300 York Mills Road, Toronto, Ontario M2L 2Y5
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August
2012
26

Abdominoplasty vs. Panniculectomy


Posted in Body Contouring, Surgical Procedures, August 26th, 2012 | Posted by Dr. Kreidstein

In Ontario, patients who have abdominal skin that hangs over the groin crease and have a history of bad skin infections or other complications can ask their surgeon to apply for insurance (OHIP) coverage of a panniculectomy (removal of a skin apron). Depending on the severity of the pannus, this can be a life-saving operation, and at minimum will dramatically improve your quality of life. The operation is not intended as a cosmetic procedure, and we are careful to demonstrate at our consultations the limits of a panniculectomy and the benefits of adding an abdominoplasty (cosmetic) to the procedure. An abdominoplasty is much less expensive if a panniculectomy is already covered. On rare occasions, we have no opportunity to perform a cosmetic procedure (if the pannus is too large or infected), and we have to defer the cosmetic procedure to a second operation.

Panniculectomy is performed to manage serious complications from abdominal apron

Panniculectomy is performed to manage serious complications from abdominal apron


  • Elaine

    My mother is 330 lbs after losing approximately 80 lbs. She has an apron that hangs just above her knees, and experiences complications, such as frequent boils, rashes and knee and back pain. She also was diagnosed with a hernia around her umbilicus. Her family physician told her that the hernia repair would be too risky until she loses more weight, but she experiences pain after eating that sometimes lasts for days. All of this concerns me. Would she be a potential candidate for a panniculectomy/hernia repair?

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      Hi Elaine,
      Your mother may be experiencing bowel obstruction from her hernia, and should be seen by a general surgeon. If hernia is complicated, the panniculectomy is best done as a separate procedure.

    • Elaine

      Thank you for the advice.

  • Caroline

    Hello, I am a 34 year old woman who, has an apron that hangs down over my groin, I would like to know if there is a potential for me to have a penniculectomy, that would be covered by ohip? The apron prevents me from buying properly fitting pants, and exercising the way I would like to. I was wondering if there is a possibility if you could help me and what the fee is for the initial consultation?

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      Hi
      We would be happy to help. Please arrange a referral from your MD, and the consultation would be covered.

  • Linda

    I have been working at losing weight and have lost 85lbs. I am having hanging skin on my inner thighs, biceps and the usual tummy apron. I do have some rashes and odour from it. Would OHIP cover those areas?

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      Hi Linda,
      OHIP only lists abdominal panniculectomy, not surgery for the other areas. It ultimately is the decision of the medical consultant as to whether symptoms from your tummy apron are ‘significant’, but we are happy to assist with your application.

  • mel

    panniculectomy? i have 4 kids (last being 7months ago full term twins) all c-sections..(DONE having kids) i am approx 200lbs now and have lost all pregnancy weight … my lower belly ‘apron” is so gross and hanging… i also think there is an issue with my belly muscles from being cut? and from how big i got with my twins? no core strength… clothes don’t fit right, i get an itchy red rash as even using powders it gets moist, i cant run or jump, lower back pain, not to mention sex is uncomfy … do you think i would be a possible canidate ?

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      Hi Mel,
      You have my vote, but your application for panniculectomy will depend on whether they agree that you have ‘serious symptoms’. Please come and see us for consultation and application to OHIP.

    • Mel

      Thanks! Do you know what the average wait times are from when I would see you/submit the app … to get the approval .. then also then to the surgery date? Just a general time line?

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      Approvals are usually obtained within 6 weeks of your consultation. Surgery dates are typically within 3-6 months of your approval.

  • Kendra

    Hi. Do you just fix separated stomach muscles? I have no excess skin, but I do have a space that resulted from 2 children, 4&5. Would OHIP cover that?
    Thanks Kendra

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      We do this operation, but it is not covered by OHIP (unless there is a hernia).

