Severe stomach apron and separation of abdominal wall plus degenerative back issues am can i have it removed?

Thank you for your photos.  You appear to be a very good candidate for tummy tuck.  This will remove the skin and tighten the underlying muscles to give you a flat belly.  Liposuction of the hips help form an hourglass body. Be sure to see a board certified plastic surgeon.

There are multiple issues that should be addressed including BMI and health considerations as well as appropriateness of panniculectomy versus tummy tuck.Find a board certified plastic surgeon who has performed thousands of
these procedures and has hundreds of pictures and reviews. Kenneth Hughes, MDBeverly Hills, CA

Thank you for the question. It is great to hear that you have successfully started lose weight. I would recommend to lose some more weight be close to your goal weight prior to any surgical intervention. Panniculectomy maybe best for you, however, I would recommend to consult a board certified plastic surgeon to determine what procedure is best for you.Good luck.

Good candidates are patients who are healthy but have EXCESS SKIN OR FAT that does not respond to diet and exercise. Patients who have undergone SIGNIFICANT WEIGHT LOSS and have hanging skin. Women with loose skin and stretch marks FOLLOWING PREGNANCY. Anyone with LOSS OF SKIN ELASTICITY. Patients who are unable to tighten the abdominal wall with exercise. Or if you have loose or sagging abdominal wall skin; often associated with relaxation of the anterior abdominal wall muscles (frequently secondary to multiple pregnancies). Best Candidates for a #mini-tummy tuck just have mild loose skin in the lower tummy near the pubis region.

I'm sorry to hear of your problem. These issues can be addressed with a consultation by a surgeon who is certified by the American Board of Plastic Surgery.

There is a major difference between an Apron resection and a Full Abdominoplasty. In the former only the overhang is removed and in the latter all akin excess up to the lower ribs is removed and muscle laxity is repaired. A Panniculectomy is not a cosmetic operation. It is done for sanitary life improving reasons: to stop the odor and skin breakdown in the fold but it has a relatively high rate of infection and separation. A Full Tummy Tuck is a much better operation but must be done in non obese people a BMI of under 30 and preferably 27. Unlike a Panniculectomy where there is no real skin elevation and only the overhang is removed, here the skin is elevated off the muscles up to the ribs and the muscles are tightened. Performing it in obese or morbidly obese people is drought with complications. From your description your best course of action may be to have a Gastric Bypass and lose is all the excess weight and then have a definitive Abdominoplasty and any other contouring procedures that may be required. Another option is to find a Plastic surgeon who dies Panniculectomies and have that operation. Good LuckPeter Aldea MD

Photographs would be helpful along with your height.It would be preferable for you to lose more weight prior to surgery and you would certainly get a better end result. However apronectomy can be a useful procedure even when you have an elevated weight. You would have to accept an increased likelihood of complications following surgery.You should consult an appropriately trained and experienced plastic surgeon to advise you.