For individuals who have experienced massive weight loss, or those with significant body changes due to age or multiple pregnancies, a large, heavy apron of excess skin and fat, known as a pannus (or panniculus), can hang over the pubic area. This excess tissue can cause severe functional, hygienic, and mobility issues.

At The Plastics Atelier in Omaha, we offer Panniculectomy surgery, a procedure specifically designed to surgically remove this hanging skin and fat. While related to a tummy tuck, the primary goal of a panniculectomy is to address functional and health concerns, providing significant improvement in comfort and quality of life.

Who is the Ideal Candidate?

A Panniculectomy is primarily a reconstructive procedure. It is necessary when the hanging pannus causes:

• Hygiene Issues: Chronic rashes, infections, or sores that develop underneath the skin folds due to trapped moisture and friction.

• Mobility Restriction: The weight and bulk of the apron impede walking, exercising, or finding clothing.

• Back Strain: The weight of the tissue pulls the posture forward, contributing to back pain.

The Surgical Procedure

The Panniculectomy procedure focuses solely on removing the excess pannus that hangs down over the pubic area and upper thighs.

1. Measurement and Marking: Dr. Hall carefully marks the borders of the pannus to ensure the maximum amount of problematic skin and fat is removed.

2. Excision: A large horizontal incision is made across the lower abdomen, typically just above the pubic area. The heavy, hanging apron of skin and fat is excised (cut away) from the underlying tissue.

3. Skin Closure: The remaining abdominal skin is pulled down and sutured to the lower incision line.

The result is a flatter lower abdomen and an elimination of the skin apron, which immediately relieves the burden on the hips, back, and skin folds.

Recovery and Long-Term Impact

Recovery from a Panniculectomy is similar to a large abdominal procedure, requiring patience and adherence to post-operative instructions.

• Downtime: Patients can expect 1-2 weeks of recovery before returning to most daily activities.

• Drainage: Surgical drains are typically placed temporarily to remove excess fluid (seroma) that can accumulate after a large area of tissue is removed.

• Scarring: The scar is long and horizontal across the lower abdomen. While it will fade over time, its placement allows it to be concealed beneath most undergarments.

If you are struggling with the functional and health challenges of a large abdominal apron, a Panniculectomy can be a truly life-changing procedure. Schedule a consultation with Dr. Hall at The Plastics Atelier in Omaha, Nebraska, to discuss your candidacy and review the benefits of this reconstructive surgery.