Diastasis Recti Repair in an Adult Male

You may be a candidate for a tummy tuck and diastasis repair.  Definitely consult with an expert plastic surgeon to understand your best options.  Your case is unusual because it is a complication from a hernia repair.Also, make sure you are at your ideal weight for best results.

I do believe you would benefit from an tummy tuck and repair of the abdominal wall. Because of your history, any board certified plastic surgeon would be concerned and prepared to deal with the repair that has been done in the past. I would consult with a surgeon to get a thorough history and physical as your case is not straight forward, but you definitely have options!

Thank you for your question. It appears that you have significant abdominal wall laxity. Given the history of ventral hernia repair and complicated post-operative course, I think an abdominal CT scan would be a smart first step to evaluate if you have a hernia recurrence or simply rectus diastasis. If it is a diastasis with no hernia recurrence, a mini or full tummy tuck should be considered to repair the muscles and remove excess skin. If you have a hernia recurrence, a component separation procedure may be necessary to restore the integrity of the abdominal wall. Good luck.“This answer has been solicited without seeing the patient
and cannot be held as true medical advice, but only opinion. Seek in-person
treatment with a board certified plastic surgeon for appropriate care."

Thank you for your question and photographs, and I am sorry to hear about the psychological toll that your diastasis has caused you.  Based on a physical exam, I think you are an excellent candidate for a muscle repair.  The first step is diagnosis, to ensure that your muscle separation is a diastasis and not a hernia.  Once determined, the decision as to the best approach needs to be done.  If you have vertical skin laxity, using a lower tummy tuck incision will allow for repair of your diastasis while removing any excess skin to help with your abdominal contour.  If you have skin excess in both a vertical and horizontal excess, use of your vertical scar may permit a more powerful removal of skin that can transform your stomach.  Be sure to see a board certified plastic surgeon who can walk you through the important steps of the various tummy tuck procedures. 

Repair of the abdominal muscles may be indicated if the muscles are loose. This is performed in men who have loose muscles. Raffy Karamanoukian Los Angeles