Reconstructive Surgery

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On this page you will find my personal experience with reconstructive surgery. I had a truncoplasty (lower body lift) in August of 2001 and thighplasty and brachioplasty in April of 2002 by Dr Stephen Weiland. here in Las Vegas.  I have included links that I have found useful as well as other information. 
At the bottom of this page you will find my before and after reconstructive surgery pictures.  As Dr Weiland said to me at one point....take before pictures, cause after surgery you will only be able to take afters! 
 

  • Aetna's Coverage Policy Bulletin on Cosmetic Surgery: Aetna's policy on Cosmetic surgery. 
     
  • Plastic Surgery  Web site for plastic surgery, sponsored by the American Society of Plastic Surgeons and the Plastic Surgery Educational Foundation.  This site provides background on the history and wide variety of cosmetic and reconstructive plastic surgery procedures as well as offering a Plastic Surgeon Referral Service. 
     
  • What is Reconstructive Surgery?  The goals of reconstructive surgery differ from those of cosmetic surgery. Reconstructive surgery is performed on abnormal structures of the body, caused by birth defects, developmental abnormalities, trauma or injury, infection, tumors, or disease. It is generally performed to improve function, but may also be done to approximate a normal appearance.
     
  • Treatment of Skin Redundancy Following Massive Weight Loss  ASPS guidelines on skin removal after WLS.  This is now a PDF file
     
  • Find a Surgeon  Also from the ASPS site.  Find a surgeon in your state.
     
  • If you're considering abdominoplasty...  What to expect, how to prepare for your surgery
     
  • Dr Lockwood's Site  This site shows before and after pictures of various surgeries, TT, lower body lifts, etc.  Can give you a real good idea of what these surgeries can do. 
     
  • Letters:  From my doctors to Aetna, appeal letters from others. 

Abdominoplasty info
 
Procedure:  Flatten abdomen by removing excess fat & skin & tightening muscles of abdominal wall.          
Length:  2 to 5 hours.          
Anesthesia:  General, or local with sedation.          
In/Outpatient: Either depending on individual circumstances and extent of surgery.          
Side Effects:  Temporary pain. Swelling, soreness, numbness of abdominal skin, bruising, tiredness for several weeks or months.          
Risks:  Blood clots. Infection. Bleeding under the skin flap. Poor healing resulting in conspicuous scarring or skin loss.  Need for a second operation.          
Recovery: Back to work: 2 to 4 weeks. More strenuous activity: 4 to 6 weeks or more.
Fading and flattening of scars: 3 months to 2 years.          
 

 
If you want to donate your own blood for your surgery
this may interest you.  No doubt it's different state to state, but this will give you a general idea of what to expect. 
 
-You will need the proper paperwork from the blood center where you will be donating or an Rx from your surgeon.  The blood center will require physician's orders before you can donate.
-Do you know what your hemoglobin level is? 
If your hemoglobin is less than 11g/dL or your hematocrit is less than 33%, you will not be able to donate.
-You cannot donate less than 72 hours before your scheduled surgery date.  So donate as far in advance as possible so your bone marrow will have time to produce more blood to replace what you lost through donation. 
-If you are on antibiotics, you will not be able to donate. 
-A unit of blood is good for 42 days from the collection date. 
 

Diagnosis & ICD-9:         

  1. Hypertrophic breasts, 611.1
  2. Back and Neck Pain, 724.1, 723.1
  3. Intertrigo dermatitis, 692.9
  4. Long abdominal panniculus, 278.1
  5. Abdominal hernia 553.21
  6. Possible diastasis recti 928.84
  7. Redundant skin, bilateral upper arms, 701.9
  8. Personal history morbid obesity, V13.8
  9. Personal history surgery to major organ, V15.2
  10. Planned procedure:               

             CPT:                                            Corresponding ICD-9 #:

  • Breast Reduction, bilateral     19318, 19318-50    1, 2, 3, 8, 9
  • Incisional hernia repair            49560            5, 7, 9
  • Abdominal Paniculectomy     15831            2, 3, 4, 6, 8, 9
  • Brachioplasty                           15836, 15836-50    3,7, 8, 9
     


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