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Am I a Candidate for Endoscopic Diastasis Repair and Would a Mini/modified TT Be Better? (photo)

I am an athletic mother with DR. Scarring is almost a deal breaker but my DR and extra belly button skin really bothers me. I believe I am a candidate for endoscopic DR but would a mini be more beneficial? My scar is 4" long and I really don't want it much longer than that. If a mini is a better option, would it be better to find a surgeon that is more experienced with endoscopic DR to perform the mini so that they can better reach above my navel? Any feedback would be appreciated!

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3 Doctor Answers | Asked by cocoleon

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Am I a Candidate for Endoscopic Diastasis Repair and Would a Mini/modified TT Be Better?

Thanks for the posted photos. My take is slightly different. I would recommend extending the scar by 2 inches on each side to do a mini TT with inferior muscle repair. Also incise above the umbilical fold edge to dissect the superior abdomen allowing directed or endoscopic repair of the superior abdominal recti diastasis. I would recommend drains be used also. Just my thoughts based upon only the posted photos and your description, no in person examination was done. more

If you already have a scar you don't need an endoscope

You've got fairly impressive diastasis. As you already have a scar to work through, there's really no reason to consider an endoscope in your case. I think you are in fact a good candiadte for a mini abdominoplasty with floating (lowering) the belly button a little. You'd have plenty of exposure to do the rectus though.

"Endoscopic" Tummy Muscle Repair

Two photographs are not a substitute for a physical examination. However, from your photographs several things are obvious: - despite your lack of under skin fat and excellent fitness, you have significant stetching of the abdominal muscles with separation - some excess tummy skin (including over the belly button) - indented ? C-section scar To obtain a flat tummy and narrow waist, the stretched muscles must be well "taken in" by a well done plication (muscle repair). In... more

Peter A. Aldea, MD

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Memphis Plastic Surgeon

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