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
"Phenomenal experience from consultation to post-op. Dr. Dauwe did a thorough job explaining the procedure in great detail, discussing my different options and the outcomes, and really made feel comfortable with my decision. His work is absolutely beautiful, and he is a true artist. You can tell Dr. Dauwe really goes the extra mile for his patients, and has a caring bedside manner. Julie- his cosmetic coordinator, is simply amazing. She checked on me several times before and after the procedure, and was always there to answer questions. Highly recommend! One of the best decisions I've ever made! I'm very grateful."- D.K. / Google / Oct 13, 2020
"It finally happened!!! - After many years of thinking about getting a breast augmentation, I finally took the leap! My surgery was today with Dr. Dauwe in Dallas, Tx!! I am feeling excited and nervous, but I wouldn't have done it without all the reviews and support on here! I plan on documenting my journey in hopes it will help someone else! :)"- T. / RealSelf / Oct 09, 2020
"I cannot say enough wonderful things about Dr. Dauwe and his staff! Sara and Julie are so sweet and do a fantastic job preparing patients for their surgery day. Catherine Kinney called me the night before to make sure I was prepared for anesthesia. Her voice was so calming and she really made me feel at ease for my upcoming procedure. The morning of my surgery, I was greeted with many friendly smiles, including Karen and CRNA Kinney. Before my procedure, Dr. Dauwe came in and measured and marked me up. He once again went over his plan for my procedure and what I could expect after surgery. I had my breast implants removed with a lift. The most surprising thing to me was that HE CALLED THURSDAY EVENING TO CHECK ON ME!! I thought that was so thoughtful of him. After five days, I can honestly say my results are above and beyond what I ever expected. Dr. Dauwe did a wonderful job! I’ve had minimal pain and my breasts are looking great! He is very knowledgeable in his field, he is professional and kind. I highly recommend him for any plastic surgery needs!"- S.R. / Google / Oct 07, 2020
"Dr. Dauwe and His team are Phenomenal!!! - Tummy Tuck with LipoI had an extremely long journey to Dr. Dauwe, but I'm so thankful that I found him! I couldn't figure out the source of my GI problems after seeing MULTIPLE specialists, GI doctor, Colorectal Surgeon, multiple diagnostic tests with no answers. I have known Julie for years, and thankfully after talking with her one day she suggested I come see Dr. Dauwe. One look at my abdomen, he said "has anyone told you that you have a pretty significant umbilical hernia?" I had no idea, but Dr. Dauwe was able to figure out the source of my problems and knew how to get it corrected. We decided that a Tummy Tuck due to Diastasis Recti and lipo because why not, along with a hernia repair would fix my problem, and he was right!! I had surgery 7/17/20 and my problems are GONE! I also have an amazing looking tummy again! My recovery was way easier than I had imagined! I took 2 weeks off work and enjoyed having time to relax. I had pain, but it was controlled pretty easily. During my recovery some concerns arose, Dr. Dauwe called and talked to me numerous times, I even bothered him while he was on vacation. He's an amazing surgeon, but he's also a caring, fun person to talk to. He will make you feel completely comfortable. Plus his office manager, Julie, is the sweetest person you will ever meet! I love Dr. Dauwe, Julie ad the whole team and Lemmon Avenue Plastic Surgery Center. I can't wait for my next procedure!!"- J. / RealSelf / Sep 30, 2020
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.