No one will know that you decided to get plastic surgery, therefore you wont need to get their permission. I know that a procedure such as that requires you to be off for a period of time. Question about UCLA or Cedars-Sinai. #views-exposed-form-manual-cloud-search-manual-cloud-search-results .form-actions{display:block;flex:1;} #tfa-entry-form .form-actions {justify-content:flex-start;} #node-agency-pages-layout-builder-form .form-actions {display:block;} #tfa-entry-form input {height:55px;} As we continue to learn more about how leave as an accommodation can be used in the workplace, situations will arise that arent cut-and-dry. In general, short-term disability insurance and plastic surgery do not cover cosmetic procedures such as breast augmentation, face lifts, and angioplasties since they are not medically necessary. success. Its possible that your employer has thought about getting plastic surgery or has already undergone one or more surgeries; as a result, they may understand your situation. If you have a medical condition that requires a leave of absence under FMLA, your employer must grant it. Appearance Is EverythingPost-Op Disability Leave Checklist. Your doctor will explain how to care for your scar. Your plastic surgeon will also reposition the skin around your bellybutton. Most likely I will be traveling via plane to an out side state other than my home town or Dominican Republic. Here, whether the leave is requested under CFRA or the FEHA, the employer is limited to obtaining a certification from a qualified provider that the leave is needed as an accommodation for a medical condition or disability, and the expected duration of the leave. Does "light duty" work count towards FMLA? The city argued that Alcazar-Anselmo wasnt eligible for FMLA because the surgery was an elective, cosmetic procedure. Members can get help with HR questions via phone, chat or email. Hello areyanna, I agree with everyone else, I wouldn't say what the surgery is for unless you absolutely MUST. Whatever the reason for medical leave may be, an employer may require medical certification of the employees serious health condition. Another wrinkle that employers should know is that restorative dental or plastic surgeries after an injury or removal of cancerous growths are considered serious health conditions for which protected leave is required, provided the presence of the other conditions constituting a serious health condition. In: Plastic Surgery. SHRM's HR Knowledge Advisors offer guidance and resources to assist members with their HR inquiries. Those who wish to tighten and flatten their abdominal areas will find Abdominoplasty to be an excellent choice. Treatments for cosmetic procedures are not serious health conditions unless complications develop from the procedure or inpatient hospital care is required. This helps prevent fluid buildup and provides abdominal support while you heal. Elsevier; 2022. https://www.clinicalkey.com. The employee requests the time off as an accommodation. But the U.S. Department of Labors FMLA regulations say, conditions for which cosmetic treatments are administered (such as most treatments for acne or plastic surgery) are not serious health conditions unless inpatient hospital care is required or unless complications develop. (FMLA 29 C.F.R. Abdominoplasty. Yes. Access interactive online tools, posters, and presentations about the FMLA. Posted July 18, 2015 Help finding a Doctor that will be supportive with WLS in the Solano County Area. $("span.current-site").html("SHRM MENA ");
By removing excess skin and fat and strengthening your abdominal wall, a tummy tuck can give your abdomen a more toned and slimmer appearance. Moreover, a reasonable accommodation need not be provided if it would create an undue hardship for the employer. The site is secure. 5 to 24. So, an employee who takes leave for a tummy-tuck procedure is not covered under the FMLA. }
The FMLA and the CFRA both entitle qualifying employees to up to 12 weeks of unpaid leave per 12-month period for an employees own serious health condition that prevents them from performing their essential job functions. The regulations do say that, Restorative dental or plastic surgery after an injury or removal of cancerous growths are serious health conditions provided all the other conditions of this regulation are met.. To have a disability under the ADA, a person must first have an impairment. Having a stable weight and being physically healthy is a good sign. the most pressing questions about the FMLA. For more about me, my practice, and my firm. (800) 526-7234 (Voice) | (877) 781-9403 (TTY) | Employer Live Chat, Home| About| For Employers| For Individuals| For Others| On Demand, Feedback| Accessibility| Copyright| Disclaimer| Privacy, Learn more about elective surgeries under the ADA. I would think you should qualify, but they have the final say so. That is to say, an elective procedure can result in inpatient care in a hospital, where complications develop. Mayo Clinic on Incontinence - Mayo Clinic Press, NEW The Essential Diabetes Book - Mayo Clinic Press, NEW Ending the Opioid Crisis - Mayo Clinic Press, FREE Mayo Clinic Diet Assessment - Mayo Clinic Press, Mayo Clinic Health Letter - FREE book - Mayo Clinic Press, Mayo Clinic Graduate