I know it's a better idea to get closer to my goal weight before surgery, but I just don't know how that can happen. In addition to the typical problems finding enough support to exercise, the extreme back pain, etc. There's also the psychological issues of every time I look in the mirror it's a giant reminder that no matter how much I exercise or what diet I follow they will never change. Nothing I can do on my own will be able to make me feel like less of a side show freak. It's extremely difficult to stay motivated and on track when I get constant reminders that the biggest problem is never going to improve with my efforts.
I had a consult with a surgeon a couple years ago, and man, he and his assistant (especially his assistant) really need an attitude adjustment. He said there was no way to even attempt a reduction without FNG because there'd be no way. I left there with zero confidence in his abilities in this area. The assistant had no tact.
Yesterday I had an initial consult with Dr. Pan. Her office staff has all been very nice and helpful. Dr. Pan was amazing. She answered all my questions, even a few that I didn't even know I had. Was able to show me pictures of former patients that were shaped similar to me, that had great results. She told me she does 2-3 reductions a week, and over her career she's only had to resort to FNG in less than a handful of instances. She thinks she can get me down to a DD or DDD, and thinks it's likely that a FNG will not be necessary. Of course no one can ever make promises about such things, but the way that she answered questions about technique, etc. I definitely left her office feeling excited and hopeful.
I'm getting the ball rolling to get this submitted to insurance for pre-approval. I'm hoping I'll be able to do the surgery before the end of the year.