Dear doctors. I did not put on any fat during pregnancy it was just baby and water. I was the same weight as before just 2 weeks after delivery. However, my tummy stays round as if I am pregnant. The baby was quite big for me 3.5 kg. Me 161 cm and 50 kg. I do Spinning classes daily with high intensity. I have diastasis recti but only ca 2 cm and I do not think that this explains the big belly. It is not bloating from food. I still pump. What is it, do I need surgery to fix this?
February 5, 2024
Answer: Tummy tuck with mesh The abdominal wall has two components: fascia and muscle. Everybody knows what muscle is but fascia is the lining of the muscle. After having a pregnancy, the fascia was most likely stretched and torn and that is why you still look pregnant. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.
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February 5, 2024
Answer: Tummy tuck with mesh The abdominal wall has two components: fascia and muscle. Everybody knows what muscle is but fascia is the lining of the muscle. After having a pregnancy, the fascia was most likely stretched and torn and that is why you still look pregnant. If you are not planning future pregnancies, I recommend abdominoplasty with mesh reinforcement. The mesh creates a more hourglass figure by compressing the abdominal wall resulting in early satiety and helps maintain a reduced weight.
Helpful
February 3, 2024
Answer: Thank you for your question and photos... Absent an examination in person a definitive opinion cannot be provided to you, however there are probabilities and possibilities. It would be best to be examined by your OBGYN, as well as an experienced board certified plastic surgeon. That said, a post pregnancy change in the tummy, especially after carrying a large baby, can result in an overall losing of the abdominal wall musculature and fascia such that the result is protrusion of the belly and its contents. What must be ruled out is other causes of an expanded belly, which may require an abdominal CT scan, above and beyond a good physical examination. If all proves to be normal and the diagnosis is indeed a loosening of the tummy muscles, this can be addressed with an abdominoplasty by a skilled board certified plastic surgeon.
Helpful
February 3, 2024
Answer: Thank you for your question and photos... Absent an examination in person a definitive opinion cannot be provided to you, however there are probabilities and possibilities. It would be best to be examined by your OBGYN, as well as an experienced board certified plastic surgeon. That said, a post pregnancy change in the tummy, especially after carrying a large baby, can result in an overall losing of the abdominal wall musculature and fascia such that the result is protrusion of the belly and its contents. What must be ruled out is other causes of an expanded belly, which may require an abdominal CT scan, above and beyond a good physical examination. If all proves to be normal and the diagnosis is indeed a loosening of the tummy muscles, this can be addressed with an abdominoplasty by a skilled board certified plastic surgeon.
Helpful
