Do I have distasis recti? Is liposuction the right treatment for my stomach? (Photo)

Dear jadproudmama,
based on your photos, you look like a good candidate for a TT. Full tummy tuck should tighten your abdominal muscles and remove the excess skin. Flanks liposuction would give you a better shape. I would suggest you to consult a board-certified plastic surgeon because only after a thorough examination you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

Hello,
While an in-person evaluation would be optimal, based on the information provided and the picture you've shared, it appears that the ideal procedure for you would be a tummy tuck. This procedure can address both the repair of your abdominal muscles and the removal of excess skin.

Hello, with that photo I cannot assess the diastasis, but due to the flaccidity around and above your navel, I recommend performing an abdominoplasty, in order to remove the excess skin.

Hi, about you question if you have diastasis recti. Yes, you have it. And liposuction is not the answer. You need tummy tuck with abdominal muscle repair, liposuction is optional.

The deciding factor in doing a liposuction versus a Lipo + tummy tuck is the medical history as previous pregnancies and the physical examination. In almost all the patients that have had pregnancies the muscle does have an abdominal wall weakness at the least and a diastasis too. In my practice almost a 95% of my patients with previous pregnancies are candidates for a Lipo 360 + advanced tummy tuck, where we can target your extra loose and saggy skin, do a muscle repair with an internal corset to reduce your waistline as well as the full body liposuction yo do the complete body contouring surgery.

Hi dear jadproudmama!
After giving birth, weight is gained and lost, the skin expands and shrinks again, and also the abdominal muscles that are separated by expanding shrink again, but unfortunately they cannot regain their adjacent state as before the birth. In summary, you can melt the fat and tighten the skin with postpartum diet and exercise, but your abdominal muscles need to be repaired so that your abdominal muscles are adjacent as before the birth. When I examine your case; abdomen, waist, back - 360 degrees of fat should be removed, your sagging abdominal skin should be corrected and your separated abdominal muscles should be joined. If only the fat is removed and the skin is corrected, you cannot have a flat stomach because your abdominal muscles will still be separated. In this case, you will look thinner than before, but you still have a small saggy stomach due to your separated abdominal muscles. Therefore, if the abdominal muscle repair is also performed with liposuction and tummy tuck, you will have a flat and very pleasant appearance. Regards.

I would suggest doing the liposuction to remove excess fat from your abdomen and flanks. Once healed, if your muscles are weak, you can have EMSculpt treatments to tone and thicken your muscles. If you have excess skin and weak muscles, then a mini tuck might work well for you.

From your photo you are a better candidate for a tummy tuck with liposuction for contouring. This would remove excess subcutaneous fat and skin as well as correct any abdominal wall separation. Liposuction alone will not address diastasis and may leave you with more skin laxity. The next step is to visit with a board certified plastic surgeon near you for a consultation.

Choosing the correct procedure should be based on having a clear understanding of what the underlying problem or ideology is.
There are four variables that determine what the abdomen looks like. Generally speaking if somebody doesn’t like the way their abdomen looks it is always because of one or more of these for different tissue variables.
The four variables that determine the appearance of the abdomen are as follows. Abdominal skin laxity generally due to previous pregnancies weight loss or age, excess subcutaneous fat, muscle separation from previous pregnancies, or excess visceral fat.
Previous pregnancies, and do not change fat distribution. Pregnancy related changes are basically due to skin, laxity and or muscle separation.
Ideal candidate for liposuction should have only subcutaneous fat as the only variable, keeping them from looking their best. This means that the best candidate for liposuction should have tight skin, minimal muscle separation, and no excess visceral fat.
Every once in a while, somebody comes in for a consultation who meets those criteria. In reality, most people seeking liposuction are not ideal candidate, and having some combination of variable tissue issues, contributing to a less than perfect, looking abdomen. Candidacy for surgery is typically more of a spectrum than yes, or no or black-and-white.
The most common liposuction treatment is the abdomen of postpartum women. A significant number of these women would do better having a tummy tuck, but that procedure is more than what patients want to go through enough negative drawbacks, leaving patience to choose the easier alternative, even though it may be limited in what it can deliver.
There’s also a major variation in the skill and experience when it comes to delivering consistent quality Liposuction Resort among different providers. This includes not only the technical skill of doing Liposuction well, but also the ability to make accurate assessments, and being able to deliver predictable outcomes with having sufficient numbers of before, and after pictures to be able to clearly demonstrate exactly what somebody’s results will look like.
Because there’s so much variation in Liposuction’s skills among plastic surgeons, patient should be significantly more critical when choosing providers. In my opinion, the best way to find the right provider if I have a multiple in person consultations.
Do not assume somebody has mastered Liposuction because you’re bored, certified in plastic surgery, I have years of experience I have an overall good reputation.
There’s no correct number of consultations needed to find the right provider. Considering that the consequence of poorly done Liposuction can lead to a lifetime of disfigurement. I suggest patient start the process by at least having five in person consultations. During each consultation, ask each provider to open up your portfolio and show you their entire collection of before, and after pictures of previous patients, who have similar body characteristics to your own. And experience plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients. Being shown a handful of pre-selected images, representing the best results of the providers career is insufficient to get a clear understanding of what average results look like in the hands of each provider.
Liposuction Resort are generally based on two single variables. The first is the patient’s candidacy for the procedure, and the second is the skills and experience of the provider. Both of these variables end up being equally as important as it comes to delivering consistent quality results.
Somebody who’s a good candidate, for Liposuction has the potential of having a good outcome, but can also be left is figured if they don’t choose their provider correctly. Somebody is not a good candidate for Liposuction, and does not have the potential to have quality outcomes, regardless of who does the procedure.
When, in doubt, slow down and schedule more consultations.
Best,
Mats Hagstrom, MD

Hello, I am Dr. Sealtiel, your best option and for more favorable results I recommend Tummy Tuck and Liposuction 360, it is necessary to do the muscle repair of diastasis recti and with only liposuction this objective is not achieved, you are a very good candidate for these surgeries