2 Cm Diastasis and Thickening of Fascia Around the Abdominal Wall

Clinical exam is really the key here.  If you have a bulge that shows up in the sit-up position, then I would recommend repairing it at surgery, regardless of what the MRI (taken at rest) shows.  It could also represent fat, as other surgeons here have mentioned.

The repair does not make the operation significantly longer, and it does make the result look better - so "do it if you need it" is our approach.

 

Hope that helps!

It is impossible to tell without examining you.  Diastasis recti is usually associated with pregnancy, which you obviously have not endured.  You may have a localized weakening of the abdominal wall.  Any history of trauma or surgery in the area?  If not, and there is a bulge on examination that becomes worse with increased abdominal pressure, and this is symptomatic (e.g. interfering with your activities), either this represents a hernia or an abdominal fascial attenuation.  The good news is that it should be amenable to surgical repair.  The approach to these problems can be controversial, so it is not surprising you have heard different opinions from different physicians.

To answer you question we really need before pictures and also to examine you.  It sounds like you had imaging studies which identified a diastasis recti.  You did not mention any other findings.  However, if it really bothers you, they you may want to consider diastasis repair.  With photos and more information, we may be able to give you more specific advice.  

 

Good Luck.

Without an exam it is difficult to say what can ot can not be done for you.  If you have a true hernia( which should show up on MRI) it shoudl be fixed.  If just a weakeness, difficult to say without an exam.

It is in your best interest to seek consultation with a well trained–experienced board-certified plastic surgeon. Based on your history and physical examination you will be given good advice. As mentioned before, the radiographic findings are of secondary importance.

Having said that, you should be aware that abdominoplasty is a major operation with significant potential risks and complications and should only be undertaken if clear indications exist.

I may be able to be more helpful if you're able to send pictures in the upright and bent forward (flexed)  positions. Best wishes.

A 2cm diastasis of the rectus abdominus muscles is usually nothing, but not when there are specific problems associated with it (like a bulging abdomen)

The phrase "clinical correlation required" comes in to play here. The MRI images must be considered in light of the physical findings you have. 

A laxity of the abdominal wall, or rectus diastasis, is a widening of the "linea alba" or connective tissue between the rectus muscles. No amount of sit ups or core work will ever improve your condition. It is not a muscular problem, it is a connective tissue excess. I see this a lot in women that have had one or more pregancies, the growing baby stretches out that connective tissue. 

This can often be easily repaired by a plastic surgeon.

Without photos and an examine it is difficult to give an opinion.  If the small bulge in the middle is do to a diastasis or weaken fascia or both then a repair would be benefit.  If there is excess fat in addition liposuction may be needed to provide the optimal result.  I would get a second opinion from another plastic surgeon.

The bulging will be corrected by abdominoplasty, regardless of its cause. At examination, which in this case is much more important than radiographic findings, your surgeon can discuss the best way to design the procedure to maximize your overall aesthetic result result.