What Is Diastasis Recti Repair

Postal service-Pregnancy Surgery for Diastasis Recti to repair Split Stomach Muscles in Melbourne

Pregnancy is a magical time but growing another human takes a toll on your body. Excess peel, jutting belly, and stretch marks are only some of the cosmetic results of pregnancy. Ane very common, yet rarely mentioned, cosmetic problem after pregnancy is diastasis recti – separation of the rectus abdominis (the 6-pack muscle). When yous have ab muscle separation, your abdomen volition bulge forrad. It can be a purely cosmetic trouble, however, many studies have linked it to lower back pain, incontinence, hernia, and digestive problems. Diastasis recti repair surgery is the best method to care for separate tummy muscles. It's usually done during tummy tuck surgery (abdominoplasty), which aims to tighten and rejuvenate the belly, restoring the pre-pregnancy physique and improving your symptoms.

Dr Craig Rubinstein is one of the top certified plastic surgeons in Australia, and he has performed thousands of tummy tucks with and without muscle repair throughout the years.

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What is diastasis recti?

Diastasis recti is a concrete complexity that unremarkably happens after pregnancy, affecting more half of women. Diagnoses can occur in the later stages of pregnancy or sometimes afterward delivery. There are several other names for diastasis recti including;

• Rectus diastasis
• Rectus divarication
• Ab separation
• Separate tummy muscles

The condition happens equally a result of the separation of the rectus abdominis musculus. The rectus abdominis muscle is the large muscle that extends along with the acme of your abdomen. It has a correct part and a left part, separated past a narrow band of tough collagenous tissue called "linea alba" that runs forth your midline. When the linea alba becomes weak, thin, and wide, usually in the aftermath of pregnancy, the right and left parts of the rectus abdominis to become too far apart with a soft gap in between. The gap along the midline of your belly can be pocket-sized or tin can extend along the whole midline of your belly. This makes your belly bulge forward (similar a balloon), and can cause many issues like; a hernia, incontinence, and dorsum pain, all of which can be treated with a tummy tuck.

What is the cause of rectus diastasis?

The chief cause of rectus divarication is pregnancy and childbirth. During pregnancy, a adult female's torso goes through a lot of hormonal and physical changes. The uterus grows and becomes massive to accommodate the developing fetus, pushing your organs away and stretching your belly in all directions. To help the muscles relax and stretch more, your placenta and ovaries also produce a hormone called "relaxin" in add-on to progesterone.

Things don't ordinarily become back to how they were before pregnancy. In many women, the linea alba becomes irreversibly overstretched, and a soft gap in the middle of the abdomen between the ab muscles will develop. Abdominoplasty (tummy tuck) with muscle repair restores the integrity of the rectus abdominis, tightens your belly, and removes all the excess skin.

What problems does diastasis recti crusade?

The problems and symptoms of diastasis recti are non purely cosmetic. Rectus divarication tin can cause a variety of aesthetic and functional problems, such as;

Bulging

The most mutual symptom of rectus diastasis is a bulging belly. Women who have separated tummy muscles usually complain of an obvious protrusion above, below, or accommodating their belly push button. In some women, the soft gap between the muscles becomes so wide that bulging can reach the size of a football.

Hernia

Your intestinal crenel is normally well protected and contained by your tough intestinal wall, which includes the rectus abdominis and the linea alba. Women who have rectus divarication have a very weak and stretched linea alba. In some of these women, the linea alba may rupture. When this happens, intestines and abdominal fatty can slide through the defect and push button upwardly from nether your peel. This is what doctors call a hernia.

A very mutual site of hernia is through the umbilicus (In many women, the umbilicus becomes "an outie" afterwards giving birth, and this is usually a hernia). In such cases, the Rectus diastasis and hernia repair can be done simultaneously.

Hernias can crusade many bug. If a bowel loop gets stuck in the defect, you tin can develop intestinal obstruction, which is a medical emergency that requires immediate surgery. This is why information technology is important to consult a surgeon if you suspect that you have ab separation or a hernia.

Lower back pain

One of the symptoms of diastasis recti is lower back pain. The rectus abdominis musculus is a crucial part of your core muscles; the muscles largely responsible for rest and posture. Rectus divarication weakens the rectus abdominis muscle and puts more stress on your back muscles which contract unduly to brand up for the imbalance. This aberrant straining of the back muscles can cause chronic lower back hurting. Fortunately, a tummy tuck with muscle repair can help improve back hurting post-pregnancy.

