Would a tummy tuck and muscle repair improve ab strength and functionality after having children? (photo)

Question

After the birth of a large baby 6 years ago, my abs have been separated. I have been unable to strengthen my abs or engage my core (TVA). I have done physical therapy multiple times with no improvement. My gap isn't large but it is deep. My stomach feels pregnant and loose even though I am thin, and my back always hurts. Would a TT with muscle repair improve ab functionality and strength?

Matthew C. Camp, MD · Answer

Correction of the muscle separation will greatly improve the appearance of the abdomen, but whether is will improve your core strength is an open question. Back pain improvement is also not guaranteed. I would go into the surgery expecting a super star looking belly, and if you eventually have improvement in the other areas, I would consider that an unexpected happy result. Be aware that initially after correction of rectus diastasis, you will have pain when you strain the abdominal muscles. This lasts for a few weeks as the repair heals. 6 weeks after surgery, you can return to core exercises.

Camille Cash, MD · Answer

You appear to be a good candidate for a tummy tuck.  This procedure will remove excess fat and skin as well as repair you abdominal wall separation.  This separation is common with pregnancy and severity varies person to person.  See a board certified plastic surgeon near you for a consultation.  I've included a video about the procedure I hope you find helpful.

Robert Singer, MD · Answer

It is difficult to tell whether you are a good candidate without a physical examination and complete medical history. It would depend on your anatomical findings, motivation, realistic expectations, and whether you are finished having children. 
 
Weight ideally  should be within 10 pounds of your ideal weight.

If a member of my family underwent these procedures, they would be performed by an experienced plastic surgeon who is board certified by the American Board of Plastic Surgery and a member of the American Society for Aesthetic Plastic Surgery and the American Society of Plastic Surgeons. If you are serious about undergoing these procedures, you should have a thorough consultation with a plastic surgeon having those credentials, who will fully explain what is entailed in the procedures, including both the positives and potential problems. You should be complimented on the fact that you are seeking valid information before jumping into any procedure.

Robert Singer, MD  FACS
LaJolla, California

Gary M. Horndeski, MD · Answer

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.

Ronald J. Edelson, MD · Answer

There have actually been studies showing that muscle repair does help with symptoms you describe as well as backpain. Your photos show a wide diastasis and you appear to be a good candidate for tummy tuck with muscle repair

Would a tummy tuck and muscle repair improve ab strength and functionality after having children? (photo)

Answers (10)

Answer: Tummy tuck with mesh reinforcement

Answer: Tummy tuck with mesh reinforcement

Answer: Tummy tuck

Answer: Tummy tuck

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Everything you need to know about Tummy Tuck

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Would a tummy tuck and muscle repair improve ab strength and functionality after having children? (photo)

Answers (10)

Answer: Tummy tuck with mesh reinforcement

Answer: Tummy tuck with mesh reinforcement

Answer: Tummy tuck

Answer: Tummy tuck

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Recommended reading

Everything you need to know about Tummy Tuck

Our mission is to create a world where every investment in modern beauty is Worth It.