Repair of supraumbilical diastasis recti? (photos)

Hello,Thank you for your question. You may be a candidate for the FAB or floating Abdominoplasty procedure. If you do not have much excess skin or fat, but do require diastasis recti repair.Using a small incision in the lower abdomen, this new tummy tuck surgery technique allows the tummy to be tightened and shaped with optimal results. Also referred to as an extended Mini Abdominoplasty, this procedure is an excellent option without the telltale signs as there is no incision around the belly button. Excess skin is removed through the incision; the belly button is temporarily detached and ‘floats’ above the muscles. This allows the muscles to become tightened and reshaped from sternum to pubic area, that is, along the entire length of the abdomen, as opposed to a typical mini tummy tuck where the muscles are only tightened below the belly button. The skin on the abdomen is then made smooth and firm, and the belly button is reattached from the inside with the option of moving it down one or two cm if necessary. To sculpt to an even greater degree, liposuction is performed, resulting in beautiful tight abs with a scar that is minimal and discreet.I recommend that you seek out board certified Plastic Surgeons in your area who perform this procedure and book your in-person consultations. Your Plastic Surgeon will examine you, your skin, and discuss surgical options with you.All the best

Dear Ms. Ejean1127,Thank you for your question and photos. You appear in great shape!Your photos show a significant diastasis, especially in the upper abdomen.you have two choices:1) endoscopic repair+/-you will have several small incision over the abdomen that while small will be visable while wear a bathing suit.- with diastis re approximation the skin may externally bunch and have a irregular contour.- any excess skin in the lower abdomen will remain2) open repair:+ the excess lower abdominal skin will be excised and the skin over the diastasis repair will lay down smooth+/- you will have a single supra public (covered by a bathing suit bottom and possible peri umbilical incision that is concealed by its location. Often the umbilical hernia can be repaired without making a peri umbilical incision.Many Plastic Surgeons are dual Bd. Cert. (Both General and Plastic Surgery) and by their training and experience are abel to repair both your umbilical hernia and diastasis.Please make a appointment with a experienced Plastic Surgeon who is Certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (denoting by membership as having met additional criteria and a focus on Cosmetic Plastic Surgery).My best wishes,R. A. Hardesty, MD, FACSDiplomate and Certified by the Am. Bd. of Plastic Surgerywwwimagineplasticsurgery.com4646 Brockton AveRiverside, Ca 92506(951) 686-7600

Its reasonable to approach your rectus diastasis and umbilical hernia repair from a low pelvic incision. This would eliminate a visible scar with underwear on.