Repairing Damage to Your Stomach After Pregnancy

Designed to dramatically change and adapt in order to carry babies, women’s bodies are incredible feats of engineering.

However, while this process is amazing, it is not perfect, and can result in damage to the body. In particular, women are often left with distortions to the abdomen following pregnancy.

Although it is very common, it is not always talked about. You may be led to believe that the changes to your tummy can be corrected through diet and exercise, and therefore feel ashamed or embarrassed if you are unable to achieve this.

The truth is, much of the damage sustained as a result of pregnancy can only be repaired through reconstructive surgery. This includes:

• Diastasis recti
• Loose skin and stretch marks
• C-section scars
• Umbilical hernias

Below we take a look at each of these conditions and how we can repair them.

Diastasis Recti

Diastasis recti is a condition where the left and right sides of the abdominal muscles (‘six pack’ muscles) separate. It is caused by the overstretching of the linea alba, the tissue that covers the front surface of the belly. There are a number of reasons this stretching can occur but pressure from a developing baby during pregnancy is a key culprit.

Doctors diagnose diastasis recti when the distance between the two sides of the rectus abdominis muscle reaches two centimeters or more. Research shows it is a condition that affects that at least 60% of women six weeks after birth, and 30% percent of women still have it a year after birth.

It is especially common in women who carry large babies or twins, or those who are petite in size themselves. The result of diastasis recti is that it leaves a gap or a pooch around the belly button and loose fatty tissue on either side.

Unfortunately, it’s a condition that not only causes aesthetic damage; it can lead to all kinds of problems and pain — like pelvic organ prolapse, incontinence, breathing and digestive problems, and pelvic girdle and back pain.

Diastasis recti can be repaired as part of an abdominoplasty, or tummy tuck. The muscles of the abdominal wall are pulled together and tightened from below the ribs to the pubic bone. Meanwhile, excess fat and skin is removed to ensure the stomach has a flat, smooth contour.

Loose Skin and Stretch Marks

The skin of the tummy is stretched during pregnancy and, while it does shrink back after birth, it will have lost some of its elasticity during the process. What this means is the skin might be looser, it might take on a crêpey appearance and in some cases, even sag downwards.

It is also common for stretch marks to appear where the skin has had to expand rapidly and this can give the tummy a stripy, scarred appearance. Stretch marks affect around 8 out of 10 pregnant women.

A tummy tuck will tackle loose skin by pulling it taught, removing the excess and resecuring it, via an incision made below the bikini line. Through this tightening of the skin, the appearance of stretch marks are also improved.

They can be further minimised through non-surgical treatments like Venus Viva, which resurfaces the skin using radiofrequency. Meanwhile, significant skin tightening can also be achieved with non-invasive techniques including Venus Legacy and LPG Endermologie.  

C-Section Scars

Delivering a baby by cesarean section can leave women with a highly visible scar, depending on how well the incision was made and closed and how the individual heals. It can also result in problems like infection, itchiness, rashes and pain, that can occur years after the procedure was performed.

Excess scarring happens when your body goes into overdrive during the healing process. A hypertrophic scar is one that is thicker and raised. They can also be red in colour. Keloid scarring, meanwhile, sees scar tissue extend beyond the original incision site.

A surgical scar excision can be performed as part of a tummy tuck or in isolation. The scar will be cut out and re-sutured with very fine stitches to reduce the scar to a minimum. To prevent excess scar tissue occurring, medication can be injected before, during, or after the excision, or a silicone gel dressing can be worn. Proper post-surgical care can ensure the incision heals nicely.

Umbilical Hernias

While most women get a sticky-out belly button during pregnancy, an umbilical hernia is when the navel protrudes so much it is considered ruptured. A true umbilical hernia does not go away after birth and should be repaired to prevent worsening.

Umbilical hernias are the result of a weakness in the abdominal muscle wall, which allows an internal part of the body (abdominal fat or small intestine) to push through. An umbilical hernia appears as a painless lump in or near the belly button and may get bigger when laughing, coughing or going to the toilet.

As well as appearing unattractive, umbilical hernias left untreated can lead to serious conditions like bowel obstruction or strangulation. Umbilical hernia repair is a simple procedure to close the hole in abdominal wall using stitches or a special mesh. At the same time, a desirable flat profile is restored to the belly button. It can be carried out as part of a tummy tuck or in isolation.

If your tummy has sustained postpartum damage, contact Ocean Clinic Marbella to find out how we can help restore your pre-pregnancy appearance.

A Short History of Breast Implants

Breast augmentation is the most performed plastic surgery procedure on the planet, having grown rapidly in popularity since its introduction more than 55 years ago.

The very first breast implant operation was carried out in 1962 - on a dog. The procedure was pioneered by three ambitious surgeons Thomas Biggs, Thomas Cronin and Frank Gerow in Houston, Texas (USA).

Inspiration strikes

Gerow had the idea for the implants after handling a bag of warm blood and being struck by how much it felt like a breast. The surgeons joined forces with the Dow Corning Corporation, the silicone company, to create the first ever, space-age breast implant.

The experiment to place the silicone implants in a dog - named Esmeralda - was deemed a success. The implants remained under the skin for a couple of weeks without adverse effects, before the dog started to chew at her stitches and they had to be removed.

The first human to receive breast implants

Later that same year, 29-year-old mother-of-six Timmie Jean Lindsey agreed to be the first person to receive the new breast implants. She had visited a charity hospital to see about having some tattoos removed from her breasts but was asked if she’d volunteer for the first-of-its-kind surgery. Timmie Jean Lindsey is still alive today and still has the original breast implants.

The medical team began looking for other women to try out the implants and, the following year, presented the work to the International Society of Plastic Surgeons. The revolutionary procedure set the plastic surgery world on fire.

Big breasts become big news

Breast augmentation surgery first took off in Houston, where 17 or 18 were being carried out per day. The trend soon spread to the rest of America, where the figure of breast implant operations eventually rose to over 300,000 annually.

The desire for bigger breasts was being driven by curvy cultural icons like Marilyn Monroe, Jane Russell, and even Barbie. Meanwhile, Playboy magazine was also taking off, followed by the launch of the Hooters restaurant chain, all of which led to a greater focus on women’s assets.

Breast implants become safer

The early silicone implant, although massively successful, wasn’t without its problems. Concerns over safety led the US Food and Drug Administration (FDA) in 1992 to limit the availability of silicone breast implants until more clinical trials had taken place.

During that time, surgeons turned to saline implants, which could be filled either before insertion or after. These provided a good alternative, since saline solution was known to be harmless should it leak into the body.

However, in 2007, following exhaustive studies, the FDA declared silicone-gel breast implants safe. They licensed two companies to manufacture them, under tight new regulations that included making the outer shell of the implant thicker to reduce the likelihood of rupture.

There have been many advances over the decades, including a move to so-called “gummy bear” implants, made from a semi-solid, silicone-based cohesive gel. Meanwhile, the range available has also grown massively. In the beginning, there were only four sizes, now there are more than 450 choices.

Did you know, Ocean Clinic Marbella specialises in breast surgery? If you’re interested to learn more about this procedure make an appointment for a consultation with one of our surgeons.