Panniculectomy is a surgery done to remove stretched out, excess fat and overhanging skin from your abdomen. This can occur after a person undergoes massive weight loss. The skin may hang down and cover your thighs and genitals. Surgery to remove this skin helps improve your health and appearance.
Results: Average abdominal skin resection was 16.1 pounds, ranging from 10.3 to 49 pounds. Hernia repair was necessary in 13 patients. Additional surgery performed at the time of panniculectomy included skin reduction surgery of the back (40 percent), chest (32 percent), inner thigh (28 percent), and arm (28 percent).
Also known as a pannus stomach or mother's apron, apron belly occurs when the belly and fat surrounding the internal organs expands due to weight gain or pregnancy, resulting in additional fat deposits in the omentum (an apron-like flap under your abdominal muscles and in front of your intestines.)
What is an apron belly? Pregnancy, weight loss, and weight gain can cause you to have an excessive amount of fat, tissue, and skin hanging down from your abdomen. Called “apron belly” because it looks like you're wearing an apron around your waist, it can also be referred to as a pannus stomach.
You may be a candidate for a panniculectomy if you: have recently lost a large amount of weight and have loose belly skin that you want to remove. are experiencing hygiene issues from excess skin hanging below the pubic region. keep getting ulcers, infections, and other related issues under the hanging skin.
Pooch bellies occur when the lower abs and pelvic floor do not coordinate well together, causing the abdominal viscera to sit downward and forward. Certain body structures have a natural tendency for the abdominal contents to sit in this area.
Surgical removal is the only way to get rid of the panniculus, which doesn't respond to diet or exercise. Although weight loss can help decrease the fatty deposits, extra skin often remains behind.
You can reduce the overhang by reducing overall fat.
You can't spot-reduce fat, but you can lose fat by walking more, eating whole foods, and focusing on protein and fiber to fill your diet (lean protein, veggies and fruit).
Start with a mix of moderate and vigorous exercise to burn off menopausal weight gain. Your routine should include aerobic exercises like swimming, walking, bicycling, and running, as well as resistance or strength training. “What you want to employ now is high-intensity interval training (HIIT),” Dr. Peeke says.
In many cases, panniculectomy surgery is covered by insurance. In order to qualify, insurance companies often require documentation from medical providers relating to weight loss and/or weight loss surgery, irriatation of the skin or other problems that affect everyday life.
A panniculectomy is performed in the outpatient surgical setting, under general anesthesia. The surgery takes 1-2 hours to perform. If a patient has significant medical problems, it will be recommended that the patient stay overnight at an aftercare facility.
How many sizes you go down depends on where you started and how your body changes after the procedure. Most women lose between 2 and 3 pants sizes after a tuck, but there are patients who lose even more. If you had a lot of loose skin before the procedure, for example, you could go down 4 more pants sizes.
The best way of getting rid of stomach overhang is a surgical procedure known as abdominoplasty at our London clinic, which will remove it completely. This procedure tightens the stomach muscles and removes excess skin and fatty tissues from the middle and lower abdominal region.
In reality, though, most people, including many who are in overall good health, don't have sculpted stomachs, and she and other experts emphasized that holding in your gut is not a healthy behavior in the long term. “It's painful,” Kearney-Cooke said. “It's not good for your whole system.”
Losing belly fat and getting a flat stomach is done through achieving a caloric deficit by eating less, exercising more, and doing that for at least 6-12 weeks. The more stubborn your belly fat is, the more strict and consistent you need to be with your diet and exercises regimen throughout that period.
A pannus stomach can occur following pregnancy or weight changes when excess skin and fat begin to hang down from the abdomen. It can cause emotional distress, but it is possible to ease the discomfort and remove a pannus stomach. When skin and fat around the abdomen hang down, it can resemble an apron.
A tummy tuck, or abdominoplasty, is cosmetic surgery to improve the shape of the tummy area (abdomen). It can involve removing excess loose skin, fat and stretch marks and tightening the abdominal muscles.
Generally, if the muscles are going to heal on their own, they will within three months of birth. If you are several months postpartum, it's likely that your diastasis recti is here to stay. Some women have had success using targeted exercises to help the muscles move closer together.
An abdominal pannus is classified using the following grading system: Grade 1: panniculus covers hairline and mons pubis but not the genitals. Grade 2: panniculus covers genitals and upper thigh crease. Grade 3: panniculus covers upper thigh. Grade 4: panniculus covers mid-thigh.
If you have a significant amount of hanging fat and skin that covers your groin area, a panniculectomy is most likely the better option. If you have excess skin in your middle abdomen, or want tightening of separated stomach muscles, a tummy tuck is probably going to be the better fit.
Treatment. The mainstay of treatment for Pannus is the routine application of topical anti-inflammatory medications, including steroids, cyclosporine, and/or tacrolimus. These drugs suppress the immune system locally to the eye. Treatment is initially aimed at reversing as much of the corneal changes as possible.
Common reasons for someone to have belly fat even when they're skinny is: Being too sedentary (inactive), which builds visceral fat around the organs and abdominal fat. Eating too many processed foods, which stores at the belly.
It might be as simple as eating too much too fast, or you could have a food intolerance or other condition that causes gas and digestive contents to build up. Your menstrual cycle is another common cause of temporary bloating. Sometimes a bloated stomach can indicate a more serious medical condition.
Your genetics prefer storing fat in your stomach area
Visceral fat—the type of fat the body stores in your abdomen and around your intestines and is mostly responsible for keeping people from a flat belly—can be partly determined by genetics.