  • Loraine

    Hello I had gastric bypass surgery 5 years ago. I now weigh 220 lbs and have hanging skin and get rashes that are quite painful. I also have large abdominal incisional hernias that are causing so much pain. I know the hernias is covered by ohip . Would a panniculectomy be covered by ohip and can both procedures be done at the same time?

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      Hi Loraine,
      You sound like a good candidate for surgery, and OHIP coverage for panniculectomy would be anticipated if your panniculus hangs over your groin .

  • Erational

    Hello, a question regarding OHIP coverage for therapeutic liposuction: I have the symptoms of Dercum’s Disease, and would like to know if you’ve found OHIP willing to cover the costs of therapeutic liposuction to treat the painful fat deposits associated with the condition? Also, are you or your colleagues able to make a formal diagnosis of the condition, or would that require a consult with a dermatologist? (My PCP is not an MD, so I really don’t know who to contact about diagnosis and treatment within the OHIP system.) Thanks in advance!

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      We see many patients with painful tender lipomatosis, and almost always a careful excision of the lipoma or angiolipoma produces some relief from symptoms. I would not venture to treat with liposuction, and an application would be necessary for OHIP to consider covering liposuction for this condition.

  • Jessie

    Hello, I had a baby when I was 17, and I swear my hips did not open up properly perhaps because I have medical history of issues with my hips that did not grow properly with my age as a child. My belly grew like an outwards watermelon. For a size 6 teen, I was huge and very unproportioned for a pregnant woman. I received hundreds of stretchmarks (some even an inch thick) from about 1 inch above my belly button down to my groin. She was 9lbs and delivered with forceps. My other children were also facing up, they were 9lbs and 9lbs9oz, both delivered naturally no meds no help (one hospital and one home waterbirth) though with these pregnancies during my twenties (24 and 27) and my hips did move apart. I did have reconstructive surgery down there that was covered by OHIP. I received only a few stretch marks with the second and none with the third. My skin does hang over. Even with a personal trainer, working out 6 days a week at Goodlife and losing lots of weight 190lbs to 142lbs for a 5ft9in woman, I still had lots of skin hanging (that apron you are talking about) that hangs over to my privates that I have to tuck into my pants, and no belly button. You have to pull all the skin back and sideways to find my belly button. My back hurts all the time, every day and night. I had a breast reduction covered by OHIP from an E cup to a C cup when I was 20 to help with the back and should pain. And it did for the most part, I thought perhaps my back pain hurt from my now larger breastfeeding breasts, I am a D cup now though when my 2-post BR babies were very young I was a DD and F. I make lots of milk. I have been nursing non-stop now for 5.5 years, my son is 2.5yrs old and I am still nursing him. I read online that when your stomach muscles are overstretched from pregnancies with multiples or very large babies, it can cause back pain and may be an indication for surgery covered by OHIP. What kind of surgery do you think that I may be a candidate for?
    I posted two pictures here. It was hard to find one that truly showed how big my belly was, but my uterus measured 42 weeks at 33 weeks to give you an idea. The second picture is me in shape with my belly tucked in very well. It is concealed very well, but the crazy amount of hanging over stretched wrinkly old lady skin is tucked into those jeans I swear! No matter how much abs crunches or personal training, nothing tightens my stomach muscles. (I don’t know why the pictures posted inversely and why one is larger than the other… it will not let me reduce the size, sorry about that)

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      No doubt you will benefit from surgery, and a referral from your MD would allow us to advise you about OHIP and non-OHIP options at consultation

