Lose your Post-Weight-Loss Abdominal 'Apron' 

If you recently lost a large amount of weight, you may be frustrated by a residual "apron" of skin still hanging below your belt line. To remove this excess and refine your silhouette, Dr. Peter Fisher offers panniculectomy surgery. A board-certified plastic surgeon in San Antonio, TX, Dr. Fisher has specialized in body contouring after massive weight loss since 1999. His wealth of experience and the deep passion he feels for post-bariatric body contouring has made him an authority in this increasingly important surgical subspecialty.

Why Get a Panniculectomy?

Formally known as a pannus, the abdominal apron is a large fold of excess skin and fat that often forms below the belly button after you have lost a massive amount of weight. While primarily frustrating for cosmetic reasons, this fold of tissue can also be difficult to keep clean: some patients complain of unpleasant odors, sores, rashes, and infections where the skin overlaps.

Dr. Fisher offers a panniculectomy as a solution to this problem. Where a tummy tuck tightens both skin and muscle for cosmetic reasons, this procedure is a functional one designed to specifically eliminate the pannus.

Do I Qualify for a Panniculectomy?

During a consultation at the office, Dr. Fisher will carefully review your medical history and assess your current physical status to determine if you are a good candidate for this procedure. In addition to having overall good health, patients should have maintained a stable weight for at least the last six months to ensure that their results will not be undermined by weight change.

Can I Afford Surgery?

Because a panniculectomy is an investment in your health, insurance may cover it in certain cases. To qualify, you must have:

  • Lost more than 100 pounds
  • Been at a stable weight for at least 6 months
  • Had skin sores or rashes caused by your sagging skin
  • Had bariatric surgery at least 12 months earlier

Dr. Fisher's knowledgeable and supportive staff will gladly help you file your claim to ensure you get the maximum coverage to which you are entitled.

A panniculectomy removes skin and fat leftover from massive weight loss to slim down your silhouette. 

The Procedure

A panniculectomy is done under general anesthesia in a surgery that typically lasts several hours. After removing the excess tissue, the doctor will close up the incision and place a dressing. After your release from an over-night stay at the surgical facility, we will schedule a series of follow-up appointments to remove the stitches and check on your progress.

Fisher has specialized in body contouring after massive weight loss since 1999. 

Dr. Fisher can also combine a panniculectomy with a tummy tuck to deliver comprehensive results in a single appointment.


In general, you can expect some post-surgical swelling, bruising, and discomfort after surgery. Dr. Fisher will provide post-operative instructions to minimize these side effects and lay the groundwork for a swift recovery.

You should plan on taking it easy for a couple of weeks before returning to work. While you should try to move around the house to keep your circulation going, you should avoid any strenuous activities.

Although scars from your incisions are unavoidable, they will fade over the weeks and months following treatment. Dr. Fisher also takes care to place these incisions discreetly so that they are as unnoticeable as possible.

Let Us Hear from You

By eliminating a source of discomfort and cosmetic frustration, a panniculectomy can be a life-changing procedure. Reach out to our office online or call (210) 616-0798 to schedule a consultation with the doctor. If you are from out of town, Dr. Fisher will lower your expenses by waiving your initial consultation fee.

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Dr. Fisher has been available to answer all of my questions and provide me with not only professional medical expertise, but also a much appreciated level of personal empathy. I would 100% recommend Dr. Fisher to anyone who is considering plastic surgery.



San Antonio Office

7950 Floyd Curl Dr
Ste 1009
San Antonio, TX 78229

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