in Albany, NY

What is a Panniculectomy?

The lower part of the abdomen is known as the pannus. Panniculectomy is the removal of this lower abdominal skin. It is often performed due to complaints of sweating and rashes in the fold between the lower abdomen and the pubic area. Panniculectomy is a functional procedure more than a cosmetic procedure. The goal of this surgery is to remove the lower hanging skin and improve the patient’s symptoms. This is a procedure that is sometimes covered by insurance. Each insurance plan is different regarding requirements for qualification for a panniculectomy procedure. Many patients choose to combine panniculectomy with abdominoplasty because they want to improve the appearance of their midsection more than what a panniculectomy accomplishes.

Who is a Candidate for Panniculectomy?

Candidates for a panniculectomy procedure are those who are within their ideal weight range but experience discomforts due to loose abdominal skin and tissue. Patients often opt for a panniculectomy when they begin to experience changes to their abdominal area with age, pregnancy, or weight loss. Those who do not need the abdominal muscles tightened can benefit from a panniculectomy alone.

What Happens During a Panniculectomy?

The panniculectomy procedure will be performed using sedation or general anesthesia for your comfort. A horizontal incision will then be made between the pubic hairline and belly button. A vertical incision in the midline may also be required in some cases. The abdominal tissue is then pulled down and excess skin is removed to achieve a flat abdomen. This effectively removes the skin that is overhanging the pubic area and causing the issues.

Panniculectomy FAQs

Is a Panniculectomy the same as a tummy tuck?

No, the primary function of a Panniculectomy is to remove excess skin from the lower abdomen and pubic area. A tummy tuck is designed to flatten and tighten the abdominal region, as well as the muscular structure.

What is the recovery time for Panniculectomy?

Patients should expect to take about one week off of work following the surgery. Overall, it will take an average of six to eight weeks for the incision to heal.

What are the criteria for a Panniculectomy?

Those who are healthy and at a stable weight, but are uncomfortable with extra skin and tissue around the abdomen, should qualify for this procedure.

Is a Panniculectomy safe?

Panniculectomy is generally a safe and effective procedure. Risks are involved in any surgical procedure, such as the possibility of bleeding or infection.

How much weight do you lose after a Panniculectomy?

A Panniculectomy itself is not designed to be a weight loss procedure. However, the results could make movement and exercise easier.

How do you sleep after a Panniculectomy?

It’s important that your upper body is elevated while sleeping. This can be achieved by sleeping in a recliner or using pillows to prop your body up in bed.

How long do you wear a binder after a Panniculectomy?

On average, most patients will need to wear a binder continuously for about seven to ten days. Follow the instructions from Dr. Kayastha to ensure the best results.

Can you have a baby after a Panniculectomy?

Yes, you will still be able to carry out a pregnancy. However, this process may undo the results of your procedure.

Is a Panniculectomy safer than a tummy tuck?

Both procedures are quite safe. Which procedure is right for you will depend on your needs and goals.

Does a panniculectomy include liposuction?

A panniculectomy involves removing excess skin from the abdominal area. In some cases, it can be paired with liposuction.

How long does it take to recover from a panniculectomy?

Most patients will be completely healed within 2-4 months after their panniculectomy. However, most feel well enough to return to work and other normal routines within about two weeks.

How long do I wear a compression garment after panniculectomy?

Patients are usually required to wear a compression garment for 1-3 weeks after their panniculectomy.

Do I qualify for a panniculectomy?

Good panniculectomy candidates should be generally healthy and at a stable weight. They will have loose skin around the abdomen but be less concerned about damaged or separated abdominal muscles.

Do you have to lose weight before a panniculectomy?

Before a panniculectomy, you should remain at a stable and healthy weight for at least three months. Most panniculectomy patients have completed a significant weight loss.

How painful is a Panniculectomy?

Panniculectomy will come with some pain and discomfort like any other surgery. Youll be given prescription medications to manage pain during your initial recovery so you can rest and recover.

What are the benefits of a Panniculectomy?

The biggest benefit of panniculectomy is a reduction in symptoms that come with having excess skin, including rash and irritation. Many patients also enjoy greatly boosted confidence in their bodies, too.

How can I lose my apron belly?

Panniculectomy is the best way to get rid of excess skin around the stomach. Many patients opt for this procedure when they dont see results with traditional diet and exercise.

What happens if you gain weight after Panniculectomy?

Its still possible to gain weight after a panniculectomy. In this case, your skin will simply stretch to accommodate weight gain like before.

What will my Recovery be Like?

Following a panniculectomy procedure, the incisions will be bandaged and patients will be asked to wear a support garment to promote healing and reduce swelling. Patients can expect to take about a week off work to recover at home. Pain medication can also be prescribed to manage any discomfort. Dr. Kayastha will provide all the necessary post-op instructions including how to care for your incisions and what movements are restricted.

Lingering swelling can be present for several weeks after your procedure. Once significant swelling has diminished, patients can enjoy a flat abdominal area and improved comfort without bothersome hanging tissue.

During an initial consultation, Dr. Kayastha can examine your midsection to determine if a panniculectomy procedure is right for you. Contact our office today to schedule your appointment.

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Dr. Kayastha is a board certified plastic surgeon who serves Albany, NY and the entire Capital Region. Dr. Kayastha completed his undergraduate studies at Cornell University and graduated with distinction in all subjects. He then attended medical school at SUNY Buffalo. During his time in Buffalo he also completed a fellowship in surgical pathology at Roswell Park. Following medical school Dr. Kayastha gained a much sought after position in the Michigan State-Grand Rapids integrated plastic surgery residency. After finishing residency training Dr. Kayastha completed a one year fellowship in hand and microsurgery at the Buncke Clinic in San Francisco. To round out his training before starting private practice Dr. Kayastha spent an additional 6 months learning from some of the best cosmetic surgeons in San Francisco. Dr. Kayastha is Board Certified in Plastic Surgery by the American Board of Plastic Surgery.

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Excellent Surgeon

Dr. Kayastha did a procedure for me in February and I am 100% happy!! From start to finish he worked very hard and gave me nothing but his absolute best!!! He took his time and explained everything to me before and after. His bedside manner was impeccable! My surgery went extremely well and he was not lying when he said he would give me his very best. I would recommend him if you are looking for a plastic surgeon. He is the best!!!

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