Is Tummy Tuck a Good Solution for Diastasis Recti? Doctor Answers, Tips
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Is Tummy Tuck a Good Solution for Diastasis Recti?

I am a 30-year-old male with a slight (1-2 finger size) diastasis recti. My doctor states this is no need for concern but being a therapist I am worried about its long term effects on my lower back, increased potential for umbilical hernias and overall core strength and stability. I have read that this should be surgically repaired. Is this true? If so, what procedure is recommended? Is Tummy Tuck a good solution? What would the recovery time be?

13 Doctor Answers | Asked by agentbrice in wayne, nj
+4

Tummy tuck for you?

If you had massive weight loss and need skin excised along with a muscle repair, a tummy tuck is indicated. If you don't have skin excess, a limited incision or endoscopic muscle repair can be done. Generally though, most patients with what you describe would just exercise and avoid surgery. Having a rectus diastasis doesn't make you a ticking time bomb for back problems, umbilical hernias or core instability long term.
+3

Repair of Diastasis Recti?

Thank you for the question. Based on your description (and without the benefit of examining you in person) I would not suggest surgery for the the diastasis recti if you're otherwise satisfied with the appearance of your abdomen. There is no study to show that this repair will prevent any problems in the future. If you're still concerned you may want to visit with a well experienced board-certified plastic surgeon. Best wishes.
+3

Small diastasis

A 1-2 finger breadth diastasis is within normal limits and would not be an indication for abdominoplasty. Unless you have other concerns, such as love handles or skin laxity which you would like a plastic surgeon to address, surgery would not be necessary.

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+3

A tummy tuck is for removal of fat and skin

All males have some 'diastasis recti'. Unless you get very fat, it won't separate more than about 2 cm (normal). When I do a female tummy tuck, I always narrow the diastasis, which has usually been stretched by pregnancy. Not a male problem unless you have been obese. If you've been thin, stick with exercise to maintain your 'core balance'.
+2

Sounds like you don't need surgery

You sound very knowledgeable about rectus diastasis. And my impression of you is that you're probably in good physical shape. If this is true there's no need to repair the diastasis. If the strength of the muscles is good repair of the diastasis won't do anything for you. Normal width between the muscles can be up to 1.5cm. If you are having problems with pseudoherniation than that would also be an indication to fix the problem.
+2

Just because you can fix something, it doesn't mean you should.

It is not likely that this diastasis will amount to much. Of course, if you have multiple pregnancies this can become considerably worse. Barring that, there is no guarantee that repairing a diastasis will necessarily prevent back pain or umbilical hernias. I would advise that you contemplate core strengthening excercises to enhance your abdominal wall function and aesthetics. Of course if you decide to proceded, there are methods of repairing the diastasis firberoptically or endoscopically... more
+1

Tummy tuck for male diastasis recti.

Abdominoplasty, (tummy tuck), is a great solution for extra skin on the abdomen. At the time one can plicate, (put back together), the separated rectus muscles. If you don't have a primary indication for the abdominoplasty, most would not repair the diasasis unless symptomatic.
+1

Treatment of Diastasis Rectii

A tummy tuck (AKA abdominoplasty) is often combined with treatment of diastasis rectii. However, the treatment of diastasis rectii is in fact, repair of diastasis rectii. Repairing a diastasis is not mandatory, but will improve the appearance of the abdomen. Diastasis rectii does not cause the development of an umbilical hernia. Furthermore, I am not aware of any studies correlating a diastasis rectii with lower back problems, or problems with stability & core strength. If you are... more
+1

You're reading too much

Agent Brice, The internet can be a dangerous source of information. Yours is a case in point. Diastasis recti can be a very natural condition. In fact, the distance between the rectus muscles varies from individual to individual and can be widened by pregnancy. There is no indication that a diastasis is related to lower back pain or the development of umbilical hernia. Unless you have a frank abdominal or umbilibal hernia, leave it alone. EVERYTHING we do has consequences. more
+1

No need to repair your diastasis

Every male will have a little separation or distance between the rectus muscles. If you have only one to two fingers distance, you are normal. Most men can not feel this. There is no indication to do any surgery because there is no expected problem that will come from this finding that you have noticed. Best Wishes Dr. Peterson
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