I'm considering a tummy tuck for repair of a severe diastasis recti that I have not been able to narrow with any conservative therapies. I also have the associated low back pain, minimal core strength and urinary leakage often found with diastasis patients. I've heard about use of mesh for repair of severe diastasis recti. What are the recommendations in this regard. Any risk of reoccurrences? I'm 5'8" and currently weight 164 lbs. 3 pregnancies with large babies. Thank you for your time.
July 16, 2020
Answer: Abdominoplasty with mesh reinforcement As you can see from your side view photographs, your abdomen looks like you are still pregnant. This is from the damage to your fascia and the only way to correct this is with mesh reinforcement. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. Best Wishes, Gary Horndeski, M.D.
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July 16, 2020
Answer: Abdominoplasty with mesh reinforcement As you can see from your side view photographs, your abdomen looks like you are still pregnant. This is from the damage to your fascia and the only way to correct this is with mesh reinforcement. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight. Best Wishes, Gary Horndeski, M.D.
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July 16, 2020
Answer: Is diastasis recti repair more difficult for a severe gap width (8cm) and length? Can good/lasting results be achieved? Based on your limited photos and your 8 cm. diastasis, you appear to be anatomically a candidate for a full tummy tuck and liposuction of selective areas. It is difficult to tell whether you are a good candidate without a physical examination and complete medical history. It would depend on your anatomical findings, motivation, realistic expectations, and whether you are finished having children. An abdominoplasty should be delayed until you are within 10 pounds of your ideal weight and have a BMI less than 30. Lesser procedures will not produce a good cosmetic result in a patient with your anatomy. If a member of my family underwent a tummy tuck, it would be performed by an experienced plastic surgeon who is board certified by the American Board of Plastic Surgery and a member of the American Society for Aesthetic Plastic Surgery (ASAPS) . If you are serious about undergoing these procedures, you should have a thorough consultation with a plastic surgeon having those credentials, who will fully explain what is entailed in the procedures, including both the positives and potential problems. You should be complimented on the fact that you are seeking valid information before jumping into any procedure. Robert Singer, MD FACS La Jolla, California
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July 16, 2020
Answer: Is diastasis recti repair more difficult for a severe gap width (8cm) and length? Can good/lasting results be achieved? Based on your limited photos and your 8 cm. diastasis, you appear to be anatomically a candidate for a full tummy tuck and liposuction of selective areas. It is difficult to tell whether you are a good candidate without a physical examination and complete medical history. It would depend on your anatomical findings, motivation, realistic expectations, and whether you are finished having children. An abdominoplasty should be delayed until you are within 10 pounds of your ideal weight and have a BMI less than 30. Lesser procedures will not produce a good cosmetic result in a patient with your anatomy. If a member of my family underwent a tummy tuck, it would be performed by an experienced plastic surgeon who is board certified by the American Board of Plastic Surgery and a member of the American Society for Aesthetic Plastic Surgery (ASAPS) . If you are serious about undergoing these procedures, you should have a thorough consultation with a plastic surgeon having those credentials, who will fully explain what is entailed in the procedures, including both the positives and potential problems. You should be complimented on the fact that you are seeking valid information before jumping into any procedure. Robert Singer, MD FACS La Jolla, California
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