Procedure to Remove a large apron of fat
Hello and thank you for your question. The simple procedure is called a panniculectomy and may very well be covered by insurance. If not the cost for that in San Antonio is $7000. I have removed as much as 50 pounds.
Peter Fisher M.D.
Best procedure to remove a large apron of fat????????????
Congratulations on losing the weight. An abdominal pannus can be very debilitating and cause hygiene issues as well as difficulty with ambulation. So far you have lost 70 pounds and you are continuing to lose weight. If that is the case, do not have your surgery until you have reached your goal weight.
The other piece of this picture is that you are still morbidly obese at 330 pounds. I would encourage you to get closer to a normal body weight. You may be able to reach this with true lifestyle modification, but you may also need some help. Bariatric surgery has excellent outcomes compared to lifestyle changes alone. Should you remain in the morbidly obese category, I would encourage you to explore the option of weight loss surgery.
Body lift surgery
You are not the first patient to comment on the worsening roll of skin or the exorbitant weight of it as you shed pounds. I think that you may still benefit from further weight loss from the perspective of the optimal final outcome. Ideally your weight should be stable for some time. A consultation with a surgeon will best answer that question for sure.
The specific area of concern is the pannus (apron) and a panniculectomy can be performed. I often write to the Ministry of Health in Ontario to ask them to fund that portion of the procedure. Although not the same as a body lift or abdominoplasty, by having OHIP cover the cost of the panniculectomy, it will save my patients $2-3K on the cost of their procedure. It is not a guarantee but a supportive letter from your surgeon can go a long way. Hopefully you have that where you live.
Dr Rodger Shortt
Plastic Surgeon Oakville
Ass't Clin Professor
Director of Cosmetic Surgery Training,
Body Contouring of Abdominal "Fat Apron"
Thank you for your question. You are to be congratulated on the 70 lb weight loss. At 330 lbs you are still too heavy to be ready for this type surgery, but researching what you will need to do is a good idea. There are several approaches. Removing the apron alone is called a panniculectomy. This helps relieve the rubbing of skin, but usually is not a good solution for contour. An abdominoplasty works well for smaller amounts of weight loss, but a lower body lift generally gives the best restoration of contour in persons like yourself with a substantial weight loss. Keep up the good work. Change is possible.
Body lift for removal of abdominal apron of fat
Congratulations on your substantial weight loss - way to go!! You're young, and other than your obesity, you appear to be fairly healthy. This bodes favorably for you in the long run. I'm afraid, though, that at this stage you are probably not yet an ideal candidate for a panniculectomy, the procedure that removes the apron of fat (pannus) at the lower abdomen, or a total body lift, which removes a "belt" instead of the apron only found in the front. Both of these operations that we are addressing are not operations done specifically FOR weight loss, but rather, are done AFTER massive weight loss has occurred. In regards to your question, though, usually due to the large size of the pannus, substantial weight loss can do achieved. This procedure ususally costs several thousand dollars, and may vary in cost, depending on how much time is taken in the Operating Room, as well as if other procedures are to be done concurrently. I understand that it is getting harder to deal with the pannus, and that it interferes with daily activities and exercise. My only reply to that is: KEEP AT IT!!! YOU CAN DO IT!!! Continue to lose more weight, continue to watch what and how you eat, and continue increasing the activity level in your life. When it's the right time, a panniculectomy or total body lift will work wonders for you, and the quality of your life will be immensely improved. Good luck.
Large Apron of Fat
As the other surgeons have mentioned, what you likely need is a panniculectomy, or an abdominoplasty if you want contouring and a new belly button. Regardless of what you choose you need to wait until you have lost more weight. It is certainly impressive that you have lost 70 lbs already, but you are not yet at a safe weight for surgery. At your size your complication rate would be 70% or above, with the likely complication being an open wound on your belly. I'd recommend waiting until your BMI(body mass index) was below 35 at the most. Below 30 would be even better. You've done great so far. Good luck.
Apron of fat on tummy
A large abdominal pannus ( the technical term) can often be a source of frustration for folks who have worked so hard to lose weight, only to be left with a big apron of fat on the tummy. Fortunately, I have found that insurance companies are becoming more understanding in the realization that it can be quite debilitating for patients. Ask your plastic surgeon about your options. Hope that helps.
Procedure to remove apron of fat on tummy
The procedure done to remove the apron of fat that hangs down beyond your abdomen is called a panniculectomy. A panniculectomy leaves a scar across the lowest part of your abdomen. This surgery is often covered by insurance when specific criteria are met, for example how low the apron hangs down.
A panniculectomy is not the same thing as a tummy tuck, which is called an abdominoplasty. With an abdominoplasty, the muscles going down the abdomen are tightened with sutures and the belly button position on the abdomen is moved. This gives a tighter flatter appearance to the abdomen which a panniculectomy does not. Abdominoplasty is a cosmetic procedure and is not ever covered by insurance while a panniculectomy is done for medical reasons and lifestyle improvement so often is a covered procedure.
Relatively speaking, there is actually not that much weight lost with a panniculectomy. But it will feel like a large weight removed to you because of the difference in balance. The lifestyle improvement is life-changing.
If you are a candidate for the procedure, as determined by a plastic surgeon, the procedure is common and safely done.
Abdominal contouring after massive weight loss
Congratulations on your weight loss progress. There are several options for improving your contour and minimizing symptoms such as skin infection or heaviness after massive weight loss. I usually suggest that you are close to your target weight prior to surgery in order to achieve optimal results. The surgical options include extended abdominoplasty or lower body lift. If your symptoms become too severe prior to reaching your target weight you may benefit from removal of the skin and fat apron, a procedure known as panniculectomy. These operations are quite involved and costly. I suggest you search for a board certified plastic surgeon who has significant experience and do not focus solely on price.
Procedure to Remove a Large Apron of Fat
To just remove the apron, it sounds like you would benefit from a panniculectomy. If you want the abdominal wall muscles tightened as well (or if you need them treated such as a hernia) then an abdominoplasty (without or with a hernia repair) could be the surgery for you. With that much weight loss already I assume you are focused on losing more weight and in the end you may need a lower body lift. This is a much larger surgery and at 330 lbs you are not ready for that yet. It may be best to proceed with panniculectomy when cleared medically, then continue with weight loss, wait until the weight is stable for many months and then see a Board Certified Plastic Surgeon for final recommendations. Best Wishes.
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