Congratulations on your weight loss success. After losing significant weight, you may be left with a large amount of excess abdominal skin (pannus) that extends inferiorly below your belly button. As a direct result of this hanging skin, you may have issues under this fold of skin including rashes, infection, and ulceration. Hanging skin can cause hygiene issues and affect your daily activities of living. A large hanging pannus can also prevent you from losing additional weight by impeding your ability to exercise.

A panniculectomy is a medically necessary procedure that removes this hanging apron of skin up to the level of the belly button. If you qualify for a panniculectomy, but you desire a more aesthetic outcome, we will combine your panniculectomy with the cosmetic components of a tummy tuck (abdominoplasty). In additional to removing the hanging skin, your abdominal wall muscles will be tightened and your belly button will be preserved and transposed to a new position. For these procedures, insurance will cover the medically necessary portions of the procedure and you will be responsible for the cosmetic portion. You will ultimately be responsible for the cost of your procedure.

Before and After Photos

Quick Facts


3-5 hours




Inpatient with 1 overnight stay

Side effects

Temporary swelling, bruising, tightness and some pain


Pain, bleeding, infection, rare damage to nerves, asymmetry, incomplete improvement, recurrent laxity


1-2 weeks back at work. 2 weeks light exercise. 3 weeks more strenuous activity. 8-12 weeks for swelling to resolve.

If you would like to learn more about the panniculectomy procedure, click here or call (301) 468-5991 in Rockville, Maryland or (703) 957-8610 in Fairfax, Virginia to schedule a consultation.