How do I know how much skin will be removed?

by Catherine
(El Cajon, CA USA)

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I am a 57 year old female who is 5’3″. It’s been just over 9 months and I have gone from 271 lbs to 150 through change in diet and increased exercise, no surgery.

I am going to need an upper and lower body lift, thigh lift, upper and forearm lift and breast reduction/lift from D to about B.

I need a ballpark idea of how much skin will be removed, because I don’t want to lose so much weight that after removal I am at too low of a weight.

I’ve lost a little more weight since the 2nd photo. Any help would be appreciated since insurance won’t pay for a consultation until I’ve hit goal, but I have no clue what that is. Thank you.

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Surgeon Response to "How Do I Know How Much Skin Will Be Removed?"

by: John Rabkin, MD

Catherine,

Congratulations on your magnificent weight loss! Few people are as successful as you've been with diet and exercise; you've done a great job!

You currently have a Body Mass Index (BMI) of 26 (5'3" @ 150 lbs) which is only one point above the normal BMI range of 20-25; if you lose and additonal 5 pounds, you will have a 'normal' BMI which is your goal. Far fewer pounds than are expected by patients are removed at the time of the reconstructive (skin removal) surgery but there is some additional weight loss during the healing process as your body is catabolic while healing. Therefore, I'd anticipate an overall 10 to 15 pound weight loss with the reconstructive surgery which would put your BMI right into the normal range.

You should have your reconstructive surgery consult now. IF your insurance will cover the surgery at all, it should cover it at your current weight/BMI.

Best regards,
John Rabkin, M.D.
Pacific Laparoscopy

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DISCLAIMER: This educational advice is based on the depth of your question and the details provided. The above should never replace the advice of your local physicians as they have the ability to evaluate you in person.

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