Apronectomy (Panniculectomy)

Get rid of the belly apron after Massive Weight Loss with Panniculectomy. 

If you’re keen on having a flatter and firmer stomach but find yourself struggling with extra skin hanging down, then apronectomy surgery could be right for you. This particular operation focuses only on the lower part of your stomach, giving you a good chance to enhance how you look.

An apronectomy is not the same thing as a tummy tuck or abdominoplasty. They’re different procedures altogether, and apronectomy specifically deals with removing excess skin and fat from the lower belly area.

RELATED: How to Get Rid of Apron Belly

Centre for Surgery is a top-rated plastic surgery clinic based in London. Our team specialises in shaping the body after significant weight loss, and we are experts in surgeries like apronectomy.

RELATED: Apronectomy To Remove Loose Tummy Skin

After significant weight loss, many people have a “belly apron”—excess skin hanging down from the lower abdomen. This is often frustrating because even with a disciplined diet and consistent exercise, that overhang doesn’t seem to go away. This issue usually calls for a more specialised approach than exercise or dieting alone can provide.

RELATED: How To Get Rid Of Stomach Overhang & Belly Fat

An apronectomy, also known as a panniculectomy, is a surgical procedure designed to address this specific problem. It focuses solely on removing the excess skin and fat from the lower abdomen, rather than reshaping the entire abdominal area like a full abdominoplasty (commonly known as a tummy tuck) would. The ultimate goal of an apronectomy is to give you a smoother, flatter, and more defined lower belly by surgically eliminating that bothersome overhang.

Reasons People Choose Apronectomy

Individuals often opt for an apronectomy when they have an abdominal apron that refuses to respond to traditional weight-loss methods. This apron of skin can cause not only cosmetic concerns but also physical discomfort and issues like skin irritation. Therefore, undergoing an apronectomy can offer both aesthetic and functional benefits.

Important Information About Apronectomy

Duration of the Surgery

Typically, an apronectomy takes between 1.5 to 2 hours to complete.

Type of Anaesthesia

The procedure is usually carried out under general anaesthesia, meaning you’ll be unconscious throughout the surgery.

Scarring

Expect a horizontal ellipse-shaped scar on the lower abdomen. The visibility of this scar can vary depending on various factors like your skin type and how well you heal.

Longevity of Results

The outcomes are generally considered to be permanent, especially if you can maintain a stable and healthy weight post-surgery. However, significant weight fluctuations can affect the appearance and longevity of the results.

Improved Appearance

One of the key benefits of undergoing an apronectomy is that it significantly enhances the appearance of your stomach area. The surgical procedure effectively removes the sagging “apron” of surplus skin and fat that dangles over the pubic region. As a result, your tummy area becomes much smoother, providing a more pleasing look.

Better Freedom of Movement

When the hanging layer of extra skin is taken away, you’ll find that your ability to move around improves considerably. The apronectomy allows for greater comfort during physical activities, making it easier for you to be mobile without any discomfort.

Enhanced Personal Hygiene

The presence of a skin fold or “apron” can often result in hygiene concerns such as skin irritations and potential infections. By removing this excess skin, the apronectomy helps to promote improved personal hygiene, reducing the likelihood of skin issues that could arise from the skin fold.

Relief from Lower Back Pain

In some cases, the extra weight from the skin ‘apron’ can cause discomfort or even pain in the lower back region. By surgically removing this excess weight, some people experience a noticeable reduction in back pain, making their daily life more comfortable.

Encouragement for an Active Lifestyle

After the removal of the excess skin, many patients find it considerably easier to engage in physical activities and exercise regimes. This renewed ease of movement can be highly motivating, encouraging individuals to lead a more active lifestyle, which in turn can assist them in maintaining a healthy weight.

