I have had 5 kids and I have an umbilical hernia and my stomach muscles are split down the middle. There is a two inch separation. I have some exess fat but not much. I weigh 118 lbs and I am not overweight, but I want my stomach fixed.
I went to a plastic surgeon and he sent me away saying " you don't have enough extra skin for a tummy tuck, and you need to talk to a general surgeon about the hernia and muscle split."
Does that sound right to you plastic surgeons? Is that a standard response in this type of situation or should I get a second opinion?
Answer: Hybrid Tummy Tuck For women who don't need a great deal of skin removed (and a hip to hip incision), but need their muscles tightened and an umbilical hernia repaired, they may be a candidate for a hybrid tummy tuck. The hybrid tummy tuck involves a C-section-type incision with full tightening of the deep fascia, the structure that holds the muscles. Although doctors often refer to tightening the muscles, it is in fact the fascia that is tightened. The hybrid tummy tuck is not for women who have a great excess of skin and fat. Good candidates are typically fit moms. But for women who have only been offered a full tummy tuck and in fact have primarily a problem of the fascia, the hybrid tummy tuck is just the right thing.
Helpful 5 people found this helpful
Answer: Hybrid Tummy Tuck For women who don't need a great deal of skin removed (and a hip to hip incision), but need their muscles tightened and an umbilical hernia repaired, they may be a candidate for a hybrid tummy tuck. The hybrid tummy tuck involves a C-section-type incision with full tightening of the deep fascia, the structure that holds the muscles. Although doctors often refer to tightening the muscles, it is in fact the fascia that is tightened. The hybrid tummy tuck is not for women who have a great excess of skin and fat. Good candidates are typically fit moms. But for women who have only been offered a full tummy tuck and in fact have primarily a problem of the fascia, the hybrid tummy tuck is just the right thing.
Helpful 5 people found this helpful
Answer: Can Plastic Surgery Repair Rectus Diastasis and an Umbilical Hernia? Yes, plastic surgery can indeed help address torn stomach muscles (diastasis recti) and an umbilical hernia. It is common for these conditions, especially after pregnancy, to be addressed simultaneously during a tummy tuck procedure. A tummy tuck can repair the abdominal muscles by bringing them back together and also fix an umbilical hernia. While the standard approach to a tummy tuck often involves removing excess skin, the surgery can be tailored to focus on muscle repair and hernia repair, even if there's not much extra skin. In some cases, a "mini tummy tuck" can be performed with a smaller incision if there is not a significant amount of excess skin. The umbilical hernia can be repaired at the same time, sometimes using a general surgeon for more complex hernia cases. It is advisable to seek another opinion from an experienced plastic surgeon to explore the best options for your specific case. Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York
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Answer: Can Plastic Surgery Repair Rectus Diastasis and an Umbilical Hernia? Yes, plastic surgery can indeed help address torn stomach muscles (diastasis recti) and an umbilical hernia. It is common for these conditions, especially after pregnancy, to be addressed simultaneously during a tummy tuck procedure. A tummy tuck can repair the abdominal muscles by bringing them back together and also fix an umbilical hernia. While the standard approach to a tummy tuck often involves removing excess skin, the surgery can be tailored to focus on muscle repair and hernia repair, even if there's not much extra skin. In some cases, a "mini tummy tuck" can be performed with a smaller incision if there is not a significant amount of excess skin. The umbilical hernia can be repaired at the same time, sometimes using a general surgeon for more complex hernia cases. It is advisable to seek another opinion from an experienced plastic surgeon to explore the best options for your specific case. Krishna Vyas, MD, PhD, MHSHarvard, Hopkins, & Mayo Clinic Trained Aesthetic Plastic SurgeonNew York, New York
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April 30, 2024
Answer: Addressing Stomach Muscles and Umbilical Hernia Simultaneously Hello maria7474, Thank you for reaching out with your concerns. It's not uncommon for individuals, especially mothers who have had multiple pregnancies, to experience muscle separation and umbilical hernias. Fortunately, these issues can often be addressed through plastic surgery procedures like a tummy tuck. During a tummy tuck, it's quite common for plastic surgeons to repair muscle separation, also known as diastasis recti, and hernias. Some plastic surgeons, like myself, are trained in general surgery techniques and can perform these repairs simultaneously with the tummy tuck procedure. Muscle separation and umbilical hernias can indeed be valid reasons for considering a tummy tuck, especially if they are causing discomfort or aesthetic concerns. I don't see any issue with addressing both issues during the same surgery, as it can streamline the process and provide comprehensive results. However, it's always wise to seek a second opinion if you have any doubts or concerns about the initial recommendation. Consulting with another plastic surgeon experienced in abdominal wall reconstruction can provide you with additional insight and options for addressing your specific needs. I hope this information helps, and I wish you all the best on your journey to a more comfortable and confident abdomen. Sincerely, Dr. Katzen
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April 30, 2024
Answer: Addressing Stomach Muscles and Umbilical Hernia Simultaneously Hello maria7474, Thank you for reaching out with your concerns. It's not uncommon for individuals, especially mothers who have had multiple pregnancies, to experience muscle separation and umbilical hernias. Fortunately, these issues can often be addressed through plastic surgery procedures like a tummy tuck. During a tummy tuck, it's quite common for plastic surgeons to repair muscle separation, also known as diastasis recti, and hernias. Some plastic surgeons, like myself, are trained in general surgery techniques and can perform these repairs simultaneously with the tummy tuck procedure. Muscle separation and umbilical hernias can indeed be valid reasons for considering a tummy tuck, especially if they are causing discomfort or aesthetic concerns. I don't see any issue with addressing both issues during the same surgery, as it can streamline the process and provide comprehensive results. However, it's always wise to seek a second opinion if you have any doubts or concerns about the initial recommendation. Consulting with another plastic surgeon experienced in abdominal wall reconstruction can provide you with additional insight and options for addressing your specific needs. I hope this information helps, and I wish you all the best on your journey to a more comfortable and confident abdomen. Sincerely, Dr. Katzen
Helpful
September 22, 2016
Answer: Combining Multiple Procedures With a Mommy Makeover The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair. The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction. Healing after a #tummytuck will require time. Some patients are out of bed and walking the night of surgery and every hour while awake. I allow my patients to return to work at one to two weeks with 14 days preferred. However, no lifting or straining. At three weeks, increased level of activity and full with no restrictions, at 6 weeks. #MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others. The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting.The costs of a #Mommy Makeover will depend on several factors. Such include the geographic location, the skill and experience of the surgeon, and operating room and anesthesia fees. Also, such #combined operations are often performed with our Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with Mommy Makeovers. Therefore, if you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your doctor. If your surgeon feels you are a candidate, it may be possible to add additional procedures such as those you mention. #Combining these procedures decreases anesthetics, costs, and recovery time. Most importantly, your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.
