As a plastic surgeon at Oregon Cosmetic and Reconstructive Clinic, I often meet patients who ask the same thoughtful question:
“Do I need a panniculectomy or a tummy tuck?”
Although these procedures sound similar, they serve very different goals. So, let’s slow down, break it apart, and walk through the differences together.
What Is a Panniculectomy?
A panniculectomy focuses on function and comfort.
Over time, weight loss, pregnancy, or medical conditions can cause excess skin and fat to hang over the lower abdomen. This overhanging tissue is called a pannus. When it becomes heavy, it can lead to:
Skin rashes and infections
Hygiene challenges
Difficulty walking or exercising
Chronic irritation and discomfort
During a panniculectomy, I remove this extra skin and fat to improve daily function. Importantly, this procedure does not tighten muscles and does not reshape the abdomen.
👉 The main focus is relief, not contour.
In many cases, insurance may cover a panniculectomy when medical criteria are met.
What Is an Abdominoplasty (Tummy Tuck)?
An abdominoplasty, often called a tummy tuck, focuses on shape, structure, and contour.
In addition to removing excess skin, I also:
Tighten weakened abdominal muscles
Reposition the belly button
Smooth and contour the waistline
As a result, the abdomen looks flatter, firmer, and more defined. Sometimes adding on liposuction contours the abdomen even further.
While some patients do experience functional benefits, abdominoplasty is considered a cosmetic procedure and is not covered by insurance.
Key Differences at a Glance
Here’s a simple way to compare the two:
Panniculectomy
-Removes hanging skin only
-Improves comfort and hygiene
-No muscle tightening
-May be medically necessary
Abdominoplasty
-Removes skin and tightens muscles
-Improves shape and contour
-Includes belly button repositioning
-Cosmetic focus
Both surgeries remove excess skin, but the intent and outcome are very different.
Which Procedure Is Right for You?
This is where a thoughtful consultation really matters.
When I evaluate patients at OCRC, I look at:
Skin quality and distribution
Muscle laxity
Weight stability
Medical symptoms
Personal goals
Some patients need function restored first. Others want both comfort and contour. There is no one-size-fits-all answer—and that’s okay.
Recovery and Expectations
Recovery depends on the procedure and the individual, but in general:
Patients walk the same day
Swelling improves gradually over the course of several months
Activity increases in stages, with strenuous exercise to start about 4 weeks after surgery
Long-term results depend on stable weight
I guide patients carefully through recovery so they feel informed, supported, and confident at every step.
My Approach at Oregon Cosmetic and Reconstructive Clinic
I believe good surgery starts with good listening.
At Oregon Cosmetic and Reconstructive Clinic, my goal is not to sell a procedure. Instead, I help patients understand why one option may serve them better than another—now and long-term.
Final Thoughts
Both panniculectomy and abdominoplasty can be life-changing in the right setting. When we match the right procedure to the right goal, patients heal better and feel more satisfied with their results.
If you’re curious which option fits your body and your priorities, that conversation is a great place to start.