  • Sara

    I believe I have Rectus diastasis. I have had 3 children now aged 16,8 & 6. The 2 youngest two both arrived weighing 9lb 1oz (I’m 5ft 3). I have a bug dip below my sternum when relaxed. I can’t do a sit up, if I lean forward to do my shoes up, put socks on, crouch over, sneeze, laugh or cough then it goes into some weird spasm & feels like a hard knot going under my sternum & is very painful, I try to lay on my front & push my chest to see if I can pop it out, it might sound odd & that might not be what’s actually happening, but that is what it feels like. Yes I do have a little over hang of skin which I swear never went back to it’s original place with my abdominal muscle weakness. However I am more concerned with the pain due to this weakness as I get odd looks at work when I shoot up from my desk with my eyes popping out of my head & trying to arch my back when I get one of these spasms. So my question is,would this be covered by OHIP or am I supposed to have freaky painful moments several times a day for the rest of my life? Thanks

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      Hi Sara,
      Your symptoms suggest a hernia rather than diastasis, and surgery for this would be covered by OHIP (possibly in combination with a tummy tuck). Please arrange for a referral to see us.

    • Sara

      Would I need that referral to come from my family doctor? Thanks.

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      Any MD would be able to provide referral

  • Indie

    Hi there. I am currently at 176 pounds I have never been over 200. I suffer from

    Hidradenitis suppurativa and am going to ask for a BR thursday and a referral. I’m not really sure what a skin break down is but I do get lots of sores a long my C-section scar from the HS. Would this possibly help with getting a
    panniculectomy? Or would the HS make it to difficult? Thanks.

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      Hi Indie,
      Some complex considerations here, so you would need an examination to give a useful opinion. We hope to meet with you soon!

  • Patrick

    Do you need to have a certain BMI for surgery or OHIP coverage?

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      Hi Patrick,
      No maximum BMI for OHIP, and decision of surgery timing for each patient should be determined based on all info, including BMI.

  • Shannon

    Hi there, I have had 4 children, all c-sections and within 5 1/2 years. I have diastasis recti, an umbilical hernia and some hanging skin. I am having some issues with my hips that are not improving as I am not able to strengthen my core. I am booked to have my hernia repaired, but am wondering if OHIP would cover fixing my abs? I am unsure how to go about figuring this out , so any comments would be beneficial.

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      Hi Shannon,
      Repair of the hernia is covered by OHIP, although the other problems you describe are not. It may be advantageous to see us before you have hernia repaired, as combining the hernia repair with an abdominoplasty could allow for a better hernia repair and a less expensive abdominoplasty.

  • Patrick

    What would the first step be to receive a consultation? Is this covered by OHIP? Should my family doctor give me a referral?

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      A referral letter is always valuable, and may allow for a consultation to be covered by OHIP

  • Mark

    I’m concerned that I might lose weight after a tummy tuck and then need to repeat the surgery. Can that happen?

    • Dr.kreidstein

      Hi Mark,
      You would need to lose a substantial amount of weight (20%) for that to be a problem. It is common for people to lose weight after tummy tuck, because they become more motivated to exercise. We recommend reaching a stable weight before tummy tuck, and if you do become much more fit and lose weight after surgery, then a repeat procedure could be offered.

  • Brenda McDonald

    Could a patient with a defibrillator pacemaker who had the surgery of stomach stapling which has come undone be a candidate to have gastric bypass surgery? Would they be able to consider the surgery you offer in the future?

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Brenda,
      This answer will start with your Cardiologist. If the Cardiologist approves surgery, then there should be no limitations for you.

  • Karen

    I am 48 years old, I have had two c-sections, youngest child is 13, I also have had two tubals done ( optopic pregnancy) and gallbladder removal when I was 26. Suffice it to say that my stomach is a road map of scars. I do have an overhang of skin on my belly which looks lopsided as well as hangs down to cover almost all of the pubic area. I can also grab this fold of skin on either side at my hips. I sometimes get rashes on the hip area which my dr says is a yeast infection? I am at 240 lbs, have just started working out daily, so far I have lost 13 lbs. not much I know but it’s a start. Would a Panni be covered by OHIP in my case?

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Karen,
      You are in the ‘grey zone’, and we would need a consultation to see if you met OHIP criteria.

