Which is Best for Me, Tummy Tuck or Panniculectomy? (photo)

You would be best served with a tummy tuck and liposuction.  A full abdominoplasty ("tummy tuck") is sometimes called a panniculectomy - which means basically removal of the big apron of tissue from your midsection.  "Abdominoplasty" implies some additional attention to detail including repair of the muscles and hiding the scar as well as possible, and proper treatment of the belly button.  You have extensive stretch marks.  The ones below your belly button will be removed and those above get moved down.  Liposuction works to further enhance your hourglass figure.  It is particularly helpful in reducing the love handles so you have a more hourglass figure, but I also use liposuction to treat the upper tummy.  If you don't do this, there is still a bulge in the upper tummy after a tummy tuck.  It's a very satsifying procedure and a common one.  Attached are photographs of examples.  Good for you that you are a nonsmoker because that reduces the risk of complications.

Hello! Thank you for your question! I hope that these answers
help! A panniculectomy is an excellent method for removing the excess
skin and soft tissue of the lower abdomen (abdominal panniculus), often
caused by weight loss. It is mainly performed to ameliorate symptoms
caused by the abdominal apron such as hygiene issues, excoriations,
rashes/infections, back pain, etc. A panniculectomy gives almost
immediate relief from these issues as well as has been shown to
stimulate additional weight loss as your activity level is increased
after removal of the panniculus. An abdominoplasty is more of an
aesthetic procedure in that as opposed to simply excising this excess
tissue in a wedge to relieve complaints, an abdominoplasty focuses more
on abdominal contouring, abdominal wall tightening, re-insetting the
belly button, as well as often times the addition of liposuction.

I believe you would be better served by a full tummy tuck, in order to address your abdominal wall laxity as well as contouring of your flanks/hips, and upper abdomen.  I would highly recommend continued diet and exercise prior to any
consideration for a panniculectomy or body contouring as getting down to
your ideal weight
prior to the procedure will certainly give you the best results as well
as be the safest for you. Neither one is a weight loss procedure.
Also, a
continued healthy and active lifestyle will be needed in order to
maintain the benefits that the procedure has given to you. You should
consult with a
plastic surgeon at anytime to go over options and in order to assist
you in
deciding which procedure(s) would be right one for you.  Best wishes for a wonderful result!

The simple answer is in most cases you would look a lot better with an abdominoplasty (tummy tuck)/panniculectomy combination plus liposuction .A panniculectomy usually entalls the simple removal of the excess apron skin that hangs down without undermining or "pulling the skin" down. That is the difference (plus tightnening muscles when indicated0 with a Tummy Tuck (abdominoplasty and a panniculectomy). A panniculectomy is generally done to treat a medical condition or physical limitation (e.g. recurrent infections)Panniculectomy refers to simple excision, removal, of the roll, pannus, of redundant soft tissue in the lower abdomen which falls onto the thigh. Occasionally this procedure is covered by insurance if there is a documented recurrent or chronic infection and rash requiring medical treatment. It does not involve improvement to the mid or upper abdomen or tightening to the abdominal muscles, but can be done in conjunction with anAbdominoplasty which will accomplish these goals.