paper/cloth/whatever two or three times a day. The skin will heal quickly. Don't be put off by the idea of tucking fabric between your skin. You are protecting your best friend.

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RE: looking into panniculectomy - 9/11/2013 7:12:41 AM

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I have been using the spray because this happens to my breasts as well (I am a 46DD, inheritance from my grandma). When I bathe, I scrub with antibacterial soap, pat dry and have Mom spray me. We are a nursing family so seeing various body parts is not uncommon. We don't have a blow dryer because we maintain short haircuts.

I have been teasing Mom for over a year that one of us needs to hook up with a plastic surgeon so we can get free surgeries (she needs my ball to do situps on). I would not mind a breast reduction because of my back pains.

I am seeing my doctor on Friday so we see what he has in mind. I know there is a doctor in Longview who performs the surgery and his reputation is sound.

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RE: looking into panniculectomy - 9/11/2013 9:08:54 PM

MistressDarkArt

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Since you have a nursing background, this might be a good time to remind anyone considering ANY surgery that along with surgical/anesthesia risks, all that cutting and pasting damages nerves, creates scar tissue, can be painful forever, and traumatizes tissues in ways they may never recover. Especially on/near the stomach area.

If it's possible to work on better health including just a little (or more) weight loss, I'd opt for that instead. After 2 (serious and non-elective) surgeries, I know I will never go under the knife again for anything not required to save my life. Lately I've been wondering if I'd have been better of NOT having at least one of the surgeries. Continuing to deal with the symptoms would have sucked, but how I turned out has been no picnic either.

Good luck. To your health!

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RE: looking into panniculectomy - 9/12/2013 8:00:06 AM

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Since the rash has cleared up (Mom was able to take a peek at it and figures I should wait until it comes back), I canceled my appointment. I am keeping it as an option though while trying to lose more weight.

Meanwhile, I was able to see the step by step procedure...looks kinda torturous. I went over the doctor's chart and realize I am a stage 2 or 3, the flap going over my crotch.

I will keep up the athlete's foot spray when it comes up under my breasts. At least I can reach those with no problem.

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RE: looking into panniculectomy - 9/12/2013 9:44:45 PM

MistressDarkArt

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http://www.prplastic.com/TummyTuck_photos.htm

Cripes, those were brutal to look at. The utter grotesqueness of the post-surgery scars would steer me off that immediately.

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RE: looking into panniculectomy - 9/12/2013 11:07:49 PM

stef

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Grossness is highly relative. People get this surgery to increase quality of life, not to be swimsuit models.

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RE: looking into panniculectomy - 9/13/2013 7:17:18 AM

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Most of those scars are still relatively new and in the still healing stage.

And I am assuming that the woman who had 31lbs removed doesn't much care about the scarring... just is relieved to be rid of the back pain and rashes.

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RE: looking into panniculectomy - 9/13/2013 11:17:51 AM

MistressDarkArt

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quote:

ORIGINAL: angelikaJ

And I am assuming that the woman who had 31lbs removed doesn't much care about the scarring... just is relieved to be rid of the back pain and rashes.

Except now she can't stand up straight and raise her arms above her head without painfully pulling at the scar tissue. Which might stop her from stretching and exercising, which is what everyone's body needs. And she's not finished yet. She still has to have another one after she loses more weight, assuming she does. Fat/skin are living tissues: any time they are hacked off it is horribly traumatic to the body.

After being cut-n-pasted myself for issues unrelated to weight, I realized too late that 'just cut it out or slice it off' isn't the fix-all for conditions that can be addressed in a healthier manner. Surgical procedures trade in one set of problems for another. Is there another non-invasive or less-invasive way; that's all I'm asking folks to consider

< Message edited by MistressDarkArt -- 9/13/2013 11:18:24 AM >

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RE: looking into panniculectomy - 9/13/2013 12:27:59 PM

hlen5

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Would the skin of the woman who had 31 pounds taken off ever shrink on it's own with diet and exercise? I'm guessing it wouldn't. I would think once the skin is stretched that much it could not shrink.