Incontinence

Urinary incontinence is not uncommon later on pregnancy and childbirth. Weak abdominal muscles and a weak pelvic floor are usually the crusade of incontinence in women after pregnancy. Many women tend to use pads to avoid leaking urine when laughing, sneezing, or exercising. Abdominoplasty may help treat urinary incontinence afterward pregnancy. According to a 2018 study published in the journal of The American Society of Plastic Surgeons (ASPS), diastasis recti repair during a breadbasket constrict can significantly reduce incontinence.

Digestive problems

Rectus divarication can let your intestines to motility around inside your abdomen in means they're not meant to. This tin can lead to gastrointestinal problems, such every bit constipation and abdominal discomfort. If you accept a hernia, the bowel loops tin can get stuck in the defect every now and then. This can cause both pain and constipation. If a loop gets stuck and doesn't become back in, you risk developing a bowel obstruction. If this occurs y'all will need immediate surgery.

How practise you treat rectus divarication?

Occasionally, rectus diastasis can meliorate without any intervention equally your body recovers after pregnancy. For most women, however, this is not the case. One non-surgical way to treat diastasis recti is through physiotherapy. Special focused exercises with a certified physiotherapist tin reduce tummy muscle separation and improve your bulging belly, however, this is not usually very effective.

The best and well-nigh constructive way to treat diastasis recti is surgery. Diastasis recti surgery can permanently close the defect and bring the two sides of the rectus abdominis musculus tight together. Diastasis recti repair is normally washed during abdominoplasty (tummy tuck) and not lone. A tummy tuck will strengthen your abdominal wall, remove the excess skin, and tighten your belly, all in ane process. If yous happen to have a hernia as well, Dr Rubinstein will too repair information technology during surgery.

Tummy tuck surgery has been shown to be constructive in treating urinary incontinence and dorsum pain after pregnancy. Moreover, abdominoplasty aims to restore your pre-pregnancy trunk by removing all the excess saggy peel. Liposuction can as well be washed during the same process to sculpt your body and remove the stubborn fat around your belly.

Can you get diastasis recti surgery without a breadbasket tuck?

Theoretically, yes you tin can, however, in exercise, rectus repair is mostly done every bit office of a full breadbasket constrict. Nearly all women who have separation of the rectus abdominis muscle also take stretched tum skin, lower belly fat, and backlog tissue all over the belly. Diastasis recti surgery solitary does not accost the saggy intestinal pare and excess fat. This is why the vast majority of women choose to have the full abdominoplasty process, as they get the full cosmetic benefit of the surgery.

Who's a expert candidate for a tummy tuck?

Abdominoplasty is an invasive surgical procedure, and there are several factors that play a role in reducing complications and determining the quality of the outcomes. Y'all're a good candidate for a tummy tuck if:

• You're non planning on getting pregnant again
• More than 12 months accept passed since your concluding pregnancy
• You lot don't fume (or you're willing to quit 4-half dozen weeks earlier surgery)
• You've had a stable weight for the past half-dozen months and not planning farther weight loss
• You have generally skilful health and your chronic conditions are under control
• You have realistic expectations for the surgery and tin can have a thin scar along your bikini line

What are the benefits of diastasis recti repair surgery?

Diastasis recti repair surgery does not only meliorate aesthetics – it has functional benefits as well. Some of the benefits of a tummy tuck with muscle repair are:

• Rejuvenation of the abdomen: A breadbasket constrict removes saggy or overhanging skin, tightens your belly, and gives y'all a flat young belly without whatever irregularities.
• Decreased back pain: Diastasis recti surgery strengthens your cadre and improves lower back hurting after pregnancy
• Decreased urinary incontinence: Rectus diastasis surgery strengthens your intestinal wall and helps reduce urinary incontinence after pregnancy.
• Hidden scar: The scar of the tummy tuck is well subconscious in your bikini line, so it won't exist apparent if y'all wearable revealing clothes or a swimsuit.

How is diastasis recti surgery performed?

• Diastasis recti repair surgery is usually done during a tummy tuck and will be carried out a hospital operating room.
• Start, y'all volition exist given inhaled and intravenous anaesthetic drugs to go to sleep.
• Then, Dr Craig will perform a horizontal incision along your bikini line, right above your pubis.
• Later on pulling your skin aside, he will identify the two sides of your rectus abdominis and bring them closer to each other.
• Next, Dr Craig will plicate the muscles and suture them together, tightly endmost the defect in-between.
• If you lot have a hernia likewise, Dr Craig volition besides remove it and close the opening.
• In order to rejuvenate the abdomen, Dr Rubinstein will cut out the excess lax skin, subcutaneous tissue, and fatty from your lower belly.
• He will then pull the skin together so that your whole abdomen is tight with no bulges or irregularities.
• In some instance, your surgeon may need to create a new abdomen button.
• When all the tissue is removed and the edges approximated, Dr Craig will shut your pare with a fine suture line.
• Your surgeon will too use a compressive dressing earlier you wake up.

