Panniculectomy: Q&A
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Can a Doctor Perform a Panniculectomy but Also Tighten Muscles?
Is it possible to remove extra skin at the bottom of the stomach, yet tighten the ab muscles all the way up the ribcage and leave the belly button alone? I'm average size (short torso) and have been told I need a panniculectomy by one doc and a full tummy tuck by another. (2 pregnancies) However, I don't feel I have 'excess' skin above my belly button, just muscle seperation in that area. And too much skin below the belly button.
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11 Doctor Answers |
Asked by
tvaliant
in louisville, ky
+2
Don't over-think and Micro-manage your plastic surgery
Hi there-
I think you are thinking too much about this, and starting to fall into a trap I see too often- where a patient doesn't like what a surgeon told them, so they start looking for a surgeon who will tell them what they want to hear...
Nothing good will come of this...
It sound like you need a tummy tuck. There are many variations (I personally do 4 different types of tummy tucks), but the operation best for you will depend on many variables and a consultation would be necessary to make re
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+2
Don't be confused by semantics
Based on your description, you have extra skin and fat on your abdomen, as well as some muscle separation. These should each be addressed to get your best result. Whether you call this an abdominoplasty (tummytuck) or a panniculectomy with some muscle repair is basically just semantics. In my practice I call this a tummytuck and I would tighten the muscles from the top- rib area- to the pubic area.
+2
Tummy tuck or panniculectomy depends on goals to be reached
Panniculectomy refers to removal of a pannus or fold of skin from the lower abdomen after weight loss, often following gastric bypass. The intention is to remove the excess skin fold to improve function and posture, and in some occasions insurance coverage might be available. Muscle tightening in not part of the procedure, unless it is determined that a full tummy tuck is the goal to more fully improve the abdominal tone and contour. The full tummy tuck is the procedure of choice after...
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+2
Tummy Tuck VS (Full) Tummy Tuck
Regarding : is it ADVISABLE "to remove extra skin at the bottom of the stomach, yet tighten the ab muscles all the way up the ribcage and leave the belly button alone?" No. That would result in under-removal of loose tummy skin and the pulling of your belly button to an unnaturally low position close to your privates.
A PANNICULECTOMY (IE Apron removal) is meant to remove the skin/fat over-hang to allow people to clean themselves and keep the fold dry. It is not a procedure...
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+1
A little tightening OR a lot of tightening - the choice is yours
Although there is no way to know what you need without seeing you, I would guess that a full tummy tuck is an option if that surgeon knows what he is doing. The panniculectomy option may also be a valid one. But you have to understand that all surgeons have opinions, things they specialize in as well as often use different techniques.
The ultimate choice is yours. From the information you have given us, you can have a panniculectomy and only tighten the muscle below your belly button...
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+1
Panniculectomy and muscel repair
Panniculectomy and limited undermining with full rectus abdomins muscle repair is possible but unusual and would most commonly requires surgery around the umbilicus to access the upper abdomen. This can be performed endoscopically as well.
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Partial tummy tuck very seldom good idea.
Hi.
From your description, I think you need a full tummy tuck that will repair your muscles above and below the belly button, and remove all excess skin. I bet you do have some loose skin above belly button.
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Full tummy tuck vs panniculectomy
A panniculectomy is done to remove the lower abdominal apron of extra skin in people who have lost weight usually after morbid obesity, not pregnancy. It doesn't address any muscle tightening and certainly not the upper abdomen. Without a photo. it sounds like what you need is a TT. I wonder if the person who sggested a panniculectomy is even a plastic surgeon?
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Tightening the Abdominal Muscles
The best result would be achieved with a full abdominoplasty (tummy tuck) with rectus plication (tightening up the muscles). Without pictures or examening you, it is hard to give you specific advice. However, with panniculectomy only, the muscles can not be tighted adequately. I hope this is helpful.
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Abdominoplasty vs panniculectomy
There's no good way to adequately tighten the muscles above the umbilicus without doing a full abdominoplasty and moving the skin around the belly button. The best operation for you depends upon your goals from surgery. If you want a truly flat abdomen, you need an abdominoplasty. If you just want to get rid of the overhanging skin, a panniculectomy may be sufficient. Once you relay your goals to your surgeon, the best option will be easier to determine. Best wishes, /nsn....
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Most likely a full tummy tuck is needed
As long as you have had kids, and need the muscles tightened and your BMI is below 30 - a full tummy tuck sounds like what you need. Obviously, I would need to see you to know for sure, but since I have been doing this for over 30 years, that is what experience has taught me.
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