If there is a definite umbilical hernia and need for diastasis repair how does the repair differ with mini vs full tt? Does stalk need to be cut to repair? What happens to stalk after repair and is there any danger in cutting stalk? I have asked doctor, but gotten no real answer so would love to know the real deal as the "idea" of "cutting the cord" bothers me! From what I have read any way it's done and even hernia repair requires cutting?
Can Umbilical Hernia and Diastasis Be Fixed Without Floating Belly Button in Mini TT
Doctor Answers (11)
Mini Tummy Tuck
The stalk is not usually cut at the bottom for a full TT or mini TT. Where the hernia is and what is affected may change some of the plan however. Usually the BB is separated from adjacent tissue, not the bottom where the blood supply is. The abdomen is stretched down and the BB is placed on a higher place on the abdomen (where it was before). The shape is a smaller version of what you typically had in the beginning. Repair the hernia, and then plan for the rest.
Fixing diastasis without cutting the belly button stalk
Acually that can be done. It can be done as an endoscopic tummy tuck or as a mini tummy tuck with an endoscopic component above the belly button. Ask around your community to see if there is a plastic surgeon that is experienced in doing so. Ask to see before and after photos as well.
All the best,
Umbilical hernia and diastasis can be repaired in mini-tummy tuck
If you need repair of the diastasis above the level of the belly button, then there are only 2 ways to accomplish this. One is to do a full tummy-tuck with a scar around the umbilicus. The second way is to cut the stalk. You might be able to find someone who would make an incision above the belly button and use an endoscope to do the diastasis repair above the belly button but I am not familiar with anyone in your area who performs this procedure. If the diastasis in confined to below the belly button AND you do not have significant excess skin above the level of the belly button, then the surgeon might not have to cut the stalk. In this situation the umbilical hernia might need to repaired through a separate incision around the belly button. Hope this helps.
Tracy M. Pfeifer, MD, MS
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Yes it can be done
Yes you can do both at the same time and not float the belly button and bring out the belly button in the same place as it was; however, you would need to cut around the belly button to free it in order to repair the diastasis.
Belly buttons and tummy tucks
There are several ways to deal with the belly button in abdominoplasty surgery, primarily dictated by the type of tummy tuck. Umbilical hernia and diastasis can both be repaired either with or without cutting the umbilical stalk and either in full or mini abdominoplasty. If you are not getting adequate answers from your surgeon, it may be time to visit another surgeon. Good luck!
Umbilical hernia and diastasis repair with mini-tummy tuck
Repairing a rectus diastasis and umbilical hernia is a very common procedure. It can be a bit more difficult when trying to repair both with a "mini" tummy tuck, especially when repairing the diastasis above the umbilicus. It is easier if you detach the belly button but then you are likely to "float" the belly button in an inferior direction and it may end up too low which looks odd. You are likely to get a better result if a a standard abdominoplasty is performed depending on how much skin laxity you have. I would advise that if your surgeon is unable to answer your questions adequately, you should get another opinion.
Tummy Tuck versus Mini-TT
Cutting the umbilical stalk and floating it are not exactly the same. You can cut it to repair a hernia or diastasis and put it back where it came from or you can move it downward to relieve some excess upper abdomenal skin (floating). In either case blood supply is damaged so that a future Tummy Tuck will become problematic.
Hernia and tummy tuck
The diastasis repair consists of plicating, or bringing your muscles closer together. The hernia repair is separate from this. This can be done.