Is it possible to substantially tighten abdominal muscles that have very little, or even zero, diastasis? (photo)
Doctor Answers 7
Is it possible to tighten the abdominal muscles?
With pregnancy, as the uterus expands so does the abdominal wall. It's true that a daistasis can occur between the rectus muscles, but the muscles themselves can widen and become thin. Quite often we don't simply repair the diastasis, but rather plicate, or fold, and repair the rectus muscles themselves. This may well be case for you. You have done your homework and appear to be a good candidate for abdominoplasty. I would reommend you contact a board certified plastic surgeon in your area for a consultation.
Fascial tightening without diastasis
Your photos suggest that your assessment of the location of your fat in the abdomen is correct, that is, it is likely subcutaneous and not visceral. That is not to say that there is not a visceral component, but it is not the over-riding fullness. Given that, there should be room to do a significant snugging of the muscle fascia over the rectus abdominus (6-pack muscles). That essentially lays the foundation for a satisfactory abdominoplasty, because when the overlying skin is then tightened, the abdominal wall will not be able to push it out as it has in the past. See a board certified Plastic Surgeon to receive a thorough evaluation and discussion of your options and what to expect. I think you have the makings of a very nice result. I hope your experience is very good.
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Is it possible to substantially tighten abdominal muscles that have very little, or even zero, diastasis?
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.