What is a Panniculectomy? Understanding this Reconstructive Surgery Procedure

All About Panniculectomy Reconstructive Surgery - Dr. Castrellón Miami

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What is a Panniculectomy?

A Panniculectomy is a reconstructive abdominal surgery to remove excess skin and tissue from the lower abdomen. Excess skin and tissue that hangs below the waist is known as a Pannus.

A Panniculectomy is different from a Tummy Tuck as it does not involve tightening of the abdominal muscles. Although it is possible to combine the two procedures for increased benefits. A Tummy Tuck is a cosmetic surgery whereas Panniculectomy is reconstructive and typically covered by health insurance.


Benefits of Panniculectomy

A Panniculectomy has many benefits, including:

Improved Comfort

The excess hanging skin and tissue caused by a Pannus can be very uncomfortable and interfere with everyday activities such as walking, bathing, and dressing. For this reason, a Panniculectomy can improve a patient’s quality of life by eliminating the physical discomfort caused by large amounts of hanging, excess skin.

Reduces Risk of Health Concerns

Many patients with large Pannus can develop skin rashes and irritation from the chafing and rubbing of the hanging skin. By removing this, we reduce the risk of future rashes and the risk of developing severe infections in the area. The procedure also reduces strain on the back and body by removing this unnecessary weight.

Makes Exercise Easier

Many people who have excess skin find it difficult to exercise due to the discomfort caused by movement. By removing the excess skin and eliminating the risk of irritation and chafing, patients are able to exercise more easily and comfortably. As a result, patients are able to live a healthier lifestyle after the surgery.

Enhanced Confidence

This procedure can improve the appearance of the lower abdomen and make it easier for patients to wear certain types of clothing. Many people report that their surgery improved their confidence and self-esteem.

Who is a Good Candidate for Panniculectomy

Patients who have excess skin caused by massive weight loss, whether through lifestyle or weight-loss surgery, are typically those who seek this procedure. Good candidates for Panniculectomy have hanging or excess skin and tissue around the abdomen which they wish to remove. As with any surgery, good candidates are:

  • At a healthy weight
  • Non-smokers
  • Are in good physical and mental health

Above all, remember that with any procedure it is important to have realistic goals and expectations about surgery recovery and outcomes. In addition, patients should prepare for surgery recovery by ensuring they are able to take adequate time off to heal.

If you are interested in Panniculectomy surgery, get in touch today. Dr. Castrellón is a Double Board-Certified Plastic and Reconstructive Surgeon serving the Miami, Florida area. Call today to schedule your no-obligation, complimentary consultation with Dr. Castrellón to see if Panniculectomy surgery is right for you.

Frequently Ask Questions

It is not uncommon to keep the drain in from 7 days to 3 weeks depending on the amount of drainage you have. You also need to “milk” the drains several times a day to keep clots from closing up the drainage holes.
I recommend for patients to wear the abdominal binder full-time except when showering for the first month after tummy tuck. If tolerating well, I often recommend a total of 6 weeks.
For comfort, continue to wear soft, comfortable, loose-fitting clothing. Some women opt for roomy dresses instead of pants and a top. It’s up to you whether you feel more comfortable in a dress. The abdominal compression garment should be worn at all times (except while bathing).
Most often, the surgeon will make two incisions. The first is a long incision from hipbone to hipbone, just above the pubic area. A complete panniculectomy can take from 2 to 5 hours, depending on the extent of work required.
Many of our patients find that they are around five to ten pounds lighter after surgery. However, you might lose up to 15 pounds if there is a lot of excess skin that needs to be removed. When you come to the clinic, we will examine your cosmetic concerns and determine how we will address your problem.

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