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
"The BEST plastic surgeon in Dallas with wonderful bed side manners!! Very welcoming, kind, caring and brilliant. He offers Botox, Fillers, PRP and of course Cosmetic procedures. You won’t find another plastic surgeon like him or his awesome staff!!"- S.V. / Facebook / Dec 19, 2019
"As I walked off the elevator I was greeted immediately. The staff made the process so enjoyable with a professionalism I rarely see. Dr Dauwe could not have been more friendly and truly interested in answering any questions I had about the procedure. My surgery required a local anesthesia so I was able to enjoy Dr Dauwe selecting my favorite music and great conversation.. His work was incredible and truly can say I feel so great about my new look. Thank you Dr Dauwe, Scott"- S.B. / Google / Dec 17, 2019
"Absolutely amazing! I’ve never had a procedure done before so I was very nervous. The entire staff made you feel welcomed. Julie the nurse was amazing and very caring! I was even able to text her after hours during my post op time about questions and concerns. Dr. Dauwe was the best physician I’ve ever encountered. Very knowledgeable and compassionate about my needs and wants. The best part was receiving a call from him the night of my surgery from him just checking on me. I would recommend anyone to have their services done there!"- V.B. / Google / Dec 04, 2019
"I went to Dr. Dauwe for a breast implant removal and a liposuction. I had under the muscle implants for about 7 years, and even though I didn’t have any issues, I was ready to remove them and get a more natural look. From my first contact with the staff, to the surgery, to every follow up appointment, Dr. Dauwe and his staff have been amazing. I visited several doctors before making my decision, and I’m really happy I used him. Dr. Dauwe didn’t use drains for the surgery, and that was great. They even accommodated the surgery date I requested, so I had surgery on Friday and I was back at work on Monday. I had lots of questions before surgery, and Dr. Dauwe and his staff listen to all my questions and put me at ease. My results are amazing, and I would definitely go back to Dr. Dauwe if I ever decide to get another procedure. I know their practice offers several different services. I’m currently using them for Coolsculpting. I really cannot say enough great things about Dr. Dauwe and his staff, and I highly recommend them."- A.H. / Google / Nov 30, 2019
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.
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
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
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.