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Extended Tummy Tuck or Panniculectomy?

I have a Tummy Tuck scheduled for July but after all my searching I am thinking that I might need a Panniculectomy. What is the difference between a Panni and an Extended TT? What would be my best option?

Doctor Answers (6)

Extended tummy tuck or panniculectomy

+3

The pannius is the hanging skin/fat component of the lower abdomen. Thus a panniculectomy is the removal of that component. A Full or extended tummy tuck is the panniculectomy + correction of the diastasis recti separation, and a flattening of the complete abdominal profile. It is a MUCH larger operation with better results but increased risks.

From MIAMI DR. B


Miami Plastic Surgeon
4.5 out of 5 stars 64 reviews

Extended Tummy Tuck (Abdominoplasty) VS Panniculectomy (Apron Removal)

+3

A Tummy Tuck is NOT a Panniculectomy. The operations are different, the risks are different and their results are VERY different.

A Panniculectomy involves removal of the lower tummy skin and fat overhang. Nothing else.It will NOT flatten your tummy. It is done to allow people to clean themselves better and prevent skin infections in the groin fold.  It is NOT a cosmetic operation.


An Abdominoplasty is a much longer and more extensive operation which will remove ALL the loose tummy skin, will tighten separated muscles, narrow the waist, lift a sagging Mons pubis and relocate the belly button in the process.

If you are healthy and want to look much better you would have to take the risks of a Tummy Tuck. On the other hand, if you would be satisfied with just the lower skin overhang being gone or were not in good medical health to have a Tummy Tuck - then the answer is Panniculectomy.

Peter A. Aldea, MD
Memphis Plastic Surgeon
5.0 out of 5 stars 63 reviews

Panniculectomy only removes skin and fat

+2

While a Tummy tuck also involves repair of the abdominal muscles, in order to achieve a flatter, leaner look (see the gallery on this site).

They are two entirely different procedures, with different goals, outcomes, and recovery/risk profiles.

Your best bet is to have a conversation with your chosen surgeon about your options.

Armando Soto, MD, FACS
Orlando Plastic Surgeon
5.0 out of 5 stars 110 reviews

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Extended tummy tuck or panniculectomy?

+1
Hello! Thank you for your question! I hope that these answers help! A panniculectomy is an excellent method for removing the excess skin and soft tissue of the lower abdomen (abdominal panniculus), often caused by weight loss. It is mainly performed to ameliorate symptoms caused by the abdominal apron such as hygiene issues, excoriations, rashes/infections, back pain, etc. A panniculectomy gives almost immediate relief from these issues as well as has been shown to stimulate additional weight loss as your activity level is increased after removal of the panniculus. An abdominoplasty is more of an aesthetic procedure in that as opposed to simply excising this excess tissue in a wedge to relieve complaints, an abdominoplasty focuses more on abdominal contouring, abdominal wall tightening, re-insetting the belly button, as well as often times the addition of liposuction.

I believe you would be better served by a full tummy tuck, in order to address your abdominal wall laxity as well as contouring of your flanks/hips, and upper abdomen. I would highly recommend continued diet and exercise prior to any consideration for a panniculectomy or body contouring as getting down to your ideal weight prior to the procedure will certainly give you the best results as well as be the safest for you. Neither one is a weight loss procedure. Also, a continued healthy and active lifestyle will be needed in order to maintain the benefits that the procedure has given to you. You should consult with a plastic surgeon at anytime to go over options and in order to assist you in deciding which procedure(s) would be right one for you. Best wishes for a wonderful result!

Lewis Albert Andres, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 12 reviews

Panniculectomy vs Tummy Tuck

+1
Panniculectomy is usually recommended to people who have lost 100 lbs or more in a relatively short amount of time. The procedure can be carried out on its own or used in combination with abdominoplasty depending on a patient’s condition, and may be covered by OHIP/insurance. Regardless of the form the panniculectomy takes, ideal candidates should have maintained a relatively stable weight for roughly a year prior to surgery and be adhering to a regimen of exercise and healthy eating. Surgery is usually indicated once the person’s BMI (body mass index) is less than 30. We consider a panniculectomy to be exactly what the term describes: removal of the pannus. Only what is hanging down below the patient’s waistline is removed, and no undermining on the abdomen itself is performed. We do not advocate a panniculectomy alone except in extreme circumstances, when a patient’s expectations can be fulfilled. Judging from your photo, you may benefit more from a tummy tuck because the area above your belly button appears to be affected by loose skin and excess fat. However, you should be at a stable normal BMI before pursuing surgery. This is to improve surgical outcome and safety.

Jerome Edelstein, MD
Toronto Plastic Surgeon
5.0 out of 5 stars 69 reviews

Panniculectomy or Extended Tummy Tuck

+1

A Panniculectomy will only address loose skin that hangs below the pubic bone. It does nothing to the tissues above this area. When I evaluate the abdomen, I assess:

1. The amount of loose skin

2. The volume of fatty tissue

3. The degree of muscle laxity.

I evaluate this in each of 3 areas:

1. Upper Abdomen

2. Area around the Belly Button

3. Lower Abdomen

MINI TUMMY TUCK: If a patient has loose skin, fatty tissue, and muscle laxity limited to the Lower Abdomen, then I recommend the mini tummy tuck. In order to qualify for this, the patient must have good skin and muscle tone in their upper abdomen and area around the belly button. I will frequently perform liposuction of these areas with my Mini Tummy Tuck to enhance the overall contour.

FULL TUMMY TUCK: this is for patients who have loose skin and muscle laxity of the upper abdomen, belly button area, and lower abdomen. This procedure tightens all 3 areas with a bikini line incision. I often encorporate liposuction with my full tummy tuck as I feel it offers a superb end result.

EXTENDED TUMMY TUCK: This works well for patients who have loose skin that extends over the hip bone into the flank area. I will perform extensive liposuction and skin excision to the hip and flank area combined with full tummy tuck.

BODY LIFT/BELT LIPECTOMY: this is essentially a 360 degree tummy tuck which involves removal of loose skin and fatty tissue of the lower back and buttocks, in addition to the extended tummy tuck.

I wish you a safe recovery and amazing result!!

Dr. Gill

Paul S. Gill, MD
Houston Plastic Surgeon
5.0 out of 5 stars 39 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.