Understanding Diastasis Recti Repair

By Your Health Magazine Contributor

Your Health Magazine Contributor

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Understanding Diastasis Recti Repair

Diastasis Recti occurs when the band of tissue that holds the abdominal muscles together is stretched and weakened, leading to a noticeable separation. 

“Diastasis recti is more than a cosmetic concern; it can also cause significant discomfort and limit physical function,” says Washington State plastic surgeon Dr. Kaiulani Morimoto of KM Plastic Surgery. 

This article provides a brief overview of the basics, including what diastasis recti is, who may be a candidate for surgery, and what to expect throughout the repair process.

What Are Diastasis Recti and Why Does It Matter 

Diastasis recti occurs when the muscles in the center of your body, which run in pairs down the center of your abdomen, separate and a hole between the muscles is formed. This weakens your core and can cause abdominal bulging.

It is something that many women experience as a result of pregnancy, but it can occur in both men and women as a result of weight changes, abdominal surgery, or poor exercise habits.

It is not solely a cosmetic concern. Diastasis recti can contribute to back pain, core weakness, and poor posture. If left unaddressed, it may also progress to complications such as incontinence and hernias.

Who Makes a Good Candidate for Diastasis Recti Repair 

Not everyone with separated abdominal muscles requires surgery. The typical candidates are those who have reached a stable, healthy weight but still experience a persistent bulge in their abdominal area. Many women choose to undergo the procedure after pregnancy, particularly once they feel their family is complete.

Plastic surgeons evaluate more than just the appearance of the abdominal area; they also assess muscle integrity, core strength, and the presence of any hernias. Good overall health is important, including not smoking and maintaining a balanced diet, as these factors can support a smoother recovery. It is also essential to pursue surgery for appropriate reasons, not solely for aesthetic improvement, but to restore core strength and function.

How Diastasis Recti Repair Is Performed 

Surgeons have different techniques to fix diastasis recti. The most popular method to correct diastasis recti is during a tummy tuck procedure. Surgeons make a low incision in your lower belly, pull your separated muscles back together, and remove excess skin and fat. The end result is a strong core and a beautiful stomach.

However, if you do not have much skin to remove, there are other ways to close diastasis recti, such as robotic or laparoscopic surgery. This involves working with a general surgeon, especially if you need to repair any hernias.

Recovery and Expected Results 

Recovery from diastasis recti repair surgery requires time. Most plastic surgery experts recommend taking at least two weeks off work to allow the body adequate rest. This does not mean remaining in bed for the entire recovery period. Light movement is encouraged, but it is important to avoid overexertion.

You will receive instructions from your surgeon on how to care for your incisions. As you recover, you can expect a flatter, more toned abdominal appearance, along with improved posture, reduced back pain, and a stronger core.

Choosing the Right Surgeon 

Selecting the right surgeon is essential. Look for a board-certified plastic surgeon who regularly performs diastasis recti repairs. Board certification reflects not only training but also a commitment to high professional and ethical standards.

Take time to communicate openly with your surgeon. Ask where and how the procedure will be performed, as well as what to expect during recovery. Reviewing before-and-after photos can also help you understand potential outcomes. Be clear and honest about your goals so your surgeon can better guide your treatment plan.

A qualified plastic surgeon will prioritize your safety, take the time to explain each step of the process, and help you feel comfortable and informed throughout your care.