Rectus Diastasis Repair Surgery NYC | Diastasis Recti Treatment
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Premiere plastic surgery and concierge patient care that is personalized, modern, and sophisticated.
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Dr. Daniel Maman is a Harvard fellowship-trained and board-certified plastic surgeon specialized in cosmetic and reconstructive surgery of the breast, body, and face.
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Diastasis recti—or abdominal muscle separation—can be caused by many factors. It occurs mainly in women as a result of pregnancy and results in a protruding bulge of tissue down the abdomen midline that cannot be reversed by diet and exercise.
Rectus diastasis can cause emotional frustration and a lack of confidence. Its physical effects can include:
Harvard fellowship–educated, board-certified plastic surgeon Dr. Daniel Y. Maman uses cutting-edge techniques to offer the latest in rectus diastasis repair and patient care.
The muscles of the abdomen create a supportive wall that:
This abdominal muscle complex is strong, but it is not indestructible. Pregnancy and major weight gain can stretch the abdominal wall muscles until the linea alba, a connective tissue that holds your vertical stomach muscles together, is damaged or torn.
Because the linea alba is a fibrous tissue made mostly of collagen, it does not rebuild during the healing process as muscles do. Once past a certain point, it can only be repaired by a skilled surgeon.
Unsurprisingly, two-thirds of pregnant women experience diastasis recti after childbirth. Half of these women still have it more than twelve months postpartum. While more common after age 35 in women who have been pregnant more than once (or have carried multiples), diastasis recti can occur in anyone who has been pregnant.
It is possible to have diastasis recti and not even know it. Symptoms include:
Rectus diastasis repair can reverse these changes, alleviating physical discomfort and restoring the pre-pregnancy silhouette.
Although patients who have good skin elasticity and do not have excess abdominal skin may be able to undergo a rectus diastasis repair on its own, this procedure is often combined with a tummy tuck surgery (abdominoplasty).
Both surgeries begin with a horizontal incision between the belly button and pubic bone—and sometimes another around the belly button—to allow access to the abdominal wall. Both surgeries close separated stomach muscles using permanent, internal sutures.
The difference between the two surgeries is in how they are finished. When repairing diastasis recti in surgery, your abdominal skin is pulled back down to your pubic area and reattached with temporary sutures. In a tummy tuck, internal fat is removed via liposuction and loose skin is trimmed and contoured before the surgeon sutures the site closed.
Since the two procedures have similar surgical guideposts, incision size/length, and recovery difficulty/timeline, most patients choose the aesthetic benefits of a full tummy tuck over just a diastasis recti repair.
The first step is a thorough, collaborative consultation. Before surgery, we provide:
Once you have decided to move forward with surgery, we emphasize convenience, comfort, and a smooth recovery. This includes:
Understanding each patient’s personal and clinical needs is central to our practice. We customize treatment plans for each patient, and each patient receives Dr. Maman’s personal contact information along with direct round-the-clock access to our nurse and surgical coordinator.
We take every measure to provide the highest degree of comfort for our patients throughout their rectus diastasis repair.
We believe that all patients should be fully informed. That is why we schedule multiple pre-op appointments, so you know what to expect from your procedure. We stay in close contact during this period and each patient receives prompt and personalized care.
Once surgery is complete, you have the option to recover at home if you are a local, or at one of our luxury recovery rooms at select hotels in New York City. Recovery timelines vary depending on your procedure, but we offer thorough complimentary aftercare to ensure your optimized recovery and results.
The result? Patients that are confident and comfortable with their surgical plan and results.
For more information, read our FAQs below.
See our results. Contact us to find the right approach for you.
It is important to adhere to post-operative protocols in order to maintain the results of a diastasis rectus repair.
Dr. Maman’s post-operative guidelines include wound-care practice and activity restrictions to ensure your body has the time it needs to heal properly. Staying in a stable weight range is also important to prevent muscles from re-stretching after repair.
Lastly, it is essential to make sure exercise and lifting involve proper form. Maintaining your core strength and pelvic floor plays a crucial role in preventing muscle injuries and tears.
Good candidates for a rectus diastasis repair have a diastasis larger than 2 cm and are:
Our treatment plans are individualized to each patient based on their goals, anatomy, and medical history. Because we customize treatment for each patient, pricing can vary. During your initial consultation, Dr. Maman will conduct a detailed assessment of your goals. Afterward, you will receive an itemized price quote to help you make your decision.
Pregnancy and childbirth put immense strain on your body, and having a rectus diastasis surgery too soon after giving birth can be dangerous. You should wait at least six months postpartum before having your surgical procedure, but any surgery requires in-depth discussion and planning across several appointments. You can begin planning your surgery as soon as you feel ready to start gathering information and making decisions.
Rectus diastasis repair is highly effective in restoring the integrity of damaged abdominal muscles, but future weight gain or pregnancy can compromise, or even reverse, your results.
Because surgery is an investment, we recommend waiting until you are done having children, close to your goal weight, and living a healthy lifestyle before you fix your diastasis recti.
Dr. Maman will work with you to balance your aesthetic and life goals against your medical history to make the decision that works best for you.
Your time in the operating room will vary based on the complexity of your case and whether you are combining procedures, but a rectus diastasis repair generally takes 2.5–3 hours and is performed under general anesthesia.
Dr. Maman usually performs rectus diastasis surgeries at an in-office, AAAASF-certified facility or an outpatient ambulatory surgery center (ASC). He also has operating privileges at Mount Sinai Hospital, Lenox Hill Hospital, New York Eye & Ear Infirmary, and Englewood Hospital. We work with you to select the best facility for your needs.
Dr. Maman provides you with detailed scar-treatment protocols, medical-grade creams, and tapes that will minimize your scarring. If you need additional scar treatments, we ask that you wait at least six months after surgery and only use modalities approved by Dr. Maman.
Diastasis recti repair is an invasive procedure that requires careful adherence to activity restrictions for proper healing. We recommend taking at least eight to ten days before returning to work and other strenuous activities. Swelling in your stomach will lessen dramatically after six weeks, and most patients are fully healed in ten to twelve weeks.
Because abdominal muscles are essential to most forms of exercise, it is important to wait about six weeks before doing any activity more strenuous than walking. Even the stretches in yoga can place too much strain on healing muscles and skin.
We will provide you with custom compression garments to help speed your recovery and reduce your pain. Most patients prefer to wear loose-fitting, soft clothing for the first two weeks.
A diastasis rectus repair will fix muscle separation, but the procedure can be reversed by significant weight gain or another pregnancy. Maintaining the aesthetic results from your procedure depends largely on maintaining a stable weight with a healthy diet and moderate exercise.
To schedule a consultation with Dr. Maman or to get more information, kindly submit your details using the adjacent form and a member of our patient concierge team will promptly be in touch. We look forward to welcoming you to Maman Plastic Surgery.
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