Age 37, 6 Babies. Is Panniculectomy an Option?

 Generally speaking, the tummy tuck operation provides for a more aesthetically pleasing outcome than a panniculectomy operation. The tummy tuck operation is best done once you have reached your long-term stable weight. In my practice, I would patients the panniculectomy operation at any point, if they have reached a plateau with your diet and exercise program, and simply wish to have the lower abdominal wall skin/adipose tissue removed. Keep in mind, that patients who undergo surgery when they are overweight, are exposed to greater risks.My best suggestion: seek consultation with board-certified plastic surgeons who can demonstrate significant experience achieving the types of outcomes you will be pleased with. Then, learn about options, and the pros/cons/risks/complications associated with each option. You may find the attached link, dedicated to patients who have experienced significant weight loss, helpful to you as you learn more. Best wishes.

Tummy tuck is mainly to improve shape and contour by plicating your core tight then re-draping the skin. Without the core tightening (muscle repair), its not a tummy tuck, but a panniculectomy (skin and fat resection). Pregnancy (esp 6) almost always requires tightening of your core. If insurance is paying then  panniculectomy only, no core tightening by PS.. See a board certified plastic surgeon.