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Excess Skin Removal/Panniculectomy

Turnquest Surgical Solutions

Bariatric & General Surgery located in Houston, TX

The final step in your transformation: Completing your journey after weight loss.

You've done the hard work. You've reached your goal weight. But for many, significant weight loss is followed by the frustration of excess, sagging skin. A Panniculectomy is a reconstructive surgical procedure designed to remove the "pannus" a heavy, overhanging "apron" of excess skin and fat from the lower abdomen. Unlike a cosmetic tummy tuck, this surery primarily focuses on relieving physical discomfort and health complications often caused by significant weight loss or pregnancy.

Why Consider a Panniculectomy?

For many, a large panniculus is more than an aesthetic concern; it can lead to serious quality-of-life issues. The procedure is frequently performed to address:

  • Chronic Skin Irritation: Persistent rashes, fungal infections (intertrigo), or sores in skin folds that do not respond to topical treatments.
  • Mobility Challenges: Relief from the physical weight of excess tissue that can interfere with walking, exercising, or daily activities.
  • Back and Joint Pain: Reducing strain on the lower back caused by the forward-pulling weight of the abdominal apron.
  • Hygiene Difficulties: Eliminating hard-to-clean areas to prevent recurring infections and improve overall comfort.

Panniculectomy vs. Tummy Tuck (Abdominoplasty)

It is important to understand that a panniculectomy is a functional surgery, while a tummy tuck is often cosmetic:

  • Muscle Tightening: A panniculectomy removes skin and fat but does not tighten abdominal muscles (muscle plication).
  • Target Area: This procedure specifically targets the hanging apron below the belly button.
  • Insurance Coverage: Because it addresses medical complications, insurance may cover a panniculectomy if strict medical necessity criteria are met, whereas tummy tucks are rarely covered.

Recovery and Results

  • The Procedure: Typically performed under general anesthesia, takes 2 to 4 hours depending on the size of the pannus.
  • In-Hospital Stay: Most patients stay 1 to 2 days for monitoring.
  • Activity Restrictions: Patients generally return to light activity in 2 weeks, with a full return to strenuous exercise after 6 weeks.
  • Long-Term Outcome: While the procedure leaves a permanent hip-to-hip scar, it provides a flatter abdominal contour and lasting relief from skin-related health issues.

Start your transformation today! Contact our office or request an appointment online.

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