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Excess Skin/Abdominoplasty

Turnquest Surgical Solutions

Bariatric & General Surgery located in Houston, TX

Panniculectomy: Restoring Comfort and Mobility

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 surgery primarily focuses on relieving physical discomfort and health complications often caused by significant weight loss or pregnancy.

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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, taking 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.

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