Question:
Adominoplasty vs panniculectomy

Is there a difference between an adominoplasty and a panniculectomy? Also, what questions should I ask the surgeon. I have a consult on February 17th for an adominoplasty.    — dboat (posted on January 24, 2000)

January 24, 2000
Karen, yes there is a difference. A panni just rmoves the fatty tissue and skin on the lower abdomen. An abdominoplasty includes the upper abdomen and they actually go in and tighten the abdominal muscles too. I had an abdominoplasty as part of a "lower body lift" procedure in November. I now have the flat, tight abdomen that I always dreamed of and never thought would be a reality!!!!
   — Debbie T.

May 6, 2003
I had a panniculectomy. My upper abdominal area was not touched even though it needed skin removed. My insurance company only approved the panniculectomy since the lower area was the only place that was "medically necessary". It was well worth the procedure. It is amazing how much better I look and feel without the excess skin hanging. I would loved to have been able to have had a total tummy tuck but financially was unable and had to go with what insurance covered. I have absolutely no regrets.
   — [Deactivated Member]

March 16, 2004
My doctor's nurse said that Abdominoplasty and Panniculectomy are the same procedures.
   — La Verne C.

September 15, 2004
YES there is a difference. Panniculectomy is strictly the removal of the pannus excess skin aprol so to speak. Abdominoplasty is the cosmetic portion. The doc will do in and tighten the rectus muscle and liposuction to contour your stomach. Insurance if they cover anything will only cover the panniculectomy. The abdominoplasty is cosmetic and not covered by insurance. I am four weeks out from panniculectomy which insurance paid for and I had full abdominoplasty which I paid for out of pocket.
   — Beth F.

September 15, 2004
I had my abdominoplasty approved on appeal as the abdominoplasty was done to correct more functional problems (back pain) rather than being cosmetic. (Repair muscles and remove excess tissue that was putting constant strain on my back). A panniculectomy would have been denied for being strictly cosmetic. It depends on the the insurance company and how you present your request. You can check the web site for the American Academy of Plastic Surgeons for their statement on abdominoplasty and removal of redundant skin.
   — koogy