Will Panniculectomy address loose rippley abdominal skin for a thin person with very little fat in that area?

Question

I am a fit and slender, 5' 8", 130 lbs so don't have fat to lose but have extra loose skin in lower abdomen mostly, some in upper abs. I had liposuction in the early days, 550 cc's of fat removed but it left me with very saggy skin in this area. I have never been overweight and work hard to stay in shape but there is nothing I can do about this extra skin. My muscles are in great shape, never had children. What's the best way to deal with this problem?

J. Timothy Katzen, MD, FACS · Answer

Thank you for your question regarding whether a panniculectomy will address loose, rippled abdominal skin, especially for someone who is fit and slender like you. A panniculectomy primarily focuses on removing excess skin and fat from the lower abdomen (the "apron" area), but it may not provide the ideal results for addressing loose skin, particularly in the upper abdomen or if you're looking for more refined contouring.

Since you're already in good shape with minimal fat and your primary concern is loose skin—both in the lower and upper abdomen—a tummy tuck (abdominoplasty) would likely be the better option. A tummy tuck not only removes excess skin but also tightens the entire abdominal area, providing a smoother and more contoured result. It addresses both upper and lower abdomen, ensuring the ripple effect you're experiencing is minimized or eliminated.

Given that your muscles are in good shape, the focus would be primarily on skin removal and contouring. I recommend discussing a full tummy tuck with your plastic surgeon, as this will likely yield the best results for your concerns.

Sincerely,
Dr. Katzen

John L. Roussalis, MD · Answer

I believe in your case it probably would be best for you to have a mini tummy tuck, panniculectomys are more for patients who have had extreme weight loss and have a large pannus of skin hanging in their lower abdomen area. Sending a picture also might help me determine whats best for you.

Brooke French, MD, FACS · Answer

Depending on the appearance of your abdomen and ultimate desire for extent of outcome, you may be a candidate for mini or full abdominoplasty.  Excess skin can typically only be treated by surgical removal, rather than alternative treatments such as more liposuction.  Congratulations on maintaining your weight and fitness!  A full consultation will allow your surgeon to determine how best to address your extra loose skin.  Best of luck.

Michael Zarrabi, MD · Answer

Thank you for your question. Photographs would be very helpful in the situation. Based on your description you may be a good candidate for a mini tummy tuck or possibly a full abdominoplasty.  Panniculectomy is usually a procedure reserved for those who had major weight loss and have a large pannus of skin in the lower abdomen.

Will Panniculectomy address loose rippley abdominal skin for a thin person with very little fat in that area?

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Answer: Panniculectomy advice

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Will Panniculectomy address loose rippley abdominal skin for a thin person with very little fat in that area?

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Answer: Panniculectomy advice

Answer: Panniculectomy advice

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Everything you need to know about Panniculectomy

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