A tummy tuck and brachioplasty. I've lost 130+ lbs and have a healthy BMI now. The loose skin from my heavy days makes my pants fit tightly in the gut. I had a quote from a plastic surgeon in Mexico but going to Mexico for elective surgery in the current pandemic crisis would be crazy. Maybe after I get a COVID vaccine. All you wise mustachians may already know this, but plastic surgery does not quality for HSA use, sadly. I'd have to be ready to shell out like $14K for everything I would get done all at one time.
Please watch a couple episodes of Botched for those patients who went to other countries for plastic surgery. It is absolutely horrifying, not to say it doesn't happen in the US but the regulations/qualifications are not equal.
As a medical professional, I would never, ever, ever engage in medical tourism, especially not for major, high risk surgery.
Not only are the regulations and qualifications not the same in other countries, the recourse options for things going wrong are not there.
Also, there's a huge difference between getting medical care in Mexico vs getting medical care from a Mexican medical tourism clinic. Those are different industries, and my friends in Mexico wouldn't go to those places, but are well served by their own doctors
I've attended a number of lectures by PhDs who do their research on medical and dental tourism in Mexico and they can't even get access to information about their standards of care, it's so opaque that no one can. They have, however, been able to talk to a number of doctors working for these companies who complain about the standards. They are good quality professionals who want to do good work, but they don't own the clinics, so they don't actually have control over the standard of care.
I'm in Canada where we're regulated up to our eyeballs, and even then, when my mom needed a breast reduction, I was ruthless in my assessment of surgeons and wouldn't let her see anyone except for the very, very best breast guy in the city.
So much can go wrong with plastic surgery, ESPECIALLY post-weightloss surgery. This is one of the most demanding areas of expertise with the largest risk of poor outcomes and complications.
I know a number of high quality Canadian plastic surgeons who won't even do it because they're not willing to take on the risks of bad outcomes. The standard wisdom here is that if the surgeon hasn't done at least a hundred of these procedures, to proceed with extreme caution.
I would never, ever get this kind of procedure done in a jurisdiction where I have absolutely no recourse for poor outcomes or major complications.
Do whatever is right for you, but please don't assume that there's some kind of surgical equivalency between all of your options. The range of outcomes can be ENORMOUS.