Something I thought of while typing "31 pounds" is that skin ever donated to burn victims?? Would that flesh be acceptable to transfer to those that need it?

< Message edited by hlen5 -- 9/13/2013 12:29:47 PM >

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RE: looking into panniculectomy - 9/16/2013 5:32:18 PM

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quote:

After 2 (serious and non-elective) surgeries, I know I will never go under the knife again for anything not required to save my life. Lately I've been wondering if I'd have been better of NOT having at least one of the surgeries. Continuing to deal with the symptoms would have sucked, but how I turned out has been no picnic either.

I go back and forth about having UAE for my fibroids - the potential adverse effects are much worse than the inconvenience of extremely heavy bleeding and having a tiny bladder due to the big one pressing on it. If I can just hold out til menopause, they will likely shrink on their own...

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RE: looking into panniculectomy - 9/16/2013 6:31:24 PM

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meh. I've had a few plastic surgeries and yup, I have some scars and some numbness even 10 years down the road for some of them but guess what? I'm extremely happy I did them and I'd do more in a heartbeat.

And it can take a few years to fully heal from some surgeries, especially when skin is removed. It took about two years for my breasts to completely heal from a reduction and I could really raise my arms completely again without hurting. But I'd do it again and again and again if I had to. Nothing beats not having to be doubled over from the weight and having back and shoulder pain on a 24/7 basis.

Scars, schmars.

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RE: looking into panniculectomy - 9/18/2013 6:31:51 AM

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I got scar tissue down there from when I had lapscopyies(?) down to remove endo lesions...once before I got pregnant with Lizard, another one when she was 8 and I had heavy bleeding again (later discovered ovarian cysts and went for the hysterectomy and right ovary removed).

When I had my gallbladder removed, they did it lapscopie(?). just 4 little slits. I actually collapsed in the surgeon's office from the pain. He worked me in that very same day. After I got back to my room and the boots were off (to fight blood clots in the legs), I started cleaning the room. I am for once pain free (this was before I got DXed with fibromyalgia).

I don't care about scars. I got a large one on my knee from '86 in a bike race. Cuts on my legs from a bush hog shooting out a freon can from a lot next door. Scars are a way of life for me. Each one tells a story.

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RE: looking into panniculectomy - 10/16/2013 6:03:04 AM

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This is a month late....

But I am a nurse at a facility that end up catering some some super XXXL patients.

This is my savior. Dust it in between skinfold and rolls twice a day, and slimy yeasty rashes clear up within a week. Using it after showering daily afterwards will keep it from coming back. It's good stuff, give it a try.

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RE: looking into panniculectomy - 10/16/2013 8:26:41 AM

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While I too am coming to this conversation late, be aware that any surgeon will require you to lose a certain amount of weight before doing the procedure. If you decide to proceed, make sure you vet the surgeon. Ask for names of previous patients he has done the procedure on, and get references from them. Contact the AMA and make sure the surgeon is in good standing.

As for sweaty spots, there is a wonderful product called So Fresh, So Dry. They have several producte...Fresh Feet, Fresh Balls, and Fresh Breasts. It is a liquid powder that dries after application. Wash your hands immediately and don't touch anything black!

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RE: looking into panniculectomy - 10/18/2013 1:32:51 PM

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fr
This is a good site for finding the best hospital for a procedure.

http://health.usnews.com/best-hospitals

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RE: looking into panniculectomy - 11/5/2013 12:27:52 AM

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Got a small spot under my pannus (Mom found it after I had her spray my right breast because that fucking rash came up yesterday). We are planning to see the doctor on the 15 because of my thyroid meds running out, pain pills, (hello fibromyalgia, please to meet you...NOT!) and have them x-ray my hands because they are hurting so much, perhaps from RA or the gout.

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