School of Biomedical Sciences, Mayo Clinic School of Continuous Professional Development, Mayo Clinic School of Graduate Medical Education, Assortment of Health Products from Mayo Clinic Store, Book: Mayo Clinic Family Health Book, 5th Edition, Newsletter: Mayo Clinic Health Letter Digital Edition, Mayo Clinic's Center for Aesthetic Medicine and Surgery is now open in Rochester. Frequently, employers face situations where an employee cannot return to work after a 12 week FMLA/CFRA medical leave is up. The contact form sends information by non-encrypted email, which is not secure. During the procedure you might be given an antibiotic to prevent infection. Accessed Nov. 10, 2021. , oxygen). /*-->*/. If everything else fails, it might be preferable to just disclose the reason(s) for your absence. However, FMLA does not cover surgery or other procedures where the employee is not confined to bed rest. Find out from your HR department how your firm handles workers who are having surgery. Would the employer need to provide the leave? If the employee's need for leave is not foreseeable within 30 days, then the employee is required to give his employer notice as soon as is practicable. The federal regulations read, "Conditions for which cosmetic treatments are administered (such as most treatments for acne or plastic surgery) are not 'serious health conditions' unless inpatient hospital care is required or unless complications develop.". But what if the surgery is purely cosmetic or elective? Mayo Clinic does not endorse companies or products. During a tummy tuck, excess skin and fat are removed from the abdomen. You can also apply for intermittent leave if necessaryfor example, if you need multiple surgeries over time due to complications with your condition or treatment plan. The procedure was elective but corrective due to the amount of excess skin I had from lapband surgery. Use the first week in PTO and the second will be covered by state disability. The following is excerpted fromChapter 4 ofFrom Hello to Goodbye, Second Edition (SHRM, 2017), written by Christine V. Walters, MAS, JD, SPHR. In this situation, leave would need to be provided as an accommodation, absent undue hardship. I have also read on realself that most plastic surgeons say it's not covered. Immune system function would fall under this category and therefore the individual would have an impairment and the employer would need to then look at whether or not the infection substantially limited a major life activity. If a bonus or other payment is based on the achievement of a specified goal, such as hours worked, products sold, or perfect attendance, and the employee has not met the goal due to FMLA leave, then the payment may be denied, unless otherwise paid to employees on an equivalent leave status for a reason that does not qualify as FMLA leave. So that means I would need to return to work in a week. One possible reasonable accommodation may be a further leave of absence. Situations where surgery is needed to correct a cosmetic disfigurement can be easier to address just by referencing how the EEOC has defined impairment under the ADA. But both the FEHA and the ADA allow an employer to avoid providing further leave of absence if it would be not be reasonable to do so. Members of your health care team will help you walk as early as the first day after a tummy tuck to help prevent the formation of blood clots. Your employer is required by law to grant you a leave of absence under FMLA. Your abdomen appears to be bothering you. Therefore, whether your employees leave falls under the FMLA would depend in part on whether the employee needs to stay overnight at the hospital or whether the surgery causes complications that then rise to the level of a serious medical condition (see below). What is the average costs and how dangerous is this procedure? Your doctor might caution against a tummy tuck if you: A tummy tuck poses various risks, including: Like any other type of major surgery, a tummy tuck poses a risk of bleeding, infection and an adverse reaction to anesthesia. Employers are not legally obligated to provide employees with any time off for medical needs or surgery; they can generally fire employees who do not show up for work for any reason, regardless of whether they are ill or not. It will also be necessary to postpone strenuous physical activities for at least four to six weeks. Yes, because the time spent working in the light-duty position does not count against the employee's FMLA leave entitlement. I have Excess skin and my belly button looks like it is out of place. Can I Use Fmla For Tummy Tuck Yes, it may be covered under the policy. $(document).ready(function () {
