Thank you for your question. I agree with others that based on your cardiac history a time-consuming tummy tuck would not be a good idea. The panniculectomy is a much shorter operation, however you still need to have your cardiologist and plastic surgeon discuss whether this type of surgery is safe for you based on your medical condition.
Yours is a challenging case and requires a lengthy discussion with your surgeon and your cardiologist. A full tummy tuck is likely a bad idea. A tummy tuck is a primarily cosmetic operation and requires recuperation far in excess to a panniculectomy. A panniculectomy can either be done for cosmetic reasons or for health reasons. It may be easier to justify a panniculectomy, which can be done in under an hour with minimal anesthesia and not a great deal of recovery rather than a full tummy tuck. You will not have a flat stomach but the lower overhanging skin will be gone.
You will have to figure out how important this procedure is to you knowing that you would not be expected to have dramatic aesthetic results. That's where the bulk of your time in a consult would likely be focused on. Find a surgeon you like and trust and know that it may not be the first one you meet.
A full tummy tuck tightens the muscle layer of the abdomen as well as removing the loose skin. This will give you a better long-term result compared to just removing the loose skin, but has a longer recovery time than simply removing the loose skin (panniculectomy). This does not add much time to the surgery, and I would choose this option if you want the best result from your surgery. Regards Dr Charles Cope
Given your cardiac history, your abdominal operation should be the one that provides an improvement but with the least amount of time to do it and physical stress and recovery on you. That would be the abdominal panniculectomy. It may not make you the flattest but it would get rid of the overhang with the least risk of potential complications.
Thank you for your pictures. If you have heart related issues as well as some financial constraints then you might want to consider a panniculectomy. This will remove just the overhanging abdominal skin to help you cut down on the odor and irritation. This procedure requires much less time in the operating room. Coordination with your cardiologist is important to make sure that this would be safe for you have done.
Earl Stephenson, Jr, MD, DDS, FACS