Can my hernia and separation be corrected by suturing the muscle together without needing mesh? (photos)

Question

Hello and thank you for taking the time to review my question. I am 5'9 150lbs and very active, but I have a significant distasis recti and externally visible hernia as a result of 2 pregnancies. So much so that while lying on my back, I can see intestinal peristalsis when food is digesting. My doctor mentioned she may need to add mesh during my procedure (TT W/ No lipo.) I do not want mesh. Can my hernia and seperation not be corrected by just simply suturing the muscle together? Thanks!

Camille Cash, MD · Answer

I encourage you to discuss your concerns with your surgeon who has had the opportunity to examine you and review your health history.  Sometimes mesh is not needed for repair, but others it is recommended for the best result.  Discuss the pros and cons of using the mesh and attempting to repair the hernia without it..  A second opinion may help you feel more confident in your decision as well.

Daniel Barrett, MD · Answer

Dear Bea40448,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Alan Gonzalez, MD, FACS · Answer

Hello @Bea40448, thank you for your question.  Each surgeon will do what they believe is best for their patient based on their individual case and goals. Some surgeons may prefer to use mesh to reinforce the repair and provide additional support, others may prefer to rely solely on sutures.
It's important to discuss your concerns and preferences with your surgeon and work together to develop surgical plan that will achieve the best possible outcome while respecting your wishes. Your surgeon will be able to provide you with specific information and guidance based on your individual situation. Best wishes!  Alan Gonzalez MD, FACS.  International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP)

Nelson Castillo, MD · Answer

Thank you for sharing your question and photographs. In most cases both repairs can be done simultaneously and without the need for mesh placement.  This depends on the size of your hernia, muscle laxity/separation, and quality of your tissues. Hope this helps.

Connie Hiers, MD, FACS · Answer

Not all hernias can be repaired without mesh. Your surgeon who has examined you will be the best one to tell you what would be needed.

Can my hernia and separation be corrected by suturing the muscle together without needing mesh? (photos)

Answers (8)

Answer: Can my hernia and separation be corrected by suturing the muscle together without needing mesh? (photos)

Answer: Can my hernia and separation be corrected by suturing the muscle together without needing mesh? (photos)

Answer: Hernia

Answer: Hernia

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Can my hernia and separation be corrected by suturing the muscle together without needing mesh? (photos)

Answers (8)

Answer: Can my hernia and separation be corrected by suturing the muscle together without needing mesh? (photos)

Answer: Can my hernia and separation be corrected by suturing the muscle together without needing mesh? (photos)

Answer: Hernia

Answer: Hernia

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Recommended reading

Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.