tag:blogger.com,1999:blog-7675087351939177300.post7972548304739365654..comments2023-08-15T09:39:41.235-05:00Comments on Sutured for a Living: Panniculectomy vs Abdominoplastyrlbateshttp://www.blogger.com/profile/15236331355857884458noreply@blogger.comBlogger17125tag:blogger.com,1999:blog-7675087351939177300.post-46260739604931959562013-10-07T18:41:54.710-05:002013-10-07T18:41:54.710-05:00Jamie, I would caution you to perhaps ask for a la...Jamie, I would caution you to perhaps ask for a large B or small C as the end result of the breast reduction. Otherwise (and you may prefer this) you may be wishing you'd remained a bit larger with the "lift effect" of the reduction and be asking for an augmentation. Remember you have input on the resulting size and can get the relief of rash reduction, back ache reduction, etc with going from a DDD to a C cup.<br /><br />Regarding the abdomen, it's hard to say what you should do as I don't know where your excise skin is (above the umbilicus, below, or both). If you have concerns, have another discussion with your plastic surgeon. Perhaps take this post with you to help you explain your concerns.<br /><br />Best to you.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-4746944453029411782013-10-07T18:22:04.550-05:002013-10-07T18:22:04.550-05:00I've lost 137 pounds the last two years, I hav...I've lost 137 pounds the last two years, I have been approved from my South Dakota Wellmark to have a breast reduction (which mind you would take me from a DDD to a very small B-which is why I don't want that, instead have agreed I would pay for a lift with some reduction) I've also been approved for a 15830-excision skin bad infra umbilical panniculectomy-should I be looking into something else? Or maybe ask the doctors office to recode?? Struggling for the right direction! Jamienoreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-69093150170235495062013-09-19T06:39:37.999-05:002013-09-19T06:39:37.999-05:00Thank you for posting this information this could ...Thank you for posting this information this could help for others like youAnonymoushttps://www.blogger.com/profile/05099453416087526822noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-59184771677647162612012-02-10T12:48:33.293-06:002012-02-10T12:48:33.293-06:00Thanks for the information! Very good info & i...Thanks for the information! Very good info & it helped clarify it a lot for me.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-47673791251826543832010-11-10T22:27:09.290-06:002010-11-10T22:27:09.290-06:00Anon (Nov 10), a panniculectomy only removes the l...Anon (Nov 10), a panniculectomy only removes the lower abdominal excess skin/fat apron.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-71905568772603926892010-11-10T21:54:15.303-06:002010-11-10T21:54:15.303-06:00I just seen a dr in Little Rock and am having the ...I just seen a dr in Little Rock and am having the panniculectomy in Dec but the way you explain only the lower belly is done the way I understood it will be pulled together Am I wrong and does some of the back get pulled as well????Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-34463816067082138842010-10-17T06:39:51.220-05:002010-10-17T06:39:51.220-05:00JennyGurl78, in general, yes. You should call you...JennyGurl78, in general, yes. You should call your insurance and ask what they expect of you, which surgeons/plastic surgeons are in your network, if you need a referral, etc. Precertification will most likely be needed.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-61326021713974548942010-10-16T23:09:22.988-05:002010-10-16T23:09:22.988-05:00My mother is morbidly obese and has severe skin br...My mother is morbidly obese and has severe skin breakdown under the skin fold of her stomach. Her insurance is through United Healthcare. In your experience, just in general, if a patient can prove there is severe skin ulceration, interference with ambulation and ADLs, and photo documentation of the overhang, will an insurance company usually over a panniculectomy?cricketjdwhttps://www.blogger.com/profile/02491475693869148206noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-58040804192291884992009-11-09T21:11:55.995-06:002009-11-09T21:11:55.995-06:00Annonymous (Nov 9, 2009) -- I don't know where...Annonymous (Nov 9, 2009) -- I don't know where your patient lives, but look for either a general surgeon or plastic surgeon.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-27104751105337573052009-11-09T21:05:01.594-06:002009-11-09T21:05:01.594-06:00I am a PTA student, and I am looking for surgeon w...I am a PTA student, and I am looking for surgeon who can remove a "possible pannus" for a patient of mine (her medical Dr is calling it a pannus). It is not on the abdomen, but on her left thigh, and now seems to be spreading onto her calf. We thought we found a plastic surgeon through a website, but he no longer does this type of procedure. She is morbidly obese (500+) but this pannus needs to be remove, it's limiting her physical therapy. The pannus weighs between 50 & 70 Lbs. Can you or do you know of any Dr. that can possibly remove it.<br />Thanks<br />HeidiAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-5474254779452690312009-10-23T06:43:14.387-05:002009-10-23T06:43:14.387-05:00Anonymous (10-22-09), I can't answer the quest...Anonymous (10-22-09), I can't answer the question of how much skin you need removed as I have not examined you. However, if insurance is involved both CPT 15830 and CPT 15847 will need to be used, as only the 15847 covers the plication of you muscle diastasis.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-78917990315957105772009-10-22T22:28:19.150-05:002009-10-22T22:28:19.150-05:00I have been referred to a plastic surgeon to corre...I have been referred to a plastic surgeon to correct a diastasis in my recti-abdominals due to pregnancy. They are suggesting a Panniculectomy. Do you thing abdominalplasty is more suiting? Which one is "sewing my abs back together"? I really don't have a problem with the lose skin.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-31389753196382838092008-09-08T02:35:00.000-05:002008-09-08T02:35:00.000-05:00Thank you so much for the information. I have not...Thank you so much for the information. I have not had weight loss surgery but have lost 70 pounds through low calorie diet and exercise. I have about 30 more pounds to lose though and already have loose skin. I recently visited a plastic surgeon and was given quotes for a breast lift, panniculectomy and arm lift. I had never heard the term panniculectomy before so here I am doing research. Your info is the best I have found so far, so again I thank you.<BR/><BR/>Best regards,<BR/><BR/>KimAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-5026831001232323352008-06-23T16:26:00.000-05:002008-06-23T16:26:00.000-05:00You're so welcome.You're so welcome.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-28387660863805881882008-06-23T16:21:00.000-05:002008-06-23T16:21:00.000-05:00How enlightening! I'm a nurse but I've never had m...How enlightening! I'm a nurse but I've never had much experience in plastic surgery. I've entertained the idea of a "tummy tuck" and now I know exactly what that means and entails. Thanks, Doc!All This Trouble...https://www.blogger.com/profile/00500426849293742171noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-20355420311555526852007-12-13T18:30:00.000-06:002007-12-13T18:30:00.000-06:00I agree, necrotizing soft tissue infections are di...I agree, necrotizing soft tissue infections are disgusting for all involved. Wish they never happened.rlbateshttps://www.blogger.com/profile/15236331355857884458noreply@blogger.comtag:blogger.com,1999:blog-7675087351939177300.post-69873189526889271012007-12-13T12:48:00.000-06:002007-12-13T12:48:00.000-06:00I've had a couple patients over the past year come...I've had a couple patients over the past year come in with necrotizing soft tissue infections of the pannus. It's disgusting. After the wounds had granulated I referred them to a plastic surgeon for formal panniculectomy.Jeffrey Parks MD FACShttps://www.blogger.com/profile/15650563299849196122noreply@blogger.com