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The hanging skin of the abdomen, called the pannus or "apron" can cause a variety of problems, including the inability to fit comfortably into clothing, difficulty in daily hygiene, yeast infections or cysts in the folds of skin, and lower back pain. Different from a tummy tuck, which tightens the underlying stomach muscles, a panniculectomy only removes excess skin and fat. Many people who have achieved significant weight loss can be left with large amounts of heavy, loose folds of skin around the abdomen, which can sag and lose elasticity as a result of being stretched for a long period of time. This excess skin can lead to rashes above the pubic area and along the groin and hips. A panniculectomy can offer relief of these symptoms to enhance your health and appearance. Tummy tuck surgery is a good option for you if: You are physically healthy and at a stable weight You have realistic expectations You are a non-smoker You are bothered by the feeling that your stomach is too large. 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