Diastasis recti is the separation of the abdominal muscles along the midline, commonly caused by pregnancy, where the gap exceeds 2.5 centimetres. It causes protrusion of the abdominal midline and varying degrees of discomfort. Unfortunately, it is often not possible to correct diastasis with physiotherapy and the best solution in such cases may be abdominoplasty surgery.
Get your old self back
There is a widespread perception in society that a trim stomach and a slim waist are key elements of an ideal figure. However, it is important to understand that the body undergoes changes throughout life, especially after significant weight loss or multiple pregnancies, which can leave a mark on a woman’s body. Abdominal skin that has lost its elasticity due to prolonged stretching can lead to muscle weakness and diastasis recti, or the separation of the abdominal muscles, despite regular physical exercise.
The skin, including the underlying layers, may become stretched out, which means that unwanted prominent folds can develop after childbirth or weight loss. A healthy lifestyle and a positive attitude are essential, but sometimes surgical help may be needed to feel happy and confident with your body again.
Why choose Health Clinic for a diastasis correction?
The best specialists
All body contouring surgeries and procedures are performed only by highly experienced, well-respected and unquestionably the best experts in their field.
Individual approach
We aim to provide an understanding and supportive environment, so we pay special attention to each person’s unique aesthetic goals, desires and needs.
High customer satisfaction
Numerous success stories and positive feedback from our patients reflect not only our surgeons’ professionalism but also the empathetic and friendly interaction they experience.
Safety and quality first
We prioritise safety and quality, strictly adhering to all standards and safety requirements to ensure that every surgery is carried out with the utmost care and precision.
State-of-the-art surgical techniques
Our surgeons use the latest surgical techniques and medical equipment. This means smaller scars, faster recovery and more natural results.
Additional information
Procedure overview
| Diastasis correction | |
|---|---|
| Surgeon | Dr Rein Adamson / dr Siim Simmo / dr Martin Adamson / dr Sven Troost |
| Anesthesia | General |
| Surgery duration | 1,5-2,5 hours |
| Nights at hospital | 1-2 |
| Sick leave | 1-2 weeks |
| Price | Lower (mini) abdominoplasty – from €3690 Full abdominoplasty – from €4690 +€600 for liposuction on sides (love handles) |
| Medical loan | Starting from €94 per month. Apply here. |
What should you know?
Additional information on the procedure
Diastasis recti
- Distance between the rectus abdominis muscles >2.5 cm
- Appears as a protrusion of the midline of the abdomen
- May reflect a loosening of the entire abdominal wall (abdominal protrusion, especially after eating)
- May prove to be more than just an aesthetic problem
- Often accompanied by umbilical hernia
- Occasionally accompanied by epigastric hernia – in the case of diastasis, the tissues in the midline of the abdomen are thin and weak
Diastasis is caused by:
- Pregnancy
- Excess bodyweight
- Prior surgery
- Congenital tissue weakness
- Combinations of the above
Complaints:
- Back pain
- Bad posture
- Restriction of mobility of the back and trunk
- Limitations on exercising the abdomen
- Pelvic pain
- Constipation
- Pelvic floor function disorder
Diagnosis of diastasis recti
- Mostly diagnosed upon physical examination
- Visible when lying down and/or lifting the head
- Ultrasound, computed tomography, MRI scan (to confirm diagnosis, good for diagnosing hernia of the abdominal wall)
Treatment
- Specific physiotherapy
- Abdominoplasty (other surgical treatment the result of which is not aesthetically satisfactory or has little effect)
Abdominoplasty for treatment of diastasis
- A contouring operation with a profound effect on the abdominal wall. Enables the elimination of diastasis, abdominal wall laxity, hanging skin and hernias.
- Surgery lasts for one and a half to three hours.
Pros
- Comprehensive impact on the function of the abdominal wall
- Generally provides satisfactory aesthetic results
- Resolution for diastasis without a longitudinal scar in the upper part of the abdomen
- Correction of protruded abdominal wall contour through muscle plasty
- Correction of hernias at the same time
- Abdominal scar is usually in the bikini area
- Can be combined with extensive liposuction
- Elimination of stretch marks in the lower and mid-abdominal area
Cons
- Long scar in the bikini area. One possible solution is to cover the scar with a tattoo one and a half years after surgery. In the case of a strong (hypertrophic) scar, tattoo coverage is less effective
- It may be necessary to manipulate bodyweight before surgery to ensure a consistently good result
- It may be necessary to construct a new bellybutton in the case of a large-scale umbilical hernia
Stages of surgery:
- Releasing the abdominal wall from bottom to top
- Correction of diastasis
- Muscle plasty
- Removal of sagging skin
- Repositioning of the bellybutton
- Drain placement (optional)
- Sutures under and inside the skin
Problems and complications
- Seroma or build-up of fluid under the skin in the abdomen (first 2-3 weeks after surgery). May require repeated punctuation. Likelihood up to 42%
- Prolonged wound healing, suture abandonment. Likelihood 5%
- Hematoma (swelling, bruises) and bleeding. Likelihood up to 2%
- Likelihood up to 3.8%
- Hypertrophic/contracting scar. Likelihood 1-3.7%
- Post-surgery back pain
- Skin sensory deficit. Likelihood 1.9%
- Skin necrosis . Likelihood 3-4.4% (mostly non-extensive)
Arch Plast Surg. 2017 Sep; 44(5): 457–468.
Published online 2017 Sep 15. doi: 10.5999/aps.2017.44.5.457
Post-surgery instructions:
- Bandage for six weeks
- Refrain from lifting heavy items for six weeks (>5 kg)
- Maintain a slightly forward-leaning posture for 10 days (due to tension in the skin covering the abdomen)
- Refrain from exercises for the abdomen for six months
- Physical activity promotes healing
- Balanced diet promotes healing
- Smoking slows the healing process and increases the risk of complications (bad wound healing, infection, skin necrosis)
- Pain treatment as necessary, maximum: 1 g paracetamol 3 x a day and ketoprofen 100 mg x 2 or 1 g paracetamol and 16 mg codeine
- Wound dressing for 10 days (in the case of no allergy – frequent)
- Antibiotics: Cefuroksiim – Zinnat (in the case of no allergy) 500 mg x 2 for 5 days
- Scar gels – silicone-based, after three post-surgery weeks assuming that the wound is dry and has no defects or infection.
See HERE for more information on abdominoplasty.
