Is it generally the case 'some report increased strength & control' in their core?

Diastasis recti repair during a tummy tuck isn’t really designed to improve strength. It can improve your appearance and the function of your ab muscles, but it may or may not improve strength. Some patients have reported that it helped improve strength, but there is no guarantee.

Repair of a significant diastasis (ie a three finger separation or more which is very rare) gives more support to the core but I’m not sure if that can be characterized as more strength.

Hello, some studies have suggested that abdominal strength is improved after rectus diastasis repair, but further research is needed with large, well-designed investigations. Anecdotally several of my patients have reported that they feel stronger or have less back pain, but I don't make promises about the functional outcome. In my experience the cosmetic and functional outcomes are unique to each patient.

Hello Generous20411,

Thank you for your question regarding whether diastasis recti (DR) repair can improve core strength and control.

Diastasis recti, characterized by a separation of the rectus abdominis muscles, is common after multiple pregnancies. This condition can significantly impact core strength and stability. The surgical repair of DR, often performed during a tummy tuck (abdominoplasty), involves suturing the separated muscles back together, thus restoring the integrity of the abdominal wall.

Based on various clinical experiences and patient feedback, many individuals do report an improvement in core strength and control after DR repair. Here are some key points:

Restoration of Muscle Integrity: By bringing the separated muscles back together, the surgery can restore the normal anatomy and function of the abdominal wall. This can lead to improved muscle activation and engagement during physical activities.

Enhanced Core Stability: A repaired abdominal wall can provide better support to the spine and pelvis, leading to improved overall core stability. This stability can enhance performance in activities that require core strength, such as lifting, running, and various forms of exercise.

Symptomatic Relief: Many patients experience relief from symptoms associated with DR, such as back pain and pelvic instability, which can indirectly improve their ability to perform core exercises and activities.

However, it is important to note that individual results can vary. Factors such as the extent of the muscle separation, the patient's overall health, and adherence to post-operative rehabilitation play crucial roles in the outcome.

While many patients report significant improvements, it is also possible that some may not notice a marked difference in core strength and control. It is essential to have realistic expectations and discuss your specific goals and concerns with a board-certified plastic surgeon who can provide personalized advice based on your condition.

In summary, while there is no guarantee, many individuals do report increased strength and control in their core after DR repair. It is generally the case, but individual results may vary.

I hope this helps to answer your question regarding the potential benefits of diastasis recti repair.

Sincerely,

J. Timothy Katzen, MD, FASMBS, FICS