Hi there. At your current height and weight, your body mass index (BMI) is only 32.4 which isn't high enough to qualify for surgery. In order for you insurance to pay for your operation, you need to have a BMI of 40 or higher if you have no medical problems, or in your case since you have high blood pressure, you can have a BMI of 35 or higher which means you would have to weigh 211lbs. If you don't meet the BMI requirements, you would have to pay out of pocket for the operation which can be quite expensive.
A urine test is also commonly done for female patients do ensure that they are not pregnant. Also, as mentioned before, sometimes it is done to check for nicotine as well.
You may want to consider having a thoracic sympathectomy as it is the only definitive treatment with a 98-99% success rate. Just talk to some of our patients who have had botox injections in their hands before, and have since gone on to have a sympathectomy.
It depends on where your sweating is. Is it your face, hands, feet, arm pits, back, chest? Long term success with medications like Botox are terrible. The most effective treatment for excessively sweaty hands, arm pits, and feet is surgery (sympathectomy). There is a 98-99% cure rate for the hands and arm pits with a thoracic sympathectomy, and the same success for the feet with a lumbar sympathectomy. The downside of doing these operations is that you will usually develop compensatory sweating, meaning some increase in sweating of your chest, back, buttocks, thighs. However most patients feel that this is much better than having sweaty hands and feet. Most of our patients have tried all of the available medications and have found little to no effect, but are incredibly satisfied with curative effects of surgery. It really is life changing after having a sympathectomy.
Hi there. First off, congratulations on losing so much weight. That is fantastic! With regard to your skin, that's difficult to answer. Some people have very elastic skin and it snaps right back. Other people will end up having a lot of excess skin. Most people end up with some degree of excess or baggy skin and the more weight you lose, the more you tend to have. One thing to keep in mind though is that if you have a lot of excess skin, it just means you were super successful and lost a lot of weight! So it's not necessarily a bad thing.
