Can you have liposuction with diastasis recti?

Question

I know I have diastasis recti I was already diagnosed and have been doing physical therapy to get the strength back in my pelvic floor. It's not bad only around my belly button. I'm scheduled for lipo with BBL. Will it affect the results of the lipo? I know I may have loose skin but I'm not ready for a tummy tuck as I still want to have kids. I'll do a mmo when I'm finished with children

Pedy Ganchi, MD · Answer

Hello,Liposuction will not treat the diastasis recti but will help contour your abdomen and hips. The muscle separation/bulge may be more noticeable after liposuction as the tissues will be more lean and defined. It sounds like you are a good candidate for a tummy tuck with repair of the muscles, and so the abdominal liposuction results will be less than ideal.  Since your main goal at the time being however is the buttocks enhancement, liposuction will serve you well.Warm regards,Dr. Pedy Ganchi                                                                                                                                     Village Plastic Surgery

Kenneth Hughes, MD · Answer

Hello.
Great question. Yes you may proceed with your BBL procedure. A liposuction will not involve your muscles. Congratulations on your upcoming procedure.

Vaishali B. Doolabh, MD, FACS · Answer

Hi courageous288698,Having diastasis recti can provide some forward protrusion/fulness of your abdomen because the internal organs are held back less-especially after a big meal or full bladder.  The lipo will reduce the volume of tissue above the muscle and help the skin deflate down about 25% towards the muscle.  The Renuvion technology is very effective for skin tightening and adds a few minutes to surgery but is a great way to address loose skin.  Good job with your therapy and you just may see the diastasis lessen!  My best, Dr. Doolabh

Susan D. Vasko, MD, FACS · Answer

Thank you for your question. Yes you can have lipo if you have diastasis recti, however, as you stated, lipo will not correct diastasis recti, only a tummy tuck can correct that. Be sure to see a board certified plastic surgeon.

Jason Emer, MD · Answer

you will get more improvement if you do It with jplasma/renuvion because it does some diastasis Improvement as well as hormonal optimization with HGH/HCG/peptides prior to suregery as well as trsculptFLEX before and after.  liposuction BBL alone will Improve but not be best outcome.
You need a formal evaluation by an expert in body shaping and contouring to determine what is best.  Traditional liposuction awake and smart liposuction are old methods and do very poorly for tightening skin or significant skin tightening or contouring.  Small problem areas can be improved slightly by these methods.  The best in body contouring not only removes fat with energy devices like VASER ultrasound but also internally heat the skin with radio-frequency devices such as J PLASMA/RENUVION, InMode BodyTite, ThermiRF to heat the under surface of the skin and tighten it at the same time as fat removal. These combinations are called 4D HIDEF VASER contouring and can only be done by a well . trained body contouring specialist. At the same time fat should be harvested, PRP and stem cells added and injected into muscles or indentations/cellulite to get body shaping and contouring.  This is known as a Brazilian butt lift when you inject the fat to the buttock for contouring and lifting, but fat can also be used in areas such as the chest/breast, arms/shoulders, calves and face.  Cellulite should also be treated with cellfina, sculptra, subcision and/or fillers such as bellafill, renuva synthetic fat, or sculptra.  If skin is very loose before surgery then it will need to be removed such as lower abdominal skin (tummy tuck/abdominoplasty), breast skin (breast lift), arm skin (brachioplasty).  Overall you need a full assessment, but simple liposuction alone will not tighten skin and needs a combination of various methods -- fat removal, skin tightening, defining, fat grafting, skin removal -- to get the best in body contouring and body sculpting.  Dr. Emer.

Daniel Barrett, MD · Answer

Dear Courageous288698,
you can get a liposuction even if you have diastasis recti. It is better to postpone tummy tuck until you are done with pregnancies. If you are considering a surgery, I would suggest you to consult a board-certified plastic surgeon. Only after a thorough examination you will get more information and recommendations.

Daniel Barrett, MD
Certified, American Board of Plastic Surgery
Member, American Society of Plastic Surgery
Member, American Society of Aesthetic Plastic Surgery

Robert M. Tornambe, MD · Answer

I think you actually have a very good plan. Go for the liposuction and fat transfer/BBL now, and then down the road after you have had children, you can always have a tummy tuck with your mommy makeover. This makes total sense as long as you understand that you may have some redundant skin and a less traumatic result with the liposuction. Be certain to consult with a board-certified plastic surgeon in your area to greatly increase chances for the best possible results. Good luck.

Finny George, MD · Answer

Hi, thank you for sharing your question. Diastasis will not affect your liposuction surgery. Once you have completed having children, the tummy tuck will correct any excess skin and also the diastasis. I hope this helps. Best of luck!

Johnson C. Lee, MD · Answer

Diastasis recti can limit how slim you can get with just liposuction alone as it may make your abdomen appear more round from bulging. You are correct in that you should wait until you are done having children before having a tummy tuck and having the diastasis repaired. As long as you are medically cleared for surgery, you can still have liposuction and BBL without diastasis repair. Hope this helps!Johnson C. Lee, MD

Board-Certified Plastic Surgeon

Board-Certified Plastic Surgeon

Robert L. Kraft, MD, FACS · Answer

The outcome of the Lipo will be limited by the bulging from the diastasis. So long as you understand this, you can proceed with surgery. One can expect the diastasis to worsen if you have more children and that the abdominoplasty will be in your future. Physical therapy may strengthen the pelvic floor but will not improve the diastasis, which is a weakness between, rather then of, the muscles.

Can you have liposuction with diastasis recti?

Answers (13)

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