I Have a Lot of Skin to Be Removed, Can You Help Me? It Causes Yeast Infections.

Hello, and thank you for your question. You mentioned having a lot of skin to be removed, which can cause yeast infections, and whether we can help you? Congratulations on your significant weight loss of 45 pounds. Thank you for your pictures. You have excess skin and fat of your abdomen. You also have excess skin and fat in the lateral hip region. The best surgery would be an extended tummy tuck (abdominoplasty). During an extended tummy tuck, an incision is made from one hip to the other. The rectus abdominis muscle is exposed and repaired. This is called rectus plication. This is done from the sternum to the pubic region. During the extended tummy tuck, the excess skin and fat of the lower abdomen are removed. Also, the belly button (umbilicus) is reconstructed, and the mons (pubic region or FUPA) is lifted and reduced. I would suggest you consult with multiple plastic surgeons to see if they can perform the abdominoplasty. You may even want to reach out to teaching hospitals that have plastic surgery residency programs. In many teaching hospitals, learning plastic surgeons offer discounted plastic surgery. In the meantime, I would suggest weight loss. You may even want to consider the GLP-1 medications, like Ozempic and Zepbound. The more weight you lose, the better the extended tummy tuck results will be. Thank you for your question and pictures. Good luck.
Sincerely, Dr. Katzen, MD, MBA. (President of the American Society of Bariatric Surgeons, Certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, International College of Surgery, and American Board of Metabolic and Bariatric Surgery, and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

It's not unusual for patients to develop loose saggy skin following massive weight loss. This loose skin can affect almost any area of the body. When this situation arises, patients frequently develop yeast infections beneath the folds of overhanging skin.Your pictures demonstrate loose saggy abdominal skin that extends to your back as a roll of skin and fat. This loose skin has resulted in sag of the buttocks and lateral thighs as well.A variety of treatment options are available to treat these problems. In your case, it appears that a lower body lift would be necessary to correct these problems. This procedure is associated with excellent clinical results and high levels of patient satisfaction.If you're considering this type of procedure, it's appropriate 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 deformity and achieves your aesthetic goals.

Congratulations on what you've accomplished with weight loss- keep up the good work!

Yes you are an  excellent candidate for a panniculectomy or abdominoplasty procedure.  As I'm sure you are aware, this is a major procedure should be done at a time when you have ample recovery and support system (friends and family)  available. This procedure  will likely really help with the recurrent fungal infections.

 Patients who are about to undergo tummy tuck surgery spend a lot of time thinking about the physical preparation for the procedure (for example weight loss issues) but do not spend a lot of time thinking about the emotional aspects.

It is not uncommon for patients who undergo the procedure to experience severe “mood swings”. These emotions may range from depression ( “why did I do this to myself”) to elation  (which may lead to over activity). I think it is helpful to be aware that these emotional swings do occur postoperatively. 
Suggestions I have for patients undergoing this procedure: 1. Make sure you have a strong support system in place who have time/patience to take care of you. 2. Be patient with the healing process, understanding that it will take several weeks to months to feel “normal” again. 3. Be prepared to distract your mind with things of interest such as books, magazines, and movies. 4. Expect less of yourself; do not go back to work too early and let others take care of you (for a change). 5. Keep in close communication with your surgeon and do not hesitate to communicate questions/concerns and the emotional swings that you may experience. 6. Keep in mind the end result!

Make sure you are working with a well experienced board-certified plastic surgeon.

Best wishes.

First lose weight again than seek a Tummy Tuck operation from a boarded PS in your area. As for "FREE" surgery I doubt that you will find this due to the costs of equipment and supplies and medications. But best of luck. 

You can try one of the major universities, where the residents may do the surgery .

for the time being to prevent fungal infection

1: shower with surgical soap, like betadine twice daily.

2: keep the area under the skin fold dry and clean.

3: you may need a course of anti fungal pills for three days, one pill a day

3: you can use T_ GELL shampoo and use it on the abdomen, keep it for three minutes and then rinse it. It can rid you of the fungal infection with the above steps.

Talk with your family physician for proper diagnosis and treatment