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What is an apronectomy?

When a patient has successfully lost a substantial amount of weight (after having completed the 12-month Peak weight loss program), it is common for the reduction in fat around the abdomen to leave excess skin and fat that hangs from the body. This can be removed surgically by an apronectomy procedure.

How should I prepare for the procedure?


Being an active smoker greatly increases the risk of poor wound healing and breakdown of wounds after the procedure. For this reason, we stronly recommend you either give up smoking entirely, or not smoke at all in the six weeks before the procedure. At an absolute minimum you must stop smoking at least one week prior to the procedure.


If you are taking an anti-inflammatory medication or Warfarin, Aspirin of Plavix you must stop taking these one week before the procedure. Please contact Dr Silverman if you have any questions relating to your current medication.

You will receive any further specific instructions on how to prepare for your procedure from Dr Silverman well ahead of the date of the procedure.

What is involved in the procedure?

This procedure is carried out under general anaesthesia and takes around 2-3 hours to complete. An incision is made across the lower section of the abdomen and any excess skin and fat is very carefully removed. Once this excess has been removed, the incision is closed.

In some cases, if any other surgical procedures are required in the abdominal area, for example hernia repair, these can also be carried out during the same operation.

Recovery Guidance

Hospital Stay

You will generally need to stay in hospital for a few days after surgery.

Physical Activity Restriction

Heavy lifting and any demanding physical activity should be avoided during the recovery period.

Abdominal Binder

An abdominal binder is a special medical garment that may need to be worn for a short period after an apronectomy to assist recovery.

Apronectomy is not suitable for everybody and is only offered by Dr Silverman to patients that have completed the Peak weight loss 12-month program.

Risks / Complications

There are risks associated with all surgical procedures, such as wound infection, and risks relating to anaesthesia and bleeding during the procedure.

The risks / complications specific to apronectomy after the procedure include:

  • Buildup of fluid underneath wound.
  • Nerve damage.
  • Long term swelling.
  • Temporary numbness in the thighs.
  • Scarring.

Dr Silverman will be able to discuss any possible complications with you well ahead of the procedure.