Active 33 years old, male. I have diastasis recti. I am 145 pounds, 31 inch waist, 5 feet 6 inches. What are other options/surgeries to fix diastasis recti besides tummy tuck? Thanks
What Are Other Options/surgeries to Fix Diastasis Recti Besides Tummy Tuck?
Doctor Answers 17
If you do not have excess skin, then I have repaired the separation almost endoscopically through a small cut in pubic hair area as well as in the belly button. Iy you do not want surgery at all, you should look into the Tupler method of diastasis repair. Watch my videos.
Rectus Diastasis Repair are usually fixed optimally with aTummy Tuck
Rectus Diastasis may be repaired endoscopically with a very small incision. The success of this repair however depends on the extent of the diastasis itself. The condition of the surrounding tissue may also determine the outcome of this repair.
The quality and the longevity of the endoscopic repair may be dependant upon these factors. The repair when combined with a tummy tuck , I believe ,offers a more direct ant confident repair. I f there is no associated skin laxity now, it is probably safe to say that there will be in due time simply based on the mechanical effects of the weakness(Rectus Diastasis) on the abdominal wall.
Options for diastasis recti- fully tummy tuck vs. small incision options
When women have minimal skin looseness, it is possible to do the entire repair through a C-section type incision (hybrid tummy tuck), enabling a small removal of skin that almost all women require.
It is also possible to "float" the umbilicus, gaining easier access to the upper abdomen but this does of course involve an incision around the umbilicus.
A full tummy tuck incision is also possible but the incision will be considerably longer and higher.
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Options for diastasis
Unfortunately, other than surgery there really are no options for repair of the diastasis of the abdominal muscles.
Plication is the only way to repair a diastasis
The rectus muscles are the paired muscles in the middle of the abdomen (the "six-pack"). With pregnancy or significant weight gain, these muscles can become stretched apart leaving a gap between them (a diastasis). This is not a hernia.
While diet and exercise can improve many things, it can actually worsen a diastasis, especially if you strengthen the oblique muscles. This increases the lateral (sidewards) pull, thereby potentially worsening the diastasis.
Ultimately, the only way to repair the diastasis is to suture them back together, typically with a tummy tuck approach. This not only repairs the diastasis, but also allows the skin to re-drape nicely.
Procedure for Diastasis Recti
Rectus diastasis is fixed surgically
You can exercise all you want but the gap between the muscles will not close. The only way to do this is with surgery.
Rectus Diastasis in a 33yo Male
First, you need to be evaluated by a plastic surgeon to see if you have a rectus diastasis or an abdominal wall hernia. If you indeed have a true diastasis, then an endoscopically assisted plication would be an option. If you have excess skin and fat in your lower abdomen, then a tummy tuck may also be an option.
Non- tummy tuck options for diastasis recti (abdominal muscle separation)
Non tummy tuck options for diastasis recti: external girdle-like garment, fiberoptically assisted plication through limited pubic, umbilical or ches crease incisions, laparascopic endocorporeal plication.
Fixing a weak abdominal wall
Rectus diastasis (weakened abdominal wall) is typically addressed at the time of a tummy tuck. If you are concerned about having the scar from a tummy tuck, then you can have the muscle alone tightened through small incisions done endoscopically. If you also have loose abdominal skin however, you may benefit overall from the tummy tuck procedure. You should consult with a few board certified plastic surgeons to review your options and to have a comprehensive examination.