Component Seperation Technique and Diastasis Recti?

This would be unusual, but an exam would be necessary to make a determination.  I
would search for the board certified plastic surgeon who you feel is
most likely to give you the best results and who performs hundreds of
these procedures each year. I would look at patient reviews as well as
before and after photos on that surgeon's website.Kenneth Hughes, MDLos Angeles, CA

The component separation method is usually employed for more complex muscle separations and large hernias where a mesh or other implantable material is not considered.  It is an aggressive and tedious procedure and has features of what are called relaxing incisions used to gather more tissue on either side of the defect or diastasis.  If your surgeons feels this is necessary you may have a large problem he has assessed.  He may not be inclined to use mesh. Ordinarily non-eviserating or non-intestinal bulging defects can be repaired by conventional methods with and without mesh. Relaxing cuts can be made as necessary in the right place. The right place is the key word.  Often patients are receiving so much technical information when it is the experience and judgment of the surgeon rather than the specific operation per se that is important.  Seeing the particular case if more important than concurring with a particular method. The textbooks of hernia and diastasis repair contain countless variations on a theme for such matters and in good hands all methods can be successful when applied correctly.   Large diastases and large hernias despite our tireless expert efforts, can from time to time recur, especially when weight is gained, health is poor, and in smokers.