American Society of Plastic Surgeons
For Medical Professionals
4 years ago


I lost 150 lbs, gained back 80 being pregnant back to back. I had bad excess skin before my pregnancies but it’s even worse now. I’d say there is a good 35 lbs which just hangs over. I had an emergency csection in June due to an epidural being placed to high in my spine causing me to become unresponsive. Now my wound doesn’t heal correctly, has an odor even though it isn’t open. I’m miserable.Help

Procedure: Panniculectomy
Location: Valencia, CA

Replies 5

Aaron Stone
ASPS Surgeon

If the excess skin is a cause of the problem -preventing complete healing and producing a bad odor- it is possible that at least part of your surgical costs will be covered by your health insurance. You will need to submit a pre-authorization first. It's very important to know if the weight loss was due to surgery as the pre-operative blood tests and preparation for surgery are more extensive in these types of patients.

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Edward Domanskis

It sounds like you are an excellent candidate for either a panniculectomy or a tummy tuck which I would normally recommend. I am President of the American Society of Bariatric Plastic Surgeons and face and body contouring after weight loss is my specialty.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery

Newport Beach, San Francisco,Miami, EU, Anguilla

Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine)

Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors

Plastic Surgery- 2005-2018

President,American Society of Bariatric Plastic Surgeons

Organoderm Skin care/ScaRxTape

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Halil Ege Ozgentas
ASPS Int. Surgeon

Dear dylanrussell1954,

It is not clear what kind of healing problem you have. One probability is fat necrosis and the other is wound infection. For differentiate these physical examination and laboratory tests are required. Probably your primary doctor has established the diagnosis and began the proper treatment. Fat necrosis takes more time to heal than infection. Both conditions may need excise of death tissues (debridement) sometimes multiple times. So you must be patient and ask more information from your surgeon.

Nelson Castillo

Thank you for sharing your question and I am sorry to hear of your issues. Unfortunately without a series of photographs or in-person examination it is difficult to offer advice. With most patients that have lost 100+ pounds, the amount of skin excess can become significant with skin breakdown, yeast infections, and other skin related issues developing. I would seek out the assistance of a plastic surgeon to help diagnose the issue and offer you the best advice.

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Paul Parker
ASPS Surgeon
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With your weight loss issues and skin laxity you would appear to be a good candidate for a panniculectomy (removal of the hanging skin only) or a tummy tuck. Best advice is to obtain a consultation from a board certified plastic surgeon to be examined and evaluate your options.


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