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Is Repair of Diastasis Recti Possible During Scar Revision? (photo)
asked 3 months ago by Suzy4 in Ottawa, Ontario
Latest answer by J. Jason Wendel, MD
Question viewed 228 times
Tags: muscle repair, 6 weeks post-op, combination, diastasis recti, technique
Hi I am 6 weeks post-op from a full tummy tuck & want my PS to do a scar revision on me at the 6-12 month mark as my scar is very high ( he doesn't seem very willing to do it). He also did not do repair on my diastasis recti and I have a 3 finger separation. ( I have very good skin skin with no stretch marks from pregnancy) if I can convince him to do the scar revision would I be able to have my muscles tightened/ sewn together at same time? Would my skin need to be peeled back to ribcage again?
12 answers to Is Repair of Diastasis Recti Possible During Scar Revision? (photo)
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Muscle tightening is usually a part of a tummy tuck
Thank you for your question and the photos. Yes, diastasis recti repair can be done at the time of scar revision. Also, muscle tightening is typically part of a full tummy tuck. Did you and your surgeon discuss whether he was going to do this before the surgery? Did he discount your tummy tuck because he was not planning on doing this? What was the reasonable expectation? Your tummy in the pictures looks okay but can your feel the three-finger separation? You don't want...
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Diastasis Recti Repair is standard treatment during tummy tuck
It appears from your photographs that you will need a repeat abdominoplasty. You will need flap elevation all the way up to your ribs and the diastasis recti repaired. At the same time, your skin incision can be lowered. It is good that you are not in a hurry and waiting 6 to 12 months will make it technically easier to do and allows the skin to stretch more. The key to an abdominoplasty is not sewing your muscles together but sewing the fascia that surrounds the...
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Is Repair of Diastasis Recti Possible During Scar Revision? (photo)
Thanks for the posted photos! You have a communication issue! Best to obtain in person second opinions. Also this demonstrates the need for a full understanding of the pre operative informed consent.
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Is Repair of Diastasis Recti Possible During Scar Revision?
Your scar does appear high. I see this not infrequently. Some plastic surgeons will raise the position of the scar so that they can get rid of the old belly button hole. In someone with enough loose skin above the belly button, the old belly button hole (from the release of the BB from the surrounding skin) will move down far enough to remove it with all of the excess skin. If the skin above the BB is not that loose, then it will not advance this much. I leave...
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Scar Revision
Yes, the diastasis can be repaired at the same time as a scar revision. If you post some before pictures as well as your after pictures, it may be much more informative.
Good Luck.
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Abdominal scar revision
It is very hard to lower the scar if you had a tummy tuck. To elevate the flap is relatively easy and certainly the disatasis can be repaired at the same time.
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Tummy Tuck and Diastasis Repair.......
Yes. Diastasis repair can be done at the same time as scar revision, but that means not just doing a scar revision, but instead, repeating the whole tummy tuck all over again. This one will be more painful and have a longer recovery since the majority of the tummy tuck pain comes from muscle tightening.
Lowering your scar might be possible, but that depends on how much skin laxity you still have. This will also result in a short vertical scar beneath your belly...
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Abdominoplasty revision and rectus plication
Thanks for your great question -
In reviewing your pictures it appears likely that you may benefit from scar revision. Certainly rectus plication or even re-plication can be performed at this time. It will require re-elevation of the abdominoplasty flap to the subcostal margin (up to the level of your ribs).
You may find the re-operation to require a longer recovery if it includes the plication.
Be sure you completely discuss your options with your surgeon and if you...
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Revision Tummy Tuck
The first thing to ask is "why wasn't the diastasis fixed during the first procedure?". This is pretty standard, unless it was discussed before hand that you weren't going to get any muscle tightening. Lowering the scar and making it look good may not be so easy so be careful moving forward. You might want to get a second opinion.
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Diastasis Muscle Repair during Scar Revision
Lowering a Full Tummy Tuck scar to a lower position is not necessarily easy and may require lifting the skin ff the underlying muscles to advance the incision line inferiority. While I don't quite understand why your muscle separation was not repaired at the time of your original Tummy Tuck, as long as your skin has to be lifted to allow lower scar placement, the muscle repair should be done.
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Repair of Diastasis Recti during Scar Revision?
Thank you for the question and pictures.
Yes, repair of the diastasis recti can be performed during "scar revision surgery". The repair will require exposure of the abdominal wall muscles (elevation of the abdominal wall flap again).
I hope this helps.
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Repair diastasis with scar revision
First of all, your scar is high now but you still hav swelling and you need to have patience and give things time to settle down. I do not understand why you elected to have a tummy tuck without muscle tightening, given a 3 finger separation and, frankly, why your surgeon agreed to perform the procedure under these circumstances. Normally, a scar revision can be performed in the office under local anesthesia but, to repair the diastasis, you will require general anesthesia and costs...
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