Panniculectomy Procedure Price Transparency

Optimize your Body with Panniculectomy in Beverly Hills

Panniculectomy is a surgical body contouring procedure that reduces the excess skin and fat tissue from the lower abdomen.

Following extreme weight loss of up to 70 pounds, the skin may not return to its original elasticity, resulting in excess skin hanging down from the lower abdomen. This extra skin is called pannus, panniculus, an apron, or FUPA (Fat Under Pubic Area). Panniculectomy removes this pannus, leaving the abdomen flatter with more defined contours.

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What is Panniculectomy?

Panniculectomy is a body contouring procedure that eliminates the excess, sagging skin (panniculus) from the abdomen. The panniculus hangs down from the stomach and can extend as far down as the knees. Panniculectomy removes the residual skin following profound weight loss from bariatric surgery or other techniques.

Panniculus can reduce physical activity and make you less confident in your body. Therefore, Panniculectomy removes these excess skin and fat tissues, leaving you sculpted and confident.

Panniculectomy differs from Abdominoplasty (tummy tuck) because it does not adjust and tighten the abdominal muscles. This reconstructive procedure can improve your health, comfort, and confidence.

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Panniculectomy Benefits

Panniculectomy removes excess skin from the lower abdomen following significant weight loss. It takes 2-5 hours and the recovery time is approximately two weeks. Panniculectomy has both aesthetic and health benefits and is highly recommended among plastic surgeons.

What Results to Expect:

  • Removes Excess Skin and Fat Tissues: Panniculectomy removes the panniculus in the lower part of the stomach for a smoother and more sculpted.
  • Reduces Strain on The Back: Excess weight can provoke stress on the back, causing discomfort and back pain. Removing that excess weight relieves this strain and consequently makes you pain-free.
  • Reduces Lower Abdomen Skin Irritation, Skin Erosions, and Rashes: This procedure resolves skin irritation, skin erosions, and rashes that are common in those with panniculus. The cause is poor hygiene and reduced aeration of areas beneath the excess skin.
  • Allows Increased Physical Activity and Further Weight Loss: This treatment can improve your range of motion, allowing you to be less sedentary and partake in more physical activity.
  • Increased Confidence
  • Removes Stretch Marks: Panniculectomy eradicates stretch marks on the lower abdomen contributing to a smoother, more sculpted figure.

How Long Will Results Last?

The results of Panniculectomy are permanent. As you age, the skin will invariably sag owing to the reduction in collagen and elastin content of the skin. A healthy lifestyle with a well-balanced diet and regular exercise is the best method to retain your results.

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Panniculectomy Cost & Pricing Structure

The cost of Panniculectomy varies due to the surgeon's expertise, the extent of the procedure, and your geographical location.

  • US National Average: $7,000-$15,000
  • Our Price: Costs can vary depending on the provider. Please contact us for an estimate. 
  • Additional Costs: Additional costs may include compression garments, anesthesia, and facility fees.
  • Insurance: Insurance may cover the cost of a Panniculectomy if you meet specific criteria:
    • The panniculus extends to the genital area
    • The panniculus causes skin conditions like cellulitis, rashes, ulcerations, and allergic reactions.
    • There is demonstrable impairment of function and activity because of the panniculus.

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How the Procedure Works

An expert plastic surgeon performs a panniculectomy. The procedure typically takes place in a hospital. However, you can also opt for it to be done on an outpatient basis. A panniculectomy routinely lasts 3-5 hours and requires general anesthesia.

Before & Preparation

Here are a few things to do to prepare for a panniculectomy surgery:

  • Undergo complete medical examination and testing.
  • Ensure you understand how the operation works, including the potential risks, complications, and benefits.
  • Explore and set the right expectations for your results.
  • Avoid aspirin, ibuprofen, gingko biloba, and other blood thinners.
  • Quit smoking at least three weeks before the procedure.
  • Your surgeon will provide instructions concerning food and drink regulations for the day before your procedure.

During the Procedure

  • Duration: 3-5 hours
  • Site of Surgery: The lower abdomen
  • Anesthetics: General anesthesia
  • Step-By-Step Guide
    • Your surgical team will administer general anesthesia
    • The surgeon will make a horizontal incision between the umbilicus and the pubic hairline.
    • The surgeon will remove the excess skin and fat.
    • The surgeon will pull down and suture the remaining skin together.
    • The belly button is removed or repositioned.
    • The surgeon may place a drain to prevent excess fluid accumulation.

Aftercare & Recovery

The procedure usually takes 3 to 5 hours, and you can return home either the day of the surgery or a few days after. Your provider may put a compression garment on you to support the abdomen and minimize swelling. Full recovery and best results should take 4 to 6 weeks.

Here are things to do when you get back home after this surgery.
  • Start walking as soon as possible. Movement reduces swelling and the risk of Deep Venous Thrombosis.
  • Rest and allow time for your body to recover.
  • Follow your surgeons' instructions about suture and drain care.
  • Increase intake of fruits and vegetables to prevent constipation.
  • Sleep with a pillow under the knees to help reduce the risk of your sutures breaking.
Here are some things not to do following a panniculectomy.
  • Don’t lift any heavy weight (>5 pounds) for at least six weeks post-op.
  • Don’t take any blood thinners for at least two weeks post-op.
  • Avoid alcohol for at least 2 weeks post-op.
  • No smoking as it delays wound healing and can increase the risk of complications.
  • Don’t drive for at least three weeks following the surgery.
  • Avoid strenuous activity and exercise for at least six weeks.
  • Avoid exposing the scar to sunlight. Use sunblock if you can’t avoid sunlight.

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Treatment Areas

This procedure is done on the lower abdomen and is effective for the removal of the panniculus.

