Diastasis Recti Repair and Umbilical Hernia Surgery Without Tummy Tuck?

I am a thin fit female with a 2 yr old son. I have an umblical hernia and small diastasis 2-3 fingers at and below the belly button. I saw a great surgeon who suggested hernia and diastasis repair but no tummy tuck. He said I do not have any excess skin therefore, a TT would not be appropriate. Is this good advice for should I get the entire surgery?

Doctor Answers 5

Diastasis repair

Most women with your situation could benefit from a tummy tuck at the same time as the diastasis and hernia repair.  There is a techniques developed hears ago where the entire procedure can be done laparoscopically, but this never caught on.  Hard to give you further input without seeing photos.

San Diego Plastic Surgeon
5.0 out of 5 stars 27 reviews

Hard to imagine no excess skin after pregnancy.

Diastasis an umbilical hernia can be fixed without skin removal. After pregnancy it's very unusual to see someone without excess skin. The photograph would be of use.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon
4.8 out of 5 stars 36 reviews

Diastasis Recti Repair and Umbilical Hernia Surgery Without Tummy Tuck?

            An exam or pictures would be needed to make a better recommendation in this instance.  Find a plastic surgeon with ELITE credentials who performs hundreds of tummy tucks and similar procedures each year.  Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.

Kenneth Hughes, MD Los Angeles, CA

Kenneth B. Hughes, MD
Los Angeles Plastic Surgeon
4.9 out of 5 stars 496 reviews

Diastasis repair without tummy tuck

Thanks for inquiry, but without a picture it hard for me to comment thouroughly.  If your surgeon is suggesting some sort of laproscopic-minimally invasive scar technique and you do not have much loose skin-that could be an appropriate treatment.  I will tell you that often when you plicate the muscle without altering the overlying skin-you can have areas where the skin gathers.  Get another opinion in your area as well.

Vishnu Rumalla, MD
Dallas Plastic Surgeon
5.0 out of 5 stars 201 reviews

Diastasis Recti Repair and Umbilical Hernia Surgery Without Tummy Tuck?

First of all, if you are considering more pregnancies, you may want to consider only having the hernia repaired because of the likelihood of recurrence of the diastasis. 

Without photos and more history, whether or not the suggested approach is a good one is hard to answer. If the diastasis is wide, suturing the muscles together can cause a "gathering" and vertical wrinkling of the abdominal skin. This may be somewhat unpredicatable. 

All the best. 

Jourdan Gottlieb, MD
Seattle Plastic Surgeon
4.6 out of 5 stars 45 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.