Panniculectomy: Q&A
Ask a Question
Panniculectomy Vs Abdominoplasty
I've lost 154lbs after having a duodenal switch in August of 2009. I'm not 100% sold on the getting a tummy tuck rather than just a panni removal, I'd like a combination? I don't want to do just the panni removal since I have loose skin above the belly button, if the dr gives me a new belly button without tightening the muscle will I be happy with the result? I don't have weeks to take off work for recovery. I'm also considering having silicone BA at the same time. Thanks for any input.
Tags:
11 Doctor Answers |
Asked by
lklk
in Grand Rapids, MI
+1
Body contouring (tummy tuck) after massive weight loss
If you have lost over 150 lbs from a weight loss procedure, you may need more than a tummy tuck or a panniculectomy. If you have significant loose skin of your upper/lower abdomen, back, sides and outer thighs, you may actually need a body lift to give you the best outcome. This is difficult to answer without seeing photos of you or without examining you but most patients with that kind of weight loss will not be treated adequately with a tummy tuck alone. This means...
more
+1
Abdominoplasty vs panniculectomy
When you loose that much weight i would go for the abdominoplasty.They are pretty much very similar in execution.Many times the muscles really don't have to be tightened and again your overall medical condition has to be taken into consideration when making a final decision.
+1
PAnniculectomy vs tummy tuck
If you do the panniculectomy without the tummy tuck you will get some improvement but most likely you will not be satisfied with it. You will have improvement but the only tissue removed will be the skin and fat that hang below the umbilicus, there would be no tailoring of the tissue to make it tight.
You would have to take some time off but less than if you did the tummy tuck at the same time. In either case you would likely need a second operation in about a year to...
more
You might also like...
Real Stories
Excited N Worried - Brooklyn, NY
Hey all, my panniculectomy is on May 17,2013 (if my insurance pay for the anesthesia n my...
+1
Make sure you are committed to the entire process of surgery and recovery
Hi lklk in Grand Rapids,
From your question it appears as though you are hesitant about tummy tuck because of the muscle plication component which may require you to miss more work. My first piece of advice is to make sure you have enough time off for recovery, regardless of which surgery you choose. In the case of massive weight loss patients, this is especially true because wound healing complications tend to be higher. This is partly due to altered nutrition, poor skin...
more
+1
Panniculectomy VS Abdominoplasty
Regarding: "Panniculectomy Vs Abdominoplasty
I've lost 154lbs after having a duodenal switch in August of 2009. I'm not 100% sold on the getting a tummy tuck rather than just a panni removal, I'd like a combination? I don't want to do just the panni removal since I have loose skin above the belly button, if the dr gives me a new belly button without tightening the muscle will I be happy with the result? I don't have weeks to take off work for recovery. I'm...
more
+1
Panniculectomy Vs Abdominoplasty
From your description - NO photo posted- I recommend a 2 staged operation. The reason is for your safety. I would do a FULL elevation and try to remove as much as possible. But bare in mind if the size of the planned removed skin + fat gets to large than you will need a staged operation. BTW ALL these operations are in hospital operations with a few nights stay. From MIAMI Dr. Darryl J. Blinski, 305 598 0091
+1
Panniculectomy versus Abdominoplasty
Panniculectomy only removes the excess tissue below the belly button. It does not address the lax muscular wall. An abdominoplasty address skin laxity of the entire abdominal wall as well as the lax muscles of the entire abdominal wall. Only you know your goals and what you would be subsequently be satisfied with as an outcome. It certainly acceptable to have breast augmentation at the same time.
Dr. ES
+1
Abdominoplasty Can Be Performed Without Plication
You certainly can have an abdominoplasty performed without muscle plication, but must be willing to accept a less flat abdomen. I agree with Dr. Basu's definiton of a panniculectomy and suspect that you would be much happier with a tummy tuck. There probably is not a great deal of difference in the recovery time of an abdominoplasty without plication compared to with plication.
+1
Panniculectomy vs. Abdominoplasty
A panniculectomy is essentially a skin amputation procedure where the excess skin hanging from about the waist level and below is exicsed and removed. No work is done to treat the skin or laxity above the level of your waist. You may also have dog ears laterally and there is no contouring work done on your abdominal wall.
An abdominiplasty on the other hand is a much more comprehensive contouring procedure. In an abdominoplasty (tummy tuck), not only is excess skin...
more
+1
Panniculectomy vs abdominoplasty
Panniculectomy, by definition is removal of the overhanging skin above the pubic area. An abdominoplasty is removal of all the lax skin, with or without a muscle repair. The umbilicus stays where it is, but a new opening is made for it after the excess skin was advanced down. An abdominoplasty also addresses the pubic area which is always sagging, stretched out skin or has excess fat. This area is rejuvenated during an abdominoplasty, but not a panniculectomy. Regarding the breasts,...
more
+1
Tummy tuck after massive weight loss and bariatric surgery
In my opinion, you will be most satisfied with a full tummy tuck. Even with that procedure, the possibility of you requiring another surgical procedure will be quite high. This will include the possibilty of additional skin removal due to recurrent laxity, dog ear formation or even a reverse abdominoplasty or circumferential belt lipectomy. Breast augmentation is a reasonable procedure but commonly requires a breast lift as well.
see video
Comments (0)