If a person needs a hernia repair & panniculectomy (both covered by insurance), will an abdominoplasty take care of both things?

The panniculectomy is a limited form of the tummy tuck with lesser cosmetic outcomes.  It is designed for patients with a large overhanging pannus that causes rashes and other medical problems.  It often does not involve muscle reconstruction.

A typical abdominoplasty is a powerful cosmetic procedure
that often removes and reposition tissue of the abdominal wall for better
contour and aesthetics. The basic procedure includes elevating a flap of belly
skin and fat; separating it from the belly muscles all the way up to the ribs.
During this dissection, the belly button is separated from the surround skin
and left attached to the belly wall. The flap is pulled down tight and the
excess skin is removed. The abdominal muscles are then sutured together to
remove the laxity (plicated). Small, incidental umbilical hernias may be repaired at this time. Finally, the belly button is brought out to the
surface through a new hole in the flap (transposed) and the incisions are
closed. 



A panniculectomy is a basic guillotine removal of an
overhanging pannus for medical reasons. There is no elevation of the belly
skin, the skin is not pulled tight, the belly button is not transposed (and is
sometimes removed), and the muscles are not tightened.



A hernia repair is a reconstructive operation in which a
defect in the abdominal wall repaired with sutures and usually reinforced with
some sort of “mesh” for additional support. Hernias are notoriously difficult
to keep closed and have a high recurrence rate – especially with suture repair
alone. Hernia repair does not include elevation of the skin of the
abdomen beyond what is required to gain access to the hernia. A hernia repair
also does not include any other aspect of an abdominoplasty including plication
of the abdominal wall, transposition of the belly button, or the excision of any skin not involved in the hernia.A detailed examination will help delineate the best
surgical treatment. Consultation with a plastic surgeon would be the next best
step.

Congratulations on your weight loss!It will be important for you to learn about differences between panniculectomy and abdominoplasty (tummy tuck) surgery. The operations are different, with different indications and different outcomes. The panniculectomy operation is designed to remove the lower abdominal wall pannus (this is the tissue of the lower abdominal wall). Muscle repair is not a part of the panniculectomy operation.  It is sometimes considered a medically necessary procedure and cover through some insurance companies.On the other hand, abdominoplasty (tummy tuck) procedure is generally considered a more cosmetic operation designed to improve the contour of the entire abdomen, including the upper/lower abdomen as well as the pubic area… Muscle approximation (plication) is generally performed with this surgery as well.  This operation is considered “aesthetic” in nature and not covered through insurance companies.My best recommendation: select your surgeon carefully. Make sure that he/she is a well experienced board-certified plastic surgeon who can demonstrate significant experience achieving results. Then, communicate your goals carefully with him/her. Working together, you will be able to design the operation that will best achieve your desired outcome. I hope this, and the attached link, helps. Best wishes.