Tropical Weight Loss
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Can an apron belly be removed?

A panniculectomy is a surgical procedure to remove excess hanging skin and fat called a pannus or “apron” from the lower abdomen after a big weight loss. A panniculectomy isn't a tummy tuck (abdominoplasty), a procedure done for cosmetic and aesthetic reasons.

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To undergo panniculectomy surgery requires you to weigh the benefits of the procedure and the risks involved. Some of the risks are: To avoid serious health problems, such as skin infections, back problems (due to weight and posture issues), rashes due to chafing, ulcers, and abscesses, you may need to undergo panniculectomy surgery. Because of bariatric surgery or other drastic weight loss methods, you may need panniculectomy surgery to remove excess skin. The excess skin can hang over your back, thighs, genital area, and extend as low as your knees, interfering with your daily activities such as, walking, standing, and sitting. A panniculectomy isn’t a tummy tuck (abdominoplasty), a procedure done for cosmetic and aesthetic reasons. Instead, it’s a surgery done to remove hanging skin that may cover your thighs and genitals to improve your health and appearance. A panniculectomy is a surgical procedure to remove excess hanging skin and fat called a pannus or “apron” from the lower abdomen after a big weight loss. Preparing for Panniculectomy Procedure When preparing for panniculectomy surgery: Be open about your medical history to your surgeon. Let them know if you are taking any prescription or over-the-counter medicines. Beware of certain medications. Your surgeon can suggest that you avoid taking herbal supplements and anti-inflammatory drugs, which may increase bleeding and make it hard for your blood to clot.‌ Avoid smoking. If you do, your surgeon may ask you to stop smoking to increase your chances of healing fast as smoking slows down wound healing. Performing the Procedure The procedure involves: Anesthesia. You will receive intravenous or general anesthesia to ensure that you are asleep, at ease, and don’t feel pain during the procedure. Your surgeon will suggest the best choice for you. Incision. Your surgeon will cut an incision from under your breastbone to just above your pelvic bone. Closing the incisions. In your lower belly, just above the pubic area, your surgeon will cut you horizontally depending on the amount of overhanging skin. In some instances, a vertical incision is necessary for persons who have excess skin in the transverse dimension. After the incision, the surgeon will remove the excess skin and fat, and close your cut by stitching the skin together. The procedure might require small tubes called drains, inserted to allow blood or fluids that may collect to drain out. Over your abdomen, a dressing will be placed to cover the wound area. Recovering after the Panniculectomy Procedure It will take several weeks for the swelling to reduce. After the surgery, you can stay at the hospital for about two days or longer depending on how complex the surgery was. Your doctor will give you painkillers since after the surgery you will feel pain that can last for days.

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