Panniculectomy vs Tummy Tuck for me after 3 C-sections, a set of twins and I need hernia repair? (photos)

For the pictures that you send, you need a full abdominoplasty with muscle repair. Panniculectomy will give you a partial result. Also some liposuccion will help you to contour your body

Hello! Thank you for your question! Body contouring after scenarios such as yours is very common. You would be an ideal candidate for such and could achieve an excellent result. For semantics, a panniculectomy simply does a wedge excision of the overhanging skin/soft tissue of the lower abdomen (abdominal panniculus), mostly to ameliorate symptoms from it. Typically, an abdominoplasty (tummy tuck) excises this tissue, but also addresses the upper abdomen, the abdominal wall via tightening, and the lateral flanks/hips to improve contour of this area. With the amount of laxity and excess skin that is shown and the likely spreading of your abdominal wall from your prior weight, a tummy tuck would be the ideal procedure for you. The hernia could also be repaired at the same time as this procedure safely and effectively.  I truly believe that you would be satisfied with the results from this. Consult with a plastic surgeon well-versed in body contouring to discuss the various options with you and help you to decide which procedure(s) would be the right one for you. Hope that this helps - best wishes for a fantastic result!

tummy tuck after children vs panniculectomypanniculectomy will not give you the result that you wanta complete abdominoplasty with liposuction, hernia repair, and muscle correction is what would be best for the images you show

This decision is based on the results you want to achieve and what your final goal is.  An abdominoplasty         (tummy tuck) consists of removal of the excess skin, the suturing of the internal abdominal muscles helping to elevate the abdominal hernia tendency issue, and if Dr. Lane Smith was doing this procedure he would recommend liposuction of the skin flap that remains, provided you meet the criteria  The final result would be a flat tummy with a resolved hernia which would be repaired during surgery as well.  The panniculectomy only removes the skin flap not fixing the internal problem of a weak abdominal wall which causes abdominal hernias.  When women have children those muscles separate and without suturing them together the mommy stance remains.  The mommy stance is what causes the protruding belly appearance.  An abdominalplasty can correct that appearance where as a panniculectomy cannot.

Thank you
for your question.I would get your
medical problems related to your bowls figured out before undergoing an
elective procedure.After having kids
your abdominal muscles stretch and therefore I believe an abdominoplasty where
those muscles are put back in the midline is a better option than removing skin
alone in your case.Get the medical
stuff figured out first though.

The difference between a tummy tuck and panniculectomy is tha a tummy tuck gets rid of the apron but also tightens the muscle and skin above and below the umbilicus. Generally speaking most women after childbearing benefit more from the tummy tuck than a panniculectomy. Being evaluated by a plastic surgeon will give you your best option and answer all your questions..

Thanks so much for your question. I would strongly urge you you to consider only a tummy tuck based on your photos. I think you would be disappointed with a paniculectomy and you would,honestly, be thrilled with a tummy tuck (assuming it's done by a competent surgeon). Hope his helps.

A full tummy tuck (abdominoplasty) would provide a better overall result compared to a panniculectomy.  A panniculectomy would remove the loose skin hanging below your pubic fold but would not address the remainder of the skin laxity above the belly button.  A full tummy tuck would also allow repair of the abdominal wall (hernia) and liposuction of the flanks (sides).All the best,Dr. Remus Repta

Thank you for the photos and you are an excellent candidate for a full TT, hernia repair and liposuction so find a surgeon in your area and enjoy the new youDr Corbin

Thank you for your question and photos. I am sorry you are experiencing some difficulty. I would urge you to be in optimal health before you consider an elective procedure of any kind. Looking at the pictures you've provided I think you would be much happier with a full abdominplasty, or tummy tuck. While both procedures you've researched address excess skin, a panniculectomy will not address the underlying muscles. Abdominoplasty will suture your muscles back to the midline and allow repair of your hernia. There would be no improvement to abdominal wall shape with a panniculectomy. I hope this was helpful.