Andrew, I feel for you, I'm about your size now, after losing 22 pounds.
That's what my stomach used to look like, except my skin had gotten dark and full of sores. I developed a bubble sort of blister--I used to say my body installed its own drain--and it would drip for days.
It's actually still there but doesn't drip anymore. I'm hoping it'll go away at some point.
My doctor didn't help me with any of that at all, she just told me to lose weight, "other people do it, so can you." I wish I'd gone to a different doctor, instead of wasting a couple of years of my life trying to figure it out on my own.
I'd also developed gout, I think it was the main cause of inflammation in my case, so I'd changed my diet to eat a LOT less meat, no sausage, hot dogs, etc., and more fruits and vegetables. You're probably already doing that since you're dieting. I also took dandelion root capsules to reduce fluid retention (It doesn't deplete your potassium like prescription diuretics), but don't try that without consulting your doctors first, I was "winging it" on my own since my doc wasn't helping me and they may not approve of any diuretic.
My lymphedema is gone now, there's hope for you. The skin is still there (on me) but it's softened and normal-feeling. I just want you to know you can overcome this.
Thank goodness you have better and more knowledgeable doctors than I did. I wish you good luck in your continued weight loss.
I'm having good success using a Low Glycemic-Index diet, because I'm not as hungry as on other diets I've tried. I've learned that if you cut back your calories too much, your body will go into starvation mode (it thinks it's starving) and hold onto all fat reserves, stalling your weight loss. I wonder if that's what's happening with you.
I wonder how many calories you're eating, maybe it hasn't been enough. As a woman who is more than 100 pounds overweight, I'm supposed to eat at least 1500 a day so my metabolism doesn't slow down, and men get more than women. So you should be eating at least 1600-1700 calories, in the proper balance, to maintain weight loss. Some doctors don't understand that too few calories is as bad as too many. And getting enough fiber and protein with small amounts of low glycemic index carbohydrates (in 5 or 6 small meals per day) is the real key to weight loss. The idea is to keep the blood sugar even, no spikes that will provoke a high insulin response because thats what increases the appetite.
Well sorry I blabbed for so long. If you need help figuring out any weight loss stuff, feel free to PM me. I'll share what I know on Low GI, you don't have to pay for Nutrisystem if you can't afford it, you can do it for free on your own, using stuff from the grocery store. It's a real easy diet because you're not starving.
If it's safe to wait, you might try and hold off on surgery until you lose more weight, to see if you get better drainage before causing surgical scar tissue. (But of course listen to your doctors on that, I'm just another "patient" not an expert of any kind.)
Best wishes for quick healing.