Question:
Are panniculectomies always necessary,?

I was wondering, if you already have a large pannus prior to having surgery, or weight loss, do you always have to have a panniculectomy after? Or, Do many people just get a tummy tuck? I don't know the difference.    — Michelle H. (posted on March 4, 2002)

March 3, 2002
A panniculectomy removes the excess apron. A tummy tuck removes the excess skin, goes a little higher, like below the breasts and tightens the muscles that lie underneath as well. The panni removes that same fat and some surgeons go high up, others just deal with the area from belly button down on the panni. Pannis and tummy tucks can be covered by ins, depending on who you have. Some say it is easier to get a panni approved because it is often considered less cosmetic, but often tummy tucks are approved as well. If you already have a big apron pre-op you will definitely need some work post op. Good luck!
   — Courtney W.