A Panniculectomy is an extended type of Abdominoplasty that removes the panniculus or skirt that hangs on the lower abdomen. The Skin has been stretched from carrying excess weight. It can be a result of obesity or the result of loose tissue after pregnancy or massive weight loss and can resemble an “apron” which hangs from the abdomen. There may be skin conditions associated with this hanging tissue, such as skin break down and irritation in some patients. this tissue can be removed aiding in the physical movement of the patient post operatively and restoring the skin to a healthier state. Liposuction may or may not be used in conjunction with skin removal for a better cosmetic result.