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Am I a Good Candidate for Panniculectomy?

You are most likely a great candidate for Panniculectomy if you:
  • Have lost significant weight (up to 70 pounds)
  • Are in good physical condition
  • Have panniculus hanging from the lower abdomen
  • Have medical symptoms because of the panniculus, like rashes, ulcers, or irritations
  • Non-smoker
  • Age: >22 yrs
  • Weight: Stable for 6 to 12 months
  • Lifestyle: Active

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Similar & Related Procedures

  • Abdominoplasty (Tummy Tuck) : Abdominoplasty is a cosmetic surgery that improves the contour of the abdomen. The surgeon tightens the fascia and draws the skin back. The abdomen consequently looks more toned.
  • Liposuction: Liposuction is a surgical procedure that uses suction to remove fat from specific body areas in a patient with stable weight. It is not a weight loss treatment but rather a body contouring procedure.

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Side Effects & Risks

  • Hematoma
  • Persistent Pain
  • Infection
  • Fluid Accumulation
  • Fat Necrosis
  • Poor Wound Healing
  • Numbness
  • Bleeding From The Incision Site

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Pairs Well With

    NazarianSkin Tinted Physical Sunscreen is a mineral, broad spectrum SPF 50+ sunscreen is a lightweight, tinted formula excellent for very sensitive and post-procedure skin types. Chemical free actives and enhanced antioxidant protection to combat skin aging free radicals associated with ultraviolet (UV) and infrared radiation (IR).

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    Silagen Silicone Scar Treatments are a revolutionary, physician-exclusive line of medical grade silicone scar treatment products created to dramatically reduce the appearance of scars. Don’t let your self-consciousness about scars keep you from living your best life. Stop hiding your scars with clothes and use Silagen silicone scar treatments to reduce their visibility for good.

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    Silagen Silicone Scar Treatments are a revolutionary, physician-exclusive line of medical grade silicone scar treatment products created to dramatically reduce the appearance of scars. Don’t let your self-consciousness about scars keep you from living your best life. Stop hiding your scars with clothes and use Silagen silicone scar treatments to reduce their visibility for good.

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    Arnica, Bromelain, and Vitamin K are widely used pre-procedure in the cosmetic surgery industry for their ability to help minimize bruising and swelling after a surgical or non-surgical procedure. Dr. Nazarian recommends starting 1 month before surgery with 2 pills a day and continuing for 2 weeks after surgery.

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    Alastin TransFORM Body Treatment was developed to optimize your results when used after fat reduction treatments and it is also used to improve skin quality when used on its own. It has been proven to help accelerate body fat reduction, enhance skin tightening procedure results, and improve skin texture, firmness and crepiness.

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    NEW! BodiFirm™ - Because skin on the body is fundamentally different from skin on the face and décolletage, we created BodiFirm™, the first Revision Skincare product specifically formulated to address skin concerns on the body. This clinically-proven formula with patent-pending iFirm™ Technology was designed to help visibly firm, tighten and lift sagging, crepey skin in order to sculpt and tone the body.

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    Silagen strips are a silicone sheeting that aids in the appearance and texture of scars. These strips are beige and intended for use in the abdomen/extremity area.

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    Silagen's CLEAN Foaming Cleanser was created to help keep silicone gel sheets clean. Not only does it restore and renew the product's adhesion, it is also fragrance-free and non-irritating.

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Dr Sheila Nazarian Plastic Surgeon

Panniculectomy involves removal of hanging skin and fat from the abdominal region, which may or may not be medically necessary. Under Medicare, panniculectomy is generally regarded as cosmetic surgery. However, this will not be the case if the procedure is deemed medically necessary. Each case will differ from person to person.

Your surgeon will give you detailed instructions on how to prepare for the surgery. You will not be able to smoke prior to the surgery or take certain medications. Prepare a list of questions to ask your doctor and always keep your paperwork nearby in case you have a question.

Panniculectomy will remove a patient’s excess hanging skin, as well as fat. This is usually done after a patient has experienced weight loss surgery. Removal of this skin can lead to the removal of more weight off the body. However, how much weight is lost will depend on each individual.

Yes, at Nazarian Plastic Surgery and Spa26 we offer financing through third party providers, Care Credit and LendingUSA, both which offer our patients 0% interest for up to 6 months!

At Nazarian Plastic Surgery, we have built a state of the art certified surgical center located right in our office to ensure patients have the most comfortable experience while undergoing any surgical procedures.

While a Panniculectomy is not a cosmetic procedure and does not involve tightening your abdominal muscles, such as a Tummy Tuck — removing excess skin and fat can give your tummy a flatter appearance. Keep in mind that results are not instantaneous as the swelling takes time to reduce.

There is no definite answer to this question. The amount of excess skin removal depends on how much weight you lose before undergoing a Panniculectomy. However, an average of 5 to 10 pounds of skin is lost in most patients.

During a Panniculectomy, an incision is made under the belly button but above the mons pubis (pubic area). It does NOT involve any removal of skin from the mons pubis. While a Monsplasty and a Panniculectomy can complement each other are not the same thing.

Absolutely nothing. Excess skin is removed from around your belly button during the procedure. As a result of the skin pulling down, the belly button is repositioned lower on your abdomen. Otherwise, it remains unaffected.

Yes. Undergoing a Panniculectomy is not a license to overeat. A Panniculectomy simply involves the removal of excess fat and skin from the abdomen. It is advisable to eat healthily and exercise as well after the procedure.

The primary difference between a Panniculectomy and a Tummy Tuck is that the former does not aim to tighten the abdominal muscles, unlike the latter. This makes it slightly less complicated. Although every procedure has risks, a Panniculectomy is generally safer than a tummy tuck.

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