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31, no children, ongoing weight loss via strength training, stubborn panniculus remains. Will I need panniculectomy? (Photo)

Punkfluff
I've slowly lost a large amount of weight over the past year. I hope to lose more. I have PCOS,so I've found weightlifting/strength training key to success. I've also benefitted from improved muscle tone in bum, hips, sides & legs. I feel fit & strong. However, due to life of being obese (31, no children) my ugly panniculus persists and hinders progress (granted it's shrunk). From pics, will continued fat loss & strength training improve it somewhat, or will I ultimately need panniculectomy?

Answers (2)

From board-certified doctors and trusted medical professionals
Dr. Larry Lickstein, MD
Board Certified Plastic Surgeon
Answer
Dr. Regina M. Fearmonti, MD
Board Certified Plastic Surgeon
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