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POSTED UNDER Tummy Tuck REVIEWS

7 Months on July 3rd, Happy but still swelling :(

ORIGINAL POST

Hello, I am 47 years old & I have 3 Children.....

lisa47
WORTH IT$8,900

Hello, I am 47 years old & I have 3 Children....26/24/17 They were all c-sections with the 1st being an emergency. So I have been wanting this for SOOOO LONG!!!! I have never been a THIN GIRL! Before kids i was around 165 I am 5'5", I am now 210 and have been this way since my last baby.I have backaches from the large breasts & a terrible constant rash under the large apron of skin that hangs very low :( I have body issues and now for the past year or more I no longer want to have sex due to the way I look :( The rashes are discusting and smell and are painful.... My plastic surgeon is sending in my precert papers in the morning so I cant wait to find out if I get approved. I live in NY and have Blue Cross, Has anyone else had this insurance & can they tell me the outcome? Thanks for any help :)

lisa47's provider

Michael Baroody, MD

Michael Baroody, MD

Board Certified Plastic Surgeon

lisa47 rating for Dr. Baroody:

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Replies (8)

October 24, 2012
Hi, your post is is so real, thanks for posting. The rash u hqve looks very painful, I am praying your insurance approves the surgery. My surgery is in two weeks, and I am looking forward to it. Please keep posting, take care.
October 24, 2012
Thank you !! Yes, very painful :( Good luck with your surgery and keep me posted too!!!
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October 25, 2012
If you don't mind me asking what size bra are you wearing now? I just had a breast reduction/lift on 19 oct! Best thing ever! I am still super swollen so not the finale result but so happy already. I looked into insurance I was 36 dd/DDD, my findings was most insurance want you to remove so much (they have a formula of cc's per breast) for me it would bring me down to a 36B and for me I couldn't go that small. Call your insurance company get a copy of there policy, I hope it all works out for you! Keep me posted! Good luck! :)
October 25, 2012
Thank you for the advice :) I wear a 44 dd
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October 25, 2012
Ok so most insurance would cover it, It's gonna be the best thing ever! One Ps I saw said insurance could cover BR and they would work with me in the TT part if Zi went that Route. Best of luck!
October 25, 2012

Welcome Lisa:)

 

October 25, 2012
Thank you :)
November 7, 2014
Do you any recent pic??? I have my surgery set for this coming Tuesday with mr Michael baroody also❤️ I get a really good vibe from him!! I am having the same as you full tt but I am having lipo on my flanks
UPDATED FROM lisa47
2 months pre

Well all my insurance paperwork was sent in, I...

lisa47
Well all my insurance paperwork was sent in, I hope I get approved for this :) Fingers Crossed !!

Replies (7)

November 2, 2012
I have federal blue cross and they are paying for most of my tummy tuck
November 3, 2012
That is great :) I am hoping for the same:) Good luck with your TT, when are you having it done?
November 3, 2012
Wednesday next week!
November 4, 2012
Good Luck :)
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November 2, 2012
Sorry to see you going through so much. Hopefully you'll be approved and GTG... if you can find some hibiclens try it for the rash.. it's antimicrobal and will help with the rash and whatnot. Sending well wishes your way.
November 3, 2012
Thank you for that info! I will try it. I hope I hear something soon.. Thank you for your well wishes :)
November 4, 2012

Fingers and toes are crossed!!!!

UPDATED FROM lisa47
2 months pre

Well I just got the letter from my insurance...

lisa47
Well I just got the letter from my insurance company telling me that I DON"T need this done & there is nothing that will change if I was to do this!!! WTF?? Are they kidding me!!!! They don't see enough evidence that removing this HUGE hanging fat blob from my body will make the rashes stop or help me! I am so pissed off right now :( I am going to have this surgery either way! I have lived with these rashes for 20 years now & they don't feel they are bad enough??? maybe they should have them and see what it feels like :( I just had to vent , I am sorry for sounding like a [RS bleep] :(

Replies (3)

November 23, 2012
Hey I just wanted to point out I think you may have went about it the wrong way... let me explain.. I learned a little bit on how insurance works. SO Have you ever heard of Rentin-A well It's and acne medication. My plastic surgery office recommends this for many things like acne, age defying and just making the face a whole lots clearer for alot of different things. Well The plastic surgery office can perscribe it to you but your insurance pretty much wont pay for it went it is perscribed by a platic surgeon because what that looks like to an insurance company is that it is cosmetic. But if you go to a dermatologist and they prescribe it the insurance company will pay for it. So From what I got from your profile you had a plastic surgeon check you out and then see if your insurance would pay for it saying it is medically necessary? Go to your doctor and have him say it's medically necessary and he then would refer you to a plastic surgeon. If this is how you originally had done it forgive me, I may have not read your post correctly. I have also done it this way but my doctor said it wasnt medically necessary unless my skin was hanging over my crotch area and it was cause rashes which you have!!! And to include back pain!!! I just think you wen't about it the wrong way. it's not that they dont think you need it ... cause you do you have every aspect there that insurance looks for when they will approve you. You just may have ahd the plastic surgeon saying you need it you need the doctor to refer you and the doc saying you need it as well. I hope this helps you and your able to reapply dinb't give up!!! You desearve this!!! We all do and we all know the pain of wanting it so bad!! Oh one more thing to add I saw in there that you have back problems from your breast, all of it combined you have back problems from cause the tummy pulls you down also and gives you bad posture!
November 23, 2012
The part about the skin hanging over my doctor told me mine wasnt medically necessary unless the skin was hanging over and causing rashes. Mine didnt hang that bad that it was covering my crotch and that is where he said the hang had to be. And back pain. None of those I had but it looks like you have.
November 23, 2012
Hi jujupretty :) Thanks for the advice... I have letters that were summited from my MD & my orthopedic Dr. Both stating that I need this & I have been on medicine for years! Which is why I don't understand what happened? I also have that problem where the skin hangs below the pubic area :( I am so upset right now..... I want to appeal but that could take forever & I was planning on taking off work in the month of January when it is slow..... I guess I will see what happens. Thanks for talking to me :)