Panniculectomy
A panniculectomy involves the removal of the large apron of skin that can remain on the abdomen after massive weight loss. This "pannus" can cause rashes, infection, skin irritation, and back pain. The incision is placed in an area that is easily hidden beneath clothing.
Unlike during an abdominoplasty, or "tummy tuck," no muscle repair or relocation of the belly button is performed during a panniculectomy. In the case of massive weight loss, the removal of this skin often facilitates an increased exercise regimen, thereby making additional weight loss more likely.
Panniculectomy
This woman had a large abdominal apron (pannus) after weight loss. She also had multiple hernias, including one that invloved the belly button. She underwent removal of this pannus, repair of the hernias, and the creation of a new belly button. The scar is kept hidden beneath her underwear.
Before |
Before |
After |
After |
The scar can be found along the front, extending fromhip to hip. This scar is kept low enough to be easily concealed beneath undergarments.
Because an extensive hanging apron of skin can interfere with daily activites, and may cause skin irritation, insurance does occassionaly reimburse for this procedure. While each insurance carrier is different, in general, they require that the apron of skin hang to at least the level of the pubis, and you demonstate skin irritation or fungal infections that have been unresponsive to topical medications.
No. A "tummy tuck", or abdominoplasty, removes the excess skin, tightens the abdominal muscles, and places the belly button in a new location. A panniculectomy simply removes the excess skin found below the belly button. Because no muscle tightening is performed, the pain is usually significantly less, and the recovery is shorter as compared to an abdominoplasty.
Yes. Many people who undergo a panniculectomy have not reached their ideal weight before this surgery. Because the excess skin can be so severe, many people have difficulty with exercising, walking, hygiene, and rashes. Removal of this large "apron" of skin can relieve many symptoms and also can "jump start" the weight loss process again. When you eventually reach your goal weight, you can proceed with an abdominoplasty if you desire.
Hernias are very common after abdominal surgery (that includes bariatric surgery). If you have a hernia, it should be repaired in order to prevent potential serious complications. Your plastic surgeon can work with your general or bariatric surgeon to repair the hernia and remove the excess skin at the same time.