I would be surprised if after 5 children you would not benefit from some skin tightening. If you do not, you may still benefit from a tummy tuck with a shorter scar to visualize and repair the separated muscles (diastasis recti) while at the same time repairing the umbilical hernia through the same incision. Many plastic surgeons would feel comfortable repairing a small umbilical hernia at the time of a tummy tuck.





