Panniculectomy vs. abdominoplasty: What’s the difference?

Overview: Confused between panniculectomy and abdominoplasty (tummy tuck)? Learn the key differences, benefits, recovery times and how to choose the right abdominal surgery for your health and cosmetic goals.

When it comes to abdominal surgeries, panniculectomy and abdominoplasty (commonly known as a tummy tuck) are often confused, but they serve different purposes. While both procedures target excess skin and improve abdominal appearance, a panniculectomy is primarily a medical procedure designed to remove overhanging skin, while an abdominoplasty focuses on cosmetic enhancement of the midsection.

Understanding the differences between these surgeries and when to consider one over the other can help you choose the right path for your health journey. 

Talk to a board-certified plastic surgeon today!

What is panniculectomy?

A panniculectomy is an invasive surgical procedure aimed at removing excess, hanging skin from the lower belly area. You typically have a panniculectomy after losing a significant amount of weight.

The biggest difference between a panniculectomy and an abdominoplasty (tummy tuck) is a panniculectomy is often considered a medical necessity and can be covered by insurance. If you’ve experienced rashes, infections or other health issues caused by excess tummy skin after weight loss, you’re likely a candidate for a panniculectomy. 

If you’re considering a panniculectomy, it's important to consult with your health care provider to ensure you are a good fit for surgery.

Request a consultation

What is abdominoplasty (tummy tuck)? 

Similar to a panniculectomy, an abdominoplasty (tummy tuck) is an invasive procedure that removes excess skin. However, during a tummy tuck, the surgeon also tightens your abdominal muscles. Due to the sculpting aspect of the surgery, abdominoplasty is considered cosmetic and is typically not covered by insurance.

Other similarities and differences 

Similarities

• Both panniculectomy and abdominoplasty can be permanent, one-time procedures if you maintain your current weight.
• Both are performed after-weight loss surgeries (the procedures themselves are NOT weight loss surgeries).
• Both procedures can take between two and five hours.

Differences

• Full recovery for panniculectomy can take up to eight weeks, while abdominoplasty recovery ranges from four to six weeks.
• After panniculectomy you may feel pain in the abdomen for months following surgery, while pain following abdominoplasty typically lasts only a few days.
• You may also notice numbness following a panniculectomy.

Choosing between a panniculectomy and an abdominoplasty depends on your personal goals, medical needs and desired results. If you're dealing with excess skin that causes discomfort or health issues, a panniculectomy may be the right option. On the other hand, if you're looking to refine your midsection by removing excess skin and tightening muscles for a more sculpted look, abdominoplasty could be the better choice.

Consulting with your health care provider or a board-certified plastic surgeon can help you determine which procedure meets your needs and ensures the best possible outcome for your health journey. 

Learn more about plastic and reconstructive surgery at MercyOne

This blog was medically reviewed by a MercyOne provider