My husband has a very prominent belly and really HATES it. He has had an ultrasound which stated "Diverification of recti in upper abdomen superior to umbilicus extending to the level of ziphoid, approx 21mm". Though there is this seperation, surely it cant be just this that is causing such a large, rock hard belly. He has minimal fat on the belly & would like to know if there is anything else he should look into, as he feels that a tummy tuck alone wont flatten it. (His dad is the same)
Prominent, Rock Hard Belly - Diastasis Recti? (Male)
Doctor Answers (8)
Rock hard abs
Unfortunately in men a rock hard abdomen is more often caused by fat inside the abdomen pushing out than from 1000 sit ups. Men and women put fat in different places. Women tend to put their excess on hips and thighs, or the external fat layer of the abdomen. Men place it in the love handles and inside the abdomen around the organs. His muscle separation is only about 3/4 of an inch and wouldn't tighten noticeably
Prominent male belly
It is likely that your husband's fat is inside the abdominal cavity, as is common in men, and not just under the skin. If that is the case, his best option is to loose weight with a combination of diet and exercise. A tummy tuck is unlikely to make a significant difference.
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Rock hard belly
Abdominoplasty won't fix this man's problem.
There is an excess of intraabdominal fat. This cannot be removed by suction and abdominoplasty would make very minimal improvement with significant risk of complication. Weight loss is the sensible way to deal with this specific problem.
Tummy Tuck Candidate?
Thank you for the question and pictures.
I think it would be in your husband's best interest to be seen by a well experienced board certified plastic surgeon. Simple physical examination will be enough to determine if your husband is a good candidate for any type of surgery. For example, if the “pinch test” demonstrates significant subcutaneous adipose tissue, he may be a good candidate for liposuction surgery. If, on the other hand, he has significant abdominal wall laxity (muscle laxity) he may benefit from tummy tuck surgery. Sometimes, especially with men, the adipose tissue may be intra-abdominal and he would most benefit from diet and exercise.
I hope this helps.
Diet and Exercise
Diet, exercise, and weight loss are the keys to helping your husband feel better about himself. I would not recommend surgery. Best of luck!
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.