41 Years Old, 4 Kids All by C-section, Weight Fluctuations - Tallahassee, FL

Hello all! As many of us in the "RealSelf" world, I have spent a couple of years reading and following others post before finally getting to this point of posting. I have battled with my weight for many years, my weight battle coupled with 4 c-sections have not been kind to my body. It's unrecognizable to me and still shocking to me. I didn't recognize myself in the pictures that I took today for this post.. :( What the camera shows isn't me and definitely isn't how I feel inside. I can't imagine the happiness and joy of my outside matching my inside... Sigh. I went for my very first PS consult 3 years ago. At that time I was about 100 pounds over weight. I have lost about 55 pounds as of today. Depending on my discipline for the week.. :) I'm happy with the weight loss so far and celebrate my progress, but I am aware of the work left to go. I decided after my first consult 3 years ago that for me it was important to lose weight and to discipline myself and to try as hard as I could to get closer to a healthy weight. I worried that I was maybe looking at surgery as a way to not have to work so hard.. That was my mind set at that time, so I went to work. I have lots of work to do and more weight to lose, but I am now ready to be able to see more of the rewards of my hard work. I can feel muscle, but I take my clothes off and see a blob... It's depressing! :( and i'm tired of needing to wear clothes sizes larger than I would if not for all of the extra skin and fat... So, I have an appointment next week for a consult with Dr. Rawlings, who I also went to for my first consult, and I felt completely comfortable with him and know I will again, to again discuss what I would like to do. This time I am attempting to get insurance approval through Florida Blue for the breast reduction, hopefully it will be approved and I can actually afford the other procedures. I have terrible pain in my neck, back and shoulders... I feel as if my shoulders have rounded forwarded, my posture is horrible, but trying to straighten up makes my neck and back hurt... I'm currently a DD after the weight lost and my breasts are dense and heavy and hanging low.... SMH. So, there is a constant pull forward... I am wanting a breast reduction, tummy tuck and lipo of my flanks and something done to my thighs... :(. I' m hoping a thigh lift won't be needed, it seems like a scary recovery and in addition to the breast reduction and tummy tuck, maybe too much... I am hoping to be able to take care of everything in one surgery... Any recommendations, encouragement or advice will be really appreciated! I will update after my consult next week... wish me luck...