Tummy tuck with umbilical float and umbilical hernia repair

This thin patient presented with concerns of abdominal wall weakness affecting her activity. On exam, she had significant rectus diastasis and rectus laxity leading to a rounded appearance of her abdomen with very little fat and excess skin. We also found an umbilical hernia on her exam. As she didn't have enough excess skin for a standard tummy tuck, we performed an umbilical float (where the belly button isn't released from the surrounding skin) which allowed us access to repair her rectus muscles and umbilical hernia.