2 Cm Diastasis and Thickening of Fascia Around the Abdominal Wall

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.

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.