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Do I need a tummy tuck or Panniculectomy?

If you have a significant amount of hanging fat and skin that covers your groin area, a panniculectomy is most likely the better option. If you have excess skin in your middle abdomen, or want tightening of separated stomach muscles, a tummy tuck is probably going to be the better fit.

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Chances are, you’ve heard of a tummy tuck. But did you know there’s another surgery that many people confuse with a tummy tuck? It’s called a panniculectomy. Here we’ll go into detail about what a panniculectomy is, and the differences between a panniculectomy vs tummy tuck. What is a panniculectomy? A panniculectomy is an operation that removes excess skin, as well as fat, from the lower tummy area. This surgery is often performed on people who have lost a significant amount of weight - for instance, patients who have had a surgical or non-surgical weight loss procedure - and find that their abdominal area has extra hanging skin. This “apron” of skin is called a pannus or panniculus. In the most simple way of thinking about it, and panniculectomy is the removal of the pannus or panniculus. How is a panniculectomy different from a tummy tuck? While a panniculectomy is strictly focused on removing the excess hanging skin from the abdomen, a tummy tuck is generally a more comprehensive surgery. A tummy tuck often includes tightening of the abdominal muscles, as well as detailed contouring of the abdomen. A tummy tuck sometimes involves liposuction and includes the upper and side abdominal areas, whereas a panniculectomy is just the surgical removal of the fat apron. What is the goal of a panniculectomy vs tummy tuck? One goal of a panniculectomy is cosmetic. This surgery smoothens your silhouette and gives a more flat, contoured abdomen. People often have a much easier time finding clothes that fit, and feel better about their physical appearance after a panniculectomy. Another primary goal of a panniculectomy is the relief of physical symptoms that come from having excess skin in the abdomen area. Many patients with a large pannus have recurring rashes or infections in the area under the excess skin. Some patients even find that a large pannus interferes with their ability to walk well. The goal of a tummy tuck is almost always cosmetic, and is often requested after pregnancy. Who is a good candidate for a panniculectomy? Someone may be a good candidate for a panniculectomy if they have a significant flap of skin that hangs from their lower abdomen. For some people, a panniculectomy is strictly for cosmetic reasons, and for others they are good candidates for a panniculectomy because of medical reasons like chronic skin irritation. The best way to find out if you’re a good candidate for a panniculectomy is to come in for a private consultation, but here are some factors we consider important: At a relatively stable weight (if you still want to lose a substantial amount of weight, it is best to wait on a panniculectomy until you are closer to that goal weight).

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In good overall health and a non-smoker

Has realistic expectations of what a panniculectomy will and will not be able to help with How should I choose between a panniculectomy vs tummy tuck? Although there are exceptions, a panniculectomy is a popular surgery for people who have lost a significant amount of weight. A tummy tuck is more popular for people trying to tighten their abdomen after pregnancy or to improve tone and contour to achieve a flat abdomen. Choosing a panniculectomy vs tummy tuck is a decision that should be made based on your goals. If you have a significant amount of hanging fat and skin that covers your groin area, a panniculectomy is most likely the better option. If you have excess skin in your middle abdomen, or want tightening of separated stomach muscles, a tummy tuck is probably going to be the better fit.

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