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Can Plastic Surgery Fix my Torn Stomach Muscles and Umbilical Hernia?

I have had 5 kids and I have an umbilical hernia and my stomach muscles are split down the middle.  There is a two inch separation. I have some exess fat but not much. I weigh 118 lbs and I am not overweight, but I want my stomach fixed.

I went to a plastic surgeon and he sent me away saying " you don't have enough extra skin for a tummy tuck, and you need to talk to a general surgeon about the hernia and muscle split."

Does that sound right to you plastic surgeons?  Is that a standard response in this type of situation or should I get a second opinion?

Doctor Answers (46)

Hybrid Tummy Tuck

+5

For women who don't need a great deal of skin removed (and a hip to hip incision), but need their muscles tightened and an umbilical hernia repaired, they may be a candidate for a hybrid tummy tuck.

The hybrid tummy tuck involves a C-section-type incision with full tightening of the deep fascia, the structure that holds the muscles. Although doctors often refer to tightening the muscles, it is in fact the fascia that is tightened.

The hybrid tummy tuck is not for women who have a great excess of skin and fat. Good candidates are typically fit moms. But for women who have only been offered a full tummy tuck and in fact have primarily a problem of the fascia, the hybrid tummy tuck is just the right thing.


Beverly Hills Plastic Surgeon
5.0 out of 5 stars 96 reviews

Plastic surgeon should be able to fix both diastasis and umbilical hernia

+4

You should seek an other opinion as a well trained plastic surgeon should be able to correct all of your problems at one operation.  First, if you don't have enough skin for a standard tummy tuck with the incision around the belly button, you may consider a tummy tuck with an "Umbilical float".  This allows the entire skin of the abdomen to be lifted and tightened and the excess trimmed off without having to make the closure too tight or incising around the belly button.  The scar can be placed very low and be very well camoflouged.  After the skin is elevated the diastasis and the umbilical hernia should easily be able to be repaired to flatten your tummy and restore its youthful contours.  Seek out someone board certified by the American Board of Plastic Surgery.

Jeffrey M. Darrow, MD
Boston Plastic Surgeon
5.0 out of 5 stars 34 reviews

Unless there is something else going on, you should get a tummy tuck.

+4

After 5 children and having a rectus diastasis, I'd be very surprised if your skin has not stretched out enough to warrant an abdominoplasty. As a matter of fact, I'd be very impressed if you did not show overt laxity. You should really get another opinion by a board certified plastic surgeon who does abdominoplasty surgery.

Michael A. Bogdan, MD, FACS
Dallas Plastic Surgeon
5.0 out of 5 stars 51 reviews

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Tummy tuck to fix torn muscles and hernia

+3

I would recommend that you see an experienced plastic surgeon.  In the usual tummy tuck, the excess skin and fat is removed (you probably have some looseness after 5 children), the skin is stretched (to make it tight), and the underlying muscle separation is repaired (along with any hernia).

Randy J. Buckspan, MD
Austin Plastic Surgeon
5.0 out of 5 stars 6 reviews

ABdominoplasty (tummy tuck) for muscle repair

+3

SEE VIDEO BELOW FOR MUSCLE REPAIR:

A timmy tuck involves differential repair and treatment of:

  1. localized fat
  2. redundant skin
  3. separated muscles (rectus diastasis)

In your instance you may need more aggressive treatment of the muscles with less attention to the skin and fat. This may result in a mini-tummy tuck or your own customized version of a tummy tuck.

I certainly would get a second opionion and maybe three to be made fully aware of your options. Choose the operation that fits your needs

Otto Joseph Placik, MD
Chicago Plastic Surgeon
5.0 out of 5 stars 44 reviews

A plastic surgeon who is also a general surgeon is what you need

+3

What you have can be best repaired by a surgeon who is Board Certified in Surgery and also is Board Certified in Plastic Surgery. Wearing these 2 hats will enable the surgeon to best improve the aesthetics of your abdomen as well as repairing your hernia and tightening your rectus diastasis (the split between your rectus muscles). In fact, just last week, I repaired an abdomen and did a tummy tuck on a patient who is almost identical to what you describe.

If there are no surgeons who qualify with this degree of training in Idaho, there are several who do so in Washington state.

Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
5.0 out of 5 stars 49 reviews

A tummy tuck is not a tummy tuck is not a tummy tuck....

+3

A tummy tuck is not a tummy tuck is not a tummy tuck. While patients and surgeons alike use the term tummy tuck or abdominoplasty to indicate a particular procedure, in reality, it is best to analyze the anatomy of individual patients, discuss the desired results, and then design an operation to fit your particular needs. What you call the procedure is less important.

I have found that patients respond variably to pregnancy. Some have abdomens that are destroyed by one pregnancy and others, with five pregnancies, look virtually normal. You may have more muscle issues than skin, and it would be important to separate out the anatomical components of your concerns.

You may be a good candidate for a muscle repair to correct the diastasis recti and hernia without any skin excision or perhaps a so-called limited "mini" tuck or "modified" abdominoplasty.

Robin T.W. Yuan, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 8 reviews

Plastic surgery fixes stomach muscles and umbilical hernias!

+2

It is always a matter of performing the right procedure for the right patient. When a significant amount of excess skin is present, a full abdominoplasty together with muscle repair and hernia correction is routinely performed. If the skin redundancy is minimal, a version of a mini-abdominoplasty is performed where the small amount of skin is removed, the muscles are repaired and the hernia fixed. Where no excess of skin is present, an endoscopic approach may be used where the muscles are repaired and the hernia fixed through a very small, well hidden incision.

Z. Paul Lorenc, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 23 reviews

Get another surgical opinion

+2

The separation of the abdominal musculature (diastasis recti) and an umbilical hernia are routinely corrected during Tummy Tucks. I find it hard to believe that after five pregnancies you do not also have enough loose skin to warrant a Tummy Tuck. I would advise you to obtain another surgical opinion!.

David A. Ross, MD
Chicago Plastic Surgeon
4.5 out of 5 stars 70 reviews

A combination procedure would be best

+2

My preference (as a general and plastic surgeon) is to fix the hernia using your own muscle tissue and tighten/repair the msucles at the same time. After that, the tummy tuck is done as usual.

I do not like to use plastic mesh to fix hernias because of problems with recurrence and infection, and my preference is to have control over the muscle repair because that is an important part of getting a nicely sculpted result.

John LoMonaco, MD, FACS
Houston Plastic Surgeon
5.0 out of 5 stars 174 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.