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What is a Panniculectomy?

Published in Plastic Surgery 2 mins read

A panniculectomy is a surgical procedure designed to remove excess skin and fat from the lower abdomen.

Understanding Panniculectomy

Here's a breakdown of what a panniculectomy involves:

  • Definition: A panniculectomy specifically targets the panniculus, which is the apron of skin and fat that hangs down, often after significant weight loss or pregnancy. As the reference states, "Panniculectomy is a surgery done to remove stretched out, excess fat and overhanging skin from your abdomen."
  • Purpose: The primary goal is to remove the excess tissue and create a smoother, more contoured abdominal profile.
  • Not a Weight Loss Surgery: It's crucial to understand that a panniculectomy is not a weight loss procedure. It addresses excess tissue resulting from weight loss, pregnancy, or other factors.
  • Difference from Tummy Tuck: While a panniculectomy can be part of a tummy tuck (abdominoplasty), it does not include the tightening of abdominal muscles, which is a key component of a tummy tuck.
  • Procedure Details:
    • The surgeon makes an incision along the lower abdomen.
    • Excess fat and skin are removed.
    • The remaining skin is brought together, and incisions are closed.
  • Common Reasons for Panniculectomy:
    • Excess skin after significant weight loss (e.g., after bariatric surgery)
    • Abdominal skin and fat laxity after pregnancy.
    • Functional problems such as skin irritation or hygiene difficulties due to the hanging panniculus.

Benefits and Considerations

Aspect Details
Benefits Improved abdominal contour, better hygiene, relief from skin irritation, enhanced physical comfort
Risks Infection, bleeding, scarring, changes in sensation, complications from anesthesia
Recovery Typically involves several weeks, with restrictions on physical activity during recovery.

Key Takeaways

  • A panniculectomy is a surgical procedure focused on removing excess abdominal skin and fat.
  • It's not a method of weight loss but addresses the consequences of it or related conditions.
  • While it can be part of a tummy tuck, it doesn't tighten abdominal muscles.