Do any surgeons here have experience with a laproscopic/endoscopic diastasis muscle repair (and hernia repair?)? I fully understand this does not allow for any skin removal or fat removal. But in a lean individual who has only weak/protruding abdominal muscles (and not much excess skin or fat), could this procedure be done to produce a favorable cosmetic effect? Would love to see before/after photos but having trouble finding any.
Answer: Laparoscopic Diastasis recti repair Laparoscopic surgery is not a good way to correct diastasis recti. Many plastic surgeons will bring the rectus muscles together by as much as 6 inches. This is often what it takes to create a tight flat abdomen. If you do that to the muscles and then don’t re-drape the skin it’s going to give a lot of horizontal skin redundancy. If laparoscopic diastasis repair worked well it would be done on a regular basis. It hasn’t caught on because it isn’t a good procedure. Nobody wants to have a full tummy tuck but for some women who’ve had children that is what’s required to have a tight flat abdomen. Half measures will leave you disappointed and looking for a second operation which seems counterproductive and pointless. I recommend having multiple in person consultations with local board-certified plastic surgeons. During the consultation ask each provider to show their entire collection of tummy tuck before and after pictures. An experienced provider should have no difficulty showing you 50 or more sets of before and after pictures. Ideally providers can show patients with a very similar body characteristics to your own. highly experienced providers will have many more before and after pictures than that some will have several hundred or possibly thousands. Judge surgeons based on who gets the most natural looking belly buttons with low set scars that follow anatomic contours evenly without unnatural fullness in the hip and flank area. Best, Mats Hagstrom MD
Helpful
Answer: Laparoscopic Diastasis recti repair Laparoscopic surgery is not a good way to correct diastasis recti. Many plastic surgeons will bring the rectus muscles together by as much as 6 inches. This is often what it takes to create a tight flat abdomen. If you do that to the muscles and then don’t re-drape the skin it’s going to give a lot of horizontal skin redundancy. If laparoscopic diastasis repair worked well it would be done on a regular basis. It hasn’t caught on because it isn’t a good procedure. Nobody wants to have a full tummy tuck but for some women who’ve had children that is what’s required to have a tight flat abdomen. Half measures will leave you disappointed and looking for a second operation which seems counterproductive and pointless. I recommend having multiple in person consultations with local board-certified plastic surgeons. During the consultation ask each provider to show their entire collection of tummy tuck before and after pictures. An experienced provider should have no difficulty showing you 50 or more sets of before and after pictures. Ideally providers can show patients with a very similar body characteristics to your own. highly experienced providers will have many more before and after pictures than that some will have several hundred or possibly thousands. Judge surgeons based on who gets the most natural looking belly buttons with low set scars that follow anatomic contours evenly without unnatural fullness in the hip and flank area. Best, Mats Hagstrom MD
Helpful