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Diastasis recti is a common condition that affects the abdominal wall, often resulting in a visible separation between the abdominal muscles. It is most frequently associated with pregnancy, but can also occur in men and women due to increased abdominal pressure over time.
For some individuals, diastasis recti presents as a noticeable bulge or lack of core definition, particularly when engaging the abdominal muscles. In others, it may be accompanied by symptoms such as core weakness, poor posture or lower back discomfort. The severity of the condition varies depending on the degree of muscle separation and overall tissue quality.
At Paul Wilson Aesthetics, treatment for diastasis recti begins with a comprehensive assessment by Dr Wilson, evaluating both abdominal structure and functional concerns to create a personalised treatment plan.
About
What is Diastasis Recti?
Diastasis recti refers to the separation of the rectus abdominis muscles (the “six-pack” muscles) along the midline of the abdomen. This occurs when the connective tissue (linea alba) that holds these muscles together becomes stretched and weakened.
As a result, the abdominal wall may lose its firmness and support, leading to a visible gap or bulge, particularly when the muscles are engaged. While the condition is not always painful, it can affect both appearance and core stability.
Symptoms
Diastasis Recti Symptoms
The symptoms of diastasis recti can vary depending on the degree of muscle separation and the strength of the abdominal wall. While some individuals may notice primarily aesthetic changes, others may experience functional concerns related to core stability.
Common signs and symptoms include:
- A visible bulge or ridge along the centre of the abdomen, particularly when sitting up or engaging the core
- A soft or rounded appearance of the abdomen that does not improve with exercise
- Difficulty activating or strengthening the core muscles
- A feeling of weakness or lack of support in the abdominal area
- Lower back discomfort or poor posture due to reduced core stability
- In some cases, associated issues such as pelvic instability or reduced overall strength
Symptoms may become more noticeable during activities that increase intra-abdominal pressure, such as lifting, coughing or exercising.
Causes
What Causes Diastasis Recti?
Diastasis recti develops due to increased pressure within the abdominal cavity, which stretches and weakens the connective tissue over time. Several contributing factors may be involved:
Pregnancy
The most common cause of diastasis recti is pregnancy. As the uterus expands, it places pressure on the abdominal wall, stretching the connective tissue and causing the muscles to separate. Hormonal changes during pregnancy can also soften connective tissues, increasing the likelihood of separation.
Significant Weight Fluctuations
Rapid weight gain or loss can strain the abdominal wall, weakening connective tissue and increasing the likelihood of muscle separation.
Abdominal Strain and Exercise
Improper lifting techniques or excessive abdominal strain can place repeated pressure on the core, potentially contributing to or worsening diastasis recti over time.
Genetic Factors
Some individuals are more predisposed to connective tissue laxity, making them more susceptible to muscle separation.
Age-Related Changes
As collagen levels decline with age, connective tissue becomes less resilient, which may contribute to the development or persistence of diastasis recti.
Treatment
When to Consider Professional Treatment for Diastasis Recti?
Treatment may be considered when diastasis recti affects abdominal appearance, core strength or overall comfort. Common concerns include a persistent abdominal bulge, difficulty engaging the core, or ongoing weakness despite exercise.
While targeted physiotherapy and core-strengthening exercises may improve mild cases, they are often not sufficient to fully correct more significant muscle separation. A professional assessment provides a clear understanding of the condition’s severity and whether surgical intervention may be appropriate.
Options
Diastasis Recti Treatment at Paul Wilson Aesthetics
Treatment for diastasis recti is tailored to the individual, depending on the extent of muscle separation, skin quality and overall abdominal structure. Mr Paul Wilson provides advanced surgical techniques designed to restore core integrity while improving abdominal contour.
In cases of more significant or severe diastasis recti, where the muscle separation is wider and unlikely to respond to exercise or physiotherapy alone, surgical repair is often the most effective solution. If a significant ventral hernia or umbilical hernia is present, Mr Wilson may enrol the services of a general surgeon to optimise your outcome.
Abdominoplasty (Tummy Tuck)
Abdominoplasty is the most effective surgical treatment for diastasis recti. During the procedure, the separated abdominal muscles are brought back together and sutured into their correct position, restoring strength and support to the abdominal wall.
In addition to repairing the muscle separation, excess loose abdominal skin may be removed to create a smoother, firmer abdominal contour. This approach addresses both functional and aesthetic concerns, providing long-lasting results.
Choose Us
Why Choose Paul Wilson Aesthetics for Diastasis Recti Treatment?
At Paul Wilson Aesthetics, your care is grounded in safety, expertise and surgical integrity. Surgeries are performed by Mr Paul Wilson, an accredited Consultant Plastic and Reconstructive Surgeon with dual qualifications in medicine and dentistry.
His background in complex reconstructive surgery ensures a meticulous, anatomically driven approach, where patient safety and functional outcomes are always prioritised. Every treatment plan is personalised and carefully planned using advanced imaging technology to provide a clear, realistic understanding of what can be achieved.
From your initial consultation through to recovery, you are supported with a transparent, considered approach that focuses on realistic expectations rather than overpromising outcomes. Mr Wilson’s aesthetic philosophy centres on restoring and refining rather than altering, ensuring results that feel balanced and authentically you.
