I would first use liposuction to remove the excess fat. Then you can use the EMScuplt for muscle tightening and more fat reduction. You may need two complete sessions, 8, for best results.
Must plastic surgeons have no issue doing liposuction in the presence of a moderate or small umbilical hernia.
Some perhaps more conservative providers or those who are a bit unsure of themselves may want patients to get the umbilical hernia repaired before having liposuction.
Personally I...