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Is a tummy tuck part of the surgery to repair diastasis recti?

Stuart A. Linder, MD
Plastic Surgery
Normally, when performing a tummy tuck, we repair or plicate the rectus muscle fascia. The rectus diastasis is a reasult of pregnancy with the paired muscles and overlying fascia pulled out laterally. After release and dissection of the abdominal wall up to the subcostal margin (lower rib cage), the rectus sheath is plicated to the midline to tighten the midline abdominal wall. However, in patients with an enormous pannus from massive weight loss, the rectus sheath may not be tightened. Also, in women hoping to have future pregnancy with massive skin laxity, I often do Not tighten the rectus fascia. 

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