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It’s not unusual for massive weight loss patient todevelop redundant abdominal wall tissue. This redundant tissue often involvesthe upper and lower abdomen and is associated with weakness of the underlyingabdominal muscles. These problems adversely impact self-esteem and self-imageand for these reasons patients frequently request correction. To obtain a flataesthetically attractive abdomen all of these components must be addressedsimultaneously.An abdominal panniculectomy typically removes the skinbelow the level of the umbilicus, while an abdominoplastyaddresses the skin above the umbilicus and repositions the umbilicus. Inaddition, this procedure tightens the underlying abdominal muscles. When all ofthese issues are surgically corrected, aesthetic results are excellent. Theseprocedures are associated with high satisfaction rates and low complicationrates. If you’re considering abdominoplasty surgery,consultation with a board-certified plastic surgeon is appropriate. Thissurgeon should be able to formulate a treatment plan that addresses yourconcerns.
You should have a very nice result. Abdominoplasty will tighten the core and remove the excess skin. Panniculectomy will only remove the excess skin
From your photos, I believe you would notice a significantly flatter stomach following a panniculectomy and abdominoplasty. The pannicullectomy will remove the apron of overhanging skin and the abdominoplasty will tighten the stretched abdominal wall muscles. Although with any cosmetic surgical procedure, results can vary, I think you would be pleased with the result. Check with a board certified plastic surgeon in your area. Best wishes.