Supported by a dedicated team, you can expect a seamless and attentive patient experience, where your concerns are heard, your questions are answered, and your care is tailored at every stage of your journey.
FAQ
Frequently Asked Questions
How do you fix diastasis recti?
The most appropriate treatment for diastasis recti depends on its severity. Mild cases may improve with targeted physiotherapy and core-strengthening exercises designed to support the abdominal wall. However, more significant muscle separation typically requires surgical correction, such as abdominoplasty, to bring the muscles back together and restore core function.
How do you check for diastasis recti?
A simple self-check can be performed by lying on your back with your knees bent and gently lifting your head and shoulders slightly off the floor. Using your fingers, you can feel along the midline of your abdomen for a gap or separation between the muscles. While this may indicate a possible separation, a clinical assessment is recommended to confirm the diagnosis and determine the extent of the condition.
What does diastasis recti look like?
Diastasis recti often appears as a bulge or ridge running down the centre of the abdomen, particularly when the core is engaged. The stomach may also appear more rounded or protruded, even in individuals who are otherwise fit. The appearance can vary depending on the severity of the separation and the surrounding tissue.
What causes diastasis recti?
Diastasis recti is most commonly caused by pregnancy, where the abdominal wall stretches to accommodate the growing uterus. It can also occur due to weight fluctuations, repeated abdominal strain or natural weakening of connective tissue over time. In some cases, genetic factors may also play a role.
Can diastasis recti heal on its own?
Mild cases may improve over time, particularly with appropriate exercise and physiotherapy. However, more significant separation of the abdominal muscles usually does not fully resolve without surgical intervention. The extent of recovery depends on factors such as tissue quality and the degree of separation.
Do I need surgery for diastasis recti?
Not all cases require surgery. Individuals with mild symptoms may benefit from non-surgical management such as guided core rehabilitation. Surgery is typically considered when the separation is more pronounced, affects function or does not improve with conservative treatment.
Can diastasis recti cause back pain?
Yes, diastasis recti can contribute to lower back pain in some individuals. The separation of the abdominal muscles can reduce core stability, placing additional strain on the lower back and affecting posture. Addressing the underlying issue can help improve overall support and reduce discomfort.
Is exercise safe with diastasis recti?
Exercise can be beneficial, but it is important to follow appropriate techniques. Certain movements that place excessive strain on the abdominal wall may worsen the separation. A guided exercise programme from a qualified professional can help strengthen the core safely and effectively.
How much does diastasis recti surgery cost?
The cost of treatment can vary depending on the complexity of the procedure, the extent of muscle repair required and whether additional contouring is performed. A personalised quote will be provided following consultation, with a clear explanation of all associated costs.
Schedule your consultation
Book a consultation with Paul Wilson Aesthetics
Patients choose Paul Wilson Aesthetics for a combination of surgical expertise, honest guidance and a highly personalised approach to care. To get started, book a consultation where Mr Wilson will assess your concerns, discuss your goals and determine whether abdominoplasty is the most appropriate option for you.
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A bump on the bridge of the nose can change the entire facial profile.
For many patients, a dorsal hump is the feature they notice most in side-profile photos or from certain angles. It may be part of the natural nasal structure, or it may appear more pronounced after trauma or injury.
However, a dorsal hump is never treated as just a "bump".
The bridge, tip, septum, nasal bones, and facial proportions all need to be assessed together before any surgical plan is made.
At Paul Wilson Aesthetics, rhinoplasty planning focuses on refining the nasal profile in a way that remains balanced with the individual face.
Depending on the anatomy, this may involve preservation rhinoplasty or structural rhinoplasty.
The aim is not a perfect nose.
It is a considered, proportionate result that suits the patient.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #dorsalhump #rhinoplastybristol #preservationrhinoplasty #northwoodhospital
Open Septorhinoplasty | Before & After
This patient had previously undergone rhinoplasty and otoplasty at the age of 23, which included the reduction of a dorsal hump.
Over time, he began to notice increasing droopiness of the nasal tip. He had also broken his nose as a child during gymnastics, although his breathing was otherwise good.
On assessment, he presented with a long, straight nose and a dependent, droopy, and slightly asymmetric tip. There was a mild deviation of the nose to the left, but no remaining bony hump. The septum appeared straight.
One of the key findings was the acute angle between the base of the nose and the upper lip. Simply lifting the tip helped to improve the appearance of the nose and also made it appear straighter.
In this case, an open septorhinoplasty was performed under general anaesthetic.
Revision rhinoplasty requires careful planning, particularly when the nose has been previously operated on. The existing structure, scar tissue, tip support, and previous surgical changes all need to be considered before any further refinement is made.
The aim was to improve tip position and support, address the asymmetry, and create a more balanced nasal profile while working with the patient`s existing anatomy.
The result shown here is part of that process, with healing continuing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
When rhinoplasty does not go as expected, subsequent operations are rarely simple.
Revision rhinoplasty often involves navigating scar tissue, altered anatomy, reduced cartilage support, and the outcomes of previous surgery.
