Pandectomy Due to 100 Lb Weight Loss - Will Doctor Tighten Abs?

Will the surgeon tighten my abs during this procedure?

Doctor Answers 3

Massive Weight Loss & Abdominal Surgery

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It’s not unusual for patients to develop significant amounts of redundant abdominal tissue following massive weight loss. When this situation arises, a variety of surgical options are available for treating this condition. The procedure chosen is dependent upon the patient’s anatomic findings and specific aesthetic goals. Massive weight loss is accompanied by significant anatomic changes. Not only do patients develop large amounts of redundant abdominal skin, but changes occur in the underlying muscles as well. In most cases, these muscles have been stretched and weakened. These changes are often accompanied by a midline separation known as a diastasis and occasionally the development of hernias.

When a patient undergoes abdominal panniculectomy, the procedure is often tailored to meet the patient’s specific needs. When the underlying abdominal muscles have undergone changes associated with weight loss, it’s appropriate to tighten and repair them. This is often a decision that’s made in the operating room under direct visualization.

This decision not only involves aesthetic considerations but safety considerations as well. It’s important to realize that tightening the abdominal muscle can lead to respiratory insufficiency in some cases. For this reason, it may not be appropriate to tighten the muscles in these cases.

If you’re concerned about weakness of the underlying abdominal muscles, it’s important to discuss the management of this issue with your plastic surgeon. Your surgeon should be able to formulate a treatment plan that addresses your concerns.  

Tightening the muscles during panniculectomy

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A panniculectomy will only remove the excess skin and fat that is forming the apron of skin, and won't do anything for anything above this. That's why a tummy tuck would probably be better for you. Muscle tightening will not be performed unless you request it.

Tighten abs in panniculectomy?

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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). Massive weight loss almost always requires tightening of your core but if approved fro a panniculectomy only then core will not be tightend by PS.. See a board certified plastic surgeon.

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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.