Full Tt and Umbilical Hernia

Very confused. Had consultation with few docs and they recommend full tt due to excess skin and diastasis. However my belly button hangs out with no support so doc said obviously umbilical hernia and has to be repaired. Aparently hernia is at bottom of umbilicus underneath. So question is how do they repair the hernia of umbilicus and then also give me a new bb with full tt? Is the umbilicus cut underneath and then also separated from tummy to make a new hole? Is this safe?

Doctor Answers 10

Abdominoplasty questions

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You have several problems that may require surgical correction.  If your have an umbilical  hernia these need to be examined by a general surgeon.  At your weight you are at a relatively high risk of recurrence.   I would give real thought to bariatric surgery first if you have been unable to lose weight.  An abdominoplasty at your weight poses real risks and complications.  You may be a candidate for a panniculectomy  or excision of the excess overhanging skin at the time of your hernia repairs but weight loss is essential first.

Safe to perform at same time

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Most plastic surgeons will repair the hernia at the same time,  the only thing I need to add to the previous comments is:

A hernia is a weakness of the fascial structures in your abdomen, when we fix your hernia stitches will be used fixing this defect (hole) however some patients may have recurrences in the future specially if they are overweight or perform heavy lifting. Most likely you will be cure from the hernia but you will have a small chance of recurrence.

Good luck

Tummy Tuck / Abdominoplasty with Umbilical Hernia Repair

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Any hernia along the midline (ventral or umbilical) can easily be repaired during a full tummy tuck / abdominoplasty.  As the dissection continues for the tummy tuck, the area of the hernia is isolated, reduced and repaired surgically in the typical fashion.  The rest of the tummy tuck / abdominoplasty then continues.  It adds about 15 min to your surgery and should not affect your results in anyway.  Many plastic surgeons are board certified in general surgery and plastic surgery.  For these surgeons, repairing an umbilical hernia is commonplace. 


Good Luck with your surgery. 

Umbilical hernia and tummy tuck

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Yes, as the other authors have posted, an umbilical hernia may be fixed at the same time as an abdominoplasty. Depending on the size of the hernia, there is a small risk of injuring blood supply to the belly button during the hernia repair, because at least a small hole in the tissue at the stalk of the belly button must be made to gain access to the hernia sac and reduce the contents of the sac back into the abdominal cavity. The closure of the hernia is no real challenge at all, it's the reduction of the contents without devascularizing the stalk that must be handled with great care.

A mini-abdominoplasty technique, where the umbilicus is "floated," can also permit the repair of an umbilical hernia, but in that case, the umbilicus is being moved from its normal position.

What can not be done is to float the umbilicus AND cut around it, or you end up with a belly button in your hand and have to make a new one from the hole created by that maneuver.

Your board-certified plastic surgeon can usually determine if a hernia is present and how best to address it in the operative plan.

Hernias and tummy tucks

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It is not uncommon to discover an umbilical hernia and diastasis  of the rectus during a preop exam for a tummy tuck.  These can be safely repaired at the time of the tummy tuck surgery.  There is always risks to surgery including compromising the circulation to the belly button.  This shouldn't stop you from having the surgery but you should carefully discuss this with your surgeon.

Albert Dabbah, MD
Boca Raton Plastic Surgeon

Umbilical hernia and tummy tuck

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It is not uncommon for small or moderate sized umbilical hernias to be repaired at the same time as a tummy tuck operation. It is simply repaired by suture repairing the opening after safely replacing contents of the hernia sac. It will often involve a secondary small scar in the umbilicus. Large or incarcerated (hernias that are stuck out in the hernia sac) may require more complicated surgical approaches. Careful assessment by you plastic surgeon will determine the best course of treatment.

Leslie D. Kerluke, MD (retired)
Vancouver Plastic Surgeon

No problem

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We do this all the time. We do not give you a new belly button, we just fix yours. Tts are great surgery.

Hernia repair during TT

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I routinely perform hernia repairs during abdominoplasty.  The umbilicus is freed from the top down and the hernia is easily repaired while the muscle is reapproximated.  

Nasimul Huq, MD
Niagara Falls Plastic Surgeon

Common and safe to repair umbilical hernia at time of TT

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A umbilical hernia is common and not difficult to treat at the time of your tummy tuck.  It is repaired the same time the muscle diastasis is corrected.  It helps improve the appearance of your belly button, making it look tighter.

Your belly button is not removed during surgery.  It may be stitched down to keep it from protruding.  Improving the appearance of the belly button is one of the benefits of a full tummy tuck.

Repairing an umbilical hernia during a tummy tuck

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Fixing an umbilical hernia during an abdominoplasty is pretty common since many people have them.   The umbilical hernia is a small hole in the abdominal wall that comes through one side of the the belly button (usually the top).  A small hernia is repaired by closing the hole with a few stitches or by placing a mesh plug if the hernia is bigger.  The umbilicus does not usually have to be cut or separated from underneath to fix it, however, there is a very small risk of cutting off the blood supply to the belly button by doing this together with a tummy tuck.  This would result in  temporary scabbing or completely losing the belly button.  If this unfortunate complication were to happen, a new belly button can be reconstructed about six months later.

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.