03 Aug Changed Abdomen After Baby: Is It Diastasis Recti, Abdominal Fat, or Both?
Understanding Changes to Abdominal Appearance After Pregnancy
Pregnancy leads to a range of physical changes in the body especially post pregnancy. While some changes may resolve over time, others can persist. One common concern for individuals after childbirth is changes in the abdominal area. This can be influenced by factors such as abdominal muscle separation (diastasis recti) and changes in fat distribution.
In this article, we will explore some reasons for these changes and discuss general approaches that may help manage them. These can include lifestyle modifications, physiotherapy, and medical or surgical options where appropriate.
Perth Specialist Plastic Surgeon Dr Guy Watts has many years of experience performing body and facial procedures to help patients achieve their goals.
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Changes that Occur at the Level of the Abdominal Wall during Pregnancy
During pregnancy, significant changes occur at the level of the abdominal wall to accommodate the growing foetus and support the mother’s changing body. These changes are essential for the well-formed development of the baby and the overall pregnancy experience. Let’s explore the changes that take place in the abdominal wall during pregnancy.
Stretching of the Abdominal Muscles
As the pregnancy progresses, the uterus expands to accommodate the growing baby. This expansion exerts pressure on the abdominal muscles, causing them to stretch. The rectus abdominis muscles, which are the paired muscles that run vertically along the midline of the abdomen, experience the most significant stretching.
Weakening of the Connective Tissue
Along with muscle stretching, the connective tissue known as the linea alba undergoes changes. The linea alba is a band of fibrous tissue that runs vertically down the midline of the abdomen, connecting the rectus abdominis muscles. Hormonal changes during pregnancy, particularly the hormone relaxin, cause the connective tissue to soften and become more pliable.
Separation of the Abdominal Muscles
Both the muscle stretching and weakened connective tissue can lead to a condition known as diastasis recti. Diastasis recti refers to the separation of the rectus abdominis muscles along the midline of the abdomen. This separation can lead to a gap between the muscles, resulting in a visible ridge in the abdominal area. A diagnosed muscle separation of at least 3cm is one of a set of strict criteria to be eligible for a Medicare rebate on an Abdominoplasty (MBS Item number 30175)
Increased Blood Flow and Vascularisation
During pregnancy, there is an increased demand for blood supply to support the developing foetus. As a result, the abdominal wall experiences increased blood flow and vascularisation. This heightened blood circulation makes sure an adequate oxygen and nutrient supply to the growing uterus and the surrounding abdominal structures.
Changes in Skin Elasticity
The expanding abdomen during pregnancy causes the skin to stretch as well. Hormonal changes, such as increased levels of oestrogen, can affect the elasticity of the skin. While some women may experience a few stretch marks or skin discolouration, others may notice more noticeable changes in the skin’s appearance and texture.
Altered Posture and Alignment
As the abdominal wall undergoes changes, the body’s centre of gravity shifts due to the growing baby. This can lead to alterations in posture and spinal alignment. Some pregnant women can experience an increase in the curvature of the lower back (lordosis) to accommodate the forward shift of the abdomen.
Causes of Post-Baby Abdominal Changes
After giving birth, many women notice a protruding abdomen that doesn’t seem to go away despite their efforts. This post-baby protrusion can be frustrating. There could be several causes, including diastasis recti and an accumulation of abdominal fat.
1. Diastasis Recti
Diastasis recti refers to the separation of the abdominal muscles that occurs during pregnancy. It happens when the connective tissue between the rectus abdominis muscles, known as the linea alba, stretches and weakens, causing the muscles to separate. This separation results in a noticeable protrusion in the midsection.
How Diastasis Recti Occurs During Pregnancy
The growing uterus puts immense pressure on the abdominal muscles during pregnancy. Over time, this pressure along with hormonal changes causes the linea alba to stretch and weaken. As a result, the rectus abdominis muscles separate, which can cause diastasis recti.
