This section of overhanging abdominal tissue is removed, while the layer of tissue superficial to the muscles (fascia) is not tightened in this procedure. Based upon the extent of the patient’s functional deficits with the excess skin, insurance may occasionally cover this procedure, typically if rashes are regularly present below the pannus and if pannus itself hangs low enough in relation to the pubis. That said, if insurance does cover this procedure, the more aesthetic element of completing the rest of the abdominoplasty procedure can be performed in a cosmetic fashion, in which even more tissue is removed and wherein the space between the six pack muscles is tightened.

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