Can I repair my abdominal muscle without a tummy tuck?

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I have been taking prednisone for 5 years, which has caused fat deposition in my abdomen and an increasingly protruding belly. As a result, I now have a painful rectus diastasis. I'm 71 years old and would like to have this repaired due to the pain. Is it possible to undergo the procedure?

Asked by VelvetGlimpse
2017-06-28 00:44:30

4 Answers

Answer

Answered by Philip S. Schoenfeld, MD, 15/08/2023 08:04

First, your surgeon needs to determine if you have rectus diastasis or an actual hernia of the abdominal wall. Due to your long-term use of Prednisone and associated weight gain, repairing the abdominal wall weakness with your own tissues may be challenging, and mesh may be necessary. Technically, rectus fascia tightening can be done endoscopically or through a small lower abdominal incision. However, considering your age and medical issues, it's important to carefully weigh the potential risks and benefits of any procedure.
Answered by Bruce E. Katz, MD, 15/08/2023 08:04

Repairing the muscle and anterior abdominal wall can be performed without undergoing an abdominoplasty or "tummy tuck." There are two approaches to achieve this. One method involves making an incision below the belt line, similar to a mini-tummy tuck, which provides direct access to the anterior abdominal wall for repair. Another approach involves using a laparoscope, where small incisions are made on the anterior abdomen, and the abdomen is inflated to allow visualization and repair from the inside. Considering your age and history of prednisone usage, the laparoscopic approach may be a more suitable option. However, it is important to find a specialist who performs this specific type of abdominal wall repair.
Answered by Jourdan Gottlieb, MD, 15/08/2023 08:04

Yes, it is possible to perform the procedure using a cosmetic low incision. I have successfully performed this technique numerous times using endoscopic methods. While it is primarily a cosmetic procedure, patients also experience functional benefits. The surgery typically takes around 2 hours and is performed on an outpatient basis. Best of luck!
Answered by Jed H. Horowitz, MD, 15/08/2023 08:04

Diastasis, the separation of abdominal muscles, can be repaired without a tummy tuck. It is recommended to consult with a general surgeon for an examination to determine the best approach. Diastasis usually does not cause pain.

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