My umbilical hernia returned after Abdominoplasty. Will repair result in satisfactory appearance? (photos)

It does appear that your umbilical hernia has recurred, although a physical exam would be necessary in order to make this diagnosis. There is a known recurrence rate for simple repair of umbilical hernias, meaning recurrences happen.   The question is what to do about it now.  Depending on the size and because you have recurred, your surgeon may use mesh in order to reinforce the hernia repair.  Many insurance companies will cover the repair of an umbilical hernia, so you may want to look into that.  Best of luck. 

   The hernia, if present, could be repaired and the umbilicus would need likely suturing to the underlying fascia to help create a depression.Kenneth Hughes, MDLos Angeles, CA

Umbilical hernias can actually be quite complex.  We usually think of them as being a weakness in the umbilicus itself, but this is not always the case.Some times, the hernia occurs above, below, or there are multiple hernias.  I have found at times that if multiple hernias are present at the same time, it can be risky to open the umbilicus and repair the central hernia as well.  So the matter is not as simple as it might seem.Patients who are very active, lift their children, etc. right after hernia repairs have a greater chance of recurrence.Usually insurance pays toward repair of an umbilical hernia.  However, because many insurance companies pay only a small fraction of what it costs the doctor to do the procedure, many doctors no longer accept insurance as payment in full.

Exposure for repair of an umbilical hernia could not be possibly better than with an abdominoplasty. The hernia is not really dangerous So surgical repair is elective. Whether or not insurance covers it will be an individual matter.

Insurance will almost always cover the repair of an umbilical hernia.  For a small one like this, it probably contains only the fat layer from between the muscles and the lining of the abdominal cavity.  This fat can get twisted and be painful so repair is medically justified.  When hernias like this are larger, it can mean that a loop of bowel is in the hernia.  This can become dangerous when the loop gets stuck and twists.  It can lead to a section of dead bowel and a leak into the abdominal cavity causing peritonitis.I agree that this can be repaired at the time of an abdominoplasty.  I routinely repair these when I find them during an abdominoplasty.  Either yours was not repaired or it was repaired and the repair did not hold, which can happen.I recommend finding a qualified Plastic Surgeon who is a provider for your insurance and see if they will do an insurance repair.  A General Surgeon also could repair this but they would be more likely to want to make a big scar instead of using the scar around the belly button.  Some General Surgeons will repair this with mesh laparoscopically (small incisions) from inside the abdomen. This may give you the best chance at repair with the lowest chance of recurrence.

It sounds like both surgeons are in agreement regarding the repair and it also appears from the photos that the hernia is relatively small.  Whether insurance will cover or not is up to your coverage so Good Luck with thatDr Corbin