If diastasis recti is fixed through therapy, would a tummy tuck still be required?

Diastasis recti usually causes a protrusion in the weakened area.  It looks from your photo that you have a paucity of fat in the adhesion zone between your rectus muscles.  It's not bothersome to most, but if you wanted that corrected, a fat graft may be an option.

I am sorry to hear that you have been having such a difficult time.  Diastasis recti (separation of the "six-pack" rectus abdominis muscles) is a common problem for many women, particularly after pregnancy.  Patients often experience a bulge between the separated muscles.  The diagnosis is ty...

Thank you for your question and photos.  There are many reasons one may make recommendations on treatment options.  No online reviewer can diagnose or make treatment recommendations without an examination.  Based on the images I believe that there are trade-offs to each option for repair.  A ver...

Pain may not be from diastasis recti, as it would be rare for a 4" diastasis and in a male. However, hernias can occur within a diastasis recti. Have you been evaluated for a hernia, which can be causing the pain? Especially from a cough, getting up, and lifting. 

You appear to have a significant rectus diastasis in addition to some excess skin.  Diastasis (unlike a true hernia) is not covered by insurance.  A diastasis may be able to be corrected in the traditional manner with suture plication (tightening), however in certain cases, if the...

If you're asymptomatic from your diastasis recti, there is nothing that needs to be done. Most people live their day to day lives with a diastasis recti and don't even know they have one. If you become symptomatic, or are tired of the poor cosmesis, then you may elect to proceed with a repair....