This procedure involves surgical removal of excessive adipose tissue or skin that hangs down from a person’s genitalia or thighs. This material is normally referred as pannus as it is composed of a dense layer of fatty tissues, contains subcutaneous fat, and normally results from obesity. At some level, the panniculous becomes large to extreme situations of reaching the knees making people to experience difficulties when maintaining personal hygiene around their genitalia. Other times, it causes difficulties in performance of physical activities like walking justifying its surgical removal. However, it is important to realize the difference of panniculectomy and abdominoplasty because although they may have similarities, the former only removes apron of the skin without undermining tissues of lightening old muscles

The involved surgical technique is that surgeons make two incisions just above the pubic area across the hip bone. Then the excess and hanging fat tissue may be removed surgically; and the remaining tissues are smoothed into pleasing contours.

Ideal candidates are the ones in good health, have excessively hanging fat below their belt line, and their weight has remained stable for their past six months.

During surgery, risks of reaction to general anesthesia, infections, and blood clotting are probable. After surgery, scaring is expected and healing time takes several months.