Diastasis After Tummy Tuck 2 Years Ago?

Almost every patient can have a flat abdomen with an abdominoplasty.  It requires repair of the fascia of the abdomen that is painful but necessary for the best result.  Only rarely will these repairs fail.

Thank you for your question regarding diastasis recti after your tummy tuck. It’s understandable that you’re concerned, especially since your surgeon specifically repaired your abdominal muscles during the procedure.

While it’s uncommon for diastasis recti (the separation of the abdominal muscles) to reoccur after a tummy tuck, it is possible. Several factors could contribute to this, including physical strain, genetics, or significant changes in weight. Even though muscle plication (repairing the muscles) is a standard part of a tummy tuck, if excessive stress is placed on the abdomen during recovery or in the years following, the muscles could stretch or separate again.

The statement that it’s "almost impossible" to repair the muscles permanently is not accurate. Muscle plication during a tummy tuck, when done properly, should hold the muscles together. However, in rare cases, the sutures used in the repair could fail, or the muscles could separate again due to lifestyle factors or inadequate healing.

Since you’ve been diagnosed with abdominal diastasis again, I recommend consulting a board-certified plastic surgeon for a second opinion. A revision procedure may be necessary to re-tighten the muscles. This time, you and your surgeon can discuss specific steps to ensure long-term results, such as strengthening your core muscles gradually and avoiding activities that could strain the area post-surgery.

Sincerely,
Dr. Katzen

A full Tummy tuck should not have Diastasis and that is a result of errors in the procedure or even negligence, it would be dangerous to speculate on this without seeing your case but I would seek out a second opinion on the subject.