As lipedema progresses, it can lead to an accumulation of dense, heavy fat in the lower abdomen. For many patients, this creates an overhanging flap of tissue—called a pannus—that interferes with movement, skin health, hygiene, and quality of life. When this tissue becomes inflamed, painful, or prone to infection, conservative care may no longer be enough.
At Lipedema MD in West Long Branch, New Jersey, board-certified plastic surgeon Dr. Boris Volshteyn and double board-certified plastic surgeon Dr. Rudolf Thompson offer panniculectomy procedures designed specifically for patients with abdominal lipedema.
What Is a Lipedema Panniculectomy?
A panniculectomy is a functional surgery that removes the hanging fold of skin and fat from the lower abdomen, typically extending below the beltline. Unlike a tummy tuck, which tightens abdominal muscles and reshapes the waistline, a panniculectomy focuses solely on removing excess tissue that causes mechanical and medical problems.
For lipedema patients, the pannus may contain inflamed fat, lymphatic fluid, or fibrotic nodules. This can lead to:
- Chronic skin irritation or infections (intertrigo)
- Difficulty with walking, sitting, or exercising
- Pain in the lower back or groin
- Trouble with hygiene and moisture control
- Emotional and social distress
A panniculectomy can be performed on its own or as part of a staged lipedema surgery plan. In some cases, it is combined with liposuction to remove diseased fat before skin removal.
How the Procedure Works
The surgical plan is customized based on the size, composition, and impact of the pannus. The procedure typically involves:
- A horizontal incision along the lower abdomen
- Removal of the overhanging skin and subcutaneous fat
- Careful preservation of healthy lymphatic structures
- Layered closure to support healing and minimize scarring
This procedure is not cosmetic in nature—it is designed to relieve discomfort and restore function. For patients who also desire body contouring or muscle repair, a lipedema tummy tuck may be considered separately.
When Is Panniculectomy Recommended?
Lipedema panniculectomy may be appropriate for patients who:
- Have a large abdominal overhang that impairs mobility or causes skin breakdown
- Experience chronic rashes, moisture issues, or recurring infections
- Struggle with hygiene due to the size or shape of the abdomen
- Have already undergone liposuction and now have loose, sagging skin
- Are unable to participate in physical activity due to the pannus
The decision to proceed with surgery is based on functional need, not appearance alone. Dr. Volshteyn and Dr. Thompson evaluate each case carefully to ensure the most appropriate timing and technique.
Postoperative Recovery and Support
Recovery from panniculectomy requires rest, support, and follow-up care. Most patients can expect:
- Initial downtime of 2–3 weeks with restricted movement
- Use of compression garments or abdominal binders
- Drainage tubes (if used) to be removed within 7–10 days
- Gradual return to activity over 6–8 weeks
Patients are guided through healing with detailed instructions, garment fittings, and access to lymphatic wellness tools. Because this is a larger surgical site, follow-up care is essential to avoid complications and support the best outcome.
Why Choose Lipedema MD for Panniculectomy Surgery?
Lipedema MD is one of the few surgical centers in the region offering panniculectomy specifically for lipedema patients. Dr. Boris Volshteyn brings decades of experience in reconstructive and lymphatic-sparing plastic surgery. His technique integrates liposuction, lymphatic mapping, and customized excision strategies that protect circulation and drainage pathways.
Dr. Rudolf Thompson is a double board-certified plastic surgeon with a strong foundation in functional and aesthetic abdominal surgery. He has treated thousands of patients with complex body contouring needs and offers a careful, patient-centered approach to pannus removal. Together, the team at Lipedema MD helps patients move more comfortably and live with greater ease.
Relief That Supports Daily Movement and Care
If you’re living with an abdominal overhang that restricts your movement or causes ongoing irritation, a lipedema panniculectomy may offer the relief you need. The expert team at Lipedema MD in West Long Branch, NJ, is here to help you regain comfort and control. Call (732) 641-3350 to learn more and schedule a consultation.
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