Plastic Surgery/panilectomy


Hello. I am obese. 48 yrs old. I am seeing a nutritionist for weightloss. And I'm drinking Visalus. My nutritionist says I do not eat enough calories to burn calories. In all this, I have a belly overhang that is causing very painful, open and running rash under my belly, between legs and private area. Would I be a candidate for skin removal? The rash is getting very painful! Thank you!

from Dr. Alan Engler

Hi Cynthia,

It's hard for me to assess you via the Internet...but having excess skin and tissue causing the symptoms you're describing is, in a general sense, an indication for skin removal.  Of course, you have to be in good enough health to even consider undergoing a procedure such as this and, depending on how obese you are, you may or may not be.

I would suggest that you first ask your internist whether you would be a candidate, medically, for surgery such as this.  If so, see one or more board-certified plastic surgeons in consultation to find out what surgery might be beneficial and/or recommended for you.

And good luck on the weight loss!  It starts with calorie reduction, and then extends to exercise.  Easy to say, hard to do...

I hope that this helps and good luck,

Dr. E

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Alan M. Engler, MD, FACS


Dr. Engler has answered over 6500 questions on social media sites, including over 3500 on AllExperts alone. His expertise includes breast surgery (breast enlargement with implants, breast reduction, breast lifts), liposuction, eyelid surgery, tummy tucks, facelifts, lipomas, skin cancers, cysts, etc. Dr. Engler has been listed as one New York`s Top Doctors, and as "One of the World's Most Famous Aesthetic Surgeons" (Aesthetic Surgery, TASCHEN Books, Angelika Taschen, Editor). He is the author of 4 books, including "BodySculpture" (a best-selling plastic surgery book on breast surgery, liposuction and tummy tucks), "EyeScapes" (Plastic Surgery of the Eyelids), "Restylane," and "The Slim Book of Liposuction." Dr. Engler has two US Patents for surgical instruments that he's designed, and has appeared on numerous television shows, including The Tyra Banks Show, The Ricki Lake Show (four times), the Dr. Keith Ablow Show and Jerseylicious. Videos of his appearances are available on YouTube (search for "DR. ENGLER"), and his discussion of breast implants, also on YouTube is "How to Choose a Breast Implant." His website is Follow Dr. Engler: @AlanEnglerMD


Dr. Alan Engler is a board-certified plastic surgeon in New York and the author of BodySculpture - Plastic Surgery of the Body for Men and Women (ISBN 0966382749) one of the top-selling plastic surgery books on,, as well as EyeScapes - Plastic Surgery of the Eyelids.

Dr. Engler graduated from Yale University (BA, Russian Studies) and the Columbia University College of Physicians and Surgeons (MD). He did his residency training in General Surgery and, after that, Plastic Surgery, at the Montefiore Medical Center in New York. He is on the faculty of the Albert Einstein College of Medicine in New York in the Departments of both Surgery (Plastic Surgery) and Medicine (Dermatology), and is a Special Lecturer in the Department of Dermatology at Columbia University in New York. He has admitting privileges at Beth Israel Medical Center and Montefiore Medical Center, both in New York.

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