A panniculectomy is simply a very large tummy tuck or abdominoplasty. The main goal of a panniculectomy is to remove the large abdominal pannus from the patient usually after massive weight loss. I see these patients in my practice often after some form of gastric bypass surgery (lap band, Roux-en -Y, Fobi procedure, VBG). One difference from the customary abdominoplasty is that the rectus sheath is not always plicated at the same setting. Enormous panniculectomies may require sacrifice of the umbicus due to a very long stalk. Liposuction of the hips is often performed concurrently. Several drainage tubes are placed for at least 7 days to remove fluid under the abdominal flap.
Robert C Silich, DO
Specialty: Plastic/reconstructive Surgery
Location and Office HoursRobert Silich MD FACS
New York, NY 10028
- Jamaica Hospital Medical Center
- Lenox Hill Hospital
- Manhattan Eye Ear & Throat Hospital
- New York Presbyterian, Weill Cornell Campus
What is a panniculectomy ?
Stuart Linder, MD, Plastic & Reconstructive Surgery, answered
Can I have a breast implant if one breast is bigger than the other?
HealthyWomen answeredGenerally, slight differences in a woman's breasts are of no concern. If the differences are greater than one bra cup size, however, they may cause some psychological distress, particularly during adolescence, when a young woman's body and psyche are already changing so rapidly.
In the rare instance that the asymmetry causes such distress that your doctor recommends surgery, talk to the surgeon about breast reduction, rather than implants. Studies find that women with asymmetry who undergo reduction are generally more satisfied than those who have implants.
What are the possible complications of lipotherme?
Honor Society of Nursing (STTI) answered
Lipotherme is not considered a high-risk procedure, but it does carry a risk of complications. Possible complications could come from a bad reaction to anesthesia, which can range from discomfort (rash, nausea) to life-threatening (coma, heart failure, respiratory failure, death). Lipotherme uses a local anesthetic, which carries a smaller risk then general anesthetic. Other complications such as infection, temporary or permanent numbness, scarring, uneven skin contours, and extensive bleeding that might require a trip to the hospital are also possible. The best way to avoid complications is to be open with your surgeon about your medical drug history and to ensure that your surgeon is highly qualified. Discuss your risk of complications with your surgeon before surgery.
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