American Society of Plastic Surgeons
For Medical Professionals
4 years ago

Could a Panni with lipo shape enough or tummy tuck necessary?

I am starting to consider my mommy makeover and I’m wondering if having a Panni with Lipo to help shape could be enough or if a tummy tuck would be necessary? I have had 4 kids (single,twins, single) first 2 deliveries were Ccesarean sections & have the typical C-section pooch & have also lost about 70lbs but feel like muscles are fine, it’s mostly extra skin & last bit of fat. Most likely option?

Procedure: Mommy Makeover
Location: Oak Ridge, TN

Replies 3

Debra Johnson
ASPS Surgeon

A panniculectomy removes only the extra lower abdominal skin. It doesn't smooth out any of the excess skin above the bellybutton. If you have extra skin in both the upper and lower abdomen, then a tummy tuck would be best. You should consult with a board-certified plastic surgeon who can examine your abdomen, discuss your goals, and come up with an appropriate plan.

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Edward Domanskis

It sounds like you would be an excellent candidate for a tummy tuck but I would at least need to see photos to evaluate further. You can email them to be.

Dr. Edward Jonas Domanskis is Certified by the American Board of Plastic Surgery

Newport Beach, San Francisco,Miami, EU, Anguilla

Assistant Clinical Professor of SurgeryWOS-Plastic,University of California (Irvine)

Orange County’s Physician of Excellence/America’s Top Physicians/Top Doctors

Plastic Surgery- 2005-2018

President,American Society of Bariatric Plastic Surgeons

Organoderm Skin care/ScaRxTape

Katerina Gallus
ASPS Surgeon
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Hi and thank you for your question. A tummy tuck addresses the skin above and below the belly button. It can be combined with liposuction. Traditionally a tummy tuck tightens the muscles in the middle (corrects the rectus diastasis) but if you do not have laxity in the abdominal wall that can be skipped. That being said, the most common cause of rectus diastasis in women includes having multiple children, twin pregnancies and significant weight loss. I recommend that you seek in-person consultation with a board-certified plastic surgeon who can do a thorough examination and come up with a plan that meets your needs and expectations. Good luck!


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