Tummy Tuck: Q&A
Ask a QuestionIs a Vertical Incision Required for Repair of Diastasis Recti with Umbilical Hernia?
I have diastasis recti and an umbilical hernia that developed post-partum. I am 5'3" and weigh 98 pounds. I am planning abdominoplasty with hernia repair. I saw a surgeon who said that a vertical incision would give the best results for the abdominoplasty because there is not much skin to work wit. Is it possible to correct this without cutting vertically down the abdomen?
Tags:
17 Doctor Answers |
Asked by
New Jersey1978
in New Jersey
+2
A board certified plastic surgeon would use tummy tuck incision
This is what a tummy tuck or abdominoplasty is for; plication or sewing together of the diastasis (and any hernias) and redraping/resection of the skin and umbilicus to give back the youthful/straight abdomen. One thing to consider is if you are going to have more children...Then you may wish to defer definitive repair until your childbearing is complete. Also, are you having any symptoms from the hernia (pain, hard lumps in hernia that are hard to reduce). That would also h
more
+2
Vertical incision for abdominoplasty
Scars of abdominoplasty are the result of what you are trying to achieve and this is in part a function of your anatomy. The repair of the diastasis does not require a vertical skin incision because the muscle can be accessed through a more imperceptible horizontal incision. The issue with removal of skin is a bit more involved. With pregnancy, the abdominal skin is stretched centrifugally. A removing skin in one dimension requires a scar at a right-angle to this dimension. That is, to...
more
+2
Best incision for abdomen with minimal extra skin and umbilical hernia
It is not necessary to have a vertical scar to repair your umbilical hernia.
If you undergo a tummy tuck to remove extra skin, the incision will be horizontal. Most plastic surgeons will repair the umbilical hernia at the time of the tummy tuck.
You may be a candidate for a limited incision tummy tuck.
You might also like...
Real Stories
Tummy Tuck No Liposuction / Hoping for the Best! - Doylestown, PA
In March 2013 I started having pain in my left ovary. After much confusion and a no...
+1
Hide your horizontal incision
Looking at your picture, I believe you would be better treated with a standard transverse tummy tuck incision to repair your rectus diastasis. Your excess skin can be removed the the final scar placed in your bathing suit line thus avoiding a long vertical scar. I would urge you to get another opinion from a surgeon certified by the American Board of Plastic Surgery
+1
No vertical scar needed
A vertical scar is not required and should be avoided in rectus repair with umbilical hernia. This procedure can be for through a low bikini incision. Even without a full tummy tuck an endoscopic can be used to assist in the procedure. Unless there is an existing vertical scar i would not use a vertical approach.
+1
Vertical incision with abdominoplasty
Unless there is something else about your situation that we don't know, most Board Certified plastic surgeons should be able to repair your umbilical hernia, correct the rectus diastasis and remove your loose skin through a horizontal incision in your bikini line.
However, it is possible that the surgeon you saw meant that there may be a small vertical scar (between your pubic area and your belly button) in the skin where your belly button used to be after the loose skin is...
more
+1
No Vertical incision Tummy Tuck
I obviously have not examined you but by your picture I would not consider a vertical incision for your abdominoplasty. You would probably end up with standard horizontal incision with a small vertical closure of your old belly button site.
Dr. ES
+1
Do I need a vertical incision with my tummy tuck?
Looking at your picture, I would guess that you would not need a vertical incision and that you would see very nice improvement with a traditional low transverse abdominal incision. The main reason for the vertical incision is to address significant mid-abdominal laxity that simply cannot be addressed with the traditional incision. That being said, I generally reserve these incisions for my massive weight loss patients who present with not only significant excess skin but...
more
+1
Repair of diastasis recti and umbilical hernia during abdominopFlasty
Both a diastasis recti and umbilical hernia can be repaired with a standard low transverse tummy tuck incision without a vertical incision. You do, however, have very little excess skin above the umbilicus. Because of this, it may not be possible to completely remove the hole in the skin from where the umbilicus was. When this happens, then a small vertical incision just above the transverse one may be necessary. This is usually very small, quite low and minimally visible.
Highlands Plastic Surgeon
+1
A horizontal incision can be used for diastasis and umbilical hernia repair
An umbilical hernia is easily repaired at the time of rectus diastasis repair. This can all be done through a low horizontal incision as with tummy tuck. There is no reason for vertical incision in this setting
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.
Comments (0)