I am 5'4 and weight is 165 but all of this weight is in my stomach and have a pannus that goes to my mid-pubic area. I have lower back aches. I get rashes that just dont go away in the crease people that I dont know have asked me even when was I expecting.
Panniculectomy the Right Choice?
Doctor Answers 4
Panniculectomy the right choice?
I would highly recommend continued diet and exercise prior to any consideration for a panniculectomy or body contouring as getting down to your ideal weight prior to the procedure will certainly give you the best results as well as be the safest for you. Neither one is a weight loss procedure. Also, a continued healthy and active lifestyle will be needed in order to maintain the benefits that the procedure has given to you. You should consult with a plastic surgeon at anytime to go over options and in order to assist you in deciding which procedure(s) would be right one for you. Depending on your examination, photo documentation, and discussion of your symptoms, insurance coverage may be possible. Best wishes for a wonderful result!
Panniculectomy Great Choice for Lower Abdominal Skin
When patients have isolated redundant lower abdominal skin, panniculectomy is an excellent therapeutic option. Under these circumstances, patients often have significant improvement in rashes, infections, and lower back pain.
Your history and pictures suggest that you not only have redundant lower abdominal skin, but also have redundant upper abdominal skin with associated weakness of the underlying abdominal muscles. Under these circumstances an abdominoplasty might be a better option.
This procedure removes excess lower and upper abdominal skin while transposing the umbilicus into normal position. In addition, the procedure tightens the underlying rectus muscles as well. This procedure ultimately provides a better aesthetic result than panniculectomy alone. It’s associated with high levels of patient satisfaction and relatively low complication rates. In your case, weight loss prior to surgery might significantly augment your final result.
If you’re considering abdominal wall surgery, consultation with a board-certified plastic surgeon is appropriate. This surgeon should be able to formulate a plan that addresses your concerns.
Tummy Tuck vs Panniculectomy
Tummy tuck is mainly to improve shape and contour by plicating your core tight then re-draping the skin. Without the core tightening (muscle repair), its not a tummy tuck, but a panniculectomy (skin and fat resection). Results are much better with a tummy tuck. See a board certified plastic surgeon.
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Panniculectomy vs tummy tuck
A panniculectomy is usually reserved for the patient who has a hanging roll of skin and fat but isn't a good tummy tuck candidate. You look like if you just lost a few pounds you could be a good TT candidate and get a better result that just a pannus removal.