You are likely a good candidate for panniculectomy if your overhanging abdominal skin (pannus) hangs at or below your pubic bone and causes documented functional problems or persistent skin infections that haven't improved after at least 3 months of conservative treatment. According to NIH clinical guidelines, qualifying conditions include recurring rashes, cellulitis, or ulcers in the skin folds, or significant difficulty with walking, personal hygiene, or daily activities directly caused by the excess tissue.
Beyond medical necessity, you must meet specific health and lifestyle criteria to ensure safe surgery and optimal recovery. You need stable weight for at least 6 months (or 12–18 months after bariatric surgery), controlled medical conditions like diabetes and hypertension, and must stop smoking at least 4 weeks before surgery. Recent studies show that diabetes, hypertension, obesity, and tobacco use significantly increase wound complications, making preoperative optimization critical. You must also be at least 18 years old and have realistic expectations about permanent scarring.
In Mexico, 146 clinics offer panniculectomy with pricing between $4,000–$7,500, making it the most requested destination on Bookimed (1,314 requests). Facilities like CosMed Clinic in Tijuana maintain accreditations from The American Society of Plastic Surgeons (ASPS), ISAPS, and AMCPER. However, panniculectomy performed solely for cosmetic improvement without documented functional impairment does not meet medical necessity criteria and typically isn't covered by insurance.
Schedule a consultation with a board-certified plastic surgeon who can evaluate your specific symptoms, perform a physical examination, and document medical necessity if you're seeking insurance coverage.