CoolSculpting and small diastasis recti. Is it a contraindication (Photo)

Question

Hello! I have a small diastasis recti (1 finger) moslty on the upper part of my belly button. I have been working to close it as much as I can, my muscle under are good. But I like to have Coolsculting is it a contrindication? If it is contrindicated is it because of the increase of chance to separated the diastasis or for the risque of hernia?

Robert Heck, MD, FACS · Answer

It's not a contraindication necessarily but make sure you go a BC PS office for your consult. I'm not convinced you'd be that happy with cool sculpting based on the abdomen photo you submitted. I would seek a surgical opinion and if you desire non surgical options only that's one thing, but best results for you would most likely be surgery. Best of Luck.

Keith M. Blechman, MD · Answer

In the right patients, Coolsculpting can offer great results.  Having a diastasis recti is not a contraindication to Coolsculpting, although Coolsculpting only addresses subcutaneous fat deposits and will not repair the diastasis (only surgery can do that).  However, caution should be exercised if performing Coolsculpting when a hernia is present.  It appears from your photo you may have a small hernia at the site of your belly button and this should properly be evaluated.A visit to a plastic surgeon's office will help you to understand if you're a candidate for Coolsculpting, and what aesthetic outcomes are realistic in your particular case.  In order to get a qualified, ethical, and expert opinion on your surgical options and expectations, schedule an in-person office consultation with a plastic surgeon certified by the American Board of Plastic Surgery.
Best of luck,Keith M. Blechman, MDNew York, NY

R. Brannon Claytor, MD, FACS · Answer

Coolsculpting  for fat reduction in the abdomen and flanks is a very effective and reliable treatment. Certainly care should be taken during evaluation process to avoid treatment across an area where there is a known hernia. Rectus diastases is however a separation of the rectus muscles with intact rectus fascia. Look for treatment at a center that can offer a comprehensive evaluation.

Monika Soni, MD · Answer

Thank you for your question. No, your diastasis recti is not a contradiction to Coolsculpting treatment. However, caution should be taken when performing Coolsculpting with a hernia present. Coolsculpting will work provided you have enough fat in the treated area. I recommend having a consultation with an expert to determine if you are a good candidate for treatment. Best of Luck!

Hardik Soni, MD · Answer

Thank you for your question. No, your diastasis recti is not a contradiction to Coolsculpting treatment. However, caution should be taken when performing Coolsculpting with a hernia present. Coolsculpting will work provided you have enough fat in the treated area. I recommend having a consultation with an expert to determine if you are a good candidate for treatment. Best of Luck!

Sheryl D. Clark, MD, FAAD · Answer

Dear Sayang11:Rectus diastasis is not a contraindication for CoolSculpting.  When properly performed, although some vacuum is needed to pull the fat into the applicator, the applicator should not be pulling on the underlying muscles.   Some people with this condition also have an  abdominal hernia, in which case it would be crucial to avoid the herniated area. The new CoolAdvantage applicators use less vacuum, so could be safer for you, and can be arrayed in a diamond shape  such that the rectus diastasis can be avoided. You will also like that the CoolAdvantage applicators only take 35 minutes for a treatment instead of 60, with the same results. All the best, Dr. Clark

Drew Varano, MD · Answer

the is not contraindicated , you can still do the procedure . It will not alter the muscle size or position

Alain Michon, MD · Answer

Thank you for your question. Your small, one finger size,  hernia at the belly button is not an issue if you have enough fat for Coolsculpting treatments. I recommend that you consult with a Cool certified clinic for optimal results. All the best, Dr Michon

Robert Whitfield, MD · Answer

No this is not an issue with CoolSculpting provided you have enough fat in the area for treatment.  Good luck.

CoolSculpting and small diastasis recti. Is it a contraindication (Photo)

Answers (9)

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