First, we have to define what apron belly commonly refers to. Just like an apron that is worn in the kitchen, an apron belly overhangs the pubic area. Excess skin and fat, especially around the lower abdomen, is sometimes referred to as apron belly or as an abdominal pannus. As one can imagine, this overhanging tissue can be a source of discomfort, self-consciousness, mobility restriction, and health concerns. Whether caused by pregnancy, weight fluctuations, or genetic predisposition, an apron belly can be difficult to eliminate through diet and exercise alone. Remember that we can build muscle and decrease fat, but we cannot tighten skin through diet and exercise.
Fortunately, board-certified plastic surgeon Dr. Remus Repta, an expert in advanced body contouring, offers surgical solutions designed to remove excess tissue and restore confidence. In this blog, we will explore what causes an apron belly, the challenges it presents, and the most effective surgical solutions available to achieve a smoother, firmer abdomen.
Understanding the Apron Belly
An apron belly develops when fat accumulates beneath the skin, causing the lower abdomen to protrude and sag over the pubic area. This condition can be particularly challenging because it affects more than just aesthetics.
Common concerns associated with an apron belly include:
- Skin irritation and infections: Moisture and friction can lead to painful rashes and bacterial infections.
- Back pain and posture issues: The extra weight in the lower abdomen can strain the lower back, leading to discomfort and poor posture.
- Emotional distress: Many individuals with an apron belly experience self-consciousness and reduced self-esteem.
Surgical Solutions for an Apron Belly
For those struggling with an apron belly, surgical intervention offers the most effective and lasting results. Depending on the extent of excess skin and fat, as well as individual goals, different procedures may be recommended.
1. Tummy Tuck (Abdominoplasty)
A tummy tuck is a highly effective procedure that removes excess skin and fat while tightening the underlying abdominal muscles if needed. Dr. Repta also includes a pubic lift (fupa correction), pubic liposuction, and liposuction to the abdomen and sides of the abdomen with his tummy tuck procedure.
2. Plus Size Tummy Tuck®
For patients with a high BMI, Dr. Repta has created the Plus Size Tummy Tuck®, an innovative high BMI tummy tuck approach that allows for the safe and effective removal of large amounts of excess skin and fat. Dr. Repta has developed this specialized technique to provide transformational results while ensuring patient safety and optimal healing. Just like a regular tummy tuck, a Plus Size Tummy Tuck® will remove overhanging skin, lift the pubic area, repair loose muscles, and overall narrow and flatten the waist. To date, the highest BMI Dr. Repta has performed this procedure on is a BMI of 88, with dozens of patients having BMIs in the 70s.
3. Panniculectomy
A panniculectomy focuses solely on removing the hanging “apron” of skin and fat. Unlike a tummy tuck, it does not involve muscle tightening but can be a life-changing solution for individuals struggling with extreme skin laxity and related health concerns.
Apron Belly Before & After Photos


View Dr. Repta's Tummy Tuck Gallery
Frequently Asked Questions
Will an apron belly come back after surgery?
With proper weight maintenance and a healthy lifestyle, results are long-lasting. Significant weight gain or pregnancy, however, may affect the outcome.
Can I get a tummy tuck if I am overweight?
Yes! Dr. Repta specializes in Plus Size Tummy Tuck® surgery, making tummy tuck procedures accessible and safe for higher BMI patients.
Will I have visible scars after an apron belly removal surgery?
Scarring is minimal and strategically placed. Dr. Repta customizes incision placement to ensure discreet, well-hidden scars.
When can I return to work after surgery?
Most patients can return to light work within 2-3 weeks, but those with physically demanding jobs may need additional time for full recovery.
Can I combine a tummy tuck with other procedures?
Yes, many patients choose to combine a tummy tuck with liposuction, breast surgery, or other body contouring procedures for a more comprehensive transformation. Dr. Repta will assess your goals and recommend the best approach for optimal results.
Transform Your Body with Dr. Repta, Board-Certified Plastic Surgeon
Dr. Repta is a board-certified plastic surgeon with years of experience in advanced body contouring procedures, including tummy tucks and his specialized Plus Size Tummy Tuck®. His meticulous approach, artistic vision, and commitment to patient safety have earned him a reputation as a top plastic surgeon in Scottsdale and beyond.
If you’re struggling with an apron belly and are ready to take the next step, Dr. Repta and his team are here to provide you with a personalized, world-class surgical experience. Contact Dr. Repta's office today to schedule your private consultation and take the first step toward achieving your body transformation with a trusted expert.