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Abdominoplasty for pannus reduction and redundant tissue

Abdominoplasty after Massive Weight Loss ("Tummy Tuck", Abdominodermatolipectomy, Abdominal Sculpture for massive hanging loose skin)

Explore abdominoplasty - surgical sculpture of the abdomen for redundant flesh after losing weight. Learn what plastic and cosmetic surgery has to offer you by Dr. Michael Bermant, MD.

Michael Bermant, MD
Board Certified by the American Board of Plastic Surgery

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Abdominoplasty

38 year old female after massive weight loss wanted to reduce her pannus and loose skin. She weighed 245 pounds and lost 105 pounds with dieting and exercise.

Height 5' 8" Weight 140 pounds

Location Surgery: Hospital Operating Room

Anesthesia: General

Stay: Ambulatory Surgery Package (up to 23 hours)

Abdominal Sculpture included:

  • Tightening of the rectus muscles of the abdomen from the chest to the pubic region
  • Abdominoplasty - Extended Incision Technique
  • Removal of very large section of loose skin
  • Recreation of belly button through transposed skin
hanging apron of redundant tissue before abdominoplasty tummy tuck
after contouring body with abdominoplasty or tummy tuck pannus reduction

Left Picture: Before Tummy Tuck Surgery

Right Picture: 5 Months After Tummy Tuck Abdominoplasty

Weight loss can be wonderful, but the skin does not always shrink. Loose redundant tissues like this about the abdomen can be uncomfortable, make it difficult to keep clean, and a problem to find clothing. Rashes may develop under the apron of flesh. This patient lost over 100 pounds and had a stable weight of 140 pounds for the past 3 years.

folds of hanging skin after massive weight loss before pannus reduction abdominoplasty

Excess skin issues in massive weight loss patients can extend around the entire body. This is a three dimensional problem. Extra tissue can hang about the abdomen, back, thighs, and other parts of the body.

This 38 year old female patient decided to have an abdominoplasty surgery with a tightening of her rectus abdominal wall muscles. The body contouring operation was done with our 23 hour ambulatory package and she was home the day after surgery. Her limited hospitalization permitted progressive activities with nursing assistance until she and her family felt more comfortable on her own.

See how this surgery tightened the loose folds of tissues and sculptured her front nicely. Another option would have been to tighten the skin around the entire body in one stage - a body lift. This is much more extensive surgery, has greater risks, and requires extended hospitalization. A third option would be to tighten the redundant skin in the back at a second stage. A thigh lift would manage the extra tissue inside her legs.

redundant tissue and flesh after massive weight loss and before tummy tuck abdominoplasty Abdomen after tummy tuck pannus reduction in Richmond Virginia

Left Picture: Before Pannus Reduction Abdominoplasty Tummy Tuck

Right Picture: 5 months after Pannus Reduction Abdominoplasty Tummy Tuck

Apron of skin after weight loss before body contouring with abdominoplasty after tummy tuck of abdomen for pannus reduction

Left Picture: Before Pannus Reduction Abdominoplasty Tummy Tuck

Right Picture: 5 months after Pannus Reduction Abdominoplasty Tummy Tuck

When a patient compromises with less extensive surgery, a transition zone exists between the operated area and untreated regions. See more images of this patient's results.

View Movie of this Tummy Tuck Abdominoplasty, click on link below.

Pick the link to the video / media supported by your computer, Flash VideoFlash Video, QuickTime Movie and Audio Clip (mov) for Plastic Surgery Quicktime, or Windows Media Video (WMV) and Audio Clip for Plastic Surgery Windows Media Player. If the movies do not work, check that you have the latest version of the video playing sofware on your computer. Each group of movies is the same. They differ in what media system in which they play.

Once the movie is loaded, scroll back and forth to best see the three dimensional nature of the problem and tumescent tummy tuck solution. You may need to download the file and then open it in your movie player that will handle MPEG-4 files.

photos before pannus reduction abdominoplasty after massive weight loss photos after pannus reduction abdominoplasty after massive weight loss photographs before pannus reduction abdominoplasty after massive weight loss photographs after pannus reduction abdominoplasty after massive weight loss
Tummy Tuck After Massive Weight Loss movies and videos before and after pannus reduction tummy tuck abdominoplasty Pannus Reduction Tummy Tuck After Losing Weight
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Move mouse over image to see before / after images

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This page last updated on: March 16, 2013

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