Rectus Diastasis Repair in Singapore
Dr Marco Faria Correa offers patients access to modern surgical procedures such as rectus diastasis repair.
Combining innovative techniques with an understanding of patient needs, his approach ensures that individuals seeking this surgery in Singapore receive the best possible care and outcomes. This goal of making Singapore a renowned centre for plastic and cosmetic surgery has attracted patients from around the world.
Causes of Rectus Diastasis
Rectus diastasis occurs due to the stretching of the linea alba, the connective tissue that holds the rectus abdominis muscles together. Several factors contribute to this:
Pregnancy
During pregnancy, the expanding uterus stretches the abdominal muscles and linea alba, leading to muscle separation. Hormonal changes during pregnancy can also be a cause, as it increases the elasticity of connective tissue.
Rapid Weight Gain or Obesity
Excess abdominal fat can put pressure on the abdominal wall and cause muscle separation.
Improper Exercise Techniques
Certain exercises, like crunches or sit-ups, if performed incorrectly, can increase the risk of developing rectus diastasis.
Repeated Heavy Lifting
Engaging in activities that involve repetitive lifting of heavy objects can strain the abdominal muscles.
Age
As people age, their muscles, including the abdominal muscles, weaken and may not support the linea alba as effectively.
Genetics
Some individuals may have a genetic predisposition to weaker connective tissue, increasing their risk of developing rectus diastasis.
Surgery or Medical Procedures
Certain surgeries, such as abdominal surgeries, or medical conditions that increase intra-abdominal pressure can lead to rectus diastasis.
Symptoms of Rectus Diastasis
The symptoms of rectus diastasis vary depending on the severity and type of the condition.
- Visible Bulging or Pooching: A noticeable bulge or pooch in the abdomen, particularly when straining or contracting the abdominal muscles.
- Lower Back Pain: Due to the weakening of the abdominal muscles, individuals may experience increased stress on the lower back, leading to pain.
- Poor Posture: Weakened core muscles can result in altered body posture and balance issues.
- Gastrointestinal Issues: In some cases, rectus diastasis may contribute to constipation or bloating.
- Urinary Incontinence: Weakness in the abdominal region can affect pelvic floor muscles, leading to incontinence, especially in postpartum women.
To perform a self-check for rectus diastasis at home:
- Lie on your back on the floor with your knees bent and feet flat.
- Lift your head and shoulders off the floor, supporting your head with your hands.
- Place two fingers along the midline of your abdomen.
- A noticeable gap under your fingers could indicate rectus diastasis.
- Attempt a sit-up; a sausage-shaped bulge in the abdomen during this movement may also signify the condition.
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Rectus Diastasis Repair Procedure
Rectus diastasis repair aims to restore the normal alignment and function of the abdominal muscles. If the condition is detected early and the rectus diastasis gap is small (usually less than 1 or 2 cm), it can be managed by non-surgical treatment methods such as physical therapy.
If the gap is already wider than 2 to 3 cm, surgical intervention is necessary. The procedure varies based on the individual's condition but typically involves two main methods: open-method surgery and close-method surgery.
Open-method Surgery
This traditional surgical approach involves a larger incision to directly access and repair the abdominal muscles.
- Incision and Exposure: A horizontal or vertical incision is made to access the abdominal muscles. The skin and subcutaneous tissue are lifted to expose the rectus muscles and the linea alba.
- Muscle Repair: The separated muscles are brought together, and the linea alba is sutured to reinforce the abdominal wall.
- Additional Procedures: In some cases, liposuction or excess skin removal may be performed to improve the cosmetic outcome.
- Closing the Incision: The incision is closed with sutures, and a dressing is applied. In some cases, drains may be placed to prevent fluid accumulation.
Close-method Surgery
This method uses smaller incisions and special instruments, like an endoscope, for a less invasive approach.
- Minimally Invasive Approach: Small incisions are made, and special instruments, often including an endoscope, are used to access the abdominal muscles.
- Muscle and Tissue Repair: Similar to open-method surgery, the muscles are stitched together, and the linea alba is reinforced. This is done through a less invasive approach, leading to faster recovery and less scarring.
- Closure of Incisions: The small incisions are closed, and dressings are applied.
Recovery
Recovery from rectus diastasis repair involves several stages, starting with a minimum overnight hospital stay. The first week post-surgery requires strict rest, and limiting movement to encourage healing. Light exercises may be introduced about a month later, while more vigorous activities like sports can resume after three months, contingent upon individual recovery progress and medical advice. Follow-up appointments can help monitor the healing process and ensure the best possible outcome.
Results and Longevity of a Rectus Diastasis Repair
The results are immediate in terms of visual improvement, with patients often noticing a flatter and more toned abdomen shortly after the surgery. Functionally, the strengthening of the core muscles develops gradually, enhancing posture and reducing back pain over time. A stronger abdominal core can also reduce the risk of abdominal hernias and other related health issues in the future.
The longevity of these results largely depends on maintaining a stable weight and a healthy lifestyle. Regular exercise and a balanced diet can help preserve surgical outcomes. With appropriate care, the benefits of the surgery, including both cosmetic enhancements and functional improvements, can last for many years.
Our Clinic Location
Mount Elizabeth Novena Specialist Centre
#10-26/27,
38 Irrawaddy Road
Singapore 329563
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Frequently Asked Questions (FAQ)
How long is the surgery?
The duration of rectus diastasis repair surgery varies depending on the chosen method. Open-method surgery typically takes longer than close-method surgery due to its more invasive nature.
What is the typical recovery period after Rectus Diastasis Repair?
The recovery period after Rectus Diastasis Repair typically spans 2-4 weeks for basic activities, with full recovery taking a few months. This includes a gradual reduction in swelling and healing of the incision site.
Is Rectus Diastasis Repair painful?
Post-surgery, patients may experience discomfort, managed with pain medication. The intensity of pain varies, but it usually diminishes within the first week.
What do the scars from the surgery look like?
Scars from the surgery are minimal and strategically placed. Initially red and possibly raised, they fade and flatten over time.
Can I become pregnant after the surgery?
Pregnancy is possible post-surgery but recommended only after family completion to preserve the surgery’s results.
When will I see the results of the surgery?
Immediate postoperative results include a flatter abdomen, with outcomes apparent after several months as swelling fully subsides.
Is this surgery covered by medical insurance?
Coverage for rectus diastasis repair depends on individual insurance policies and whether the surgery is deemed medically necessary. If your symptoms are severe, it may be classified as a medical condition and be covered by medical insurance. Consult with your insurance provider for specific coverage details.