I had a tummy tuck 6 years ago and have since gained about 40 lbs and I think I have a diastasis recti.

It is always more difficult to examine an abdomen that has had prior operations. If you had gained weight it is dfficult to say if your abdomen is protuberant due to recurrent diastasis versus increased intraabdominal fat. Your PS is right that you would need to lose the 30-40 lbs you gained to get a true assessment. Furthermore, this weight loss would be necessary if one were to entertain surgically fixing a diastasis anyways.

Thank you for the question. I think that your plastic surgeon has given you good advice. Best to achieve your long-term stable weight and then return for follow-up examination. There are simply too many variables involved… Best wishes.

Thank you for your question.  Sometimes it is difficult to tell if there is a diastasis recti present post abdominoplasty in a setting of intra abdominal fat gain.  This is known as intraluminal fat which will push the abdominal wall outwards.  I would recommend you lose at least twenty pounds and then be re evaluated by your PS.Best of luck,