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?
Answer: Weight loss medical supervised weight loss diet plan nutrition eating right exercise healthy eating Hi fantastic 217913 in Zürich, Thank you for reaching out with your concerns about your round belly seven months postpartum and the possibility of a stretched abdominal wall. A more thorough medical evaluation is recommended based on your history and photos. I suggest getting a CT scan and comprehensive bloodwork, including liver function tests, to rule out any internal causes. Additionally, knowing your body fat percentage would be beneficial in understanding the overall situation. Even though the diastasis recti (separation of the abdominal muscles) you mentioned is relatively minor at 2 cm, it indicates weakened abdominal muscles. A tummy tuck, known medically as abdominoplasty, is often considered for three main reasons: excess skin, excess fat, and weakened abdominal muscles. In your case, the primary issue seems to be weakened abdominal muscles. Thus, a tummy tuck with rectus abdominis muscle repair or tightening could be the appropriate course of action to address your concerns. However, it's crucial to have a comprehensive evaluation first to ensure this path is right for you. I hope this provides clarity on your situation and helps you take the next steps towards addressing your postpartum abdominal concerns. Best of luck with your journey. Sincerely, Dr. Katzen
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Answer: Weight loss medical supervised weight loss diet plan nutrition eating right exercise healthy eating Hi fantastic 217913 in Zürich, Thank you for reaching out with your concerns about your round belly seven months postpartum and the possibility of a stretched abdominal wall. A more thorough medical evaluation is recommended based on your history and photos. I suggest getting a CT scan and comprehensive bloodwork, including liver function tests, to rule out any internal causes. Additionally, knowing your body fat percentage would be beneficial in understanding the overall situation. Even though the diastasis recti (separation of the abdominal muscles) you mentioned is relatively minor at 2 cm, it indicates weakened abdominal muscles. A tummy tuck, known medically as abdominoplasty, is often considered for three main reasons: excess skin, excess fat, and weakened abdominal muscles. In your case, the primary issue seems to be weakened abdominal muscles. Thus, a tummy tuck with rectus abdominis muscle repair or tightening could be the appropriate course of action to address your concerns. However, it's crucial to have a comprehensive evaluation first to ensure this path is right for you. I hope this provides clarity on your situation and helps you take the next steps towards addressing your postpartum abdominal concerns. Best of luck with your journey. Sincerely, Dr. Katzen
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February 5, 2024
Answer: Abdominal contour The contour that concerns you is likely a result of abdominal wall laxity after carrying a large baby. An in person evaluation is needed for the best recommendation. If you are finished having children you can consider a tummy tuck which will correct the abdominal laxity. I've included a video I hope you find helpful.
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February 5, 2024
Answer: Abdominal contour The contour that concerns you is likely a result of abdominal wall laxity after carrying a large baby. An in person evaluation is needed for the best recommendation. If you are finished having children you can consider a tummy tuck which will correct the abdominal laxity. I've included a video I hope you find helpful.
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February 5, 2024
Answer: Big belly it may be a good idea to discuss this with your OB/GYN doctor. Maybe this problem has to be explored further. Other problems are excluded, than may be a trip to a plastic surgeon might help.
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February 5, 2024
Answer: Big belly it may be a good idea to discuss this with your OB/GYN doctor. Maybe this problem has to be explored further. Other problems are excluded, than may be a trip to a plastic surgeon might help.
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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. Best Wishes, Gary Horndeski, M.D.
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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. Best Wishes, Gary Horndeski, M.D.
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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. I hope this information is helpful to you. Best of luck.
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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. I hope this information is helpful to you. Best of luck.
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