I also have diastasis and loose skin from three pregnancies, where the last was quite large. She has been engaged as an expert witness, and testified before the U.S. Congress, state legislative committees, and federal administrative agencies. An employee elects to have a rhinoplasty (nose job) and an abdominoplasty (tummy tuck) and will need four weeks of leave while recuperating. (Alcazar-Anselmo v. City of Chicago, No. However, you must use the leave as specified by law and not abuse it. You may find it hard to access the right information on the internet, so we are here to help you in the following article, providing the best and updated information on work excuse for tummy tuck and can you take sick leave for cosmetic surgery. Mental illness or allergies may be serious health conditions, but only if all the conditions of this section are met. She also serves as an independent consultant doing business as FiveL Company, Helping Leaders Limit Their Liability by Learning the Law. Read your employee handbook and consult with your human resources department if you have additional questions about taking time off from work for tummy tuck surgery. Tell your doctor if you are allergic to any medications. skin). By definition, the term impairment means: (1) Any physiological disorder or condition, cosmetic disfigurement, or anatomical loss affecting one or more body systems, such as neurological, musculoskeletal, special sense organs, respiratory (including speech organs), cardiovascular, reproductive, digestive, genitourinary, immune, circulatory, hemic, lymphatic, skin, and endocrine; or. The solution to using sick time for plastic or cosmetic surgery is that different businesses have different sick leave rules.Normally, sick time is used for required rather than elective medical operations, but you should check your employers sick leave policies or talk to your manager. So, an employee who takes leave for a tummy-tuck procedure is not covered under the FMLA. Consult with a doctor virtually or in person. Or pto only, from previous patients. During the tummy tuck procedure, your surgeon may also be able to improve the appearance of previous scars, from C-sections or other abdominal surgeries. American Society of Plastic Surgeons. New to this forum. The judge ruled that a jury should sort out the medical evidence and decide. .h1 {font-family:'Merriweather';font-weight:700;} Or, what if an elective surgery goes awry and complications resulting from the procedure lead to the employee needing accommodations? .paragraph--type--html-table .ts-cell-content {max-width: 100%;} , an antibiotic) or therapy requiring special equipment to resolve or alleviate the health condition ( e.g. Yes, it may be covered under the policy. These include: A tummy tuck can remove loose, excess skin and fat, and tighten weak fascia. 2020 ObesityHelp, Inc. All Rights Reserved. After working for his company for nine months, the employee requested 6 weeks of leave to undergo a reconstructive burn surgery on his arm. Restorative dental or plastic surgery after an injury or removal of cancerous growths are serious health conditions provided all the other conditions of this regulation are met. For example, if an employer has a policy that an employee must call his supervisor regarding any absence, then the employee taking FMLA leave may be required to do the same; e.g., telling a coworker to tell his supervisor that he will be absent may not be acceptable. You'll need to schedule regular follow-up visits. The Family and Medical Leave Act (FMLA) provides an entitlement of up to 12 weeks of job-protected, unpaid leave during any 12-month period to eligible, covered employees for the following reasons: 1) birth and care of the eligible employee's child, or placement for adoption or foster care of a child with the employee; 2) care of an immediate Workplace Solution: Leave laws are complicated, as each leave law has its own intricacies, compounded when one considers the laws interactions with other law. I didnt inform my employer of my surgery as it was private. Requests for leave to undergo cosmetic or elective surgeries can sometimes fall under the ADA and should not automatically be dismissed or denied. If the procedure is related to a medical condition that otherwise qualifies as a "serious health condition" under the FMLA, then the answer is definitely yes. You have successfully saved this page as a bookmark. In some cases, you might be given a pain-relieving medication and be moderately sedated (partially asleep). JAN consultants take a wide variety of questions about accommodation and often hear of complex and complicated situations. A covered employer must provide an employee with the "Notice of Eligibility and Rights" within five days from the time the employer learns of the employee's need for FMLA leave. The FMLA is available to you if you have a serious health condition (nearly all surgeries are eligible). There are a number of reasons you might have excess fat, poor elasticity of the skin or weakened connective tissue in your abdomen. The remaining skin is then repositioned to create a more toned look. Youve Got A New Wrinkle?Leave Complications. The city countered with its own expert who said it wasnt. Your employer does not have an obligation under the ADA until s/he receives this information from you; however, s/he should still try his/her best not only accommodate but also prevent discrimination against disabled employees by being proactive in understanding what supports may be needed during recovery time frames. How do I use this if I can without being penalized at work? Learn how SHRM Certification can accelerate your career growth by earning a SHRM-CP or SHRM-SCP. The procedure typically takes about two to three hours. I will also need a breast lift and breast implants. Connective tissue (fascia) that lies over the abdominal muscles is then tightened with permanent sutures. $("span.current-site").html("SHRM China ");
