Panniculectomy vs Tummy Tuck - which would be best for me? (photos)

Thank you for your question regarding whether you need a panniculectomy or a tummy tuck. In my opinion, you get far better results with a tummy than with a panniculectomy. By definition, a panniculectomy only removes the pannus. The pannus is that excess skin and fat that hangs over the pubic region. Suppose you look at your pictures carefully. You will also see that you have an area of skin and fat above the belly button. This will not be treated with a panniculectomy. A tummy tuck is a far superior procedure compared to a panniculectomy. During a tummy tuck, the roll above your pubic region and the belly button will be permanently eliminated. Through that tummy tuck incision, the rectus abdomens muscle would be repaired. The mons would be lifted and reduced. Excess skin and fat above the mons region would be removed, and a new belly button would be established. None of these are accomplished during a panniculectomy except for removing skin and fat hanging over the pubic region. Therefore, I would highly suggest a tummy tuck over a panniculectomy.

Hi, Thank you for the question.
First off, congratulations on your weight loss! If you are wanting to lose that additional weight, I would try to do so before the surgery only because this can change the results of your surgery.
Based on your photos, you appear to be are a great candidate for a tummy tuck. During tummy tuck surgery excess lose skin below the belly button is removed, new belly button is created to look natural and have no scars on the exterior and your muscles can also be plicated resulting in a flatter abdomen. Liposuction can also be added to further improve the contour of your abdomen and achieve a more hourglass shape.
During Panniculectomy, only the pannus ( extra loose skin) is removed without any contouring of the abdomen performed. If panniculectomy is approved through insurance, tummy tuck procedure can be often added for a lesser fee to achieve the best cosmetic result.
I would recommend an in person evaluation by the plastic surgeon to further evaluate the thickness of your skin and status of your muscles. Make sure you specifically look at before and after pictures of real patients who have had this surgery performed by your surgeon and evaluate their results.
I hope this helps.Best regards, Dr. Karanetz
Dr. Irena KaranetzFellowship-TrainedBoard Certified Plastic Surgeon