Panniculectomy vs Tummy Tuck

Posted October 01, 2025 in Tummy Tuck

If you’re considering surgery to remove excess abdominal skin, you may have come across two procedures: panniculectomy and tummy tuck surgery. This blog will help you understand the similarities and distinctions between the two surgeries so you can make an informed decision aligned with your goals and needs.

4 Min Read:

What Is a Panniculectomy?

A panniculectomy is a plastic surgery procedure designed to remove the pannus. Commonly referred to as “apron belly,” the pannus is a hanging fold of excess skin and fat located in the lower abdomen that can extend over the genitals and thighs. Some patients develop excess skin after significant weight loss, pregnancy, or aging. The extra skin in this region can cause discomfort, back pain, chronic skin irritation and infections, difficulty maintaining proper hygiene, and challenges with exercise and finding clothes that fit.

Because panniculectomy addresses functional issues rather than aesthetics, it does not tighten abdominal muscles or contour the waistline. 

What Is a Tummy Tuck?

Also known as abdominoplasty, tummy tuck surgery is a body contouring procedure focused on improving the aesthetic of the abdominal region. Like a panniculectomy, a tummy tuck removes excess skin and fat, but it also tightens weakened abdominal muscles and sculpts the midsection for a flatter, firmer stomach. It’s an excellent option for patients who not only want functional benefits and relief from discomfort, but also an enhanced appearance in one comprehensive surgery. 

Common tummy tuck variations include:

• A standard tummy tuck uses a hip-to-hip incision just above the pubic area. This method corrects skin laxity and weakened abdominal muscles, improving strength and core stability.
• A circumferential tummy tuck extends around the sides of the torso and can reach the back, allowing for additional skin and fat removal and contouring of the flanks, “love handles,” and lower back. This is an excellent option for patients who have undergone major weight loss and are struggling with excess skin.

What’s the Difference?

The primary distinction between the two procedures is muscle repair: a panniculectomy removes skin and fat only—there is no muscle tightening or significant contouring. Meanwhile, a tummy tuck removes skin and fat while also tightening muscles for a smooth, toned look.

Another important factor is the purpose of surgery: panniculectomy is often chosen for medical relief, while a tummy tuck is an elective, cosmetic surgery that also provides functional benefits.

Recovery

Both procedures require patients to plan for some post-op downtime. For both surgeries, you can expect to have activity restrictions for several weeks. Many patients feel comfortable returning to work after two weeks, if not a little longer. Both recoveries typically involve the use of compression garments to help reduce swelling, and both require follow-up visits to monitor progress.

Panniculectomy recovery often takes four to six weeks. A full recovery from a tummy tuck can also take four to six weeks, but patients should account for lingering side effects resulting from the extensive muscle repair and longer surgical time that is associated with this procedure.

Results

Panniculectomy offers almost instant relief from discomfort and a smoother lower abdomen, albeit with less explicit focus on aesthetics. A tummy tuck often provides similar relief but also delivers dramatic aesthetic results, with improved abdominal contours and increased core strength.

Cost

Tummy tucks are elective cosmetic surgeries, and costs can vary based on geographical location, surgeon’s experience, and other factors.

At Thompson Center for Plastic Surgery in Colts Neck, NJ, our patient coordinator will provide you with a personalized quote and discuss financing options after your tummy tuck consultation with Dr. Thompson. 

Because panniculectomy can be medically necessary, insurance may cover part of the cost with an in-network provider and approval from your insurance company. However, it is important to note that some surgeons do not accept insurance for procedures such as panniculectomy. Be sure to ask your surgeon for more information during your consultation so you are fully informed before making a decision. 

Why Choose Dr. Thompson?

Dr. Rudolf Thompson is a double board-certified plastic surgeon who has been performing specialized body contouring procedures for 25 years at his private practice in Colts Neck, NJ. Dr. Thompson stays current by pursuing continuous training in the latest aesthetic and revision surgery techniques and technological advancements. In addition to keeping his skills sharp, he shows his dedication to his patients by prioritizing patient education and upholding the highest standards of safety. He takes the time to understand your goals, answer your questions, and help you achieve natural-looking results, always tailored to your body, your lifestyle, and your needs and goals.

Learn More About Tummy Tuck Surgery in Colts Neck, NJ

If you’re debating whether panniculectomy or tummy tuck surgery is right for you, the best way to determine your best choice is to schedule a private consultation with Dr. Thompson. He and his team will be happy to help you explore your options. Take the first step toward comfort and confidence by calling (732) 410-4789 or filling out our online contact form today.