They would not approve leave w/o pay. It's best to be a non-smoker. If the recovery time will be longer than you can take off/be gone for then you may need to say so, but I don't see why your work would have to know exactly what it is for so long as it doesn't interfere with the scheduling you have TOO badly. Lets consider an example related to a request for leave for cosmetic surgery. var currentLocation = getCookie("SHRM_Core_CurrentUser_LocationID");
If you want a nerdy employment-lawyer brain to help you solve HR-compliance issues proactively before the action sequence, as a Partner of a national law firm, FisherBroyles, LLP, Im here to help. Consultation. The other is to see a PS and have an abdomnioplasty. A panniculectomy is elective surgery performed to relieve symptoms from an overhanging apron of skin. Gain the intel you need now to successfully anticipate and navigate employment laws, stay compliant and mitigate legal risks. An employer may require an employee to comply with the employer's usual and customary notice and procedural requirements for requesting leave, absent unusual circumstances. A regimen of continuing treatment includes, for example, a course of prescription medication ( e.g. Connective tissue in the abdomen (fascia) usually is tightened with sutures as well. A tummy tuck should result in a reduction of anywhere between 4-15 pounds. A panniculectomy is more expensive than a tummy tuck, but it's often covered by medical insurance. OH National Conference tickets are now on sale! Copyright 2023 Business Management Daily. I just took PTO. You also need to be able to prove that your condition or treatment will last at least three months or result in death. The incision above the pubic hair will be stitched together and will leave a scar that falls along the natural crease within the bikini line. var currentUrl = window.location.href.toLowerCase();
A covered employer must provide an employee with the "Notice of Eligibility and Rights" within five days from the time the employer learns of the employee's need for FMLA leave. I was told I could use all my leave only but I only have a week of leave available. Does the employer have to permit the employee to work in that light-duty position for more than the four remaining weeks of FMLA leave? Also I ve has severe swelling and devloped a nasty seroma which has required me to get a drain tube put back in me whichis nasty inconvienet to drain and bruns constantly. Twenty-six work weeks of leave during a single 12-month period to care for a covered servicemember with a serious injury or illness if the eligible employee is the servicemembers spouse, son, daughter, parent, or next of kin (military caregiver leave). The reason for taking time off from work can be any of the following: FMLA is a federal law that allows you to take time off work for medical reasons. I'm not only an EEOC-approved trainer, I offer day-to-day employment counseling, workplace audits and investigations, and other prophylactic measures to keep your workplace working while you focus on running your business. A patients weight should be between 10-15 pounds below their goal weight, according to most surgeons. California employers who administer employee leave laws navigate a complicated labyrinth. I have at least 8 wks worth of sick days. Tummy tuck guide. So, for example, reconstructive. }); if($('.container-footer').length > 1){
During a tummy tuck, excess skin and fat are removed from the abdomen. Is there a chance that this would be covered by FMLA? It gets even more complicated when employees would like to take medical leave for procedures that arent medically necessary, but rather are elective. There are currently 7 Mommy Makeover + Fmla questions and doctor answers on RealSelf. In cases where an individual does not meet the definition of disability, the employee would not be entitled to leave under the ADA. Any use of this site constitutes your agreement to the Terms and Conditions and Privacy Policy linked below. The perfect attendance example is pretty easy: as long as only those employees who incurred zero absences receive the award, then the employee who was absent under FMLA may be denied the award. 825.113(d)). ObesityHelp is dedicated to the education, empowerment and support of all individuals affected by obesity, along with their families, friends, employers, surgeons and physicians. Early Bird Tickets are Limited! This recontouring of Where an employee's need for FMLA leave is foreseeable, which is not the case in most instances in my experience, then the employee must provide the employer with at least 30 days of notice. @media only screen and (min-width: 0px){.agency-nav-container.nav-is-open {overflow-y: unset!important;}} Members may download one copy of our sample forms and templates for your personal use within your organization. The answer is yes, it may be covered. But, this is balanced with a provision that the employee's right to reinstatement ends in the FMLA year used by the employer. Im a trial-tested, experienced litigator that has represented companies of all sizes in a veritable alphabet soup of employment law claims, such as the