  • Sarah

    In reading your posts, I was curious under what circumstances would OHIP cover a breast reduction and panniculectomy? I have a large pannus, and am having constant issues with skin breakdown after exercise, I have lost over 100 pounds and still have a bit to go. I am fairly confident that OHIP would cover the pannus removal because it hangs almost past my genitals. I have had a huge unsymmetrical breast issue for years, but because of my weight it was never an option, but now that I have almost lost my weight and my breasts look even worse, would this be an option? My intention is to have a referral to you soon, as I am nearing my weight loss goal.

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Sarah,
      You will likely get coverage for Panniculectomy. If your breasts are simply deflated, a breast reduction may not be a good option or available under OHIP.

  • Catherine

    I was diagnosed with diabetes this past May with a very high A1C number. I have radically changed my lifestyle and have lost 75 lbs so far with the intent of losing another 45 lbs. I just got my blood tests back and I am thrilled to discover that all my numbers (cholesterol, triglycerides, LDL, etc) are in the normal range and my A1C is .54. I already have flabby skin that hangs quite low (and did this even before the weight loss) and it is obvious that it will only get worse. Though I have not experienced boils or sores I have developed scoliosis so back pain is an issue. I do not accept painkillers. When I reach my ideal weight by Spring 2014 would I qualify?

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Catherine,
      You might well qualify. You should see us once your weight-loss has stabilized.

  • Mary

    I had a thyroidectomy.
    During surgery I went into Respiratory arrest.
    I had to have a tracheotomy done.
    Now I have a hole the size of a belly button on my neck with a line showing the incision.
    Does OHIP cover the cost of coming to you to fix it so that there is minimal scaring?

    • http://www.drkreidstein.com Dr. Kreidstein

      Mary,
      This surgery can be performed under OHIP.

  • Dina

    Hi Dr. Kreidstein, I had an appointment with you this morning and actually forgot to ask you a question. I had gastric bypass surgery last August 2012 and I know that most of the excess skin removal isn’t covered but I read somewhere that it is covered if skin breakdown is present. Because of the constant rubbing under my arms, I often get open sores which is quite painful. So wouldn’t this have to be covered?

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Dina,
      The only procedures listed under OHIP are abdominal panniculectomy and breast reduction. Removal of excess skin on thighs, arms and other areas can be of great medical benefit, but OHIP does not cover these procedures.

  • Courtney

    I have seen a plastic surgen for a consult for panni removal and brest reduction to be covered by ohip. If I was to have both covered by ohip then I will be able to upgrade and self pay for a full tummy tuck. The problem is the plastic surgen that I saw said that ohip will not cover my panni. Why would this be. I have lost 90 pounds and get rashes and boils under my panni. What would you suggest? Can my family doctor send you a referal letter? Thanks

    • http://www.drkreidstein.com Dr. Kreidstein

      Our experience has been that OHIP will provide coverage if the pannus extends over the inguinal crease or covers the mons (and meets the other criteria). In borderline cases we will provide photos to OHIP and have found them to be receptive. Please arrange a referral from your MD and we will do our best to help.

  • Kim

    I have had 2 c sections, a hysterectomy and am going for another abdominal surgery to repair my bladder from a complication from the hysterectomy in a couple weeks. I am over weight, have lost only 50 pounds but the over hang is dreadful. It could be worse, I get that but it hangs right over like it is a bag of fat that as been sewn on! It does hang down almost to my pubic bone. Do you think OHIP would cover this repair even though my case is not as extreme as others ?

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Kim,
      Each procedure is judged for OHIP coverage on its own merits. Best would be to request a referral from your GP and we can review at your consultation.

  • Chris

    Hi, do you accept referrals for OHIP-covered panniculectomy from other PCPs? My PCP (and only doctor, in fact) is a licensed ND, not an MD. (I’m not concerned about the consultation being covered, but just the actual procedure.) Thanks.

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Chris,
      A letter of referral is not required for us to apply for OHIP coverage of a panniculectomy.

