Panniculectomy vs. Tummy Tuck

The purpose of a panniculectomy is to remove loose, hanging fat and skin, like you might have after losing a massive amount of weight. This procedure can be done by itself included with a tummy tuck, depending on the patient’s condition. Panniculectomy is different from a tummy tuck (abdominoplasty), in that a tummy tuck tightens the muscle as well as removes excess skin and fat, but a panniculectomy is only removes excess skin and fat. It may also be combined with other abdominal surgery, such as hysterectomy, abdominal wall repair or hernia of the belly button.

Candidates

People suffering from obesity or those who recently experienced a massive weight loss are the best candidates for panniculectomy. It may also correct for post-pregnancy issues. Some candidates may have fat extending as low as the knees, over hips and around the back. This condition can cause lots of health issues, including back problems and skin problems, rashes, and ulcers. Even walking or standing may be very difficult.

The best candidates will need to stabilize their weight about a year before the procedure. Additionally must follow proper diet and exercise plans. If the candidate has had a gastric bypass they will need to wait for at least a year before having a panniculectomy.

Surgeon and Setting

The procedure is typically performed by a board-certified plastic surgeon. It is typically done in a hospital, although the procedure can be performed in an outpatient surgery center. Time spent in surgery may be several hours. The surgery is normally performed under general anesthesia and requires a hospital stay in the range of 1 day to 1 week.

The Procedure

The surgery starts when the plastic surgeon makes an incision from the lower area of the sternum to the pubic bone. He or she then makes another horizontal incision at the pubic area where the excess fat and skin can be delicately removed. The surgeon then pulls the skin that remains together and closed. The surgeon may also insert drains that will need personal home care. Any repairs to the abdominal wall or hernia within the belly button can usually be made at the same time.

As with any plastic surgery, complications are always possible. You may experience one of these uncommon complications: infection, bleeding, or excessive scarring. If you do you should notify your surgeon immediately.