Options for umbilical hernia repair and loose skin around navel? (Photo)

Thank you for your question and photos. I think the best way to treat the hernia as well as the excess skin above your belly button is with a full tummy tuck. Just repairing the hernia and trying to excise some skin will provide minimal correction to the skin laxity, place a scar in the central abdomen, and not repair your diastasis at all. I would have another consultation with a board certified plastic surgeon who performs a large volume of body contouring procedures. Hope this helps!

Dear Ms. Xela4211,Thank you for your story, photos and questions. Unfortunately with a exam of your tissues I can can only comment based your story, however I hope you find my comments helpful.You have options as you have found.In addition you could have a direct approach (scar around umbilicus) for hernia repair and "skin shrinking"by Radio frequency ie Vellashape III. However I would advise the umbilical repair through a abdominoplasty (tummy tuck incision. Why?1) hidden scar that not in central abdomen2) Aesthestic goals of removing "loose skin" is best accomplished by a abdominoplasty.I trust that you have chosen a Plastic Surgeons who is experienced and Certified by the American Board of Plastic Surgery. In addition ideally is member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).I wish you my best and success,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600

Thank you for your question and series of photographs.  Though nothing replaces an in-person examination I would recommend having your umbilical hernia repaired laparoscopically and then pursue a mini-tummy tuck approach with an umbilical float procedure.  This will allow access to your upper abdomen for muscle repair, and as your belly button appears to be naturally high, pulling down on the skin should place it at a position closer to the top of your hips.  The stalk can then be re-attached to your abdominal wall to improve its appearance.  Hope that this helps.