The process ordinarily takes 2-iv hours to consummate. You can choose to combine liposuction with a tummy constrict to further contour the abdomen and hips.

Y'all can bank check abdominoplasty and diastasis recti surgery before and after pictures on our website.

What to expect during recovery from rectus diastasis surgery?

After your surgery, you lot will be sent to your hospital room to recover, you lot might spend a night at the hospital for monitoring and be discharged the next solar day. Y'all might discover one or two surgical drains coming out from your wounds to let the fluid to drain away. These may be kept for a few days after your discharged and volition be removed later in the clinic.

Since diastasis recti surgery involves muscle repair, you should expect some muscle soreness and pain for the first few days later on your surgery. Your wounds will also show some swelling and bruising. These symptoms might accept upwardly to 2 weeks to subside. During this period you should rest and avert moderate physical activeness. Recovery time after rectus diastasis repair can take up to half dozen weeks, subsequently which yous tin can unremarkably resume your normal activities and become back to piece of work. You lot will also need to wear compressive abdominal garments during this period.

Read more almost Recovery afterwards Cosmetic Surgery.

Does rectus diastasis repair leave a scar?

Similar whatever other surgery, abdominoplasty with musculus repair leaves a thin scar. The scar will be located along your bikini line, which means that it tin can be well subconscious under your underwear. Y'all can wear a swimsuit without worrying well-nigh your scar. We likewise offer several mail service-operative treatments to reduce scarring after surgery.

What are the possible complications of diastasis recti surgery?

Rectus diastasis repair is a safe procedure, however, there are some uncommon complications that can occur:

• Wound infection
• Blood collection in the wound (hematoma)
• Fluid collection in the wound (seroma)
• Wound dehiscence (sutures breaking)

You tin reduce the risk of these complications with great aftercare and follow up past your plastic surgeon.

Does Medicare cover diastasis recti surgery?

Yes. If rectus diastasis is causing you abdominal discomfort, urinary incontinence, and/or lower back hurting, the surgery will exist covered past Medicare and third-political party insurers. You volition exist eligible for a rebate if more than 12 months have elapsed since your last pregnancy, and rectus diastasis symptoms are interfering with your quality of life.

However, it'southward important to annotation that y'all will most likely nevertheless have some out of pocket costs.

For more data, read Will Medicare Cover my Tummy Tuck Surgery?

Can exercise help fix diastasis recti?

Abode exercises like crunches, planks, and sit-ups may worsen stomach musculus split since they increment the intraabdominal force per unit area. The only exercises that can help reduce rectus diastasis are certain exercises that focus on core exercises performed with a certified physiotherapist.

Rectus diastasis is a very common condition in women subsequently pregnancy. Lower back pain, incontinence, hernia, and abdominal discomfort, are all possible complications of rectus diastasis. Thankfully, a tummy tuck with muscle repair can care for these symptoms and rejuvenate your belly, restoring your pre-pregnancy body.

Farther Reading – Medical Sources:

• https://www.frontiersin.org/manufactures/ten.3389/fsurg.2019.00065/full
• https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5715079/
• https://www.plasticsurgery.org/news/printing-releases/more-than-merely-a-cosmetic-procedure-tum-constrict-reduces-back-pain-and-incontinence
• https://journals.lww.com/plasreconsurg/Fulltext/2018/03000/Abdominoplasty_Improves_Low_Back_Pain_and_Urinary.13.aspx
• http://www.msac.gov.au/internet/msac/publishing.nsf/Content/1546-public
• https://www.nbt.nhs.uk/maternity-services/pregnancy/pregnancy-complications/divarication-abdominal-muscles

Near Dr Craig Rubinstein

Dr Craig Rubinstein FRACS is one of Melbourne'southward Best Specialist Plastic Surgeons for breast and tum surgery. He has been rated as a Top 3 Plastic Surgeon in Melbourne and rated a Superlative 5 Plastic Surgeon on the 'Best in Commonwealth of australia' website.

Dr Rubinstein offers women personalised tummy surgery and all forms of cosmetic breast surgery.

He uses only the highest quality Motiva breast implants and is renowned for his natural-looking, long-lasting results.

Book A CONSULTATION TODAY 1300 264 811

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*Disclaimer: Individual results can vary significantly from patient to patient. The information nosotros provide is general. For further information on what to expect for your preferred procedures, suit to run across one of our Specialist Plastic Surgeons for a total history and surgical consultation. Read farther data nearly surgical issue variability on our Disclaimer page.

Source: https://drcraigrubinstein.com.au/blogs/repairing-separated-tummy-muscles-post-pregnancy-abdominoplasty-surgery-for-diastasis-recti/

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