Q: Dr. Eppley, I have had three babies in just under four years. Each time, I was all belly, which was ok while I was pregnant, but it’s left my stomach impossible to flatten again! I’m interested in a tummy tuck and possible liposuction on my sides. I also have an umbilical hernia. Could that also be repaired at the same time?
A: Pregnancy, if repeated often enough and at close enough frequencies, makes numerous permanent changes to the abdomen. Stretched out skin, stretch marks and umbiilical hernias are common sequelae of pregnancy. While losing baby fat and weight can help make some difference, there is no amount of exercise and dieting that can help remove extra skin, reapproximate a rectus diastasis or fix an umbilical hernia. Because of the wide open exposure of a tummy tuck, both the umbilical hernia and the rectus diastasis can be repaired. The removal of extra abdominal skin completes the tummy tuck and can, in many cases, make a woman’s abdomen completely flat again. The amount of loose skin and fat, condition of the rectus muscles and whether a hernia exists or not makes for numerous types of tummy tucks.
Dr. Barry Eppley