Has anyone had abdominoplasty or panni done that still had a lot of fat in it?

My surgeon told me Monday that I need a hernia repair and that I should have my excess skin taken care of at the same time. I see the plastic surgeon tomorrow. Im very excited about it, BUT I haven't lost all my weight yet. I have lost 210lbs and have another 50 to go yet. I look at my pannis and its not just skin but fat also. What do they do liposuction or just cut it off? I know I prefer the abdominoplasty over the panni but I have Medicare so I will have to wait and see what he can do. Anything will help. Thanks. Judy

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