  • Michelle

    Hello! I have lost 100+ lbs with gastric surgery and have kept the weight off for over 3 years. I have an big heavy apron of skin left and although I don’t get rashes anymore, I have developed major low back/pelvic bone issues. I’m always in pain and I really believe it’s from the extra weight from the apron on the front. I’m wondering if you’ve encountered this before and whether the removal would be covered by OHIP. I’ve gone for X-rays and an MRI and nothing appears to be wrong.

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Michelle,
      Your family doctor is the best person to advise you whether removal of pannus will improve your back symptoms, and we require a note of recommendation from your MD to then apply to OHIP for coverage.

  • Laurie

    Hello, I had gastric bypass done 5 yrs ago and now have 2 incisional hernias from it 1 being quite large that need to be repaired. Is it possible to have the hernias repaired and the panniculectomy done at the same time and do you feel OHIP would cover this?

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Laurie,
      Repairs of this type our common in our practice, and OHIP coverage for hernia repair is routine. We look forward to hearing from you.

  • DianaT

    Hi, I have had 3 C-sections, an appendectomy & an appendectomy scar revision (there was a hernia in the scar). It has been 13 yrs since my last surgery and I suffer with a large overhang of skin also. I have a lot of pain in my scar on both sides and suffer from rashes.
    I am currently scheduled for lower back surgery in September and am now wondering if getting a panniculectomy instead would help with both my stomach and back issues (I have a herniated L4-L5 disc, DDD and arthritis in my spine).
    Advice?? Thanks.

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Diana,
      Panniculectomy will help, but if your back surgeon has scheduled you for surgery then there must be an expectation that there is a primary and treatable problem with your back. Please arrange to see us once you are over your surgery, and good luck!

  • mommyJane

    Hello, I have had 2 c-sections and on the 2nd one it seems as if the dr sewed my incition to the muscle underneath. This has left me with a flat lower section, but a cliff that my belly hangs over. Almost like wearing too tight jeans all the time. Is this something that can be fixed? I have never been overly sensitive about the number on the scale, but this feels like a deformity.

    • http://www.drkreidstein.com Dr. Kreidstein

      This is a common problem that arises from inadequate distribution of fat under the incision line. We can certainly improve this with a scar revision.

  • Kay

    Hello, Its been 2 years since I last gave birth. I have had 5 children as well as a hernia repair. I believe i may have another currently as I’ve been working hard to loose weight. I’m around 160 lbs but I have a loose pannis and I do not think my muscles are closed in the upper portion of my abdomen. I have discomfort with alot of under garmets as well as get itchy, sometimes sores and rashes. I shower frequently because of this. Would a panniculectomy and Diastasis repair be beneficial?

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Kay,
      You do sound like a good candidate for an abdominal procedure. Please call us to arrange a visit.

  • Cheryl

    Hello, I started my weight loss journey 20 months ago and have lost over 205 pounds. I’m at 188 pounds now and still working on the rest. My stomach does hang down some but I don’t get to many rashes because I work real hard at not getting a break in my skin because of previously break outs where I’ve been hospitalized and a nurse had to come into the home to bandage my legs daily for 4 months. I have lost the weight by diet and exercise and when I exercise the skin flaps. I was wondering if OHIP would cover the cost of the surgery. My family doctor said he would give me a referral. Thank you for your time. Cheryl

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Cheryl,
      Congratulations on your success. I am confident we can get a panniculectomy covered by OHIP. Please ask your MD to fax us a referral and let’s get started!

  • Theresa

    Hi I was wondering if you offer tummy tuck revision? I’ve had full tummy tuck with muscle repair… I’ve had 6 kids oldest 17 and the youngest 4! My highest weight 200 I’ve worked very hard in loosing all my pregnancy weight over the years. In nov 2012 I had my TT my weight at that time was 116.. I’m 5 ft 1 I’m now about 5 months post op and at. 4-5 Wks post op skin was loose and I have so much I can grab handfuls when standing straight up and when I sit it rest in lap!! I understand they say to wait one year to see full results but this is what it is I can see and grab all the skin all over and can a belly button be fixed? Mine is horrible looks like thick scar tissue and the hole is smaller than the top qtip! Hope you can help…. Thanks for the time. Theresa

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Theresa,
      If you email us photos (in two-piece bathing suit or similar) we can let you know if it is worth a consultation.

