A panniculectomy in Los Angeles is a modified tummy tuck that focuses on the lower abdomen. The most common candidates for this procedure have a large amount of skin hanging from the lower abdomen, typically following weight loss. The panniculectomy is designed to improve only the lower abdomen. It removes problematic folds of skin while reducing risks and recovery for overweight patients.
This 46-year-old New Yorker knew she needed a skilled surgeon to help with her loose abdominal skin. After years of living with obesity, she decided she had had enough, and shed over 120 pounds through hard work, diet, and exercise. She kept the weight off, but unfortunately, her skin did not "snap back" afterward. She decided to fly from New... Read More
In a panniculectomy, I remove the hanging skin and fat from the lower abdomen with a wedge resection. I do not undermine the remaining skin as I would in the typical abdominoplasty (tummy tuck). I also do not tighten the muscles. I then bring the edges of fat and skin together with a layered closure. The advantage of not undermining is that the procedure is smaller and potential problems are fewer. The disadvantage is that there’s minimal improvement to the central and upper abdomen.
Choose a Post Weight Loss Surgery Specialist
Abdominoplasty, including panniculectomy, is one of the most common types of procedure I perform. Having completed hundreds of these operations, I have refined my techniques to obtain beautiful results for my patients. The abdominoplasty and panniculectomy procedures are among my favorite operations because of the dramatic improvements I’m able to achieve for my patients.
Sharing my techniques with other plastic surgeons has been a rewarding part of my practice and writing about my procedures has helped me to become better myself. I have authored multiple plastic surgery textbook chapters on state-of-the-art body contouring procedures and safety. By teaching other surgeons I inevitably learn more as well. As a course instructor for the American Society of Plastic Surgeons and the American Society of Aesthetic Plastic Surgery, I have covered these topics for years in my semi-annual lectures. Each of these activities helps to keep me on the leading edge of body contouring surgery.
The best candidates for a panniculectomy include those that have:
Loose abdominal skin confined primarily to the lower abdomen
More weight to lose, but find the lower abdominal skin (pannus) so debilitating that it impedes further weight loss
Substantial need for removal of the hanging skin, but medical problems or advanced age that would make a smaller operation desirable
Recovery After Panniculectomy
Most patients take at least one week off from work following a panniculectomy. Patients should begin walking within hours of surgery, but full exercise should not be resumed for approximately 6 weeks.
Risks of Panniculectomy
Possible risks for a panniculectomy include seroma (fluid collection), delayed wound healing, bleeding, infection or venous blood clots. Each of these complications may be treated effectively with prompt medical care.