Is it possible to “heal”/close diastasis recti gap as much as possible but still have a protruding stomach?

Thank you for your question! Diastasis recti is a condition that is a result of internal pressure leading to the stretching of the connective tissue responsible for holding the left and right abdominal muscles in the midline. Circumstances such as weight gain, and pregnancy are culprits to the development of diastasis recti. The good news, there are treatment options. However, the most sustainable treatment option is surgery to manually plicate the abdominal wall. Although it's always a good idea to strengthen the accessory muscles as much as possible pre-surgery, diet and exercise alone will not be able to "cure" the damaged fascia. Surgery becomes the most viable option to address the root of the issue.

I highly recommend seeking a Board Certified Plastic and Reconstructive surgeon and schedule an in person consultation. I have extensive experience with diastasis recti repair ranging from mild to severe with excellent results. I've attached a link with some information pertaining to diastasis recti repair that can be helpful as you navigate this process.

Thank you for your question regarding your abdominal muscle separation.

It might also be helpful if photos were included.

Based on the information you provided, it does not sound like you have had any surgery. By your description, it sounds like you would be a great candidate for a tummy tuck which would repair your abdominal muscles separation.

To be sure, I recommend having an in person consultation with two or more experienced board-certified plastic surgeons in your area.

Although exercise is necessary and recommended with or without surgery, it cannot repair skin that has been damaged or lost its ability to spring back. Typically, the more children, the more the skin has been stretched and potentially has Stretch marks (striae). Once the skin has striae, it usually does not spring back, the same as healthy skin. Some doctors will suggest some abdominal exercises to tighten the abdominal wall. Still, if the abdominal muscles (six-pack ab muscles) separate too much, they may need surgery to correct them. I recommend having several in-person consultations with a Board Certified Surgeon specializing in these procedures. Good luck.