Diastasis recti with little excess skin and stretch marks below the navel. What should I do: full TT, mini, or nothing? (Photo)
Doctor Answers 14
What to do?
Get another opinion from a Board Certified Plastic Surgeon
Thank you for referring your case which includes stretch and possible muscle separation. Congratulations on your three children the youngest of which is two.
Your photos do not fully define your problems and so firstly I would suggest a visit to a Board Certified Plastic Surgeon is probably necessary.
Following this depending on the severity of the stretch marks it may be possible to do a reduction of the stretch marks and plication of the abdominal wall musculature through a lower or mini abdominoplasty. It may be necessary to release the umbilicus in order to achieve a satisfactory muscle plication.
I hope these suggestions help.
Full tummy tuck with muscle reconstruction will give you an excellent outcome
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Those damn stretchmarks!
Beware of the surgeon that wants to remove excess fat that you do not have. He/she could leave you with a cottage cheese tummy!
I hope that this helps you.
Tummy Tuck Pros/Cons and Sciton Joule Laser
The question I would pose, is how much are you bothered by your stretch marks? You truly don't have much excess skin, and the muscle separation is not obvious in your side-profile photo. I trust that your plastic surgeon palpated the muscle separation, and of course, if you want this corrected, a tummy tuck is your best option. The downfall to surgery, other than cost and physical recovery, is a scar. Does the idea of a high transverse scar bother you more so than your stretch marks? Only you can decide.
One other option you might consider is laser treatment.
Laser treatment for stretch marks is a possibility to help reduce but not completely get rid of your stretch marks. We use the Sciton Joule laser which can be used to reduce the pigmentation of scars so that they are less noticeable. We recommend a minimum of 4 treatments. In our practice, a package of 4 treatments for scar treatment is approximately $900. Profractional therapy is also another option; this is more intense and treats scars like yours more aggressively. These treatments begin at $1000 per treatment.
A tummy tuck would remove some of the skin thus getting rid of some of the scars, but all the scars probably could not be removed. I hope this help, and good luck with your treatments.
Which treatment would work best for the abdomen
Diastasis recti with little excess skin and stretch marks below the navel. What should I do: full TT, mini, or nothing?
What's is the BEST Tummy Flattening for me?
What can be done would depend on the extent of pooching/muscle separation and your willingness to accept a transverse scar. Personally I would NOT recommend doing a Tummy Tuck with s high transverse scar on you. You have s very nice figure and I would not mar it by putting a high transverse scar which is not hidden by conventional panties or bathing suit bottoms.
Your options as I see them are:
1. Do nothing. It's cheap and safe and besides you look pretty damn good already.
2. Have HiDef Liposculpture. It will tighten the skin somewhat and create a nice shape without a transverse scar. If you do not like it you can later have any of the options below.
2. Have a version of a MINI Tummy Tuck
a. With liposuction ( without relocating the belly button)
b. Floating the belly button and doing muscle tightening above the belly button which is not usually done in a mini tummy tuck.
3. Have a FULL Tummy Tuck with a transverse scar hidden in your panty territory but it most likely would require a short vertical scar where the hole where your belly button exits needs to be stitched together vertically because the skin excess is too small to allow its removal.
As you see, you are blessed to have a lot of options but need a surgeon who is versatile enough to offer you these choices and allow you to choose rather than imposing one on you.
Peter Aldea MD
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