If i have a panniculectomy does it mean that if i get pregnant again i will be required to have a c section?

Thank you for your question regarding whether a panniculectomy will require you to have a C-section in future pregnancies. The short answer is no, a panniculectomy does not automatically mean you’ll need to have a C-section if you become pregnant again.

A panniculectomy is a procedure that removes excess skin and fat from the lower abdomen, and it usually doesn't affect the uterus, muscles, or birth canal. Therefore, most women can still have a vaginal birth after this surgery.

However, there are a few considerations:

If your panniculectomy is combined with a muscle repair (which is part of a tummy tuck), your abdominal muscles will be tighter. This may feel different during pregnancy, but it doesn't prevent a vaginal delivery.
The surgical scarring from a panniculectomy generally does not interfere with pregnancy or delivery, though it’s important for your OB-GYN to be aware of it during your prenatal care.
It’s essential to discuss your future pregnancy plans with both your plastic surgeon and your OB-GYN. This will ensure that both doctors are aligned in providing the best care for you and your baby.

In conclusion, a panniculectomy does not automatically mean you’ll need a C-section, and many women have healthy pregnancies and vaginal deliveries after the procedure.

Sincerely,
Dr. Katzen

No. However, ideally surgery should be done after a woman is finished childbearing. If you get pregnant again, there is always the chance that the skin will stretch out again. Childbirth vaginally or via C-section has nothing to do with whether or not you have had a panniculectomy. 

No, you are not required to have a C-Section if you have a panniculectomy.  That is something you will discuss with your OBGYN at the start of your pregnancy.  The two have nothing to do with the one or the other.  I hope this helps.