Risk Factors for Developing Diastasis Recti
Certain factors increase the likelihood of developing diastasis recti. These include multiple pregnancies, carrying twins or multiples, giving birth to a large baby, advanced maternal age, and weak core muscles before pregnancy. Women who have had previous pregnancies are also more prone to diastasis recti.
Symptoms and Signs of Diastasis Recti
Diastasis recti can present various symptoms and signs, including a visible line or ridge along the midline of the abdomen when performing certain movements, such as sitting up or doing a crunch. Other symptoms may include lower back pain, poor posture, and difficulty engaging the core muscles.
2. Abdominal Fat
Hormonal changes during pregnancy can affect fat distribution in the body. The increase in oestrogen and progesterone levels can lead to an accumulation of fat in the abdominal region. This excess fat can contribute to the post-baby protrusion.
Lifestyle Factors Influencing Abdominal Fat Gain
Apart from hormonal changes, lifestyle factors also play a significant role in the accumulation of abdominal fat. Lack of exercise, poor dietary choices, stress, and inadequate sleep can contribute to excess fat storage in the midsection.
Subcutaneous Fat vs. Visceral Fat
It’s important to differentiate between subcutaneous and visceral fat. Subcutaneous fat lies just beneath the skin, while visceral fat surrounds internal organs. Visceral fat is considered more harmful as it increases the risk of various health conditions, including heart disease and type 2 diabetes.
Health Risks Associated with Excess Abdominal Fat
Excess abdominal fat is not only a cosmetic concern but also poses health risks. It is associated with an increased likelihood of developing cardiovascular diseases, insulin resistance, metabolic syndrome, and other obesity-related conditions. Addressing abdominal fat is crucial for both appearance and overall well-being.
Options to Alleviate Post-Baby Abdominal Changes
Non-Surgical Interventions
Before considering surgical options, non-surgical interventions should be explored. These may include physical therapy, core strengthening exercises, and wearing specialised abdominal binders. While these approaches can help increase muscle tone and provide temporary support, they may not fully resolve the post-baby protrusion.
Tummy Tuck (Abdominoplasty) Procedure
An Abdominoplasty also known as a Tummy Tuck, is a surgical procedure that can effectively address diastasis recti and remove excess skin and fat from the abdominal area. During the procedure, Dr Watts repairs the separated abdominal muscles and removes any excess tissue, resulting in a flatter and firmer abdomen.
Liposuction for Targeted Fat Removal
Liposuction is another surgical option that can be used to target and remove excess fat deposits in specific areas, including the abdomen. It involves the insertion of a thin tube, called a cannula, to suction out the unwanted, stubborn fat. Liposuction can be performed in conjunction with other procedures, such as abdominoplasty and Breast Reduction, to further optimise results.
Multiple Procedures
In some cases, performing diastasis recti repair alongside other cosmetic procedures like liposuction or abdominoplasty can provide comprehensive results. This approach allows for the alleviation of both muscle separation and excess fat, supporting the adjusted abdomen.
Non-Surgical Approaches to Reduce Post-Baby Abdominal Changes
Core Strengthening Exercises and Physical Therapy
Non-surgical approaches to address the post-baby protrusion include core strengthening exercises and physical therapy. These focus on reactivating and strengthening the abdominal muscles, including the transverse abdominis, obliques, and pelvic floor muscles. Physical therapists can provide personalised guidance and techniques to aid in recovery.
Incorporating a Nutritious Diet and Regular Exercise
A wholesome diet and regular exercise are crucial in reducing abdominal fat and achieving a less bloated stomach. Get more whole, nutrient-dense foods in your diet, and incorporate cardio and strength-training exercises into your routine. This helps burn calories, promote fat loss, and alter overall body composition.
Specific Postpartum Workouts
Specific postpartum workouts, such as postnatal yoga or Pilates, can target the specific needs and challenges of women after childbirth. These workouts focus on core strength, flexibility, and pelvic floor reconditioning. They provide an effective way to address the post-baby body changes.
FAQs about Diastasis Recti and Abdominal Fat
Can diastasis recti resolve on its own without surgery?
