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I recently underwent a surgical operation known as a panniculectomy. Often mistaken for a tummy tuck, this non-cosmetic procedure is aimed at eliminating what’s colloquially known as an abdominal apron, or “mother’s apron” — technically referred to as an abdominal pannus or panniculus. This condition involves a drooping mass of skin and fat that hangs beyond the bikini line, extending to or below the mons pubis. Essentially, it’s a (sometimes oversized) saggy belly.
Some people refer to it as a FUPA, though there’s ongoing debate about its accuracy. Opinions vary on what constitutes a FUPA, with some claiming it’s the “mummy tummy” while others suggest it’s the chubby pubic mound. You can form your own conclusion on that.
Regardless of the terminology, a panniculectomy is the surgical removal of that unwanted belly flap. While some individuals may achieve a flat tummy post-surgery, it’s crucial to note that this procedure doesn’t tighten abdominal muscles, and for someone like me, a flat stomach was not guaranteed.
Why I Chose Surgery
So, if a flat tummy isn’t the outcome and it’s not purely cosmetic, why would anyone choose to undergo such a significant surgery? I’m glad you asked.
My decision to have a panniculectomy was fueled by two primary reasons.
First and foremost, I had legitimate medical concerns. Over the past two decades, my fluctuating weight and the births of three children transformed my once cute belly roll into a substantial, heavy pannus. Each pregnancy caused my skin to lose elasticity, leading to a Grade 3 panniculus that extended to my mid-thigh — yes, mid-thigh. This became quite the situation.
Despite significant weight loss in the two years since my youngest was born, my panniculus remained, making my lower back feel strained and complicating physical activities like biking.
My turning point came when I developed a persistent yeast rash beneath my apron belly, which resulted in cracked skin and pain that required weeks of treatment. That experience pushed me to explore the option of having the hanging skin surgically removed — anything had to be better than that discomfort.
I won’t lie; I was also curious about how a panniculectomy might transform my body’s appearance. Finding clothes that fit well has been a challenge, as most are not designed for someone with a large pannus. Fashion has felt exclusive for years; pants often didn’t fit right with a substantial belly.
I embrace my fatness and love my body, which has served me well for thirty-seven years. I believe I am beautiful, and if I weren’t experiencing physical discomfort, I wouldn’t have considered surgery. However, I won’t deny that I’m excited about how much better clothes fit me now and the newfound confidence I carry.
The Surgical Process
The process of getting surgical approval was surprisingly smooth. It took less than two months from my initial consultation with my primary care doctor to surgery day. Fortunately, my insurance covered the entire cost, which was estimated at over $60,000. I recognize the privilege of having such coverage, as many others face financial obstacles when considering similar procedures.
As for the surgery itself, it was more manageable than I anticipated. Just a week post-op, I feel great. I followed my pain medication schedule diligently and experienced minimal discomfort, opting for over-the-counter options thereafter. I’ve been active since just hours after the operation.
My body now resembles a science experiment, however. My surgeon removed an astonishing NINETEEN POUNDS from my abdomen! Yes, I was carrying around that much excess weight. I feel confident that this was the right choice for my body and mind, and I can’t wait to go bathing suit shopping next spring.
The incision runs from hip to hip, and I have two surgical drains in place, along with an abdominal binder for support. It’s evident that a part of me has been removed, but I’m still a proud fat girl after the surgery, and that’s perfectly okay.
While many people achieve flat tummies after a panniculectomy, I still have a round, high belly. I’m thrilled with the results, even if I don’t meet societal ideals. I’ve joked that I now resemble a character from a movie, but I embrace my new look.
Post-Surgery Reflections
Post-surgery, I feel more at home in my body, closer to how I remember feeling before life’s changes. I’m eager to fully heal. I understand that some may criticize my choice within the fat community, but this was the right decision for me, and I have no regrets.
If you’re considering a panniculectomy, start by consulting your regular doctor. They can help you assess whether this procedure could be medically beneficial.
For further insights on similar topics, check out this blog post, and if you’re interested in home insemination resources, visit Make a Mom for comprehensive information. For more understanding about IUI success rates, WebMD is an excellent resource.
Summary
The author shares her personal journey of undergoing a panniculectomy, detailing both medical and aesthetic motivations for the surgery. She reflects on the challenges of living with a large abdominal pannus, the process of surgery, and her feelings about her body post-operation. Ultimately, she emphasizes her comfort and pride in her body while acknowledging the potential criticism she may face.
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