I had a belt lipetomy, which is like a panni, except the skin was removed from all the way around my waist. I also had a new belly button made, since mine went into the scrap, and he found a hernia on it and fixed it. I had my surgery done at an outpatient facility, supposedly I am the only one to have ever had this done! I was in at 7 am and out at 4:30, walking out just I walked in! I had no pain and felt great! If you go to my pictures I have a before and after there.