When is mesh or AlloDerm necessary in diastasis repair?

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10 answers to “When is mesh or AlloDerm necessary...”

A: is mesh or AlloDerm necessary in diastasis repair?

By Peter A. Aldea, MD - Memphis Plastic Surgeon

Absolutely, NOT. The use of mesh should be a LAST recourse when the muscles (or their fascial lining) are destroyed. I have operated on women such as yourself many times and never had to use a mesh. One, which I believe was much worse than yours, posted her pictures on this website, at - ... more

A: When is Alloderm usage indicated

By Sam Jejurikar, MD - Dallas Plastic Surgeon

Hi, Alloderm and Strattice (second generation biologic mesh made by same manufacturer) have a role in complex abdominal hernia reconstruction. Utilization of these products have been shown to result in lower hernia recurrence rates. You do not have a complex abdominal hernia. Diastasis recti,... more

A: Repairing rectus diastasis

By Richard P. Rand, MD - Seattle Plastic Surgeon

From your history and your photos you definitely do not need Alloderm or mesh. Also you do not need a cosmetic surgeon - you need a Board Certified Plastic Surgeon, preferably one who is also Board Certified in Surgery for the extra experience in surgery of the abdomen.

A: Diastasis recti repair doesn't usually require alloderm or mesh

By Lavinia Chong, MD - Orange County Plastic Surgeon

I agree with all the other consultants that your case should be able to be repaired, using your own fascia, providing the loose abdominal skin is raised from the pubis to the rib cage (xiphisternum). Several post-op factors may contribute to failure of the repair of your diastasis recti. These... more

A: You don't need mesh or Alloderm

By G. Gregory Gallico III, MD - Boston Plastic Surgeon

If your surgeon undermines up to the xiphoid, he/she should be able to correct the diastasis with sutures alone. Since you are thin, you might be able to see or feel the mesh; Alloderm may be useful in some surgical situations, but not here. With this wide a diastasis, just make sure the extent of... more

A: No need for Mesh and definitely not Alloderm

By Bahram Ghaderi, MD - Chicago Plastic Surgeon

Diastasis is usally repaired directly specially in someone who has lost all their pregnancy weight. If you have a true hernia, then you may require a mesh. Alloderm stretches and you can get recurrent protrusion of your abdomen. Discuss with your surgeon your options again and most likely the only thing... more

A: No need for mesh or Alloderm

By Robin T.W. Yuan, MD - Beverly Hills Plastic Surgeon

Since your diastasis is from pregnancy and you do not have a true hernia, it would be very unusual to need a mesh and certainly not Alloderm. Some surgeons might consider it to reinforce the closure but I doubt if that is necessary. If you were to have a failure of repair or a large hernia, it might be... more

A: no mesh

By Robert S. Houser, DO - Columbus Plastic Surgeon

Not necessary. All it does is increase the risk of infection and mesh in particular can give you the sensation of having a dinner plate on your belly -- it can be very firm and uncomfortable. Make sure your surgeon is certified by ABPS - the American Board of Plastic Surgery and good luck!

A: Direct repair for diastasis recti

By Robert M. Freund, MD - New York City Plastic Surgeon

The best way to correct your distasis recti is by direct repair. This can be repaired in most people without a problem. In a few people (those with previous large abdominal hernias and previous surgery with bad tissues) mesh (not alloderm) may be required. But in your case, find someone who feels comfortable... more

A: Usually not needed

By Scott E. Kasden, MD - Dallas Plastic Surgeon

You have a severe diastasis (separation of the) recti. I have seen and treated much worse, with nice results. What determines the need would be the condition of the fascia, or strength layer over the muscle. I can't remember in 16 years that I have ever needed to use mesh and... more