I had my baby 4 years ago and I still look 6 months pregnant. I just had an umbilical hernia surgery a few days ago and my doctor told me its all cause of my weak stomach muscles. What can I do to fix it? I'm afraid of a tummy tuck because the cut looks extremely painful.
How to Flatten and Strengthen Weak Abdominal Muscles?
Doctor Answers 2
Abdominal bulging after pregnancy
What you are describing is a very common concern for women following pregnancy. Briefly, the abdominal wall, consisting of both muscle and fascia (which is tissue that connects and covers the muscle) can be stretched out following weight gain, pregnancy or progressively with aging. In many instances, the abdominal wall cannot 'snap back' to its original contour due to the excess stretching and you are left with a bulge. This bulge is primarily a weakness in the fascia (see above) and is not responsive to abdominal exercises. Many patients maintain excellent fitness with very strong abdominal muscles yet still have the tummy bulge. To fully address the bulging and restore a more sleek abdominal contour usually requires surgical intervention to repair and strengthen the abdominal fascia.
The hernia you described is a weakness in the fascia and is corrected with sutures to close and strengthen the weakend area.The cause of your abdominal bulging can be determined with a thorough evaluation by a board-certified plastic surgeon.
Unfortunately, the abdominal stretching of pregnancy can frequently weaken the integrity of the abdominal wall. Once so weakened, it is difficult to flatten. Part of the tummy tuck procedure is to try to restore the strength and integrity by placing strong sutures. You should have a consultation with an American Board of Plastic Surgery certified plastic surgeon in your area.