Tummy Tuck vs panniculectomy? (Photo)

Congratulations on this significant weight loss.  You should be very proud of this accomplishment. Which operation you choose to proceed with will depend mainly on your goals; in other words, what you would like to achieve with the operation.The tummy tuck operation is an abdominal wall contouring operation that serves to reapproximate the abdominal wall muscles that have spread with pregnancy and remove the “excess skin” of the lower abdomen. It is generally consider an "aesthetic" procedure, compared to the panniculectomy operation which is more of a “medically necessary” procedure. The panniculectomy operation involves excision of the lower abdominal wall pannus or overhanging skin/adipose tissue. It is not considered an aesthetically driven procedure; it is often performed to help with concerns such as skin breakdown, infections/rashes…Key will be careful selection of your plastic surgeon and careful communication of your goals. Working together you will come up with the best plan to proceed with. Best wishes.

Thank you for photo, and congratulations on the significant
weight loss. A panniculectomy is going to address the excess skin only and will
not repair the diastasis caused by the excess fat in the abdomen prior to the
weight loss. Most people in your situation would also benefit greatly from a
tummy tuck to tighten the abdominal muscles. Of course, it would be best to
consult with a board certified plastic surgeon who has plenty of experience
with these procedures, so they can tell you if you are a candidate for both and
explain the benefits and risks associated with your particular case.

Which procedure depends on what your goals are. It getting rid of the sagging skin alone is your goal then a panniculectomy is the right choice. However, if you would like to reshape you abdomen and tighten your waist with even more skin removal then a full tummy tuck would probably be more approperate. Discuss all with your surgeon.