Choosing Between Abdominoplasty or Panniculectomy: What You Need to Know
abdominoplasty vs panniculectomy
A panniculectomy and a tummy tuck both target loose skin around the abdomen and are often confused with each other. While both procedures aim to create a flatter stomach without sagging skin, they differ significantly. If you are wondering about abdominoplasty vs. panniculectomy, which one is right for you? Keep reading to understand both procedures and their key differences.
Understanding Panniculectomy
- Pannus refers to an abnormal growth of skin that forms a large abdominal flap, often extending over the thighs. This type of sagging skin is more severe than what may result from pregnancy or moderate weight loss. A pannus typically occurs after significant weight loss of 100 pounds or more and is commonly seen in patients who have undergone weight loss surgeries such as gastric bypass or gastric sleeve.
During a panniculectomy, which is performed under general anesthesia, your surgeon makes two incisions along the abdominal wall. The size of these incisions depends on how much excess skin needs to be removed. After removing the excess skin, the remaining skin is pulled together and sutured. Unlike a tummy tuck, the belly button is generally not repositioned during this procedure. A panniculectomy is a major surgery, often taking several hours to complete.
Understanding Abdominoplasty
- An abdominoplasty is a surgical procedure performed under general anesthesia. During the surgery, your surgeon makes an incision, typically extending from one hip bone to the other. They then remove excess skin and fat while tightening the underlying abdominal muscles. In some cases, absorbable mesh is used to reinforce muscle repair.
The procedure typically takes between two and three hours and is often combined with other surgeries, such as during a mommy makeover. There are different types of tummy tucks, including mini, hybrid, and full versions. Additionally, progressive tension sutures may be used to promote healing and reduce the need for surgical drains.
As a cosmetic surgery, tummy tucks are not covered by insurance.
Panniculectomy vs Tummy Tuck: Key Differences
Right Candidate for Each Procedure
- A panniculectomy is typically recommended for individuals dealing with severe sagging skin on the abdomen that significantly impacts their daily life and causes health complications. This procedure is often performed after significant weight loss, such as following bariatric surgery. On the other hand, tummy tucks are also common after weight loss but typically address loose skin that does not cause major health issues.
Tummy tucks are often performed on those with minor abdominal skin issues, particularly after pregnancy or due to age-related skin elasticity loss. When combined with liposuction, a tummy tuck can also help target small fat deposits that resist diet and exercise.
Recovery Time
- After either procedure, you will likely have steri-strips or skin glue on the incisions and possibly surgical drains. To avoid complications, it’s important to follow your surgeon’s instructions for drain and incision care.
Recovery from a panniculectomy can take up to eight weeks. During this period, you should avoid heavy lifting and strenuous activity. Your surgeon will provide a personalized recovery timeline based on your needs.
Insurance Coverage
- Panniculectomy is often considered a medical necessity due to the health problems caused by excess abdominal skin, such as rashes, infections, and hygiene difficulties. As a result, insurance may cover the procedure, though coverage varies by policy.
A tummy tuck is generally considered a cosmetic procedure, meaning it is rarely covered by insurance. In most cases, patients will need to pay out of pocket for the surgery.
Ready to explore your cosmetic surgery options? Contact Stanwix Plastic Surgery in Richmond, VA, to schedule a consultation with Dr. Matthew G. Stanwix. With over 13 years of experience, Dr. Stanwix provides personalized consultations and expert care to achieve beautiful, natural-looking results. Serving clients throughout Richmond, Charlottesville, Williamsburg, and beyond.
