300 York Mills Road, Toronto, Ontario M2L 2Y5
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August
2012
26

Abdominoplasty vs. Panniculectomy


Posted in Body Contouring, Surgical Procedures, August 26th, 2012 | Posted by Dr. Kreidstein

In Ontario, patients who have abdominal skin that hangs over the groin crease and have a history of bad skin infections or other complications can ask their surgeon to apply for insurance (OHIP) coverage of a panniculectomy (removal of a skin apron). Depending on the severity of the pannus, this can be a life-saving operation, and at minimum will dramatically improve your quality of life. The operation is not intended as a cosmetic procedure, and we are careful to demonstrate at our consultations the limits of a panniculectomy and the benefits of adding an abdominoplasty (cosmetic) to the procedure. An abdominoplasty is much less expensive if a panniculectomy is already covered. On rare occasions, we have no opportunity to perform a cosmetic procedure (if the pannus is too large or infected), and we have to defer the cosmetic procedure to a second operation.

Panniculectomy is performed to manage serious complications from abdominal apron

Panniculectomy is performed to manage serious complications from abdominal apron


  • Stefania

    Hi,
    I am Type 1 diabetic. I am pregnant with my 4th child. The first 3 pregnancies were HUGE. I gained and lost 80+ pounds with the last one (despite good blood sugar control and running regularly, up to 13 km throughout my first trimester). I measured 15 weeks BIGGER – like I was carrying triplets, despite only carrying one child.
    My pannus does not hang past my pubic bone, however, post c-sections, I have had my recovery time prolonged as the incision has become infected due to the overhang of skin. I had to lift up the skin and blow dry it, in order to help the incision area to dry. I also had a couple of infections that required antibiotics. Nevertheless, after they finally healed, I haven’t had further antibiotic treatment needed.
    I am only 5 weeks pregnant. I really hope that when I deliver this last and final time that extra skin can be cut off to prevent from infection from occurring again AND because I hate that hanging flap of skin.
    I also believe due to the massive size of my pregnancies (huge babies and polyhydramnios) that I have diastasis of my abdominal muscles. I believe it is not recommended to have that abdominoplasty done at the same time as a c-section!? Is this true?
    Is there some way that I could have you operate with my OB-GYN when I deliver to at least get rid of part of the pannus ?! What do you suggest? I would really ALSO like my upper abs sewed back together too though. My husband will also be getting fixed, so we know that we are finished.
    What do you suggest? I’ll be delivering at Grand River Hospital in Waterloo, Ontario.
    Btw, do you think somehow I could get this covered? (even though the pannus doesn’t hang over my pubic bone…yet?!…maybe post 4th c-section, it will!?) I’ll be induced at the end of August, 2015.

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      Hi Stefania,
      Although the criteria for OHIP panniculectomy are rigid, we may still have a successful application if we provide good evidence of your skin infections. Please see us once you have lost your pregnancy weight, and bring a letter from your MD or photos of your skin infection. We will do our best to get you coverage.
      We do no recommend (or offer) abdominal surgery in the setting of c-section or hysterectomy.

  • jay cook

    I am very pleased with the result that Dr Kreidstein has given me after my tummy tuck. I would recommend him.

  • Zizi

    I am 27 years old. I do weigh 254 pounds and I am 5’7.5″
    My stomach has always been an issue for me. I had a c-section in 2005 And my stomach is hanging really low. I get a lot of infections underneath the flab. Rashes that are very bad and itchy and as well as a bad smell too
    I am starting to have a very bad backache from being too heavy in my stomach area People look at me and don’t believe when I say I am 250ish pounds but I believe it’s mostly to do with my stomach.
    Would I be able to coverage from ohip??

    • http://www.drkreidstein.com/ Dr. Michael Kreidstein

      You may be a candidate for OHIP coverage. We would explain your options at consultation. Please obtain a referral from your MD.

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