36f, 5'2, 114lbs, is laparoscopic DR repair and mini tuck viable option for me? (Photos)

Thank you for your question and for sharing your photographs. In many cases, when the elasticity of the abdominal skin is good and the BMI is low, as in your situation, it is possible to correct both the umbilical hernia and the diastasis recti using endoscopic-assisted techniques through an umbilical incision. This approach allows for effective repair while minimising visible scarring.

The procedure typically includes a small amount of liposuction to the abdomen. This is because the repair of the diastasis recti gathers the soft tissues towards the midline, and liposuction helps refine the overall contour for a more balanced appearance.

Another option is a laparoscopic technique, which can also address both the diastasis recti and umbilical hernia. However, it is worth noting that this method can sometimes result in swelling in the midline of the abdomen if there is no compensation using liposuction.

With either technique, skin tightening is often unnecessary due to the good skin elasticity in cases like yours. A consultation would help to determine which approach best suits your needs and goals.

I would favor a full tummy tuck. You have a relatively wide diastasis and if the repair was done without fully releasing the skin, there would be a significant risk of having gathering and wrinkling of the overlying tissue.