Can Umbilical Hernia and Diastasis Be Fixed Without Floating Belly Button in Mini TT

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?

Doctor Answers (11)

Mini Tummy Tuck

+1

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.


Danville Plastic Surgeon
5.0 out of 5 stars 9 reviews

Fixing diastasis without cutting the belly button stalk

+1

Hello,

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,

Dr Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 81 reviews

Umbilical hernia and diastasis can be repaired in mini-tummy tuck

+1

Hi KC1,

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

Tracy Pfeifer, MD
Manhattan Plastic Surgeon
5.0 out of 5 stars 15 reviews

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Yes it can be done

+1

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.

Andre Aboolian, MD
Beverly Hills Plastic Surgeon
5.0 out of 5 stars 42 reviews

Belly buttons and tummy tucks

+1

Dear KC1,

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!

Kenneth R. Francis, MD
Manhattan Plastic Surgeon
4.5 out of 5 stars 31 reviews

Umbilical hernia and diastasis repair with mini-tummy tuck

+1

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.

Jeffrey E. Kyllo, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 10 reviews

Tummy Tuck versus Mini-TT

+1

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.

Robert M. Freund, MD
New York Plastic Surgeon
4.5 out of 5 stars 18 reviews

Tummy tuck

+1
The treatment of an umbilical hernias separate from the diastasis. However then cutting the ski around the umbilicus and fixing an umbilical hernia one needs to be aware of the blood zippy to the umbilicus. This can be addressed multiple ways including the use of a small mesh to repair the umbilical hernia from below.

David L. Abramson, MD
New York Plastic Surgeon
3.0 out of 5 stars 4 reviews

Hernia and tummy tuck

+1

The diastasis repair consists of plicating, or bringing your muscles closer together.  The hernia repair is separate from this.  This can be done.

David A. Lickstein, MD
Miami Plastic Surgeon
5.0 out of 5 stars 3 reviews

Can umbilical hernia and diastasis be fixed without floating belly button?

+1
Fixing an umbilical hernia is independent of floating a belly button. If you are doing a full tummy tuck, tightening the skin both below AND above the belly button, with or without a diastasis repair, then you cut around the skin of the belly button to release it from the skin so that the skin can be pulled down and the loose skin above the belly button can be tightened without the belly button tethering it and without pulling the belly button down too low. The disk of BB skin stays on it's stalk attached to the fascia, and is eventually pulled through a new hole made in the overlying skin. Diastasis can be repaired and there is no impact to the BB. If you need an umbilical hernia repair, taking the BB stalk apart to fix it could risk blood supply to that BB disk of skin, so I work with a general surgeon who approaches the hernia from underneath, making a small incision in the adjacent fascia, fixing the hernia, and not encroaching on the BB stalk itself. There are two reasons to float the BB. One is that there is a mild amount of loose skin above the BB, not enough to justify a full tummy tuck, and the belly button is a bit high, so floating it down a centimeter or two at most would pull that skin above it a little tighter and not bring the BB too low. There are relatively few people who are candidates for this...either because they have too much loose skin above the BB or the BB would move too low. The only other reason to divide the BB stalk and float it would be for access to repair a diastasis that extends up higher than the BB, and then you set the BB stalk right back where you found it...you floated it just for access. Again, not too many people are candidates for this...they would have no loose skin above the BB but have a diastasis that extends up above the BB. If they have loose skin up there, you would have to float the BB down, and unless it starts up high, it will be too low. You do not have to float the BB just to repair an umbilical hernia if you approach it the way I described from underneath via an incision adjacent in the fascia adjacent to the BB stalk. If the stalk is divided to fix the hernia, which is certainly one way of doing it, you better be sure you don't need any skin tightening above the BB OR that the BB can be lowered to tighten the skin without looking silly, because once you cut that stalk, you are committed and the only way to tighten that upper skin is to lower the BB...full tummy tuck is no longer an option, ever!

Robert M. Grenley, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 70 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.