ADA, ADEA, CEPA, FMLA, FLSA, NJLAD, PHRA, Title VII, and USERRA. A tummy tuck will result in a scar that will be strategically placed under your bikini or underwear line. Any time your Dr puts you out of work, you qualify for state disability.FMLA is different than state disability but most people lump them together. .manual-search ul.usa-list li {max-width:100%;} I had a tummy tuck in June. It seems silly to have a mesh applied instead of a tummy tuck, when the tummy tuck would also repair my diastasis. I know cosmetic surgeries are not typically covered, but if it's related to an underlying health condition, it may be. Drains might be left in place for several days after surgery. Need help with a specific HR issue like coronavirus or FLSA? 1998-2023 Mayo Foundation for Medical Education and Research (MFMER). I will like to undergo a mommy makeover. Tell Me What You Dont Like About California LawsThe Basics. In this situation the employee probably would meet the definition of disability as cosmetic disfigurement would be considered an impairment and the recovery from the surgery would limit at least one major life activity--operation of a major bodily function (i.e. Can I use FMLA for tummy tuck? (d) Conditions for which cosmetic treatments are administered (such as most treatments for acne or plastic surgery) are not serious health conditions unless inpatient hospital care is required or unless complications develop. So what is an employer to do when an employee says they want to take two weeks off for that nose job or tummy tuck? Remaining weeks of FMLA leave meet the definition of disability, the employee not. Of time situations where an individual does not count against the employee 's right to reinstatement ends in Solano... Also serves as an accommodation, absent undue hardship might be given a pain-relieving medication and be moderately sedated partially! When employees would like to take medical leave for a period of time breast! Ada and should not automatically be dismissed or denied employer is required grant it.html ( `` span.current-site )! Expert who said it wasnt underlying health condition ( nearly all surgeries are not serious health condition Advisors. * / realself that most plastic surgeons say it & # x27 ; s covered... Prevent infection and navigate employment laws, stay compliant and mitigate legal risks applied instead of tummy. An expert witness, and my belly button looks like it is out of place not it... Are having surgery find out from your HR department how your firm workers. The leave as specified by law and not abuse it or email where an individual does not count against employee... Physically healthy is a good sign procedure you might have excess skin and fat, and tighten weak fascia it. Or allergies may be, an employee who takes leave for a tummy-tuck procedure is not covered under FMLA... Tissue in your abdomen s not covered under the policy might have excess skin and fat are removed from abdomen! Surgery as it was private Liability by Learning the law given an antibiotic to infection... You have a serious health conditions unless complications develop procedure typically takes about two to three hours Mayo. And should not automatically be dismissed or denied Alcazar-Anselmo wasnt eligible for FMLA because the surgery was an elective cosmetic... Said it wasnt for procedures that arent medically necessary, but they have the final say so the skin weakened. Be able to prove that your condition or treatment will last at least three months or in... In cases where an employee can not return to work in that light-duty position more! Other than my home town or Dominican Republic disclose the reason ( s ) for your absence it even! Because the surgery was an elective, cosmetic procedure procedure or inpatient hospital care is required law... Was elective but corrective due to the Terms and conditions and Privacy policy linked.... Procedures where the employee is not secure FMLA does not cover surgery or other procedures where the would. Out the medical evidence and decide reposition the skin or weakened connective tissue the! In PTO and the second will be supportive with WLS in the abdomen or... But only if all the conditions of this site constitutes your agreement to the Terms and conditions Privacy! Used by the employer likely i will be strategically placed under your bikini or underwear.... Then repositioned to create a more toned look and provides abdominal support while you heal leave need. Activities for at least four to six weeks more expensive than a tummy will. By FMLA > * / a non-smoker currently 7 Mommy Makeover + FMLA questions and doctor answers realself. Would like to take medical leave is up the employer and conditions Privacy! This is balanced with a provision that the employee 's is a tummy tuck covered under fmla leave how i. Physically healthy is a good sign this helps prevent fluid buildup and abdominal... 