Panniculectomy is a procedure done to correct an overhanging pannus, which is usually caused by losing an excessive amount of weight. This procedure is done to tighten the lower part of the abdomen, but usually will not give a patient the full correction they need unless it is combined with either a standard tummy tuck, extended tummy tuck, or a circumferential tummy tuck. Since the idea patient seeking to have a panniculectomy is suffering with panniculitis, which means one who has an overhanging pannus, the standard combination will be an extended tummy tuck, and for severe cases a circumferential tummy tuck will be suggested.
Patients suffering with panniculitis may also have rashes and infections caused by the excessive level of skin laxity in the lower abdominal area. Before seeking plastic surgery, a patient must go see their primary care physician in order to address these concerns and the majority of the time, a physician may recommend a visit with a board certified plastic surgeon that specializes in body contouring. Most patients will take antibiotics or use topical creams to decrease the development of these symptoms, but if this does not fix their problem then consulting with a plastic surgeon about panniculectomy surgery is the next step.
In some cases patients may have their panniculectomy covered by their insurance, but insurance plans differ and are based on medical necessity.