Disclosed herein is a pannus support device that includes a pannus pouch configured to receive an abdominal panniculus of a wearer that is extending to cover at least a portion of the thigh, a shoulder support structure, and at least one strap connecting the pannus pouch to the shoulder support structure. The shoulder support structure, the at least one strap and the pannus pouch are configured to distribute the weight of the abdominal panniculus to the shoulders of the wearer and off at least the portion of the thigh of the wearer. Further disclosed is a system including a removable pannus pouch liner, and a method of distributing the weight of the abdominal panniculus.