Although these are two different procedures, they’re both similar in that they remove some skin and fat around your midsection. A panniculectomy is more useful after a significant weight loss, such as from bariatric surgery, which leaves you with excess skin. An abdominoplasty is procedure to get rid of hard-to-lose skin and fat around your abdomen to help you reach that hourglass figure or that toned physique you’ve always wanted. To determine the most appropriate surgery for you, call Rowe Plastic Surgery in New York or New Jersey for an initial consultation.
Page Updated on Jul 13, 2022 by Dr. Norman Rowe (Plastic Surgeon) of Rowe Plastic Surgery
What Is Skin Removal Surgery?
Skin removal surgery, known in medical circles as a panniculectomy, is a procedure to remove the excess skin and fat tissue that hangs down from your lower abdomen. This pannus stomach, also called an apron belly, is a large flap of skin that can cover your genitals and thighs after a massive weight loss. The excess skin and tissue even interfere with your normal life activities, including walking, standing or even sitting.
With excess skin removal surgery, you not only improve your body appearance, but also avoid significant health complications, such as back pain, rashes and skin infections. If you’ve had bariatric surgery or you’ve lost a lot of weight through other methods, a panniculectomy can improve the quality of your life. The procedure allows you to maximize the benefits of your weight loss.
If you have a problem with excessive fat tissue or skin on your lower abdomen, visit the plastic surgery team at Rowe Plastic Surgery in Manhattan, Long Island, New Jersey and the Hamptons. The board certified surgeons perform a wide range of life-changing cosmetic procedures besides loose skin removal surgery, including:
A tummy tuck is a cosmetic procedure to remove excess fat and skin around your stomach. The procedure also tightens your abdominal wall muscles to give you a flatter, more toned abdomen. An experienced plastic surgeon carries out tummy tuck surgery in New Jersey to give you the desired hourglass figure (for women) or a slim, toned physique (for men). The procedure also improves your body image and your self-confidence.
The tummy tuck procedure that’s right for you depends on the extent and location of your excess skin. There are several types of abdominoplasties, including:
Full/complete abdominoplasty. If you have a lot of excess abdominal skin you wish to lose, a full tummy tuck may be right for you. The procedure involves an incision along the bikini line, to keep the scar hidden. Your cosmetic surgeon removes the excess fat, but has to detach your navel from the surrounding tissue to complete the procedure.
Partial/mini-abdominoplasty. If you only have some excess skin that you’d like to lose, a mini/partial abdominoplasty surgery may be right for you. The procedure involves a short incision, which extends just over the pubic area. During the procedure, your belly button isn’t moved, and your surgeon tightens your abdominal wall muscles as well as removes the excess fat.
Circumferential tummy tuck/lower body lift. If you’ve lost a lot of weight and have more than 80 pounds of excess skin to lose, an all-round tummy tuck is likely the best option. Your surgeon makes an incision around your belt area to remove the excess skin and fat. If you include liposuction along with this procedure, you get the best overall outcome.
Reverse tummy tuck. This surgery is a form of abdominoplasty that involves removing the excess loose skin from your upper abdomen. The procedure also involves liposuction to remove excess fat.
The team at the New York City and New Jersey cosmetic surgery practice provides customized treatment, based on your unique needs, following a thorough examination. If you have concerns over the excess skin or fat on your abdomen, seek an experienced cosmetic surgery team to suggest safe, reliable solutions.
Is Skin Removal Surgery the Same as a Tummy Tuck?
Skin removal surgery and the tummy tuck procedure are distinct surgeries with different goals. A breakdown of panniculectomy vs. abdominoplasty may help you understand the differences enough to make an informed decision. Consider such differences as:
Focus. Skin removal surgery focuses on removing the pannus, while the tummy tuck’s focus addresses the abdominal wall muscles for a trimmer and toned appearance.
Extent. Skin removal surgery focuses on the removal of excess hanging skin from your abdomen. A tummy tuck is a comprehensive cosmetic surgery that also tightens your abdominal muscles and contours your abdomen to give you an hourglass shape or a toned physique.
Goals. Skin removal surgery, a panniculectomy, aims to improve your body appearance and prevent health complications caused by a large pannus. The tummy tuck, an abdominoplasty, focuses on improving your body appearance.
Timing. Skin removal surgery most often happens after a major weight loss to remove the excess skin or pannus. You can have a tummy tuck at any time to create a more toned abdomen or hourglass figure.
If you’re wondering what’s best for you between panniculectomy vs. abdominoplasty, talk to an experienced plastic surgeon like those at Rowe Plastic Surgery. After a discussion and a physical exam, your doctor may make the recommendation that best serves your needs.
Who’s a Good Candidate for a Tummy Tuck or Skin Removal Surgery?
If you want to know if you’re a good candidate for NJ tummy tuck surgery, you can ask your cosmetic surgeon. But there are some factors that can help you learn if these procedures are right for you, such as:
If you’ve lost a large amount of weight through bariatric surgery, you’re a good candidate for skin removal surgery.
If you’ve lost weight in a program and you don’t expect further weight loss, you’re a good candidate for a tummy tuck or abdominoplasty.
