My insurance has approved me for a panniculectomy, and will not pay for abdominoplasty

I know the difference between the two. But I am concerned that I may not be as tight as with the abdominoplasty. Will I still have a tight flat stomach, even thought there is no muscle tightening? I am only really concerned with the apron area, as I am paying myself to have the upper portion tightened vertically. I would like some input from anyone that has a panniculectomy. Thanks. I am having this dome with a breast lift later this month.

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