Why would a Tummy Tuck be performed without Diastasis repair?

I recently had ventral hernia repair with an abdominoplasty. I have a very large diastasis, that was NOT fixed. I still have a huge protruding area in my abdomen. I'm unhappy with my results, now my Plastic Surgeon says he can correct the diastasis. The reason he gave for not fixing it initially was "we don't fix it at the same time as a hernia repair because the muscle could stick to the sutures and cause a problem". Should I let him redo the surgery, another Plastic Surgeon...or just leave it alone?

Indeed when repairing a large ventral hernia, the repair of the diasthesis would reinforce the ventral hernia repair. In fact in very large ventral hernias, a component separation would help reconstruct the abdominal wall. There are very rare instances where the diasthesis repair is not indicated. Consult a member of this society for your options.

Samir F. Shureih MD
Samir F. Shureih MD
10 E 31st StBaltimoreMD21218US

Samir F. Shureih MD

10 East 31st Street, Baltimore, MD, 21218,
US

I would recommend you get a second consultation to discuss your concerns with a different surgeon. That may help you feel comfortable with the solution to your concerns.

Rick Rosen MD
Rick Rosen MD
91 East AveNorwalkCT06851US

Rick Rosen MD

91 East Avenue, Norwalk, CT, 06851, US