Tummy Tuck vs. Panniculectomy

As plastic surgery procedures that both remove excess skin and fat from the abdomen, a tummy tuck and panniculectomy are sometimes confused as identical treatments. The truth is that these two surgeries are distinguished by the goals they wish to achieve, as well as the varying concerns that indicate the need for treatment. Dr. Jon Paul Trevisani, our skilled plastic surgeon in Orlando, explores the differences between abdominoplasty and panniculectomy below.

A tummy tuck is primarily considered a cosmetic procedure performed to make the abdomen slimmer, smoother, and more taut. This is accomplished by removing excess skin and fat on the belly, along with bringing together stretched abdominal muscles. Many patients interested in a tummy tuck do not have medical concerns regarding their abdomen, but simply wish to fulfill aesthetic goals such as gaining a sleeker body contour. In contrast, a panniculectomy is performed to alleviate skin irritation, chafing, rashes, and hygiene concerns related to extra hanging abdominal skin — known as a “pannus.” This hanging envelope of skin and fat is commonly left after massive weight loss due to the skin of the abdomen no longer maintaining enough elasticity to “snap back” to its original shape. Consequently, these extra skin folds can cause rashes and sores, sometimes even making it difficult to keep yourself clean. Panniculectomy is designed to resolve these symptoms by removing the pannus. Excess skin and fat are corrected, but unlike a tummy tuck, the underlying muscles aren’t usually addressed. 

Ultimately, a tummy tuck is mainly seen as a cosmetic solution while a panniculectomy is considered more medical in nature. Dr. Jon Paul Trevisani can evaluate your concerns and help you find the best possible treatment for your unique goals. Contact The Aesthetic Surgery Centre today for more information.