Panniculectomy vs tummy tuck cost?

Question

I was just approved through insurance for a panniculectomy, if I combine the panniculectomy and a tummy tuck what cost would I be looking at. I know costs are different everywhere but could anyone give me an estimate for how much everything would be since insurance would cover the panniculectomy if I chose to also get a tummy tuck at the same time?

J. Timothy Katzen, MD, FACS · Answer

Hi Benh1149, Thank you for your question regarding the cost of panniculectomy versus a tummy tuck.  This is a common question plastic surgeons who specialize in plastic surgery after massive weight loss are asked.  The answer is “the cost of a  panniculectomy versus a tummy tuck varies widely.” The final cost depends on our plastic surgeon, your surgical facility, and your location.  The final cost depends on what your chosen plastic surgeon charges for their additional services to plicate the rectus abdominis muscle, relocate the umbilicus (belly button), perform additional dissection, remove more skin and fat than the panniculectomy, and perhaps perform liposuction.  Also, more experienced plastic surgeons charge more for their services.  Location is important.  If you plan to have your panniculectomy and tummy tuck (abdominoplasty) performed in a hospital, a set fee schedule applies.  There is also a set fee schedule for an outpatient surgery center.  Each hospital and surgery center has its own fee schedule.  Some hospital and surgery center are more expensive than others even if you are using the same insurance.  Also, where are you recovering after your panniculectomy or tummy tuck?  Are you recovering in the hospital? Does your insurance cover the post-operative stay?  If you have surgery at an outpatient surgery center, are you recovering in a 23-hour stay facility, or do you need to go to a recovery center?  Also, is your plastic surgeon, anesthesiologist, and hospital or surgery center part of your insurance network?  Regarding location, hospitals and surgery centers in more urban areas (such as New York City or Los Angeles) are usually more expensive.  As you can see, the final cost is not clear-cut; there are many variables.  
Most plastic surgeons would strongly advise you to undergo an abdominoplasty (tummy tuck) with panniculectomy, if possible, and only if your plastic surgeon agrees.  Sometimes, it is better to undergo a panniculectomy first, then lose more weight and return for an abdominoplasty.  In your case, I would ask your chosen plastic surgeon how much the tummy tuck costs. 
Most plastic surgeons offer free virtual or in-office physical consultations.  Therefore, explore what other plastic surgeons have to say.  Good luck.  I hope I have answered your question about the cost of a panniculectomy vs. a tummy tuck.  If you have any more questions regarding the panniculectomy, extended lower body lift, lower body lift, 360 circumferential lower body lift, belt lipectomy, belt abdominoplasty, or belt dermolipectomy, contact an experienced plastic surgeon   Since the panniculectomy or lower body lift is a big procedure, please seek an experienced, board certified plastic surgeon with significant experience performing the panniculectomy or lower body lift.  Do your research.  Ensure they have performed panniculectomies or circumferential lower-body lift surgeries, and have before-and-after photos to document it.  Carefully examine their before-and-after pictures and check their reviews on RealSelf.   If you cannot find an experienced panniculectomy or lower-body lift surgeon in your area, consider traveling out of state if necessary. Sincerely, Dr. Katzen. (Plastic Surgeon, President of  the American Society of Bariatric Surgeons, certified by the American Board of Plastic Surgery, Fellow of the International Society of Aesthetic Plastic Surgery, American College of Surgery, and International College of Surgery and member of the American Society of Plastic Surgery, American Academy of Cosmetic Surgery, RealSelf Hall of Fame, and RealSelf Doctor Advisory Board for Medical Review and Consumer Panel.)

Gary M. Horndeski, MD · Answer

A panniculectomy is covered by insurance and they pay whatever they feel like. A tummy tuck is a cosmetic procedure. I currently charge $11,000 which includes the physician fee, facility fee, anesthesia fee, any bloodwork needed, overnight stay and all post op visits.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Tommaso Addona, MD · Answer

Thank you for your question.
With the coverage of a panniculectomy, you would need to cover any additional surgical time, cost, etc. I recommend speaking with your plastic surgeon to discuss your options and cost.

Adam Kinal, MD · Answer

Dear Benh1149, Without a proper evaluation it is difficult to cite costs of surgeries without assessing the patient. Don't hesitate to contact several Board Certified Surgeons who specialize in these procedures to get their evaluation and quotes. Each surgeon depending on the region they are located and surgical center costs may have varying costs for a Tummy Tuck so it is recommended to seek several opinions. Good Luck

Daniel Barrett, MD · Answer

Dear Benh1149,
it is hard to tell for sure without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

M. Mark Mofid, MD, FACS · Answer

Thank you for your question! Price ranges vary, particularly when considering where your surgeon is located. Assuming you do not need to add any additional procedures, such as liposuction of the flanks, you can expect to pay anywhere from $10,000-15,000 out of pocket after insurance. Please make sure you go to a Board-Certified Plastic Surgeon when you decide to have this procedure done.

Camille Cash, MD · Answer

A tummy tuck is a much different procedure than a panniculectomy.  A tummy tuck not only removes excess fat and skin, it also addresses abdominal wall laxity.  It provides a more complete result with a flatter, tighter appearing abdomen.  A panniculectomy only removes the apron of skin that hangs from the lower abdomen.  Costs do vary by surgeon and area but a typical tummy tuck will be $9000-$15000.  Visit with a board certified plastic surgeon near you to learn more.

Panniculectomy vs tummy tuck cost?

Answers (7)

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