Severe Diastasis Recti Repair with Vertical Incision and Mesh Also Repair of Ventral Hernia? (photo)

I have a severe diastasis recti and small ventral hernia and have seen a general surgeon who would like to repair this with mesh and a vertical incision . I am wondering what this would do to the shape of my abdomen ?

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4 Doctor Answers | Asked by tou tou

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Fleur-de Lis may be your best option

It is difficult to tell from your photos exactly how much of your abdominal protuberance is from diastasis rectus and how much is being contributed by your ventral hernia. Either way, you should have both corrected for an optional contour. Further, you will likely need vertical and horizontal incisions in a Fleur-de-Lis pattern. see video

Severe Diastasis Recti with Ventral hernia

Thanks for posting your questions along with the photos. Your ultimate abdominal shape will be determined by the degree of underlying diastasis, your weight, and whether or not you are having any skin resected. The diastasis and hernia repair should move your rectus muscles back into the midline and get rid of the upper abdominal bulge that you have. However, the key component is your weight. If you are obese (bmi >30), you will see a modest improvement in your... more

Diastasis Recti Repair with Vertical Incision and Mesh Also Repair of Ventral Hernia

It is hard to answer your question without more info--like height and weight. You certainly would have some improvement, but with a vertical scar that is hard to conceal. The vertical skin excess would not be addressed, so the skin overhang will persist. Most plastic surgeons would favor a lower abdominal incision and would do this procedure along with a tummy tuck to trim the excess skin. The diastasis would be repaired, the hernia would be repaired (often by a second surgeon, a... more