Panniculectomy RESULTS

What is Panniculectomy?

Panniculectomy is a surgical procedure performed to remove excess skin and fat from the lower abdomen. This excess tissue, known as a pannus or panniculus, often hangs down over the pubic area and can be a result of significant weight loss or fluctuation, pregnancy, genetic predisposition, or other factors that can cause the skin to stretch and lose elasticity.
It is important to note that a panniculectomy is different from a tummy tuck (abdominoplasty). While both procedures involve removing excess abdominal skin, a panniculectomy focuses mainly on the removal of the pannus, which is the large, overhanging fold of skin and fat. On the other hand, a tummy tuck involves the removal of the pannus as well as the tightening of the abdominal muscles to achieve a flatter and more contoured appearance.

What is the process?

Panniculectomy is often recommended for individuals who have experienced significant weight loss, either through bariatric surgery or natural means, and are left with a large amount of excess skin that causes functional problems, discomfort, or skin-related issues.
The procedure is always performed under general anesthesia, and Dr. Chahin removes the excess tissue, suspends and contours the mons pubis and often times upper thighs, and reshapes the remaining skin, and closes the incisions. It’s important to have a thorough consultation with a qualified plastic surgeon, like Dr. Chahin, to determine if you are a suitable candidate for panniculectomy and to understand the potential risks and benefits of the procedure. As with any surgical intervention, there are inherent risks involved, and post-operative recovery will be necessary.

Benefits of Panniculectomy

Improved Quality of Life

Excess abdominal skin can cause discomfort, irritation, and even pain. Panniculectomy can relieve these issues, leading to an improved overall quality of life.

Enhanced Mobility

Carrying around a large pannus can limit a person’s ability to move freely and engage in physical activities. Removing the excess tissue can increase mobility and make exercise more manageable.

Relief from Skin Conditions

The overhanging skin fold can create a warm, moist environment prone to skin infections and rashes. Panniculectomy can eliminate this excess skin, reducing the risk of these conditions.

Boost in Self-Confidence

After significant weight loss, individuals may still feel self-conscious about their appearance due to the excess skin. Panniculectomy can help achieve a more contoured and aesthetically pleasing abdominal area, leading to increased self-confidence and body satisfaction.

Fit into Clothing Better

With the removal of the pannus, individuals often find it easier to fit into clothing properly, which can be challenging with a large overhanging abdomen.

Easier Hygiene

Managing personal hygiene can be challenging when there is a large pannus in the way. After panniculectomy, it becomes easier to maintain proper hygiene.

Motivation for Weight Maintenance

Panniculectomy can serve as a motivational factor for some individuals to maintain their weight loss achievements, as he may want to preserve the results of the surgery as the individuals will have the utmost motivation to maintain their beautiful life changing results.

Relief from Skin Rashes and Infections

The folds of excess skin can lead to chronic skin problems, including rashes and infections. Panniculectomy can alleviate these issues, reducing the risk of skin-related complications.
Procedure Timeline
Before the surgery, you will have a consultation with Dr. Chahin. Dr. Chahin will assess your medical history, current health status, and goals for the procedure. He will also examine your abdominal area to determine the extent of excess skin and fat and assess whether you are a suitable candidate for panniculectomy.
Panniculectomy is always performed under general anesthesia.. This means you will be completely unconscious and not feel any pain during the surgery.
Dr. Chahin will make an incision in the lower abdominal area, typically extending from one hipbone to the other. The size and shape of the incision will depend on the amount of excess tissue to be removed.
Dr. Chahin will carefully separate the excess skin and fat from the underlying tissues. The pannus will be excised, and liposuction might be used to remove additional fat, if necessary. Liposuction of the mons pubis and suspension to allow for better contouring of the trunk.
In some cases, Dr. Chahin may repair weakened or separated abdominal muscles. This step is more common in a tummy tuck (abdominoplasty) procedure rather than a standard panniculectomy.
After removing the excess tissue, Dr. Chahin will redrape the remaining skin to create a smoother, contoured appearance.
The incision will be meticulously closed with sutures, staples, or adhesive skin glue. Dr. Chahin may use internal sutures to support deeper tissues and reduce tension on the skin closure.
Sterile dressings will be applied to the incision site, and you may be fitted with compression garments to reduce swelling and provide support during the healing process.
Depending on the extent of the procedure and your overall health, you may need to stay in the hospital for a day or two. Recovery time can vary, but most individuals can expect several weeks to fully resume their normal activities.
Dr. Chahin will provide detailed instructions for post-operative care, including wound care, pain management, and limitations on physical activities. Regular follow-up visits will be scheduled to monitor your healing progress.

Why Should You Choose Dr. Chahin for Panniculectomy?


How long is the recovery period after Panniculectomy?
The recovery period after a panniculectomy varies depending on individual factors, but it generally takes several weeks to months for full healing and optimal results. Everyone’s recovery experience is unique, and it’s crucial to follow post-operative care instructions diligently. If you have any concerns during the recovery period, contact your surgeon promptly. Discuss your specific expectations with Dr. Chahin for personalized information based on your health and procedure details.
Will there be visible scarring after Panniculectomy?
Yes, scarring is inevitable after a panniculectomy, as with any surgery involving incisions. The size and visibility of the scars can vary based on the surgical technique and individual healing ability. The incisions for a panniculectomy are typically made across the lower abdominal area, possibly extending beyond the hipbones, depending on the amount of skin and fat to be removed. Initially, the incision lines will be red and raised, but they will gradually fade and flatten over time. Scarring is a natural part of the healing process and represents the body’s tissue repair.