When is Mesh or AlloDerm Necessary in Diastasis Repair?

Hi,
Alloderm and Strattice (second generation biologic mesh made by same manufacturer) have a role in complex abdominal hernia reconstruction. Utilization of these products have been shown to result in lower hernia recurrence rates.
You do not have a complex abdominal hernia. Diastasis recti, although unsightly, represents midline separation of the rectus abdominus muscles - there is still intact abdominal wall fascia. As a result, treatment is geared toward sewing the muscles back together - that's pretty much it.
You definitely need to make sure your surgeon is a board-certified plastic surgeon. Best of luck.

Your picture shows pretty severe diastasis, but in 13 years I have not needed to use AlloDerm or mesh in a diastasis repair. Mesh comes with its own risks. Make sure you understand the risks and benefits before you proceed.
Best Regards.

It is quite interesting how so many plastic surgeons agree that they would not use mesh. I must say that in 20+ years the only time I have used mesh was on a breast reconstruction for a TRAM flap in the early 90's. I don't think you would need mesh or alloderm in doing a tummy tuck and just repair of the diastasis would give you a very nice result.
I use Alloderm or allograft material in breast reconstruction because it has elasticity and stretch which is just the opposite of what you would want in a diastsis repair. Good luck on your surgery.

Absolutely, NOT. The use of mesh should be a LAST recourse when the muscles (or their fascial lining) are destroyed.
I have operated on women such as yourself many times and never had to use a mesh. One, which I believe was much worse than yours, posted her pictures on this website, at http://www.realself.com/review/Full-Tummy-Tuck-w-o-lipo. See for yourself.
I would delay and consult with another Plastic surgeon (www.PlasticSurgery.org)
Good Luck.

I agree with all the other consultants that your case should be able to be repaired, using your own fascia, providing the loose abdominal skin is raised from the pubis to the rib cage (xiphisternum). Several post-op factors may contribute to failure of the repair of your diastasis recti. These include constipation, coughing, overly strenous activity undertaken too soon. As long as you have adequate time to convalesce, you should have a satisfactory convalescence and a great result! good luck.