Vertical incision for tummy tuck
If you were my patient and based on your pictures I would not advise a vertical scar.
A modified mini-tummy tuck with diastasis repair and repairing the hernia through the umbilical and lower abdominal incision is all that is necessary.
If you are going to have the surgery for the hernia done by a general surgeon at the time of the tummy tuck he/she could probably do it laparoscopically without any incisions other than through the lower abdominal incision.
Seek several other opinions as there may be better options for you than a vertical scar. (Steven Schuster, MD, Boca Raton Plastic Surgeon)
A horizontal incision can be used for diastasis and umbilical hernia repair
An umbilical hernia is easily repaired at the time of rectus diastasis repair. This can all be done through a low horizontal incision as with tummy tuck. There is no reason for vertical incision in this setting (Elizabeth Slass Lee, MD, Bay Area Plastic Surgeon)
A vertical incision is not needed for tummy tuck
Umbilical hernias are often repaired during a tummy tuck, and even if the abdominal skin is only moderately lax, a transverse incision will work just fine. There is no need for a vertical scar at the belly button to repair the hernia, and a mini or short scar tummy tuck may be your best bet. (Peter E. Johnson, MD, Chicago Plastic Surgeon)
Tummy tuck with low, short horizontal incision works.
You do not need an unsightly vertical incision. The diastasis and the hernia can be repaired through a much less conspicuous horizontal scar at the level of your pubic hair. And the scar can be shorter because you do not have much skin to remove. (George J. Beraka, MD (retired), Manhattan Plastic Surgeon)
No vertical needed
From what I see in the photo, you have PLENTY of skin and would do well with just the horizontal incision. Look at some photos on my web site. I only like to use a Fleur-de-lis when you have an existing vertical scar.
In your photo you have the perfect abdomen to fix with an abdominoplasty. (William B. Rosenblatt, MD, New York Plastic Surgeon)
A Vertical Scar (Fleur de Lis) is NOT Required in the vast majority of Tummy Tucks
I avoid vertical incisions and scarring whenever possible. Many women who lost weight would often urge me to put scars everywhere because they have “no intention to ever wear a bikini bottom. ever”.
From experience, I learned that when many weight loss women have had their tummy tucks, a good portion resumes wearing cute, sexy clothes and had I followed their directions to put a vertical scar (IE Fleur de Lis Tummy Tuck), their would have regretted it. You should get at least another opinion. You should be able to get a great result with a transverse scar tummy tuck. (Peter A. Aldea, MD, Memphis Plastic Surgeon)
Ventral versus horizontal tummy tuck incision
From the appearance of your abdomen, it appears that a vertical is not the only solution, Therefore, I would get other opinions prior to proceeding. (Otto Joseph Placik, MD, Chicago Plastic Surgeon)