Abdominoplasty with Liposuction for Fairly Large Pannus?

I have discussed this in an article on my website.  It is safe to an extent.  But you must remember that alot of the pannus is excised and discarded so this may not be an issue.
You should be evaluated by a board certified plastic surgeon who can accurately go through your options.
Good luck.

These can be done together depending on your age, health, body mass index, etc. In my practice, I always do liposuction with a tummy tuck. Although one can divide the torso into multiple cosmetic units, I like to treat this as one cosmetic unit. This way you achieve the best results all the way around including the flanks, buttocks,back and abdomen. The pannus is excised and does not need to be liposuctioned. The upper abdomen can be liposuctioned judiciously to preserve the blood supply. If a person has a large upper abdominal roll, I tell them that although they will get improvement with the liposuction and abdominoplasty, there's the possibility off further liposuction of the abdomen to refine the results. Since most of the patients I see in my practice require liposuction, my fees are all inclusive.

If you include a picture, we may be able to give you more specific advice. However, I include minor liposuction of flanks (at no additional charge) on about 90% of the abdominoplasties that I perform. I feel that it gives you a much better overall result. If you need major liposuction, that that is a whole different story and I would need to see you in consultation to determine which procedures would be best for you. I hope this information is helpful. Good luck with your procedure.