American Society of Plastic Surgeons
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Runner81
one year ago
Answered

Excessive weight gain during pregnancy

Hi-

I gained an excessive amount of weight - approx 80 lbs - during my first pregnancy because I had a condition called polyhydramnios which causes too much amniotic fluid to be produced. The end result was a lot of loose abdominal skin and significant abdominal muscle separation with chronic back pain. Is there any way insurance will cover a procedure to fix my abdomen?

Procedure: Tummy Tuck
Type: Question

Replies 6

Steven Wallach
ASPS Surgeon
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Unfortunately, insurance does not cover a tummy tuck after pregnancy. Please make sure you go to a board certified plastic surgeon for treatment. Good luck!

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John Borkowski
ASPS Surgeon

Most insurance companies consider this cosmetic even though you have symptoms. Sorry.

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Rahul Vemula
ASPS Surgeon
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Thanks for your question. Unfortunately insurance companies do not consider this medically necessary and will not cover the procedure. In some circumstances, Insurance companies will cover a panniculectomy which is removal of skin below the belly button. However, you must meet strict criteria for this and this is usually done for people who have lost a massive amount of weight either through Bariatric surgery or on their own.

Please consult with a board certified plastic surgeon to determine which procedures are best to achieve your goals.

Best wishes!

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Susan Buenaventura
ASPS Surgeon
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You have a diastasis recti (common with your condition or twins, large babies etc) and excess skin. It sounds like an abdominoplasty (tummy tuck) would benefit you and correct these issues, creating a stronger core, better back support and remove the excess skin. It is common to wait until you have finished childbearing though not absolutely necessary. This is not a procedure that insurance covers, but many hospitals have discounted fees for surgeries that are self pay. It is worth getting the muscle repaired and excess skin removed, it will benefit you now and down the road. Good luck!

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Nelson Castillo

I'm sorry to hear of your symptoms, unfortunately insurance companies will deem this "not medically necessary" and will not cover the costs of surgery.

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Tania Medina
ASPS Int. Surgeon
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Hello dear!! Unfortunately tummy tuck with muscle repair is consider as a plastic procedure, we recommed you to find a board certified plastic surgeon so you can have a proper evaluation.

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