You have a more complicated case that will essentially require an abdominal reconstruction. The presence of mesh could make this more challenging.
You may be able to find a plastic surgeon who could repair the hernia, and then remove some excess skin. The process would need to be started off with a CT scan of your abdomen to see "what is where" and plan the repair.
Here are hotos of a recurrent hernia I repaired at the same time as a LBL
http://pic100.picturetrail.com:80/VOL715/4638173/9705895/377367187.jpg
In cases like yours, there will be some loss of the cosmetic result in order to get your hernia fixed and the abdominal wall restored to normal.


