Diastasis Recti – The Post-Baby Pooch Explained

Many women notice a gap in their abs or a stubborn tummy bulge post-pregnancy. This could be more than just a cosmetic issue — diastasis recti can affect strength, posture, and confidence.

What Is Diastasis Recti?

Diastasis recti is a condition where the abdominal muscles separate along the midline, often due to pregnancy, significant weight fluctuations, or chronic straining.

The result? A visible bulge or doming through the middle of the abdomen, especially noticeable when standing or engaging the core.

While it is most commonly associated with postpartum women, it can also affect men and those who have undergone major abdominal changes.

Why Does Diastasis Recti Happen?

During pregnancy, the growing uterus stretches the connective tissue (linea alba) between the left and right abdominal muscles to accommodate your baby. In many cases, this tissue heals on its own post-delivery. However, for others, it stays stretched, leaving a gap.

Factors that increase the risk of diastasis recti include:

  • Multiple pregnancies

  • Carrying twins or larger babies

  • Poor core strength

  • Rapid weight gain

Common Signs of Diastasis Recti

  • A visible bulge or “pooch” down the midline

  • A feeling of core weakness or instability

  • Back pain or poor posture

  • Difficulty engaging abdominal muscles

  • A gap you can feel between the abdominal muscles when lying down

Mild to moderate separation may improve with physiotherapy focused on deep core engagement, breathing techniques, and posture retraining.

However, if the gap is large or accompanied by loose skin and functional issues, for instance, hernia, lower back pain, persistent bulge, surgery may be the most effective long-term solution.

How Do I Know If I Have Diastasis Recti?

If you suspect diastasis recti, the best course of action is to schedule an assessment. Our plastic surgeon will examine your abdomen, assess the width and depth of the separation, and advise on whether conservative management or surgical repair is more appropriate.

When surgery is recommended, it is usually in the form of abdominoplasty, also known as a tummy tuck — a procedure that:

  • Brings separated abdominal muscles back together

  • Removes excess skin and soft tissue

  • Strengthens the core and improves abdominal tone

Abdominoplasty can also be combined with liposuction for overall contouring.

While the cosmetic benefit is undeniable, the procedure also addresses functional concerns brought on by the condition.

Treating diastasis recti can improve one’s posture and core stability and reduce back pain.

In many patients, abdominoplasty for diastasis recti offers both physical relief and a confidence boost!

Considering Treatment for Diastasis Recti?

If you’re living with persistent abdominal separation that affects your comfort, posture, or confidence, know that there are safe and effective options available.

Whether you’re seeking better function, aesthetics, or both – our team at Eagle Aesthetics & Surgery is here to guide you through your options.

Speak to us to schedule a personalised consultation today.

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