Diastis Recti Scarring - is there any way to avoid the long scar from a tummy tuck?

Hello BRITT1213 in Whitehorse,
Thank you for your inquiry about alternatives to a traditional tummy tuck that can minimize scarring while addressing diastasis recti. Diastasis recti, the separation of the abdominal muscles, is a common issue, and there are indeed innovative surgical techniques that can help correct this with less scarring.
One such technique is the laparoscopic approach. This method involves making five small incisions across the abdomen, each about the size of a pencil eraser. Through these incisions, surgical instruments and a camera are inserted. The abdomen is then inflated with air, similar to routine laparoscopic surgeries like gallbladder removal. The rectus diastasis is repaired from the inside, using special sutures. Once the procedure is complete, the incisions are closed with dissolvable sutures. This approach offers the benefit of minimal scarring.
Another option is the open technique, which involves a smaller incision made in the lower abdomen, akin to a C-section scar. The incision is made in the pubic region, and dissection is carried up to the sternum. A long instrument, similar to a needle holder, is then used to plicate the rectus muscles, correcting the diastasis recti with a relatively small scar.
It's important to note that most patients with rectus diastasis also have loose skin and some excess fat, which is why traditional tummy tucks often involve removing these as well, necessitating a larger incision. However, if your primary concern is the rectus diastasis and you have minimal loose skin or excess fat, these minimally invasive surgical options could be ideal.
I recommend consulting with a board-certified plastic surgeon to discuss these techniques and determine the best approach for your specific needs and goals.
Wishing you success on your journey to improved abdominal contour and health.
Sincerely,

Thank you for this question. A standard tummy tuck incision goes from hip to hip in the bikini line in order to remove enough extra skin. This is similar to how a tailor uses a seam to adjust clothing. If you have minimal loose skin which is located beneath your belly button then a mini-tummy tuck can be done through a smaller approximately 5 inch incision. The separation of your muscle will be repaired through a small tunnel. Please be advised that this is a great procedure but only for a small subset of patients. I hope this helps.