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Lower Body

What is a Panniculectomy?

A panniculectomy refers to the removal of the “pannus” or layer of stretched excess fatty tissue from the abdominal area to create a smoother more refined abdomen.


Panniculectomy vs. Tummy Tuck

Both procedures will remove unwanted excess skin and fat but what sets these two procedures apart is during a panniculectomy the abdominal muscles are typically not tightened.


Factor such as aging, heredity, pregnancy, bariatric surgery, large amount of weight loss/fluctuations are all contributing factors that can cause us to develop loose, sagging skin.


Panniculectomy is never a substitute for weight loss and for ideal results patients are always recommended to be close to their ideal weight and must have maintained their new weight for at least one year.


Patients planning on continued weight loss or pregnancies would be advised to wait, as they can negatively alter your surgical outcome.  Stretch marks are only removed in the areas of excess skin being removed.  All other areas will remain and require non-surgical treatments to diminish appearance.   


Coverage from the Ontario Ministry of Health

Patients with an apron of tissue can cause many personal problems, such as infections, rashes, interfere with hygiene, mobility, and mental health.  Panniculectomies can provide patients with improved health and for some individuals it may be covered by OHIP.  At your consultation we are happy to discuss if you maybe a candidate and submit an approval request on your behalf.  Response from the ministry can take up to 3 months. 


An aesthetic procedure like a panniculectomy is a personalized and tailored to your needs.  In order for us to assist you in achieving your ideal results, patients need to be doing it for themselves and have realistic expectations. 


Are you considering a panniculectomy?  Unsure if you are a candidate? Here are a few qualities Dr. McRae looks for in his patients…

Physically healthy and maintaining a stable weight for over one year

At least one year post bariatric surgery

Realistic expectations


Not satisfied with your abdominal appearance

The information on this page is referenced from American Society of Plastic Surgery.

Nein, Alexander . “Panniculectomy.” American Society of Plastic Surgeons, American Society of Plastic Surgeons, 2018,

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