Remaining diastasis. Can this be repaired without a complete redo?

Hello @lsbdn421, thank you for your question. Diastasis recti refers to the separation of the abdominal muscles, and it commonly occurs in pregnant women or those who have had multiple pregnancies. The extent of the separation can vary, and in some cases, a small separation may persist even after attempting exercises to strengthen the abdominal muscles. This remaining diastasis can be repaired, however it needs surgical intervention. The scar depends on the surgical technique of the specialist performing surgery, and what he sees would be better and less noticeable. For me, I strive to make the scar as minimal and low as possible to achieve the best results. Best wishes! Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS),International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).

Dear lsbdn421,
it is hard to tell for sure 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

Hi Isbdn421, Your scenario could be several different things. It could be as simple as a little liposuction there to reduce some extra fat. An exam is indicated to determine the best course of action.

Some surgeons might be able to repair it through the laparoscope and small belly button incision. Otherwise, the tummy tuck would be redone with the lower and belly button incisions.

An examination is needed to determine if the contour that concerns you is related to muscle wall laxity, subcutaneous fat, or visceral/internal fat. If it is laxity then surgical repair is the way to address it. If it is subcutaneous fat then liposuction should give improvement. If it is internal fat then weight loss is needed as surgical interventions cannot address it.

The most common reason for people to have bulging of their upper abdomen after a tummy tuck isn’t due to excess visceral fat. Your 10 pound weight gain speaks for itself. Muscle tightening will not compensate for excess visceral fat and that is most likely the underlying culprit.
To get an assessment or to give any type of quality recommendations patients should consider including proper before and after pictures.
Most likely weight loss is all you need based on what you describe.
Best,
Mats Hagstrom, MD

10 pounds of fat would fill up 2 cored out watermelons! So it is not a small thing and should be lost before considering any surgery. And at 64, you are at higher risk for surgery also.