Panniculectomy

Reclaim Comfort and Mobility with a Panniculectomy

Remove Excess Abdominal Skin for a Freer, Healthier Life

For individuals who have experienced massive weight loss, undergone pregnancy, or struggled with skin laxity due to aging, a panniculectomy offers a solution to one of the most frustrating outcomes: the overhanging abdominal apron, or pannus. This excess tissue can cause pain, hygiene challenges, skin infections, and even limit mobility. At Allure Aesthetic and Plastic Surgery in St. Petersburg, board-certified plastic and reconstructive surgeon Dr. Percy Lo performs panniculectomy procedures tailored to alleviate these symptoms and restore day-to-day comfort.

What Sets a Panniculectomy Apart from a Tummy Tuck

Understanding the Surgical Purpose and Differences

While a panniculectomy and tummy tuck (abdominoplasty) may seem similar, they serve different purposes:

  • Panniculectomy: Removes the pannus, or hanging skin and fat, primarily for medical relief and functional improvement.

  • Tummy Tuck: Includes muscle tightening and cosmetic contouring of the abdomen for an aesthetic transformation.

  • Insurance may cover panniculectomy when medically necessary—tummy tucks are considered elective.

  • A panniculectomy can be performed on its own or combined with a tummy tuck for both cosmetic and functional benefit.

Who Is a Candidate for Panniculectomy?

Ideal Scenarios for Surgical Intervention

A panniculectomy may be right for you if:

  • You have loose, hanging skin below the waistline

  • You suffer from rashes, ulcers, or chronic infections in the fold of excess skin

  • You’ve experienced difficulty with hygiene or physical activity

  • Your weight has remained stable for at least 6 months

  • You’ve completed childbearing and do not expect further abdominal stretching

This procedure is often considered medically necessary, especially when the pannus causes recurrent health issues or impairs mobility.

What Happens During and After a Panniculectomy

Surgical Details and Recovery Expectations

The Procedure:

  • Performed under general anesthesia

  • Involves a horizontal incision across the lower abdomen

  • Excess skin and fat are removed, but abdominal muscles are left untouched

  • Drains may be placed to reduce fluid buildup

The Recovery:

  • Initial downtime of 10–14 days, with full recovery over 4–6 weeks

  • Compression garments are worn to manage swelling and support healing

  • Patients must avoid lifting, bending, or strenuous activities during recovery

  • Follow-up visits ensure incision healing and proper drain management

Dr. Lo and the Allure team will walk you through every post-op step with personalized instructions.

Life After a Panniculectomy

Long-Term Benefits Beyond the Mirror

While the results of panniculectomy are visually noticeable, the most meaningful benefits are often functional:

  • Relief from chronic skin conditions and discomfort

  • Improved posture, walking ease, and exercise capability

  • Clothes fit better and personal hygiene becomes easier

  • Greater confidence, comfort, and quality of life

For many patients, panniculectomy is not just about how they look—it's about regaining physical freedom and finally putting discomfort behind them.