Do I qualify for "belly apron" removal?
Doctor Answers 8
"Belly apron removal"...
Can the "overhanging apron be removed?
Yes it can and there are two different procedures: One is a panniculectomy which means "just" taking off the overhanging extra skin and fat tissue. Your insurance may cover the procedure: Criteria for coverage can be seen on several health insurance websites such as BC/BS, Aetna etc. I think that is the procedure you mean with "qualify...".
The other one is an abdominoplasty which repairs your separated muscles, takes off the extra skin and fat tissue AND tightens your belly skin.
As you can see abdominoplasty restores muscle and skin like you had before weight gain and pregnancies. This is considered cosmetic and not covered by your insurance.
Your best option is to see a Plastic Surgeon and let him evaluate you and than give you the options which best fit your expectations and budget.
Belly apron removal
Your description does sound like you’d be a good candidate.
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Management of Belly Aprons
It's virtually impossible to make a specific recommendation without pictures and a physical examination. Despite this, your history strongly suggests a major weight loss with the development of significant amounts of loose skin.
Under these circumstances, it's unlikely that you suffer from an isolated belly apron. Instead, your excess tissue most likely extends posteriorly and is associated with buttock sag, as well.
If this assumption is true, you would be an excellent candidate for a lower body lift. This procedure would remove excess skin from the abdomen and back and simultaneously lift the buttocks in an upward direction.
Of course the only way to know for sure is to consult a board certified plastic surgeon with experience in this area. This surgeon should be able to formulate a treatment plan that addresses your anatomic findings and achieves your aesthetic goals.
Do I qualify for "belly apron" removal?
Kenneth Hughes, MD
Los Angeles, CA
Possibly, but please see a surgeon
Panniculectomy is usually for people who have lost 100 lbs or more quickly. It can be performed at the same time as a tummy tuck. The surgery only removes the skin and fat that is hanging below the waist (pannus), and nothing is touched above.
360 lower body lift circumferential body lift abdominoplasty panniculectomy insurance
Congratulations on your massive weight loss. Without pictures, a thorough physical examination, and knowledge of your particular medical insurance plan, this is a difficult question to answer.
Assuming that you are medically fit and have no contra-indications to surgery, based on your history alone, I would suggest you need either an abdominoplasty or 360 lower body lift. The abdominoplasty would remove skin and fat from the abdomen. The 360 lower body lift would remove excess skin and fat from the abdomen, hips, and buttock.
I am uncertain as to your question, "do you qualify...". It would seem from your history and your description of the problem, that you would "medically qualify". However, if you are asking if your insurance would cover the procedure, this is entirely dependent on your history, anatomy, current skin problems, and your individualized insurance plan. In addition, different insurance plans have different rules as to what they cover. These rules even vary state-by-state. I would seek a board-certified plastic surgeon who specializes in massive weight loss patients. In addition, I would seek a plastic surgeon who has performed hundreds of abdominoplasties and 360 lower body lifts. If you want to seek medical authorization for the abdominoplasty or 360 lower body lift, this plastic surgeon should also be experienced with dealing with insurance plans,
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.