I Have a 1.5 Finger Width Diastasis Recti and an Outie Belly Button? (photo)

Exercise will not make you better and may make your hernia bigger. You appear to need full rectus plication and hernia repair. If a complete umbilical skin incision is made you may have loss of adequate blood flow to belly button and skin necrosis. Best option in my opinion is to do hernia repair as insurance procedure with a with mini tummy tuck with full rectus plication. You need to find someone who can do this with only a upper 1/2 belly button incision, I use a narrow lighted retractor and with a good assistant the procedure takes about 2 hours. Good Luck!

     You do not appear to have a lot of skin laxity.  As such hernia repair, outie to innie repair, and plication with small incision minitummytuck may be appropriate.

Thank you for your question and pictures. Unfortunately, exercise alone will not address the facial diastases that you have. You are a good candidates to undergo a mini abdominoplasty and fascial plication during which you umbilical hernia repair will be addressed. This will in turn give you an "inny" after the operation. Best of luck.

It appears that your main problem is diastasis of the rectus muscle and not really your weight.  Even when you reach your goal weight you will still have the diastasis regardless of how much you exercise.  Also your "outie" belly button is likely an umbilical hernia.  All of these issues need to be evaluated by board certified plastic surgeon.  You likely would be a good candidate for an excellent result from a tummy tuck procedure. 

Thank you for your question and a very important one. You have a very nice abdomen for having three kids with twins.  The abdomen is. Stretched  and will only come back a certain amount which you probably have by this time.  Exercise can tighten the muscle but not really close the gap between the muscles.  The belly button looks like a small hernia that can be repaired at the time of a tummy tuck. A general surgeon can repair it separately but the blood supply could be comprimised.  If you choose this route have the plastic surgeon discuss this with the plastic surgeon for future planning.  Good luck

Your outie is from the umbiilical hernia. You will benefit greatly from a abdominoplasty with a diastasis and hernia repair done at the same time

Sorry to say ONLY TT with muscle repair along with umbilical hernias repair safe indicated. Seek in person evaluations from boarded PSs in your city. 

Kids are wonderful, but they wreak havoc on women's  bodies. You appear to be an excellent candidate for a tummy tuck. Your photos demonstrate the typical appearance of the rectus diastasis that cannot be corrected by exercise or diet. It is an anatomical stretching of the muscle lining that can only be corrected by surgical tightening. The outie belly button is from a small hernia that is corrected at the same time as the tummy tuck and often covered by insurance.

Good luck as you should have a very nice result since you are motivated and in really good shape to start. 

Thank you for the question and pictures.

You should be quite proud of the appearance of your abdomen ( thanks to your efforts through diet and exercise). Your options at this point include:

1. Repair of the umbilical hernia ( which will obviously address the appearance of the umbilicus, if done by a surgeon with an eye to aesthetics).

2. A full tummy tuck if you wish to achieve a flatter contour of the abdominal wall. Unfortunately, despite your commendable efforts, there's only so much that you will be able to achieve after twin pregnancy and spreading of the abdominal wall muscles.

 Be careful if you are offered the “mini” tummy tuck procedure. In my opinion, the mini tummy talk is an  operation that  produces very limited results and is very rarely indicated. It involves a shorter incision but does not address the majority of the abdominal wall issues present for most patients who present in consultation. For example, the area of skin excised is quite small. The abdominal wall musculature is addressed below the umbilicus leaving the upper number wall potentially lax. The appearance of the umbilicus is not necessarily addressed sufficiently.

 I hope this (and the attached link) helps.

Thank you for your helpful photos. Based on your concerns, desires and photos (though the lowest part of your abdomen can't be seen), it appears that a full tummy tuck may be the most effective and prudent approach to improve the appearance of your abdomen along with correction of your umbilicus. You do have significant protuberance both above and below your belly button along with apparent laxity which would not be effectively addressed by a mini tummy tuck.

Ultimately, a physical examination by a board certified plastic surgeon can provide you with the appropriate options including the pros and cons.

Good luck!