Photo: Dan Voican

Does a Panniculectomy include pubic area?

A panniculectomy only involves the removal of the pannus or the hanging skin OVER the pubic region. A panniculectomy does NOT include the removal of the excess skin or fat of the pubic region.

realself.com - Does a Panniculectomy include removal of skin in the mons pubis ...

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Thank you for your question about what to do with the mons region after weight loss. Also, thank you for the question regarding whether the monsplasty is covered in panniculectomy. Technically, the monsplasty is NOT covered with a panniculectomy. A panniculectomy only involves the removal of the pannus or the hanging skin OVER the pubic region. A panniculectomy does NOT include the removal of the excess skin or fat of the pubic region. The monsplasty and the panniculectomy can be done at the same time and in my opinion, should be done at the same time. However these are discussion you need to have with your plastic surgeon BEFORE the panniculectomy. Thank you for your question and I hope that I have answered your question regarding whether the monsplasty is covered in panniculectomy. I specialize in reconstructive plastic surgery after weight loss. If you have any more questions regarding the lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy please contact my office. Since the body lift is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience performing the lower body lift. Do your research. Make sure they have performed at least 100 circumferential lower body lift surgeries and have the before and after pictures to prove it. Carefully examine their before and after pictures and check their reviews on RealSelf. If you cannot find an experienced, lower body lift surgeon in your neighborhood, consider traveling out of state if you must. Sincerely, Dr. Katzen. (“Verified” Plastic Surgeon, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, and American Academy of Cosmetic Surgery and RealSelf Hall of Fame.)

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Can an Obgyn do a Panniculectomy?

Panniculectomy is relatively simple for general gynecologists or gynecologic oncologists to understand and master. Wound complications will occur in these women, but they are manageable and acceptable, given that the surgeries are potentially curative.

journals.lww.com - Panniculectomy to Facilitate Gynecologic Surgery in Morbidly...

Objective

To determine whether abdominal panniculectomy done in conjunction with pelvic surgery in morbidly obese women is safe and useful.

Methods

Twenty morbidly obese women had excision of large abdominal panniculi in conjunction with pelvic surgery at New Hanover Regional Medical Center between November 1994 and September 1998. Panniculectomy was to improve surgical exposure and to decrease the incidence of wound necrosis, infection, and dehiscence among those high-risk women who all had chronic intertrigo in the skin folds under their panni.

Results

The women were 38–65 years old (mean 51 years) and weighed 202–475 pounds (mean 305 pounds). Their body mass indices were 35–76 (mean 51.5). Three women had superficial partial wound dehiscence, which was treated successfully with office debridement. There were no pulmonary emboli or operative deaths.

Conclusion

Abdominal panniculectomy is safe and useful in morbidly obese women.

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