Abraham Pathak MD Plastic Surgery
Purchase, NY
(914) 500-9594
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Panniculectomy

Westchester County, New York

Introduction

Introduction to Panniculectomy

After losing significant weight, whether through lifestyle changes or bariatric surgery, many patients face an unexpected challenge: the heavy, overhanging skin that remains on the lower abdomen. This loose fold, known as a pannus or “apron” of skin, can cause persistent discomfort, difficulty with movement, and irritation that affects everyday life. Even if the number on the scale has changed, the lingering excess skin can make you feel as though your transformation isn’t truly complete.

A Panniculectomy performed by Dr. Pathak can help remove this excess tissue, restore comfort, and improve body function. At his practice in Purchase, Dr. Pathak provides individualized care to patients across Purchase, Westchester County, Greenwich, New York, and the greater Tri-State area, helping them achieve both physical relief and renewed self-confidence after major weight loss.

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What is a Panniculectomy?

A Panniculectomy is a surgical procedure that focuses on removing the hanging skin and fatty tissue (the pannus) from the lower abdomen. This excess tissue often develops after dramatic weight loss, pregnancy, or as a result of aging, and it can hang below the beltline, sometimes extending to the thighs. Unlike a tummy tuck, a panniculectomy does not involve tightening the abdominal muscles or repositioning the navel. Rather, its primary goal is functional improvement and physical comfort, rather than aesthetic enhancement.

During the surgery, Dr. Pathak carefully excises the redundant skin and fat, reshaping the lower abdominal contour and creating a smoother, flatter appearance. The result is an abdomen that feels lighter, more comfortable, and more proportionate to the rest of the body. For patients who struggle with hygiene issues, skin rashes, or chronic irritation due to overlapping skin, a panniculectomy can provide profound relief.

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Who Are the Best Candidates for a Panniculectomy?

The best candidates in Westchester County, NY, and Greenwich, CT, for a panniculectomy are those who have lost a large amount of weight and are left with an overhanging apron of skin around the abdomen that does not respond to diet or exercise. Ideal patients should be in good overall health, maintain a stable weight for at least six months, and be non-smokers or willing to quit before surgery.

This procedure is often appropriate for those who experience:

  • Skin irritation, infections, or sores beneath the abdominal fold
  • Back or posture issues caused by the weight of the pannus
  • Difficulty with physical activity or clothing due to excess skin
  • Emotional discomfort or self-consciousness about body appearance

Dr. Pathak evaluates each patient individually to determine whether a panniculectomy alone or in combination with a tummy tuck or body lift will deliver the best outcome. He focuses on creating a surgical plan that prioritizes both safety and long-term satisfaction.

What Are the Benefits of a Panniculectomy?

The benefits of a panniculectomy extend well beyond cosmetic improvement — for many, it’s a medically necessary procedure that dramatically improves quality of life. Patients often experience immediate relief from chronic skin irritation, rashes, and infections caused by trapped moisture and friction. The removal of excess skin also makes movement easier, improves posture, and allows clothing to fit more comfortably.

In addition to these physical improvements, the emotional benefits are just as significant. Many patients feel more confident and free in their bodies after surgery, especially after years of frustration or discomfort. A panniculectomy can also serve as an important milestone in a patient’s weight-loss journey, symbolizing closure and allowing them to enjoy the results of their hard work.

What’s the First Step?

Those in New York and the Tri-State area interested in undergoing a panniculectomy should start with a personal consultation at Dr. Pathak’s Purchase office. Dr. Pathak will take a detailed medical history, review any prior surgeries or health concerns, and perform a thorough physical examination to assess the extent of excess skin and tissue.

You’ll have a chance to discuss your goals, ask questions about recovery, and review before-and-after photos of past patients. Dr. Pathak will explain the differences between a panniculectomy and other abdominal contouring options, helping you understand which procedure best suits your needs. If you qualify, you’ll receive a surgical plan that includes preoperative preparation, expected downtime, and realistic results.

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What to Expect on the Day of a Panniculectomy Surgery

A panniculectomy is performed under general anesthesia and can take 3 to 5 hours, depending on the extent of tissue removal required. Once anesthesia is administered, Dr. Pathak makes a horizontal incision across the lower abdomen, positioned just above the pubic area and extending toward the hips. Through this incision, he removes the pannus and any excess fat, reshaping the lower abdomen for a smoother contour.

If necessary, liposuction may be used to refine the area and improve overall balance. Once the tissues are re-draped, the incision is closed in layers with absorbable sutures to promote optimal healing and minimize scarring. Surgical drains are sometimes placed temporarily to prevent fluid buildup, and a compression garment is applied to support the healing process.

Patients are monitored in recovery before being discharged home the same day or kept overnight for observation, depending on the extent of the procedure.

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Panniculectomy Recovery

Your Guide to Post-Panniculectomy Care

Recovery from a panniculectomy varies by individual but typically takes 2 to 4 weeks before resuming normal activities, with full healing taking several months. During the first week, patients can expect swelling, bruising, and a feeling of tightness or numbness in the treated area. Pain and discomfort are managed with prescribed medications and the use of compression garments to minimize swelling and support tissue healing.

Most patients can begin light walking soon after surgery to promote circulation and reduce the risk of blood clots. Strenuous exercise, heavy lifting, and bending should be avoided for six to eight weeks or until cleared by Dr. Pathak.

Final results become most visible around three to six months post-surgery, when the abdomen appears flatter and more refined.

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How Much Does a Panniculectomy Cost in New York and the Tri-State Area?

The cost of a Panniculectomy in Purchase, Westchester County, Greenwich, New York, and the greater Tri-State area depends on several factors, including the extent of excess skin removal, the need for additional contouring, anesthesia fees, and facility costs. The final amount will be confirmed after a detailed consultation.

If the panniculectomy is performed primarily for medical reasons, such as chronic skin irritation, rashes, or hygiene problems, insurance coverage may be available. However, patients should verify coverage requirements with their insurance provider, as medical documentation or photographs may be necessary for pre-approval. For those paying out of pocket, Dr. Pathak’s office offers flexible payment and financing options to make treatment accessible and manageable.

Why Choose Us?

At Abraham Pathak, MD, patients benefit from the expertise of a double board-certified surgeon, who is affiliated with the American Board of Surgery (ABS) and the American Board of Plastic Surgery (ABPS), combining technical precision with a compassionate, patient-centered approach. Dr. Pathak understands that excess skin after weight loss isn’t just a cosmetic issue; it can profoundly impact mobility, confidence, and quality of life, so he tailors each panniculectomy procedure to the patient’s body type and medical needs, ensuring results that look natural and feel comfortable.

His practice serves patients throughout Westchester County and Greenwich, CT, offering advanced surgical technology and a calm, supportive environment. From your first consultation through post-surgical recovery, Dr. Pathak and his experienced staff provide guidance, education, and attentive care to ensure the safest and most rewarding experience possible.

Panniculectomy FAQ’S

  • “Dr. Pathak’s Practice is more than just a standard plastic surgery center. I was referred by my dermatologist and I am glad I was. Clean facility friendly staff. Highly recommend”

    – Mark Orlando

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