- While some cases of diastasis recti may alleviate on their own, especially with appropriate exercises and physical therapy, more severe cases often require surgical intervention for a complete resolution.
- It is advisable to consult with Dr Watts as he can assess your specific condition and recommend the most suitable treatment approach.
Is it possible to eliminate post pregnancy abdominal changes through diet alone?
- Diet plays a crucial role in overall weight management and reducing body fat, including abdominal fat. However, solely relying on diet to eliminate post-baby abdominal changes may not be sufficient, especially if diastasis recti is also present.
- Sticking to a nutritious, balanced diet with targeted exercises alongside surgical options can yield more comprehensive and effective results.
How long does it take to recover from a Tummy Tuck/ Abdominoplasty procedure?
- The recovery period after an Abdominoplasty procedure varies from person to person, depending on factors such as the extent of the surgery and individual healing capabilities. Generally, it can take several weeks to a few months to fully recover.
Are there any risks or complications associated with Liposuction and Abdominoplasty?
- Like any surgical procedure, Liposuction and Abdominoplasty are associated with certain risks and potential complications. These can include infection, bleeding, adverse reactions to anaesthesia, irregular contours, and changes in skin sensation.
- You will discuss potential risks and complications with Dr Watts during the initial consultation.
When can I start exercising after giving birth?
- The timeline for resuming exercise post pregnancy depends on various factors, including the type of delivery, any complications during pregnancy or childbirth, and individual recovery.
- It is generally recommended to wait until the body has had sufficient time to heal, usually around six weeks postpartum.
Further Reading about Body Procedures with Dr Watts
- Read Dr Watts’ Post Pregnancy Surgery Page
- Read Dr Watts’ Recovery after Post Pregnancy Surgery
- Read Dr Watts’ Exercise after Post Pregnancy Surgery
- Read Dr Watts’ Tummy Tuck (Abdominoplasty) Surgery Page
- Read Dr Watts’ Thigh Lift Surgery Page
- Read Dr Watts’ Body Lift Surgery Page
- Read Dr Watts’ How to Tell If Your Abdominal Muscles Were Damaged or Torn During Pregnancy
- Read Dr Watts’ Benefits of Wearing Compression Garments after Abdominoplasty
- Read Dr Watts’ How Do I Get a Flat Stomach or Flatter Abdomen
Medical References about Diastasis Recti and Abdominal Fat
About Dr. Guy Watts – MED0001539378
FRACS (Plas) – Specialist Plastic Surgeon In Perth WA
Dr. Guy Watts is a Specialist Plastic Surgeon (AHPRA MED0001539378) with an extensive career that spans across renowned plastic surgery clinics worldwide. His experience has been honed through invaluable experiences at esteemed establishments such as the New York Eye and Ear Infirmary and the renowned Pitanguy Clinic in Brazil.
Having collaborated with the foremost cosmetic plastic surgeons on a global scale, Dr. Watts has chosen to return to Perth after a 17-year journey of intensive training and invaluable professional experience to bring the latest practices and technology in cosmetic plastic surgery to his patients.
Dr. Watts is a Fellow of the Royal Australasian College of Surgeons (FRACS) and a Member of the Australian Society of Plastic Surgeons (ASPS), Australasian Society of Aesthetic Plastic Surgeons (ASAPS) and the International Society of Aesthetic Plastic Surgeons (ISAPS).
About CLINISPA
Clinispa is Dr Watts’ bespoke medical clinic performing Cosmetic Aesthetic treatments. At Clinispa, we offer advanced clinical treatments in a luxurious and calming environment, tailored to support your skin’s health and appearance.
Clinispa aesthetic services are performed by Dr Guy Watts’ nursing professionals, who have a passion for and solid understanding of facial aesthetics.
All Clinispa clients are considered individually, with a personalised treatment plan consisting of advanced scientific approaches to cosmetic aesthetics. We incorporate innovative technologies in conjunction with superiorly formulated skin care.
For more information about Clinispa Aesthetic Treatments visit the Clinispa website
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