Severe diastasis recti. Need assistance from PS to back up claims that it's medically necessary to have a tummy tuck (Photo)
Doctor Answers 14
Although you are experiencing significant symptoms, we can only ethically bill for the repair of the rectus muscle and the probable hernia that exists in the umbilicus. The remaining portion of the procedure you are desiring would be skin excision, which is cosmetic and not billable. The proper way of going about this financially is to bill your insurance for the repair of diastasis and hernia and also charge you some cosmetic fee, which would be less than the usual fee because the muscle portion would already be covered by insurance.
Please visit only ABPS certified/ASAPS member surgeons that specialize in body contouring surgery.
Best of luck!
Severe diastasis recti. Need assistance from PS to back up claims that it's medically necessary to have a tummy tuck
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Tummy Tuck/Diastasis/Hernia Repair
Thank you for the question and photos. I recommend that you book an in-person consultation and exam with a board certified Plastic Surgeon. They will evaluate separation and any hernia you may have. Insurance will often cover a portion of Abdominoplasty as it relates to hernia repair, but not the cosmetic aspects. I recommend that you discuss expectations in person with your Plastic Surgeon.
All the best
Wanting medical insurance to pay for tummy tuck?
Diastasis repair with tummy tuck not usually covered by insurance
Tummy Tuck / Mini Tummy Tuck /Abdominoplasty/ Liposuction/ Reverse Abdominoplasty/Tummy Tuck Revision
From your photos, you appear to be an excellent candidate for a full tummy tuck with muscle plication. Bringing the rectus muscles together in the midline and removing the extra abdominal skin will markedly rejuvenate your abdomen. You are a very good candidate and you should expect a great result. Regarding insurance, it is unlikely they will cover it as this is deemed a cosmetic procedure.
The best way to assess and give true advice would be an in-person exam.
Please see a board-certified plastic surgeon that specializes in aesthetic and restorative plastic surgery.
Best of luck!
Board Certified Plastic Surgeon
Director-Beverly Hills Breast and Body Institute
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.