What is rectus diastasis?

Rectus diastasis, also known as diastasis recti, is a condition characterized by the separation of the rectus abdominis muscles or commonly known as the “six-pack” muscles, which run down the front of the abdomen, creating a gap between them. This separation occurs due to the stretching of the linea alba, the connective tissue that holds the muscles together. While rectus diastasis often occurs during pregnancy, it can also affect individuals who have experienced significant weight gain or engaged in improper abdominal exercises.

The condition is typically identified by a visible bulge or ridge running along the midline of the abdomen, particularly noticeable when the person performs certain movements, such as sitting up or contracting their abdominal muscles. Apart from the cosmetic concern, individuals with rectus diastasis may experience lower back pain, pelvic floor dysfunction, and reduced core strength. Diagnosis is usually made through a physical examination by a healthcare provider, who measures and assesses the separation between the rectus abdominis muscles.

Surgery may be considered as a treatment option for most individuals. The surgical procedure to repair rectus diastasis is called “diastasis recti repair” or “abdominoplasty.” During an abdominoplasty, we make an incision in the lower abdomen, typically below the bikini line, to access the rectus abdominis muscles. The middle edges of the rectus muscles are then sutured together, effectively narrowing the gap between them. In some cases, the linea alba might also be reinforced with sutures or a mesh to provide additional support. Excess skin and fat may be removed during the procedure, and the remaining skin is tightened to achieve a flatter and more toned appearance.

Recovery from an abdominoplasty usually takes several weeks to months. Patients may need to wear compression garments to reduce swelling and support the healing tissues. Extreme physical activity and heavy lifting should absolutely be avoided. Follow-up appointments are essential to monitor the healing progress and ensure the best possible outcome.

While abdominoplasty can be effective in correcting rectus diastasis, it is essential for individuals to understand the potential risks and complications associated with any surgical procedure. These may include infection, scarring, bleeding, adverse reactions to anesthesia, and suboptimal cosmetic outcomes. A thorough discussion with the experienced plastic surgeons at OCPS can help assess an individual’s candidacy for surgery and address any concerns. Below is a schematic of extreme diastasis recti.

The clinic offers a physician supervised regimen which follows the International Association for Physicians in Aesthetic Medicine HCG protocol for rapid weight loss. The program is operated by a Registered Dietitian (Dr. Staci) and physician (Dr. John). The method starts clients on the HCG plus low-calorie phase protocol for 3 weeks followed by a stabilization phase for 3 weeks. During these first 3 weeks the clients are on 1injectable HCG. The injectable HCG (125 IU) is to be injected daily by the client themselves. The first phase also includes a strict very low carbohydrate 500 calorie diet protocol during which clients are expected to lose half to one pound of weight a day. Following the 3-week program they proceed into the phase called the Stabilization Phase where they are expected to maintain the weight loss. This Stabilization Phase involves adhering to a more varied diet protocol that avoids starches and sugars. Dieters may gradually lose weight in this phase, but it is not intended to have the same results as the HCG 500 kcal Phase. HCG program is a great temporary diet, especially for getting the weight off before your desired cosmetic surgery!

To be admitted, the clinic requires prospective clients to undergo testing and obtain medical lab reports or submit reports obtained no later than during the past year. The lab tests must consist of the basic metabolic panel, thyroid stimulating hormone, and complete blood count. Based on their lab work and health history, the physician clears clients for the program Please contact the office if your interest in any other nutrition or weight loss services! Dr. Staci is always available for one-one nutrition counseling via zoom or in person!

Example HCG DIET MENU
8am Breakfast:

10am Snack:

1pm Lunch:

3pm Snack:

6pm Dinner:

8pm Snack:

Example HCG APPROVED Recipe idea:

For CA, please call 949-888-9700 or visit www.orangecountyplasticsurgery.com
Or for MA location, call 508-755-4825 or visit www.salisburyps.com

You can write to
Dr. John Compoginis at orangecountyplasticsurgery.com
Dr. Staci Compoginis at orangecountyplasticsurgery.com
Dr. Deborah Ekstrom at mds@salisburyps.com
or Dr. Juris Bunkis at orangecountyplasticsurgery.com