  • Amy

    I am 25 years old and have had 2 c sections. Seams like my belly was stiched inwards whoch causes my belly to overhang. I gain 90 lbs with my first and lost it all. My second i gain 90 also but only lost 40. I am comfortable with my wieght of 150 right now. Only thing is my belly. I cannot do a sit up due to my scar hurting and major cramps after wards. I have no feeling in the over hanging belly. I cannot wear jeans. It irritates my scar and hurts. What do you think? I dont get rashes i take care of that area pretty good but it does itch.

    • http://www.drkreidstein.com Dr. Kreidstein

      Abdominoplasty can be of benefit for both improved function as well as appearance. You should ask your MD for a referral, as your consultation would be covered by OHIP.

  • Kristan MORELAND

    I have extreme excess skin on my inner thighs which impairs my mobility and I experience extreme chaffing. Is a thigh lift procedure covered by OHIP. I have only ever heard of the pannis removal being covered.

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Kristan,
      You are correct in that there is no OHIP coverage for thighs. That said, if you have a referral from your MD, we will work with you to keep costs down.

  • Faith

    One more quick question…would you advice getting pregant after surgery?

    • http://www.drkreidstein.com Dr. Kreidstein

      If pregnancy is a possibility, it is much better to finish having kids before your surgery, as you might stretch apart our beautiful work if you got pregnant after tummy tuck.

  • Faith

    Hi Dr. Kreidstein,
    I have been overweight for most of my life (I am 37), and I was looking to get a panniculectomy for my hanging skin. I get sores, and rashes and it almost feels like tearing under the hanging skin. I have lost 30lbs so far on weight watchers, but couldnt afford it anymore so I stopped. I have “fallen off the wagon” and trying really hard to get back on. I have an umbilical hernia as well from gallbladder surgery. Do you think i am a candidate for surgery covered by ohip, and also, would a hernia interfere with the surgery at all?

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Faith,
      Your current weight, or weight-loss is not a criteria for OHIP coverage of panniculectomy, and your symptoms do sound like you would benefit from this surgery. An umbilical hernia is a problem, as it means you are likely to require amputation of your belly button during tummy tuck surgery. Don’t worry, we can make you a new one!

  • Ellen

    Dear Dr Kreidstein
    I am actually in tears reading these questions and answers! I struggle with rashes, itch and odor under my tummy apron and under my breasts. I have had back problems for years and have had pain killers for years also. I buy cortizone cream over the counter to help a little with the rashes, and wash sometimes 3times a day to stop odor. I do not let my husband near because of this. I very rarely have mentioned this to my doctor because of embarrassment. Is there stil a possibility of ohip covering this for me?
    Thanks you for taking the time to read my email.
    Sincerely
    Ellen

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Ellen,
      So often, we are contacted by patients like you who should have received help much sooner. Please ask your MD to fax us a referral, or if you are unable to speak with your MD about your problem, call our office and we will set-up a consultation.

    • Fiona

      Oh God, I’ve had this problem for years ( since the birth of my ten year old , I’ve had two more babies with the youngest being almost four years old . I don’t have a family doc and see NP s in a community health service location . I’ve discussed my situation with them ages times mostly in the past couple years and they didn’t care. I was just told to live it , wash constantly , apply creams and use Light Days !!!
      The current NP I’m seeing literally told me to live with it.
      “Who cares if I’m suffering from a raw , itchy , smelly , burning c- section incision, have to wear body shapers all the time otherwise deal with a constant back pain caused by pulled weight of my hanging tummy, plus that not being able to let my husband near me or going swimming …”
      I just heard recently that ohip could help and when I asked the NP she literally said she is too busy and has to let me go, I was really embarrassed and hurt . I’ve even considered cutting my hanging abit at the time myself . Ilost more than 50ls after my pregnancy but thanks to my depression over this issue gained back afew lps ,pregnancy

    • Dr.kreidstein

      Hi Fiona,
      Please ask your NP to refer you to a plastic surgeon.
      It is unfortunate that you have suffered so badly when there are good treatment options available.

