The committment to following orders after the surgery is a life long one. Here, they have you go through a program first. It explains everything, so you know exactly what to expect. I went to these with a gal I was caring for and they were a real eye opener. Many drop out of the program, and other's are removed from the surgical list if the opinion is they won't be able to follow through with the after care program. If you don't follow them, there are complications, some life threatening. I am sure that your doctor/surgeon will explain all of this with you.
Learn all you can about both surgeries, and then make an informed decision. The "apron" that usually remains, as well as other major folds of skin, can be removed and be covered by insurance, but usually there has to be a medical reason behind it. My friend had it done and it was covered but she had medical issues with them (recurrent yeast type of infections.)