10 doctors weighed in:

What is the difference between an abdominoplasty and a panniculectomy?

10 doctors weighed in
Dr. Francisco Agullo
Surgery - Plastics
3 doctors agree

In brief: Amount of tissue

Although the scars are the same for both procedures, the similarities end there.
A panniculectomy is a procedure which removes the excess skin of the abdominal apron or pannus below the belly button. An abdominoplasty does this and also removes excess skin above the umbilicus. An abdominoplasty also tightens the abdominal muscles.

In brief: Amount of tissue

Although the scars are the same for both procedures, the similarities end there.
A panniculectomy is a procedure which removes the excess skin of the abdominal apron or pannus below the belly button. An abdominoplasty does this and also removes excess skin above the umbilicus. An abdominoplasty also tightens the abdominal muscles.
Dr. Francisco Agullo
Dr. Francisco Agullo
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Dr. Annette Occhialini
Surgery - Plastics
3 doctors agree

In brief: Similar

Abdominoplasty includes removing excess skin and tightening the abdominal muscle layer. Panniculectomy is usually used to describe removal of excess skin that hangs from the abdominal wall.
This procedure has become more common with massive weight loss.

In brief: Similar

Abdominoplasty includes removing excess skin and tightening the abdominal muscle layer. Panniculectomy is usually used to describe removal of excess skin that hangs from the abdominal wall.
This procedure has become more common with massive weight loss.
Dr. Annette Occhialini
Dr. Annette Occhialini
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1 comment
Dr. Robert Buchanan
Abdominoplasty is cosmetic and preserves teh natural appearance of a thin abdomen. Panniculectomy is generally considered reconstructive, frequently with loss of the belly button and no muscle tightening or waist thinning.
Dr. David Abramson
Surgery - Plastics
1 doctor agrees

In brief: Abdominoplasty

An abdominoplasty will include removal of skin, repositioning of the belly button, tightening of the muscles as well as liposuction.
A panniculectomytannenbilateral is the surgical removal of skin and fat usually just the hanging skin below the umbilicus.

In brief: Abdominoplasty

An abdominoplasty will include removal of skin, repositioning of the belly button, tightening of the muscles as well as liposuction.
A panniculectomytannenbilateral is the surgical removal of skin and fat usually just the hanging skin below the umbilicus.
Dr. David Abramson
Dr. David Abramson
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Dr. Daniel Careaga
Surgery - Plastics

In brief: The muscles

The main difference between them is the tightening of the muscles.
Panniculectomy is considered more of a "functional" procedure to correct the apron of skin that overhangs whereas abdominoplasty is considered more of a cosmetic procedure. Insurance companies will usually only cover panniculectomy and you have to have demonstrated a large weight loss (usually ~ 100 lbs).

In brief: The muscles

The main difference between them is the tightening of the muscles.
Panniculectomy is considered more of a "functional" procedure to correct the apron of skin that overhangs whereas abdominoplasty is considered more of a cosmetic procedure. Insurance companies will usually only cover panniculectomy and you have to have demonstrated a large weight loss (usually ~ 100 lbs).
Dr. Daniel Careaga
Dr. Daniel Careaga
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Dr. Thomas Fiala
Surgery - Plastics

In brief: Related, but....

Panniculectomy only removes the hanging apron of skin in the lower abdomen.
Tummy tuck removes the hanging apron of skin, smoothes the upper abdomen, repairs the muscle, and repositions the belly button. So, it's a much more complete treatment.

In brief: Related, but....

Panniculectomy only removes the hanging apron of skin in the lower abdomen.
Tummy tuck removes the hanging apron of skin, smoothes the upper abdomen, repairs the muscle, and repositions the belly button. So, it's a much more complete treatment.
Dr. Thomas Fiala
Dr. Thomas Fiala
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Dr. Otto Placik
Surgery - Plastics

In brief: Skin/muscle vs skin

Generally speaking an abdominoplasty literally means aesthetic surgical correction of the abdomen typically referring to excess skin removal and muscle approximation.
Panniculectomy literally can be interpreted as removal of excess haning abdominal skin.

In brief: Skin/muscle vs skin

Generally speaking an abdominoplasty literally means aesthetic surgical correction of the abdomen typically referring to excess skin removal and muscle approximation.
Panniculectomy literally can be interpreted as removal of excess haning abdominal skin.
Dr. Otto Placik
Dr. Otto Placik
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