  • Julie

    Good Afternoon Dr. Kreidstein,

    Thank you for your response. As I said before, through my research I think I meet the requirements. So I guess I will see you in May and we will have a better idea of where I stand with things and we can go from there.

    I feel less anxious now (still extremely anxious, mind you).

    Again, thank you for your time,
    Julie

  • Julie

    Good Afternoon Dr. Kreidstein,

    Can you please tell me approximately what percent of your requested OHIP covered panniculectomys are approved by OHIP?
    I have an appointment scheduled with you in May. While my doctor sent off the referral to your office and does not seem to think that it will be a problem to have the procedure covered by OHIP, I would like a realistic picture of what my chances are. I do not want to get my hopes up if this is not a procedure that generally gets approved.

    Thank you for your time,
    Julie

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Julie,
      It is rare to never that our application is rejected if the criteria for OHIP coverage are met- pannus extends over inguinal crease, and severe medical problems arising from pannus (infections or skin ulceration requiring medical treatment)

  • Vanessa

    I had bariatric surgery almost 2 years ago and lot lmost 200 lbs i weigh about 200 lbs now and have alot of loose skin hanging over my hips and stomach. I also have a huge handfull of loose skin under the belly around my private area and loose inner thigh. I have to use cream and keep area dry or i get red sweaty rashes. I am also wondering if ohip will cover and is it true u will lose your belly button?

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Vanessa,
      By your description, you meet criteria for OHIP panniculectomy. Ask your MD for a referral letter to be sent to our office and we will arrange your visit. If you had previous belly button surgery or have a hernia under your belly button then it may need to be sacrificed, but that is unusual. It is also possible to create a new belly button for you if the original is not salvageable.

  • Dawn Cunningham

    Hi! I am 43 year old female. I had 4 babies by the time I was 19 years old. I have had weight issues in the past. I had a hysterectomy 3 years ago and got a staph infection really bad and my surgeon said it was because of the extra skin that I got the infection in my stitches . After that surgery it seems to be worse now and has odour all the time. Also, I get rashes really bad. Very itchy under there. Also my breasts have been experiencing the same kind of issues. Can this all be covered under ohip. Is this surgery safe? Thanks, Dawn

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Dawn,
      It does sound like you would be a candidate for OHIP covered surgery. Body Contour surgery like panniculectomy and breast reduction is generally safe, but only by getting all of your medical history and performing a relevant physical exam could we estimate the risks you would face. Please arrange for a referral from your MD.

  • shiva

    Hi,
    I had 2 c-section which my youngest is 5 month old. I gained a total of 80lbs for both pregnancies, so far i lost 22lbs and still losing. I have the hanging skin . I was wondering if Ohip would cover the procedure?
    Thank you
    Shiva

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Shiva,
      It would be best to see us after you have reached a stable weight. We would be able to apply for OHIP coverage based on your symptoms and the extent of skin overhang. A letter of referral should be requested from your MD.

  • Toni

    Hi, I’m from Winsdor and I was wondering if you know of any doctors in Windsor or close by that will perform panniculectomies through OHIP. I have lost 150 lbs and have been working out to tone my body. I have lost the weight over many years so the skin does not totally hang far down but far enough. I have had a full right knee replacement two years ago (i’m 37), the left one is on its way also, and I have back issues. The skin under my stomach also gets irritated with rashes every so often. I am embarrassed by this. By the way my weight loss has been totally on my own with no surgeries! Also, would I qualify at all through OHIP for this?

