I have an umbilical hernia after having 3 kids. I have a fairly flat tummy and don't think I really need a tummy tuck. I just really need to get rid of this hernia. I am so self conscious about it. I have a large tattoo down my side also and don't want to mess it up. What procedure do you think would best benifit me? Thanks so much for your answers.
What is the Best Way to Get an Umbilical Hernia Fixed with Least Amount of Scaring?
Doctor Answers 8
How to treat umbilical hernia following pregnancy
This hernia looks pretty big, but the real issue is how big the hole in the fascia is that is letting the contents of the hernia out of your peritoneal cavity.
Often, when an umbilical hernia is present at the time of abdominoplasty, the plastic surgeon will repair it at the same time, especially if they are also board certified by the American Board of Surgery. However, when no abdominoplasty is to be done, a general surgeon will do the repair.
Sometimes, depending on the findings, it may be best to have a general surgeon there to fix the hernia even when an abdominoplasty is being done. That is especially true if the hole in the fascia is larger, the skin is adherent to the hernial contents, or the plastic surgeon did not do a complete general surgery residency. When an abdominoplasty is being done in the presence of an umbilical hernia, your plastic surgeon will tell you whether they are comfortable treating the hernia.
In this case, since you are not planning an abdominoplasty, you should consult with a general surgeon. Your umbilical repair may be covered by insurance, especially when abdominoplasty is not being done.
You should be aware that general surgeons do the umbilical hernia repair differently. They usually make the incision near the umbilicus, usually separate the skin of the umbilicus from the stalk of the umbilicus (which may complicate abdominoplasty should you decide to do it in the future), and and may use mesh and tissue overlapping to deal with larger hernias.
So if you are worried about the scar, be sure to discuss that with your surgeon.
Minimal access best for umbilical hernias like yours...
Most umbilical hernias (i.e. the straightforward, previously unoperated hernias) can be repaired primarily through a small incision along the inside rim of the upper portion of your belly button. The incisions are barely perceptible once fully healed. Check out the hernias repaired at the link below:
Umbilical Hernia Repair
I am a board certified plastic surgeon as well as board certified general surgeon so I perform lots of umbilical hernia repairs for patients. Sometimes by themselves, sometimes in combination with other procedures (breast or tummy). In my practice, I generally fix this type of hernia through an infra-umbilical (below the belly button) incision. Usually direct repair with sutures is possible. Sometimes, if the skin is very stretched, some skin contouring of the belly button may be necessary to improve the aesthetic outcome. Make sure you check credentials of your surgeon and make sure that they have performed this procedure before.
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Umbilical hernia scar
When I repair umbilical hernias, I typically use a semicircular scar inside the rim of the belly button. It allows be to repair the hernia with a scar that is difficult to detect.
a periiumbilical incision is the preferred exposure and it won't effect your tattoo. do not do a laparoscopic approach with 3 incisions and a plug instead of actual repair. this needs old school approach. good luck
How to repair an Umbilical Hernia
This is a question I often get from my patients. Not all plastics surgeons will fix a hernia, especially if it is not in combination with an abdominoplasty or tummy tuck procedure. If your PS doesn't routinely do these you should seek the help of a general surgeon. However, there are many PS, such as myself, that do.
From your pictures, it is obvious that you do not need a tummy tuck. Therefore, the best way to fix your hernia is by making a small incision at the inside base of you belly button and using this small incision as an access point to fix your small umbilical hernia. The incision is nicely concealed on the inside of the button. This will take care of the hernia without leaving an unsitely scar. Good luck, Erez Sternberg, MD.