If you’re considering an apronectomy, there are specific criteria you’ll need to meet to be a suitable candidate for the procedure. The operation should offer long-term clinical benefits, and it’s up to your surgeon to determine if it’s the right fit for you. Here are some key considerations:

BMI

Your Body Mass Index (BMI) should ideally be equal to or less than 30 to qualify for this surgery.

Recent Weight Loss

You should have recently undergone significant weight loss that has left you with excess, hanging skin in the lower abdominal area.

Stable Weight

It’s recommended that you maintain a stable weight for at least 12 months before the procedure. This is important for achieving more permanent results post-surgery.

Over 18

Patients must be over the age of 18 to qualify for the surgery. While most candidates are older, it’s not uncommon for younger adults to undergo an apronectomy as well.

Non-Smoker

Patients are advised to quit smoking well before the procedure. Smoking increases the risk of complications both during and after the surgery. Ideally, you should quit smoking 4 to 6 weeks before the surgery and remain smoke-free for at least four weeks afterwards. Doing so can reduce wound complication rates by up to 50% and also give your lungs a break, improving your overall health.

Purpose

The procedure should offer a long-term clinical benefit. This could be relief from symptoms like irritation, inflammation, or tissue swelling associated with the overhanging abdominal apron. Additionally, it could also be for cosmetic purposes to improve the aesthetic appearance of the lower abdomen.

Overall Health

Apart from these specific criteria, you should be in good overall health, without any medical conditions that could complicate surgery or recovery.

RELATED: Panniculectomy vs. Tummy Tuck

The journey to full recovery after an apronectomy involves several stages and varies from individual to individual. However, the recuperation time is generally quicker compared to a more extensive surgery like a tummy tuck. Below is a more in-depth look into what you can expect during your recovery period.

Immediate Post-Surgery Period

Initial Rest

Right after the surgery, your surgeon will provide specific instructions on how to manage the surgical wound. You’ll be encouraged to take it easy and avoid strenuous activities.

Follow-Up Appointments

Although you’ll be discharged and sent home, it’s essential to make follow-up visits to the clinic to have the wound and dressings assessed.

First Week Guidelines

During the first week, plan to stay at home. Your medical team will recommend light activities like showering and going for gentle walks around the house.

Activity Limitations:

Avoid Heavy Lifting

In the initial weeks, it’s crucial to steer clear of demanding physical tasks and heavy lifting. These could put undue pressure on your healing abdominal muscles.

Abdominal Binder

To aid in the recovery process, you will be provided with an abdominal binder—a special medical garment designed to support the abdominal region and encourage natural healing.

Second Week and Beyond

Venturing Outdoors

By the second week, you may start to feel well enough for short walks outside. This gradual increase in activity helps with circulation and overall well-being.

Time off Work

Your doctor will likely recommend taking some time off from work to ensure your body has adequate time to heal without stress or strain.

Physical Exercise

If you enjoy working out, your doctor will advise you on when it’s safe to return to your fitness routine. The key is not to rush this process, as you don’t want to jeopardize the healing.

General Health

Stay Hydrated

Proper hydration is essential for optimal healing. Make sure to drink plenty of water throughout the day. Well-hydrated cells function better, which in turn, can speed up your recovery.

Regular Check-Ups

Schedule and attend regular medical examinations to monitor your healing progress. These check-ups allow your surgeon to make timely adjustments to your care plan if necessary.

Adjustments to Treatment

If there’s a change in the rate or manner of healing, your surgeon can tailor your treatment accordingly to ensure that you’re on the right path to recovery.

Undergoing an apronectomy, like any surgical procedure, involves certain risks and possible complications. It is crucial to be thoroughly informed to help mitigate these risks. Here, we explore the potential issues that may arise during and after the procedure.

Risks Associated with Anaesthesia

Anaesthesia, though generally safe, can occasionally cause complications. Some patients might experience allergic reactions to the anaesthetic agents used, although this is quite rare. Respiratory difficulties are another concern, particularly in individuals with pre-existing respiratory conditions.

