Ever since high school I've I always had a gut. Five kids later my stomach has lost its elasticity. At one point I weighed 270 pounds and got down to 188 pounds. Currently I'm back at 245 pounds and I also developed a skin condition called hidradenitis suppurativa. It's very painful and debilitating. My PS suggested A panniculectomy and breast reduction with axillary dissection and mons pubis...