Some patients may require a special abdomen procedure after they have lost a considerable amount of weight, or if they have what is referred to as a hanging "apron" of skin on the lower abdomen. This typically consists of an excessive amount of skin that cannot be treated with weight loss. Skin removal surgery of this nature is known as a panniculectomy. The hanging loose skin, or "apron" is known as a pannus. This is comprised of excess skin and pockets of fat. It tends to hang down over the genital area and rests on the thighs in most patients. This condition can cause discomfort and medical issues for individuals, and in many cases, this surgery becomes necessary in order to improve one's quality of life. Call Phillip Dauwe, M.D. Plastic Surgery in Dallas, TX to schedule a private consultation with Dr. Phillip Dauwe to learn more.
"Dr. Dauwe and his staff are like a dream team! I legit leave wanting to be friends with his staff they are all so adorable. Seriously though, any type of surgery is so scary and they make the experience so comfortable. I felt like he listened to what I wanted and was honest with what was going to be realistic with my body type. I was referred by Dr.Dauwe by a few of my clients and am so thankful I chose him to do my procedure. If you’re in the Dallas area I wouldn’t recommend anyone else. Truly grateful to have had such an amazing experience! Thank you Dr. Dauwe for everything!"- T.C. / Google / Apr 30, 2019
"SIMPLY THE BEST. I am so happy I chose Dr. Dauwe and his incredible staff for my breast reduction. I have never had surgery before and they made me feel comfortable and assured that I was in good hands. I can't recommend this place enough and feel fortunate to have found a place that truly cares about their patients. Thank you all!"- R.S. / Google / Nov 29, 2021
"I wanted to do a breast reduction for over a decade and was nervous and decided not to go through with it due to my skin keloid. A previous surgeon told me I would scar really bad afterwards. After having my son, my breast were even larger. I decided to go ahead and go through with the breast reduction knowing there was a chance of scarring. Dr. Dauwe explained to me my chance scaring, but had a oncologist doctor lined up to start radiation immediately after the procedure. Well his approach worked, no scaring and the reduction was successful. Also in the process of the breast reduction procedure he was able to do the lift and remove an unwanted tattoo. I definitely recommend him."- A.C. / Google / Nov 29, 2021
"I had been considering a face lift but I was nervous. I decided to go get a consultation with Dr Dauwe because of his excellent reputation. As soon as I walked in his office all the staff made me feel welcome. Dr. Dauwe, Julie, Sara and Brea and the rest of the staff were very friendly, professional and helpful! He performed a face lift on me a few months ago and Im very happy with the results!!!! He did an amazing job. He is the only plastic surgeon I would trust for my future procedures and highly recommend! Also my injector Tessa is awesome."- B.A. / Google / Nov 22, 2021
"For being a plastic surgeon, this amazing dr was able to tell me answers drs haven’t been able to give me for years (decades) about other medical conditions I have) He was so knowledgeable and truly listened and cares for his patients. I wish I could see him exclusively for every issue, I would definitely recommend over any other dr!! Beyond amazed at him and his professionalism. All staff was so friendly too!"- C.S. / Yelp / Oct 14, 2021
Is A Panniculectomy For You?
You may be an ideal candidate for panniculectomy if you are in overall good health, are a nonsmoker, and wish to address cosmetic or medical concerns with this surgical technique. A panniculectomy may also be a good option for those who have persistent rashes or infections near the target area or hanging folds of skin. Prior to your procedure, Dr. Dauwe will perform a thorough one-on-one consultation to determine if this surgery is right for you.
Panniculectomy Procedure Technique
A panniculectomy is considered an outpatient procedure and is usually performed under general anesthesia in an accredited surgical facility. There are several incision types including a horizontally-oriented incision between the pubic hairline and belly button, a vertical midline incision, and/or an incision around the navel. The approach used will be based on the amount of excess skin and fat that needs to be removed. The abdominal skin is then pulled down and once the unwanted tissue is trimmed, the remaining skin is sutured together. Typically, this procedure takes about two hours to complete.
What to Expect for a Panniculectomy
After surgery, the incision will be properly dressed and a compression garment will be provided to help reduce discomfort and swelling. The garment should be worn until advised otherwise by Dr. Dauwe. Specific aftercare instructions will be provided to aid in your recovery process and healing. It's important to rest for the first few days, but after about two weeks, normal activities can be resumed. Strenuous exercise should be avoided for about 4 – 6 weeks or until Dr. Dauwe has cleared you for such activity. If you have any questions or concerns during your recovery, do not hesitate to call our office. We are here to help assist you in any way we can.
Frequently Asked Questions about Panniculectomy
How much does it cost?
The cost of your panniculectomy surgery will depend on the type of anesthesia used, facility fees, and if you are combining any other procedures with your treatment. During your consultation, Dr. Dauwe can go over your surgical plan and discuss all your financial options. We accept many forms of payment and can help you find no-interest medical financing.
Tummy tuck or panniculectomy?
Although both of these procedures address the abdominal area, they are different and are performed for varying reasons. A tummy tuck removes loose skin and tightens the remaining skin above and below the belly button for a leaner look. A panniculectomy removes hanging skin and fat from the lower abdomen, but does not typically tighten the underlying muscles. During your private consult, Dr. Dauwe can go over all the differences between the two and help you decide which surgery is best for your needs and goals.
A panniculectomy can be combined with another cosmetic procedure such as breast augmentation, a breast lift or liposuction that targets another area of the body. This is sometimes referred to as a “mommy makeover” and is considered a common practice, especially where pregnancy, weight gain, and breastfeeding are concerned.
Unfortunately, scarring is a part of this procedure. However, every effort is made to minimize scarring and the incisions are generally placed in locations easily concealed by undergarments. For women who have had a previous C-section, the original C-section scar will be replaced with the tummy tuck incision. Most patients feel the physical results of this surgery far outweigh any scarring left behind.
Pregnancy or weight gain?
For optimal results, it is recommended that patients wait to have a panniculectomy until you are finished having children. This is to ensure the stretching and weight gain that occurs with pregnancy does not compromise the results of the surgery.
Plan Your Procedure
- Recovery Time
- 3 – 6 Weeks
- Average Procedure Time
- 2 Hours
- Post-op Follow-up
- Week 2 & 6, Month 3, 6, & 12
- Procedure Recovery Location
- Overnight Stay
Love your body
Do you have unsightly skin or fat in your lower abdominal area? Thanks to modern techniques and Dr. Dauwe's exceptional skill set, these issues can be improved with a panniculectomy. Start loving your body again with the help of this revolutionary surgery. Call our office in Dallas, TX to schedule a private consultation to learn more. We look forward to speaking with you and making your cosmetic dreams a reality.