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
"To say I am happy is an understatement. I cannot express thankful I am to have met Dr. Dauwe. He has completely changed my life. I came to see him for a breast reduction and before I left I knew this was where I needed to be! His staff, Julie and Sara, are the sweetest girls and made this process so simple for me. They both answered all of my questions, no matter how many times I called! From start to finish, they are there the entire way. I recommend him to everyone I know. If you're looking for any type of aesthetic surgery, GO SEE DR. DAUWE! You will not be disappointed. He is simply the best."- B.C. / Google / May 21, 2021
"I had a breast reduction with Dr. Dauwe and I can honestly say it was the best decision I ever made! Dr. Dauwe and his staff made this process so easy and delightful for me. Julie and Staff were incredibly kind and answered all of my questions. They made me feel comfortable from start to finish. As soon as you walk in to his office you feel like family. I have recommended Dr. Dauwe to anyone and everyone I know. I could not have been happier with my results, my recovery, or the experience. The best doctor EVER! You will not be disappointed."- L.F. / Google / May 20, 2021
"If you're looking for a surgeon for breast reduction, you can stop here: Dr. Dauwe is the best - I am floored at how my breast reduction with Dr. Dauwe has transformed my confidence. I used to never want to be in photos, could never find clothes that fit me, never felt pretty in anything or good about myself at all really. It was a big decision to have surgery, especially at a young age, but I don't regret it for a second!I also can't say enough about how amazing he and his team (Julie, Sara, and Bre) have been during this entire process- I don't have a single complaint. Any time I had a question or concern about anything, they were on it. My results are exactly what I wanted- honestly I could have gotten half of what I got and still would have been thrilled. With all my heart, thank you Dr. Dauwe and your wonderful team!"- A. / RealSelf / May 20, 2021
"The results are beyond what I expected - Coming in HOT with another 5 star review! I recently had a full mommy makeover by Dr. Dauwe and I don't think I can even put into words my gratitude for him and his team. Hands down THE BEST surgeon in Dallas. From my tummy tuck, to some lipo and a breast reduction/lift - 2 weeks post opp, I look amazing! The results are beyond what I expected!! The entire team is extremely kind & helpful anytime you need them. If you are reading this post and have questions about my experience, find me on IG because I will rant and rave your ears off until you go see him! Dr. Dauwe, I truly thank you for changing my life!!"- S. / RealSelf / May 12, 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.