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Muscles separate after surgery because of two reasons. One is ripping of the fascia. No amount of exercise fixes this. The other reason is inactivity, causing loss of tone of the abdomen.If you have exercised and don't see the abdominal tone improving, it may time for surgery.
It is not possible to fix separation of the tummy muscles without an abdominoplasty. The muscles once stretched out need to be plicated to achieve the flat abdomen you are looking for.
Thank you for your question. Separation of the abdominal muscles, commonly called a diastasis recti, often requires surgical intervention which can be performed at the time of a tummy tuck. Pregnancy stretches out and often tears the fascia of the abdominal muscles and unfortunately exercise alone is not able to correct this. Abdominal exercises will help to tone the abdomen but surgery is your best bet to correct the separation of your abdominal muscles.
As stated by previous surgeons, muscle laxity after pregnancy usually requires an abdominoplasty for optimal correction. The procedure addresses not only the muscle laxity, but a tummy tuck also addresses the stretched, damaged skin as well as excessive fat if indicated. However, if the "apparent" muscle laxity is really protrusion from intraabdominal fat, weight loss alone may suffice.Down time is about two weeks and the procedure is performed as an outpatient in the large majority of cases. The surgeon re-shapes the torso, optimizing the curvateous physique.
Theabdominal wall undergoes significant changes during pregnancy. During pregnancy the abdomen expandsand the muscles weaken, stretch, tear and in some cases separate from eachother. Inthe vast majority of cases surgery will be necessary to reverse thesechanges. Non-surgical treatmentswon’t reverse structural changes which are usually present. When muscles have been weakened,occasionally exercise can impact the abdomen by strengthening these muscles,but in most cases more significant structural changes have occurred. Inyour case, it appears that your muscles have separated in the midline. This condition known as a rectusdiastasis is common following pregnancy and will require surgical correctionduring abdominoplasty surgery. Inthis case non-surgical treatments won’t be effective. Ifyou’re concerned about abdominal wall changes following pregnancy, consultationwith a board certified plastic surgeon is appropriate. This surgeon should be able toformulate an appropriate treatment plan.
The only way to correct this is with surgery. The procedure involves tightening fascia to bring the muscles together. The surgery isn't necessarily a tummy tuck.