Panniculectomy is the procedure used to remove the excess skin and fat in the lower abdominal area that hangs below the belt line. This skin / fat is called the pannus, or abdominal “apron,” and most often occurs after drastic weight loss or bariatric surgery. The pannus can negatively affect your quality of life by causing back pain and stress; issues with proper hygiene, and difficulty with clothing fitting comfortably. Moisture trapped within the folds of the pannus can lead to rashes, skin ulcers and odor.
At Regeneris Medical, our team of reconstructive physicians are dedicated to restoring your ability to enjoy life to its fullest. They have decades of experience in their respective fields, and are truly interested in listening to your story, reviewing your health history, and formulating the best way to achieve the outcome you seek.
Risks and Safety
There are risks and complications associated with all surgical procedures. In this case, they may include:
- Fluid collection
- Blood clots
- Excessive scarringAgain, we encourage you to have a candid conversation with our physicians, asking any questions you may have.
One of the most important ways to prepare for this procedure is by having good overall health, including staying at a stable body weight for at least a year, post-bariatric surgery. It is essential for you to be honest with yourself as you consider this procedure. Ask yourself: Do I follow a healthy diet plan? Am I generally in good health? As with any surgical procedure, asking our physicians questions, and voicing any concerns you may have is critical to ensuring you understand what will happen before, during and after your procedure. Having realistic expectations of the outcome of your panniculectomy, and committing to following any and all postoperative instructions further safeguards a positive outcome. You should also consider making arrangements for help at home for a few days post surgery, as there will be some physical limitations associated with your recovery.
Panniculectomy surgery can last between two and five hours, and requires at least one night in the hospital. It should be noted that you will be under general anesthesia. The procedure goes as follows:
Step 1: A vertical incision is made from the lower sternum (breast bone) to the pubic bone.
Step 2: A horizontal incision is made in the pubic area, from hip to hip. This is where the excess skin and fat is removed.
Step 3: Once the removal is done, the remaining skin is pulled together and sutured.
Step 4: Drains are inserted to remove any excess fluid.
In order to achieve optimal results following your panniculectomy, continue to follow the post-operative instructions you receive. Because of the extensive nature of this procedure, some of your care instructions will include lifting no more than 10 pounds; avoiding strenuous activity; avoiding pressure on the abdominal area; and taking sponge baths. As your recovery progresses, you will be able to increase activity.
At Regeneris Medical, the satisfaction and health of our patients come first. You are trusting us to listen to your concerns and understand your motivation and wellness goals. We are committed to helping you achieve those goals through the exceptional skills of our surgeons and other medical staff, and our innovative and advanced medical technology. We look forward to seeing you!