Panniculectomy v.s. Extended Tummy Tuck - What do you guys think? (photo)

Thank you for your question and photos.  Your expectations will dictate the best procedure(s) for you.  A Tummy Tuck will ultimately give you the best results.  A Tummy Tuck addresses excess skin as well as repair to your abdominal wall.  Panniculectomy will address only some of your loose abdominal skin.  I suggest a consultation with a board certified plastic surgeon to go over the options that best address your goals.  Best of luck!
Dr Dhaval Patel
Double Board Certified
Plastic Surgeon
Chicago
Hoffman Estates 
Oakbrook 
Orland Park

Thank you so much for your question.A Lateral Tension Abdominoplasty is definitely the best option to achieve  the perfectly desired hour-glass shape.  I would recommend to see  more board certified plastic or cosmetic  surgeon to get the best advice.
Best of luck !
- Dr.Danovich

Dear Cherry Blossom Rose,
Thanks for your post and your helpful photos. While I cannot offer concrete advice without an in-person evaluation, it does strike me as somewhat odd that a plastic surgeon would recommend a panniculectomy in your case. Panniculectomy is mainly intended to remove the “skin apron” below the navel, rather than address and contour fat and skin across the abdomen. From your photos, you seem to have pockets of fat and stretched skin both above and below the navel, which indicates that a tummy tuck is likely your better option. A tummy tuck can also be combined with 360 liposuction to optimize the results. I would recommend ensuring that this surgeon is a board-certified plastic surgeon with experience in body procedures, and perhaps seeking a consultation with a different plastic surgeon for a second opinion. Best of luck to you!