What is a Panniculectomy?

A panniculectomy is performed to remove a pannus, which is an excess of skin and adipose tissue that hangs down from ones abdominal area covering the thighs or genitals. A pannus can occur from extra weight in an obese person or after extreme weight loss. Because the pannus hangs down it may cause fungal infections and rash, as proper hygiene is often difficult. For these reasons the patient may benefit from a panniculectomy. The difference between a panniculectomy and an abdominoplasty is that a panniculectomy only removes the abundant fat and skin; it does not contour the abdomen or tighten the abdominal muscles.

Who is a Good Candidate for Panniculectomy?

Adults who are in good heath without any pre-existing medical conditions or risk factors for surgery. Patients who are obese or have lost a significant amount of weight and now have extra skin and adipose tissue are candidates for this procedure. To be a good candidate we recommend that the patient be at a stable weight for one year.

How is the Procedure Performed?

The procedure is performed under general anesthesia. The surgeon will remove the pannus through a large incision that is hip-bone to hip-bone just above the pubis. A second incision in a vertical direction from the sternum to the pubis may be necessary. A complete panniculectomy can take from two to five hours, depending on the extent of work required.