@usernameimpossible

Welcome to Mayo Connect.
Congratulation on your weight loss, you're almost half way to your goal. I have only had minor skin irritation, so never pursued skin removal on abdomen. But like you, I am at age that my skin does not have elasticity to go back to it pre stretched form. Exercise helps, but can only go so far.

Your smart to document. Insurance will not pay unless medically necessary. Some of medical reasons include. excess skin is causing health problems like back pain, chafing, dermatitis, infection, or chronic rashes, infections, cellulitis, or non-healing ulcers.

The documentations is going to have to be provided in medical records, so make sure you inform you provider of any problems your having and they document, including images.

Again, welcome to group and continue the good work.