What are the pros and cons of absorbable Mesh for diastasis recti/TT surgery? Would you recommend it?

I come from a background of general surgery for five years before transitioning to cosmetic surgery. In that time i primarily focused on abdominal wall reconstruction. Absorbable mesh does not provide any long term benefit of recurrence. The scar tissue at the end when the mesh is dissolved is not better than what regular scar tissue would be with suturing only. There is a lot of good data to support this. I do not recommend absorbable mesh with diastasis repair it’s expensive with no benefit to long term results.

Hello,

Thank you for your great question. I have worked on many women who suffer from severe diastasis recti who have had excellent outcomes without the use of mesh. I use a meshless approach to repairing even the most severe DR cases as there are various potential issues surrounding the use of mesh. It is absolutely crucial to seek out and consult with a Board-Certified Plastic and Reconstructive surgeon who has extensive experience with severe cases of diastasis recti repair.

Mesh would be considered when the diastasis is very wide and the tissue are weakened by stretching, usually from multiple pregnancies or pregnancy with multiples (twins, triplets.) The mesh adds strength, giving the body time to build in tissue as the material dissolves. I use one of two products for this: Galaflex mesh and Durasorb. Several examples on my website.