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Can a Doctor Perform a Panniculectomy but Also Tighten Muscles?

tvaliant
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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