Thin but with fat tummy - what’s the best option?

I have a BMI of 19 and thin arms/legs but a persistent tummy that sticks out. (I have disastis recti (2-3 fingers) and not great posture which doesn’t help matters.) The stomach skin is nice and firm though. Which would be the best solution to reduce my belly? Thanks so much.


F, 39, Bermuda

Hello, Diastasis Recti is a common complaint of patients who are mothers and can be hard to treat at times. Depending on the patient, you can sometimes make an incision from hip to hip right above the pubic area, tighten the muscles and pull the skin back down (trim off any extra) and close it.

Traditional treatments for diastasic involve intensive core work-outs, sometimes under the direction of a physical therapist.   For severe cases, a surgical repair can be used.

Recently we have been using the EMSCULPT device on the loose abdominal wall musculature to improve the shape, tone and strength of the core.  Initial studies show an improvement on some cases of diastasis.  The device uses electro-magnetic energy to give a deep muscular contraction.  The treatments are not painful and described as an intense workout.  


Ken Oleszek, MD

La Fontaine Aesthetics

Denver, Colorado