TT vs. Panni - How do I determine which surgery is the right one for me?

I have had a plastic surgery consult and the surgeon found 3 hernias. I feel that I would rather have abdominoplasty than a panniculectomy. I have had two c-sections and have quite a large panni. If the abdominal muscles aren't tightened, won't the hernias keep occurring? I don't want to have a panniculectomy and end up still having a large abdomen. The surgeon was discussing a panniculectomy, but didn't really talk about abdominoplasty. Of course, I didn't think to ask him some of these questions while I was in his office. He did state that my insurance would cover a panniculectomy but did not say anything about whether it should cover abdominoplasty. For those of you who have had either of these surgeries, what factors helped you determine which surgery you wanted. Any advice would be greatly appreciated. Thanks.

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