If you have excessive skin hanging over your genitals and thighs after childbirth, consider getting a panniculectomy or skin removal surgery.
If you have loose skin around your abdomen, a tummy tuck can help.
If you suffer from back pain or skin infections caused by a pannus, you need skin removal surgery.
If you’re done having babies, consider an abdominoplasty to tone your midsection.
If you have body image issues or low self-esteem caused by a pannus or excess fat around your abdomen, look into skin removal surgery.
For either surgery, you need to:
Have realistic expectations about the results of the surgery
Be in good overall health
Not have a history of smoking, so you can heal faster
At Rowe Plastic Surgery, the talented team works together during your evaluation for either skin removal surgery or a tummy tuck. The doctors want to understand your overall health, medical history, and cosmetic goals to determine if you’re a good candidate for either surgery.
What’s the Procedure for Skin Removal Surgery or Abdominoplasty?
Abdominoplasty in New Jersey can take between two and five hours. During these surgeries, you can expect a general series of steps, including:
Consultation/medical review. During your initial consultation, the surgeon carries out a thorough review of your body, takes your medical history and may recommend a panniculectomy to remove the excess abdominal skin. During this time, you discuss your expectations and your doctor tells you what’s possible and what’s not. The doctor also discusses possible outcomes and any risk of complications.
Preparations. Your doctor gives instructions on medications to stop or reduce, as well as lifestyle habits to avoid, such as smoking and alcohol.
For a panniculectomy. The procedure starts with sedation using general anesthesia. Once you’re asleep, your surgeon makes a long incision from hipbone to hipbone. The doctor uses this cut to remove the apron or pannus hanging from below your belly button, tightening your abdominal muscles for a more toned stomach. Then, the surgeon closes the incision.
For an abdominoplasty. The surgeon makes an incision in a horizontal oval or elliptical. Your doctor uses this incision to remove excess skin and fat from your belly button to your pubic hair. For a flat, well-toned stomach, the cosmetic surgeon also tightens connective tissue or fascia with permanent sutures. Next, the surgeon repositions the skin around your belly button and closes the incision.
Draining. Your doctor may insert drains in the incisions to remove excess fluids and prevent swelling. The incision sites are dressed to keep them clean and promote healing.
Recovery. After the surgery, expect some swelling and bruising, but it subsides within a few days. Recovery requires a minimum of four to six weeks. During this time, follow your surgeon’s instructions for the best ways to recover from a tummy tuck. Wear a support garment to aid your recovery, avoid lifting heavy objects and don’t do any strenuous tasks. Expect some scarring after a tummy tuck or a panniculectomy, but it fades as healing continues.
FAQs about Panniculectomy and Abdominoplasty
How painful is skin removal surgery? During the procedure, you won’t feel pain since you’re under general anesthesia. Expect some pain and soreness as the medication wears off. Your doctor can prescribe over-the-counter pain medication to deal with the pain for a short period.
How does a surgeon hide the scars from a tummy tuck or skin removal surgery? You can expect scars from an abdominoplasty. Plastic surgeons don’t put the scars in visible places, preferring beneath the bikini line and other less noticeable places. They rely on a two-fold method to close incisions after a tummy tuck or skin removal surgery, using dissolving sutures underneath the incision and fine suturing stitches for the upper skin layers. The fine scars formed fade with time.
What should I look for in a cosmetic surgeon? Look for experience and board certification. Seek referrals and recommendations. Read reviews and check the doctor’s portfolio.
If you’re thinking of abdominoplasty surgery, think of Rowe Plastic Surgery in New York City. If you need to have skin removal surgery after weight loss, contact a cosmetic surgery team you can trust. They have offices in Red Bank and Montclair, NJ, and in Manhattan, Plainview and Water Mill, NY.
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I have been on this journey of a breast reduction for the last 10 years and have tried everything but with only temporary relief. Dr. Schneider is my surgeon and she put me at ease from the first consult. She answered any questions but is thorough in providing you with information. I’m am 3 days post op and they look great already. I fully recommend the team. They are with you the entire process. I want to give kudos to Yesenia, Kelly, Nicole, Simone, Gabrielle,. Thank you Gabrielle for responding to me on New Years Eve. I really wish I had found this practice years ago. Do yourself a favor if you are contemplating a procedure and just go for a consult. It will change your life.
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I had the most amazing experience with Dr. Norman Rowe's office. Everyone from the front desk staff (Simone and the other young ladies), to the nurses, to the actual Doctor himself are absolutely amazing. At first I was nervous about having the breast reduction surgery but after going in for my initial consultation I was more than ready to schedule my surgery date. I am now 3 weeks post op and even though I still experience some soreness I couldn't be happier with my decision. Dr. Rowe and his team throughly explained everything that was to be expected before and after surgery even down to the insurance. I wish I would've had the surgery sooner. It was one of the best decisions I have ever made. Dr. Rowe did an amazing job.
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If you’re thinking of abdominoplasty surgery, think of Rowe Plastic Surgery in New York City. If you need to have skin removal surgery after weight loss, contact a cosmetic surgery team you can trust.
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