Is it likely I have hernia ventral / umbilical in addition to rectus diastasis? (Photos)

I've only been to two plastic surgeons, one in 2011 and one recently, who both have told me I have diastasis recti where my intestines are bulging out. Was just wondering if I possibly have hernia as well. Can you tell from these pics? I know I still look like I'm 5-6 months pregnant!

Doctor Answers 3

Hernia or Rectus Diastasis?

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A clinical exam can help determine if you have a hernia or a rectus diastasis.  If there is any question, a CT scan can also be done to know for sure, however this is not always necessary.  A severe rectus diastasis can be seen after pregnancy, typically if there was a large baby or if there were multiple babies stretching your tissues.  You and your plastic surgeon can discuss the repair during tummy tuck and the expected outcomes. 

Fort Worth Plastic Surgeon

Tummy Tuck for Diastasis recti with or without hernia

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Based on these pictures, there is severe weakness + severe stretching of the abdominal wall muscles. The weakness  can be improved with exercise but this amount of stretching needs surgery for the whole abdominal wall. There is a hint of a hernia at the umbilicus which is common when this much weakness and stretching exists. Generally speaking, the stronger the muscles the better the result will be. So do your homework before you have your tummy tuck so you can get the best looking result. 

Sherif M. Khattab, MD
Torrance Plastic Surgeon
4.5 out of 5 stars 9 reviews

Diastasis Vs hernia

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Based on your photos which is not the most accurate way to determine a 100%, you do not seem to have a hernia. It looks more a diastasis of the muscle as well as the combination with intra abdominal fat. 
The Tummy Tuck and specially muscle repair will be a great help to bring your intestines back inside of the cavity and achieve a flatter abdomen. 
You have to be very careful because your lungs and respiratory muscles may have issues to breath because of the volume that will be brought into the cavity. So you have to start doing cardio, wear a compression garment in order to get a costumed to be tight again and pulmonary therapy before surgery.
Be encouraged. You will be loving your flat abdomen and tapered waist. 
Dr. Cardenas 

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.