A panniculectomy is a surgical procedure to remove excess skin of the lower abdomen known as the pannus.
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Published: October 05, 2021
Last updated: February 18, 2022
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A panniculectomy is a surgical procedure that will have body contouring benefits to the lower abdomen through removal of excess skin and soft tissue in the pubic region, but is primarily a procedure of medical necessity.
Unlike an abdominoplasty (a.k.a. tummy tuck), a panniculectomy does not address abdominal muscles, and is not considered a cosmetic procedure. Panniculectomy surgery to remove excess skin and excess fat is generally used to alleviate back pain, help with gastrointestinal issues, and improve quality of life. A Panniculectomy can, however, be combined with other plastic surgery procedures like an abdominoplasty (tummy tuck), liposuction, or thigh lift.
A panniculectomy can be used following massive weight loss as part of a bariatric surgery program or gastric bypass. A significant amount of weight and overhanging skin can be removed through this surgical technique.
Abdominal Contour: Removal of the pannus (skin and soft tissue of the lower abdomen) creates improved body definition and contours.
The ideal candidate for a panniculectomy is in generally good health, at a stable weight, and following a diet and exercise regimen. Panniculectomy is not recommended for those who are significantly overweight or those whose weight is unstable.
Complete recovery from a panniculectomy may take up to a few months, however, patients typically begin to resume activities after two or three weeks. Most candidates return to work within two weeks. There are restrictions on exercise for up to one month. A compression garment should be worn for the first few weeks.
Possible side effects following a panniculectomy include bruising, numbness, blood clots, pain, nerve damage, swelling, infection, asymmetry, and scarring.
The results of a panniculectomy are immediately visible and permanent improvements to the lower abdominal area. The results will finalize over six months, and will be affected by significant weight changes, aging, and pregnancy.
A panniculectomy can cost anywhere from $8,000 to $15,000. The actual cost of a panniculectomy is dependent upon location, board certified plastic surgeon, and length and involvement of the plastic surgery.
