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Herniated belly button repair; can a plastic surgeon do this surgery or does a general surgeon?

Plastic surgeons are extensively trained in abdominal wall reconstruction including hernias. We are well qualified to help with this problem.

An umbilical hernia happens when the fibrous tissue at the belly button, which is naturally thinner than the surrounding muscle, develops a gap that lets fat or a bit of intestine push through. Repairing it means closing that gap and often reinforcing it with mesh so it holds up over time. Whether a plastic surgeon or general surgeon repairs it, the technique is similar, but plastic surgeons often combine the repair with contouring of the abdomen for a better overall result. Recovery usually takes a couple of weeks before returning to normal activity, with several more weeks before heavy lifting. Contact your surgeon if you notice increasing pain, redness, fever, or a bulge that won't push back in.

Clinical Context

The belly button sits over the linea alba, the fibrous seam where the left and right abdominal muscles join at the midline. This area is naturally thinner, so a gap can open here from pregnancy, weight changes, or long-term pressure inside the abdomen, allowing fat or a loop of intestine to push through and form a bulge. Repair involves closing that fascial gap and often reinforcing it with surgical mesh so the area stays strong over time.

Answered By

Dr. Steven Williams

President Emeritus of ASPS

Dr. Steven Williams is a board-certified plastic and reconstructive surgeon, a diplomate of the American Board of Plastic Surgery, the Past President of the prestigious American Society of Plastic Surgeons, and a charitable person who dedicates his life to those in need of his unique expertise.

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