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Re: Big Skin Lil' body

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HI,

Most people dont know this. But some Burn UNits will do surgury

and take your skin as a live transplant. My cousin lost 200lbs and

has alot of loose skin on her stomach and arms.SInce she had lost

over a 100lbs her Dr. referred her to the Burn Unit at University of

Alabama(UAB).Where they will preform her tummy tuck and use the

eccess skin as a live transplant. So You may want to talk to your

surgeon about this. She didnt know this till her Dr told her about

it. BUt you do have to have your Dr. refer you.

> How 'bout it guys how big a deal is the loose skin issue. I mean I

am

> 5'7 430 with a bmi of 68, is my loose skin gonna hang like

> drapperies? Or is it all in my head. I am just worried about

loosing

> my gut but keeping the carrying case and wearing it like a Kilt.

Have

> any of you gotten your insurance companies to pay for Plastic

Surgery

> afterward?

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http://www.transweb.org/reference/articles/donation/excess_skin_donation

html

Can I donate excess skin to a skin bank?

Question:

I recently lost a great deal of weight and I have a lots of excess skin. Can

I donate my excess skin to a skin bank to help burn patients? Will a tissue

bank pay for my skin reduction surgery if I agree to donate my tissue?

Answer:

These questions are asked quite often by individuals who have lost large

amounts of weight and have excess skin folds. We appreciate your desire to

donate. However, this kind of donation is unworkable. Allow me to explain

why, and to give you an alternative.

Our tissue bank does not obtain skin from these patients for several reasons

First, this method of obtaining skin is cost prohibitive. The amount of

transplantable tissue obtained from tissue reduction surgery is minimal when

compared to the amount of tissue obtained from a cadaveric (deceased) tissue

donor. The procurement costs would be much greater as it would require the

services of doctors, nurses, anesthetists, and other health care

professionals as well as the use of an operating room and other hospital

services. Cadaveric donation requires only trained tissue recovery

technicians, and they can procure tissue after the body has been sent to the

morgue (rather than in an operating room), thus keeping expenses to a

minimum.

Additionally, cadaveric donated tissue can be used for transplant soon after

recovery (as soon as quality assurance testing is complete), but the FDA

requires that tissues recovered from living donors must be placed into

quarantine for six months. At the end of six months, all serologic testing

(HIV and Hepatitis) must be repeated before that tissue can be used.

It is virtually impossible to obtain a skin graft from tissue than has been

removed during tissue reduction surgery. The usual procedure for tissue

reduction surgery involves the removal of skin and underlying attached

tissues, but skin grafts used for transplant are only 15/1000 (0.015) of an

inch thick and do not include these underlying tissues. Skin grafts for

transplant are procured by the use of a surgical device called a dermatome,

which peels off a very thin (0.015 inch), uniform layer of skin, and it only

works on skin that is stretched taut over and firmly attached to muscles,

such as in the back, arms, and legs. Very few people have an abdomen taut

enough to permit skin tissue recovery. Skin folds (such as those removed

when someone has lost a large amount of weight) lack the firm attachment to

underlying tissues, and so the dermatome can't work properly.

I do not know of any tissue bank that would pay for a donor's tissue

reduction surgical expenses for the purpose of obtaining skin for

transplantation.

I would like to encourage you to be sure that your family knows you would

like to donate your tissues upon death. Your gift can save lives and greatly

reduce suffering. ( click here to learn more about skin and also learn about

the tissue shortage).

Tom Taddonio

Director, University of Michigan Skin Bank

-- Re: Big Skin Lil' body

HI,

Most people dont know this. But some Burn UNits will do surgury

and take your skin as a live transplant. My cousin lost 200lbs and

has alot of loose skin on her stomach and arms.SInce she had lost

over a 100lbs her Dr. referred her to the Burn Unit at University of

Alabama(UAB).Where they will preform her tummy tuck and use the

eccess skin as a live transplant. So You may want to talk to your

surgeon about this. She didnt know this till her Dr told her about

it. BUt you do have to have your Dr. refer you.

> How 'bout it guys how big a deal is the loose skin issue. I mean I

am

> 5'7 430 with a bmi of 68, is my loose skin gonna hang like

> drapperies? Or is it all in my head. I am just worried about

loosing

> my gut but keeping the carrying case and wearing it like a Kilt.

Have

> any of you gotten your insurance companies to pay for Plastic

Surgery

> afterward?

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