Bulge after c section not associated with diastasis (Photo)

Thank you for the photos! Women have more fullness deep in the pelvis due to the uterus and the visceral fat that protects it. Your abdomen looks excellent, and I dont' recommend any procedure.

Dear Fitmom421,
it is unlikely that your inner organ is the cause of your bulge. It is probably fat pocket but it is hard to tell without an examination. If you are considering surgery, I would suggest you consult a board-certified plastic surgeon. Only after a thorough examination, you will get more information and recommendations.
Daniel Barrett, MDCertified, American Board of Plastic SurgeryMember, American Society of Plastic SurgeryMember, American Society of Aesthetic Plastic Surgery

An in person evaluation is needed to help diagnose what may be contributing to the abdominal contour that concerns you. If you have had multiple pregnancies then it could be abdominal wall laxity which can be corrected with a tummy tuck. I've included a video I hope you find helpful.

There has never been a woman who's carried a fetus to birth that didn't need abdominal wall tightening during a tummy tuck procedure, a more appropriate term than rectus diastasis repair. That's because even if there isn't a true diastasis between the muscles, which can't always be appreciated by CT or MRI when lying supine, the muscle wall always needs tightening. This is known as fascial loosening, and can allow for asymmetric bulges as well as umbilical drifting laterally to one side. As for experts telling you that you don't have much skin laxity, it may be with regards the utility of performing a tummy tuck where they can reliably get the 'hole' out (the defect in the skin where it was once attached to the belly button). That doesn't necessarily mean that a tummy tuck won't make a significant improvement. Not getting the hole out does not mean a patient is not a candidate for a tummy tuck, even if there 'isn't enough loose skin' to get the hole out, there's still plenty of room for skin tightening.

I think your tummy still looks great. A mini tummy tuck is an option but the results would be modest. I would not even consider a full tummy tuck for you.

Hello; when there is weakness in the lower abdominal muscles; gases which are located in the intestines; can cause for this type of swelling; or even mild visceral fat; that type can cause for swelling as well. If there is no diastasis and internal fat; abdominal with Vaserlipo and Mini Tummy Tuck; tightening for the lower abdominal muscles with stitches and deleting excess skin; a flat sort of stomach can be realized.

That is the area where your first and later babies' butts sat in your abdomen. This is quite common and can be flattened by tightening the muscle.

It’s hard to understand what the problem is from your post. It looks like you have mild muscle separation from your previous pregnancies. That is the most common reason abdominal wall bulge after having children. Having muscle separation doesn’t mean you necessarily have to be able to put your fingers between the rectus muscles.
There are four tissue layers that determine what the abdomen looks like. Almost universally the problem will be one or more of these for tissue variables if somebody doesn’t like the way, their abdomen looks.
The four tissue variables that affect the contour of the abdomen or its appearance are abdominal skin laxity, excess subcutaneous fat, muscle separation from previous pregnancy, or excess visceral or intra-abdominal fat.. excess visceral fat can have a similar appearance to muscle separation. If this is pregnancy related and you haven’t gained weight, then muscle separation would be the most logical explanation.
Best,
Mats Hagstrom, MD.