Yes, an umbilical hernia can often be repaired at the same time as a mini abdominoplasty, depending on the severity of the hernia and the surgeon’s approach. Here’s what you need to consider: 1. Simultaneous Repair: Many plastic surgeons and general surgeons collaborate to repair an umbilical hernia during a mini abdominoplasty. The hernia can be closed with sutures (or sometimes mesh if needed), while the mini tummy tuck tightens the lower abdominal skin. 2. Preserving the Umbilicus: If the umbilical hernia is repaired during a mini abdominoplasty, the umbilicus can often be preserved. However, the approach depends on the size and nature of the hernia. If the hernia is large or requires significant reinforcement, the umbilicus may need to be repositioned or reconstructed. 3. Laparoscopic vs. Open Repair: If the hernia is significant and requires mesh reinforcement, some surgeons may prefer a laparoscopic approach, which avoids disrupting blood supply to the umbilicus. However, if the hernia is small to moderate, it can usually be repaired through the same incision as the mini abdominoplasty without requiring laparoscopy. It’s best to consult with both a board-certified plastic surgeon and a general surgeon to determine the safest and most effective approach for your case.