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OR Snapshots – Abdominal Panniculectomy

 

The surgical procedure ‘abdominal panniculectomy’ is the bigger cousin to the more common tummy tuck or abdominoplasty procedure. What differentiates it is the size of the abdomen and the amount of tissue removed which is often substantially larger than the typical cosmetic abdominoplasty.

The abdominal panniculectomy procedure is a removal of excess waistline tissue. While often call an abdominal pannus, this is really an inaccurate term. The proper term is a panniculus. Medically, a pannus is an abnormal later of fibrovascular or granulation tissue and is commonly referenced to eye conditions of the cornea. A panniculus describes a collection of excess subcutaneous fat in the lower abdomen that hangs over the waistline like an apron. It almost always occur from pregnancy or a lot of weight loss.

abdominal-panniculectomy-dr-barry-eppley-indianapolisCutting off this apron of abdominal tissue often produces large segments of tissue as specimens. They often can be impressive and far exceed what is removed in a more ‘simple’ tummy tuck. While an abdominal panniculectomy creates tremendous improvement in a patient’s medical symptoms (skin infections, comfort, fitting of clothes), the waistline reduction result is never quite as good as many less extensive tummy tucks. But then the original abdominal problem is also much bigger.

Dr. Barry Eppley

Indianapolis, Indiana


Dr. Barry EppleyDr. Barry Eppley

Dr. Barry Eppley is an extensively trained plastic and cosmetic surgeon with more than 20 years of surgical experience. He is both a licensed physician and dentist as well as double board-certified in both Plastic and Reconstructive Surgery and Oral and Maxillofacial Surgery. This training allows him to perform the most complex surgical procedures from cosmetic changes to the face and body to craniofacial surgery. Dr. Eppley has made extensive contributions to plastic surgery starting with the development of several advanced surgical techniques. He is a revered author, lecturer and educator in the field of plastic and cosmetic surgery.

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