Helpful
September 22, 2016
Answer: Combining Multiple Procedures With a Mommy Makeover The Mommy Makeover is a combination of procedures to bring a woman’s body back to the way she looked prior to pregnancy. Most commonly some variation of a #TummyTuck and #BreastSurgery are performed. Additional procedures can include liposuction, umbilical hernia repair. The most common #breastprocedures include #mastopexy or #breastlift, #breastaugmentation, or #breastreduction. Healing after a #tummytuck will require time. Some patients are out of bed and walking the night of surgery and every hour while awake. I allow my patients to return to work at one to two weeks with 14 days preferred. However, no lifting or straining. At three weeks, increased level of activity and full with no restrictions, at 6 weeks. #MummyTummy is a term given to modified tummy tucks which can use liposuction and skin tightening with radiofrequency such Vanquish, Vela3, thermage, thermiRF and others. The actual fat contouring can be done non-surgically as well with #UltraShape or Cool-Sculpting.The costs of a #Mommy Makeover will depend on several factors. Such include the geographic location, the skill and experience of the surgeon, and operating room and anesthesia fees. Also, such #combined operations are often performed with our Gynecology colleagues. Tubal ligation is a common post pregnancy procedure which is done at the time of many of the surgeries included with Mommy Makeovers. Therefore, if you require a gynecologic operation or study (laparoscopy) and are considering a plastic surgery procedure, discuss these issues with your doctor. If your surgeon feels you are a candidate, it may be possible to add additional procedures such as those you mention. #Combining these procedures decreases anesthetics, costs, and recovery time. Most importantly, your procedures should be performed by a #PlasticSurgeon who is board-certified and has a great deal of experience specializing in cosmetic #surgery. You will then greatly improve your chances of getting the result you desire, and, without the need for a revision surgery. It is suggested that you look at before and after photos of the surgeons actual patients, and read patient reviews. Gathering all of this information will help you make a well-informed decision.
Helpful
January 3, 2016
Answer: Fix loose muscles An abdominoplasty can be tailored to address some or all of the problems that a patient may have, as long as it is not intraabdominal. Hernias can be repaired, some lower abdominal scars removed, muscles tightened, and skin and fat removed, within certain limits. From your description, I suspect you would probably need an abdominoplasty type incision with abdominal wall tightening (full undermining would be necessary) and probably a limited skin excision. Of course, a formal consultation with an experienced plastic surgeon is going to be necessary to determine what you can/should have.
Helpful
January 3, 2016
Answer: Fix loose muscles An abdominoplasty can be tailored to address some or all of the problems that a patient may have, as long as it is not intraabdominal. Hernias can be repaired, some lower abdominal scars removed, muscles tightened, and skin and fat removed, within certain limits. From your description, I suspect you would probably need an abdominoplasty type incision with abdominal wall tightening (full undermining would be necessary) and probably a limited skin excision. Of course, a formal consultation with an experienced plastic surgeon is going to be necessary to determine what you can/should have.
Helpful
February 16, 2017
Answer: Surgery for diastasis and umbilical hernia Thank you for your question. While you may not have enough excess skin for a full tummy tuck to be a viable option, the same approach (low abdominal incision) can be used to access your abdominal wall, repair your umbilical hernia, and bring your abdominal muscles back together in the midline (repair your diastasis). Any excess skin that you may have can then be removed, if necessary. Repair of diastasis, as well as that of small, uncomplicated umbilical hernias, is routinely performed by qualified plastic surgeons, as part of the tummy tuck operation. Good luck to you.
Helpful
February 16, 2017
Answer: Surgery for diastasis and umbilical hernia Thank you for your question. While you may not have enough excess skin for a full tummy tuck to be a viable option, the same approach (low abdominal incision) can be used to access your abdominal wall, repair your umbilical hernia, and bring your abdominal muscles back together in the midline (repair your diastasis). Any excess skin that you may have can then be removed, if necessary. Repair of diastasis, as well as that of small, uncomplicated umbilical hernias, is routinely performed by qualified plastic surgeons, as part of the tummy tuck operation. Good luck to you.
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