Rectus diastasis that has persisted well after 6 months despite core strengthening following delivery is unlikely to improve. Surgery would be your option at that point.
Find a plastic surgeon who performs hundreds of tummy tucks each year, has great reviews, and has great before and after pictures.
Kenneth Hughes, MD
Los Angeles, CA
Typically women that develop a separation of the abdominal muscles from pregnancy (rectus diastasis) will need a plication (internal corset) of the muscles to bring them back closer to the midline of the abdomen which is part of a tummy tuck. Any excess skin is also removed at the same time. With modern techniques for postoperative pain control, such as pain catheters or long-acting numbing medicine, the recovery tends to be decent for many patients. There really isn't a great non-surgical option. Of course, you need an examination to ensure that in fact it is a diastasis and only a board certified/eligible plastic surgeon can make that determination and treatment recommendations. Finally, you may want to consider holding off if you are thinking of having more children in the future, as doing a tummy tuck before having additional children isn't really a great investment of your time/money since you would likely need to have the procedure redone.
Unfortunately surgery is needed to correct the split in your tummy muscles. This is typically done during a full abdominoplasty or tummy tuck.
There is no way you can solve without a surgery, tummy tuck is the best solution for this problem, be sure to consult a certified plastic surgeon to get a better advise. Good luck!
Thank you for your question. Unfortunately, there is no nonsurgical treatment for the diastasis recti that has occurred as a result of your pregnancy. The muscle edges have separated and stretched apart. In order to give you a tighter flatter abdomen, those muscle edges need to be surgically re-approximated with internal sutures in the midline, typically from the lower edge of the breast bone down to the pubic bone. Muscle strengthening with sit-ups will give you more defined abs, but the space will still persist between the muscles. If you are finished having children, you may want to consult with a board certified plastic surgeon to see if you are a candidate for a tummy tuck. Best of luck