Surgical Risks

One of the inherent risks of any surgery is the possibility of infection at the site of the operation, despite the use of sterile techniques. There is also a risk of excessive bleeding during or after the procedure, which might necessitate further interventions.

Post-Surgical Risks

After surgery, there are several risks that patients need to be aware of:

• Nerve Damage: There is a potential for nerve damage, which can lead to a loss of sensation or movement in areas around the surgical site.
• Fluid Build-Up: Known as seroma, this complication may require draining if it occurs.
• Scarring: Some degree of scarring is inevitable, but there is a risk of developing hypertrophic or keloid scars, which are more prominent and raised.
• Temporary Numbness: The area affected by the surgery may experience temporary loss of sensitivity.
• Prolonged Swelling: Swelling, or oedema, can persist longer than anticipated and may require specific management techniques.

Discussing Risks with Your Surgeon

Have a detailed discussion with your surgeon about all possible risks and complications before proceeding with the surgery. A comprehensive consultation helps balance the benefits against the potential drawbacks, enabling you to make a well-informed decision.

Reducing Surgical Risks

• Follow Pre-Surgery Recommendations: Adhering to the guidelines provided by your surgeon can significantly lower surgical risks.
• Quit Smoking: Smoking can impair lung function, interfere with wound healing, and heighten the risk of surgical infections.
• Diet and Lifestyle: A balanced diet and healthy lifestyle enhance your immune system, aiding in recovery and reducing complications.
• Full Disclosure: Being completely transparent about your medical history and any medications you are taking is crucial. This information allows your medical team to anticipate and prepare for any possible complications.

RELATED: What Are the Signs of a Bad Tummy Tuck Procedure?

At Centre for Surgery, we pride ourselves on offering world-class care and an exceptional surgical experience, from consultation to post-operative care. Here’s why you should entrust us with your apronectomy journey.

Expert Surgeons

Our team consists of highly skilled and experienced surgeons who specialise in various aspects of plastic surgery, including apronectomy. We remain committed to staying at the forefront of advancements in the field to provide you with the safest and most effective treatment options.

Comprehensive Consultation

We believe that the best outcomes start with a thorough consultation. You’ll sit down with one of our expert surgeons to discuss your goals, medical history, and any concerns you might have. This ensures a tailored treatment plan designed just for you.

State-of-the-Art Facilities

Our clinic is equipped with cutting-edge technology and follows the highest standards of hygiene and safety. When you choose Centre for Surgery, you’re choosing a facility that prioritises your well-being.

Exceptional Aftercare

We understand that the surgical journey doesn’t end when you leave the operating room. Our comprehensive aftercare program ensures you have all the resources and support needed for a smooth and speedy recovery.

Real Patient Testimonials

Don’t just take our word for it—listen to what our satisfied patients have to say.

“My experience at Centre for Surgery was fantastic from start to finish. The staff were incredibly friendly, and the aftercare was excellent. I felt supported throughout my recovery.”
– Jane, 45

“I had my apronectomy at Centre for Surgery, and the results exceeded my expectations! Not only has my quality of life improved, but the staff also made sure that I was comfortable throughout the entire process.”
– Mark, 52

Easy Financing Options

Worried about cost? We offer various financing options to make the procedure more accessible to you.

Informative Blog

Looking to gain more insight into apronectomy or other plastic surgery procedures? Our comprehensive plastic surgery blog is a valuable resource that can answer many of your questions and concerns.

Ready to take the next step towards a more confident you? To book a consultation, contact us via:

• Phone: 0207 993 4849
• Email: contact@centreforsurgery.com
• Address: 95-97 Baker Street, London W1U 6RN

Centre for Surgery is not just a clinic; it’s a community where every patient is a priority. Choose us for your apronectomy, and you’re choosing quality, care, and unparalleled expertise.

Further Reading and Medical References about Apronectomy

• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6140063/
• https://www.ncbi.nlm.nih.gov/books/NBK431058/