Panniculectomy & Abdominoplasty
Dr. Raftopoulos has extensive experience in this procedure following significant weight loss. Panniculectomy can be performed with a horizontal (bikini) incision (Picture 1), or with a combination of a horizontal and vertical incision (Picture 2). Although ultimately the patient makes the final choice of the type of incision, the combination of a horizontal and vertical incision allows for a better correction of loose skin in the upper abdomen. Regardless however of the selected type of incision, the umbilicus must be carefully separated from the surrounding skin and re-implanted once the skin flaps have been created. Most patients who undergo panniculectomy have an overnight stay in the hospital and are discharged the day after their surgery.
Based on Dr. Raftopoulos’ experience the results of panniculectomy are better if the patient’s body mass index is less than 30 kg/m2. In addition, coverage from your insurance carrier is more likely if there is significant loosening overhanging the pubic area, if you have developed rash under the skin creases, or if you have an abdominal wall hernia. It is important to take pictures of skin rashes if they appear under the skin creases.
See here some patient photos