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Toni,
      You do sound like a candidate for OHIP panniculectomy. We have had several patients from Windsor. You should plan to stay in Toronto area for 5 days after surgery, and then a weekly visit for the next two weeks would be typical.

  • Shawn

    My name is Shawn and I am 30 years of age, I am trying to get a
    PANNICULECTOMY covered by ohip as I am having allot of difficulty with the excess skin over hanging. I am in constant back pain and because I’ve lost over 100 pounds the skin now hangs as low as my genitals so this is also effecting my sex life. I am not sure how to start this process but so far my dr has placed me on oxycocet for the constant pain and I’ve been trying to find out more information on how to go forward with the surgery and what I need to do to get ohip to help pay. It is extremely hard to shower because of the excess skin and my Mobilty is limited because the excess skin rubs against my pelvis causing rashes and irritation can you please send me an email with how I might get help with this situation and the steps I will need to take to get my surgery covered.

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Shawn,
      Getting approval for you should be easy. Please ask your MD to fax us a referral that includes a description of the difficulties caused by your pannus.

  • sharon

    Hello Dr Kreidsten,
    You truly understand what is going on with the loose skin on my belly. Its preventing me from having a proper form to do my crunches and it hurts my back when i stand for a long time. my Dr wont do the referral but i don’t know what else to do. I do get discouraged but i cant give up on taking my life into control. it would more in the future if i remain overweight.I don’t want to die from any weight issue that i know i can take care of now. I really need your help in getting my life back and to live for me and my children.

    • http://www.drkreidstein.com Dr. Kreidstein

      We only require a referral from your MD if you are seeking an OHIP-covered consultation. A cosmetic consultation can be arranged by just calling our office.

  • sharon

    Thank you Dr Kreidstein.
    I still have a long way to go to reach my goal weight. the journey has been a very hard one but i know that giving up is not an option. i will ask my Dr about this product. I will keep in touch with u if i do need proper instruction on the usage. i find that instead of complain about my weight,its much easier to take action to get more healthy. It has been very emotional for me also. i do not want to die from any sickness due to weight and that is one of the many reasons to take care of me

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Sharon,
      We often hear that patients want to reach a goal weight before having surgery. This is sensible, provided that the excess skin isn’t preventing you from reaching your ideal weight. Excess skin can prevent you from doing exercise, and can discourage you from losing weight (more weight loss results in more loose skin). If you are stalled in your weight-loss efforts and you suspect that excess skin (cutis pleonasmus) is holding you back, it is better to have the body contour surgery early. If that lets you lose more weight and your skin does again become too loose, further surgery is an option, but this very rarely happens (we have never had to repeat a tummy tuck for repeat laxity).

  • sharon

    Hello Dr.Kreistein, I have had two c-section,the first one was an emergency. I have since then gain a lot of weight. Since January of this year i started to workout and eat healthy for a better life for myself and my kids. I notice that when i sweat alot from mt workout ,underneath the flap of skin on my tummy smells funny and sometimes i get rashes and cracked skin. I have to shower very often to keep myself clean.I am so embarrassed by this that i sick to my stomach and depressed. What can i do to help myself with this problem?

    • http://www.drkreidstein.com Dr. Kreidstein

      Hi Sharon,
      Congratulations on you weight-loss, and your commitment to a better life for you and your family. In the short-term, there is a product called Interdry Ag that you can use to help with your skin problems. We can help you source this and instruct you in proper use if needed.
      Please see your family doctor and request that a referral note be faxed to our office. We will then arrange an office consultation about surgery, and this consultation will be covered by OHIP.

  • Linda Harrison

    What is the average time line from consultation to sx date??

    • http://www.drkreidstein.com Dr. Kreidstein

      We generally have a 4-8 week interval. Smaller procedures are easier to add to a schedule and can be done within three weeks.

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