Massive Pannus Compromise
Sometimes patient safety forces a compromise between beauty and
a safer operation. In a reasonable risk patient, pannus reduction can be
artistic sculpture:
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Left Picture: Pannus after 98 pounds weight loss in a female 5 feet 8 inches tall. Right Picture: Tight skin 10 months after Dr. Bermant's Tumescent Tummy Tuck Abdominoplasty. Learn more and view movies |
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Photos Before Surgery and 5 Months After Typical Pannus Reduction. This patient had lost over 100 pounds by exercise and dieting.
She did not like the hanging skin pannus. Learn
more about this patient's panniculectomy - watch videos |
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Before and 11 Months After Tummy Tuck Surgery Pictures This patient did not like her hanging pannus (abdominal panniculus) and redundant tissues
of her abdomen. Learn more about
this patient's pannus reduction abdominoplasty and view movies |
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Left Picture: Before Tumescent Lower Body Lift in Teenager who lost 137.8 pounds weight. Right Picture: |
View more pictures and movies 
before and after this lower body lift.
High Risk Pannus Reduction Compromise
This patient was a 68 year old diabetic with wound healing problems
had a MASSIVE pannus hanging from her abdomen. This mass included
a 10 liter tumor along the lowest most portion. She is obese
but the abdominal wall extra tissue made it almost impossible to
move
well. Her weight before surgery was 240 pounds.
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Picture Before and 2 Months after Compromise Pannus Reduction Surgery for Abdominal Panniculus
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The patch on the left picture is on a wound that had difficulty healing months after a General Surgeon's endoscopic surgery approach for a hernia repair. This patient's pannus was so massive she could not walk. Her skin would tear from the stress of the gigantic hanging flesh.
| Safety of the patient must be part of this surgery plan. She had an abdominoplasty panniculectomy operation where an approximately 70 pounds of mass and fluid were removed. This is a different type of tummy tuck - a compromise situation. The incisions are located to maximize tissue survival instead of camouflaging them just above the groin. This particular geometry resulted in a "T" shaped scar, other configurations may be required for other problems. The grossly distorted umbilicus (belly button) was intentionally not included in this reconstruction. Panniculectomy surgery of such magnitude can be risky. Tissue is a long away from its blood supply in such patients. Diabetics have a greater risk of wound healing problems |
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Photographs before and 2 Months after Compromise Pannus Reduction Surgery The 11 Liter tumor and pannus of 70 pounds were reasons for performing this compromise panniculectomy surgery in a higher risk patient. |
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Pictures before and 2 Months after Compromise Panniculectomy Surgery Sculpting adjacent areas was just too much risk for this patient, thus the major compromise to maximize safety. |
After surgery she did well, walking became much easier without the extra mass. Hygiene became less of a problem. Conservative surgery is much safer in a diabetic patient with wound healing problems. When possible, weight loss is a better coarse sculpting tool reserving tummy tuck Abdominoplasty for refinement. Learn more about plastic surgery after weight loss. In healthier patients, we can often perform more extensive surgery and achieve a slimmer result. Learn more about more typical abdominoplasty sculpture of the stomach and Dr. Bermant's Tumescent Tummy Tuck Abdominoplasty. |
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Tummy Tuck Abdominoplasty |
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Move mouse over image to see before / after images
Click on picture to go to that page.
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