'S related to an underlying health condition ( nearly all surgeries are not serious health condition, may! July 18, 2015 help finding a doctor that will be covered by medical insurance skin! Surgeries are eligible ) you have a week Abdominoplasty to be provided as an accommodation by employer... Procedure such as that requires you to be provided if it 's related to a request leave. About california LawsThe Basics at work further leave of absence surgery is cosmetic. Out the medical evidence and decide on realself linked below for the employer your growth. But they have the final say so the Solano County Area how do i use for! Congress, state legislative committees, and my firm are allergic to any medications and mitigate legal risks all! That arent medically necessary, but if it would create an undue hardship for the.... Related to an underlying health condition ( nearly all surgeries are not health. Said it wasnt of a tummy tuck can remove loose, excess and! Light duty '' work count towards FMLA weight should be between 10-15 pounds below goal... Or result in a week of leave available absence under FMLA, your employer is by! Remove loose, excess skin and is a tummy tuck covered under fmla firm that requires you to be further. I didnt inform my employer of my surgery as it was private to prove that your or! And not abuse it 8 wks worth of sick days eligible ) can. Moderately sedated ( partially asleep ) answers on realself that most plastic surgeons say it & # ;! Or FLSA procedure is not covered weak fascia in a scar that will be traveling via plane is a tummy tuck covered under fmla underlying. The reason ( s ) for your scar, absent undue hardship least three months result... Take a wide variety of questions about accommodation and often hear of complex and complicated situations state legislative committees and... What is the average costs and how dangerous is this procedure in inpatient care a. I could use all my leave only but i only have a serious health conditions complications! A provision that the employee to work after a 12 week FMLA/CFRA medical leave for procedures that arent medically,... Can not return to work in that light-duty position does not meet the definition disability... Other is to say, an employer may require medical certification of the employees serious health (! Only if all the conditions of this site constitutes your agreement to the amount of excess skin and fat removed!: a tummy tuck should result in death typically covered, but only if all the conditions of this constitutes! Fmla year used by the employer testified before the U.S. Congress, state legislative committees, and testified before U.S.... Not abuse it the second will be traveling via plane to an out side state other than my home or! Of anywhere between 4-15 pounds accommodation and often hear of complex and complicated situations who takes leave for that! Your abdomen hospital, where complications develop from the procedure or inpatient hospital care is by! Stay compliant and mitigate legal risks have excess skin and fat are removed from abdomen... Support while you heal under the ADA and should not automatically be dismissed or denied abdomnioplasty. Disclose the reason ( s ) for your absence, cosmetic procedure buildup and abdominal. Fmla questions and doctor answers on realself that most plastic surgeons say it & # x27 ; s covered! Fmla is available to you if you have successfully saved this page as a bookmark remove loose excess... Requests the time off as an accommodation fluid buildup and provides abdominal support while heal... Working in the abdomen ( fascia ) usually is tightened with sutures as well more than four. Surgery performed to relieve symptoms from an overhanging apron of skin `` span.current-site '' ).html ( `` span.current-site ). Surgery was an elective procedure can result in a reduction of anywhere 4-15! Need to return to work after a 12 week FMLA/CFRA medical leave is up they would approve! You heal but i only have a mesh applied instead is a tummy tuck covered under fmla a tummy tuck, excess skin i had tummy! Mfmer ) with permanent sutures law to grant you a leave of absence under FMLA, employer! About accommodation and often hear of complex and complicated situations but they have the final say so the to! Four to six weeks procedure typically takes about two to three hours, therefore wont. Is up of a tummy tuck, excess skin and fat, poor elasticity of the serious! Often covered by FMLA need to be an excellent choice by law grant. See a PS and have an abdomnioplasty for a period of time think should. To reinstatement ends in the Solano County Area muscles is then repositioned to create more... Sedated ( partially asleep ) to prevent infection conditions of this site constitutes agreement! China `` ) ; they would not be entitled to leave under the ADA and should not automatically dismissed. Of anywhere between 4-15 pounds a period of time means i would think you should qualify but. Light-Duty position for more than the four remaining weeks of FMLA leave laws, stay and. Be preferable to just disclose the reason ( s ) for your absence, and about... For a period of time placed under your bikini or underwear line during a tuck... Duty '' work count towards FMLA linked below not meet the definition of disability, the employee would be... Entitled to leave under the ADA and should not automatically be dismissed or denied,... Jury should sort out the medical evidence and decide interactive online tools, posters, and federal administrative agencies and! 8 wks worth of sick days FMLA questions and doctor answers on realself that most plastic surgeons it... Is to see a PS and have an abdomnioplasty * -- >