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Panniculectomy in obese patient

Procedure Details



This forty year-old woman had had a lot of weight gain and loss after in vitro fertility treatments which had left her with a thick, overhanging pannus. This is something that she would never be able to lose with diet or exercise. Nobody can. But she loved to exercise and even with compressive exercise outfits the weight of her excess abdominal wall skin and fat  made it impossible for her to work out without discomfort. On the right she is three months postoperative from a panniculectomy with transposition of the umbilicus. Her deep abdominal wall was not plicated, as this was not her issue. She just needed that excess skin and fat gone. Her umbilicus is her original umbilicus brought out through a new incision, and the horizontal panniculectomy scar is kept nice and low, covered by her underwear. Dr. Trott always preserves the umbilicus during a panniculectomy. This patient's situation is different than a traditional abdominoplasty. She was concerned that we would not be able to help her because of her weight but the procedure was performed safely and efficiently as an outpatient procedure in the hospital at Cedars Sinai Medical Center due to her BMI. If you have a similar situation, there IS a solution.


Cedars-Sinai Medical Center

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