In this reel, Mr Wilson explains why patients seek him out for revision rhinoplasty and why this type of surgery demands meticulous planning, extensive experience, and candid discussions.
Additional support may sometimes be required, utilising cartilage from the ear or rib, fascia, or fat grafting.
This also underscores the importance of aftercare. Should concerns arise post-surgery, patients need assurance that they will receive proper review, support, and care.
Revision rhinoplasty is not merely about re-shaping the nose.
It involves comprehending previous interventions, assessing current possibilities, and meticulously planning the subsequent stage.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #revisionrhinoplasty #rhinoplastysurgery #bristolplasticsurgeon #northwoodhospital
A blocked nose is not always "just congestion".
A deviated septum can make one side of the nose feel constantly blocked, affect airflow, and make breathing feel uneven.
The septum is the internal wall of bone and cartilage that separates the two nasal passages. When it sits off-centre, one side may become narrower, which can make breathing more difficult.
It is not always visible from the outside.
This is why assessment matters. The nose needs to be examined for both structure and function, especially when symptoms are linked with previous injury, nasal asymmetry, or ongoing obstruction.
Treatment may involve septoplasty to improve airflow, or septorhinoplasty when breathing concerns and external nasal shape need to be addressed together.
The aim is to understand what is causing the obstruction and choose the most suitable approach for the individual patient.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
Dorsal Preservation Rhinoplasty | Before & After
This young patient desired refinement of her nasal profile and tip, aiming for a result that remained balanced with her facial features.
Her primary concerns included a prominent dorsum and a bulbous nasal tip.
In this case, an open tip rhinoplasty was performed, utilising piezo-electric surgery for surface reduction of the dorsum. A septal projection graft was also employed to support and define the nasal tip.
Piezo-electric surgery facilitates highly precise work on the nasal bones. This is particularly beneficial when reshaping the bridge of the nose, as it permits controlled refinement while preserving crucial surrounding structures.
The tip also necessitated meticulous planning. A bulbous tip is not merely reduced; it requires reshaping and support to ensure the final result remains stable as the nose heals.
This is where dorsal preservation rhinoplasty and tip definition must work in conjunction. The objective is not to create an entirely different nose, but to refine the existing structure in a manner that complements the individual`s face.
The result displayed here represents an stage of that process, with healing progressing over time.
Patient images shown with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #dorsalpreservationrhinoplasty #rhinoplastybristol #piezoelectricsurgery #northwoodhospital
Rhinoplasty is not a single technique.
It is a series of decisions.
In this reel, Mr Wilson explains the difference between structural rhinoplasty and preservation rhinoplasty, and why preservation techniques have become such a valuable option in suitable primary cases.
The principle is simple: where possible, preserve the natural bridge of the nose rather than dismantling and rebuilding it.
For the right patient, this can allow refinement of the nasal profile while maintaining more of the existing nasal structure.
However, suitability is crucial.
If the nose is very crooked, has been previously broken, or the patient is concerned about the frontal view, a structural or hybrid approach may be more appropriate.
That is why consultation and assessment are so important.
The technique should fit the patient, not the other way around.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
A second rhinoplasty is not simply a repeat of the first.
Revision rhinoplasty often means working with a nose that has already healed, scarred, and changed after previous surgery.
Sometimes the concern is visible; sometimes it is functional; often, it is both.
The nose may need more support, better definition, improved symmetry, or correction of breathing issues.
In some cases, grafting may be required to rebuild or strengthen areas that no longer have adequate support.
This is why secondary rhinoplasty needs time, experience, and a very clear plan.
The goal is not to chase perfection.
It is to make the next operation as careful, realistic, and considered as possible.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #revisionrhinoplasty #secondaryrhinoplasty #rhinoplastysurgery #northwoodhospital
Preservation Rhinoplasty with Septoplasty | Before & After
This patient presented with a previously fractured septum, leading to breathing difficulties, a dorsal hump, and a bulbous nasal tip.
In such cases, rhinoplasty extends beyond merely altering the external appearance of the nose; the internal structure is equally crucial.
The procedure performed was a preservation rhinoplasty with septoplasty. The objective was to enhance the shape of the nose while simultaneously addressing the septum, which had been impacting her breathing.
A preservation approach involves meticulously working with the existing nasal structure rather than simply excising tissue. The bridge, tip, septum, and overall support of the nose all require integrated consideration.
What has been particularly gratifying in this case is the post-operative feedback from the patient. She expressed continued satisfaction with her result, consistently recommends Mr Wilson, and feels the surgery made a significant difference to her. She also noted that while she occasionally experiences some breathing difficulty, she was informed that her nose had been considerably improved from its initial state.
Such feedback is always valued, as rhinoplasty is a protracted process. The outcome encompasses not only the day of surgery but also the planning, healing, trust, and long-term results.
Patient images and feedback shared with consent.
🏥 Paul Wilson Aesthetics
📍 Northwood Hospital, Bristol, UK
📞 0117 332 1585 | 07480 125 890
📧 info@paulwilsonaesthetics.co.uk
#paulwilsonaesthetics #preservationrhinoplasty #septoplasty #rhinoplastybristol #northwoodhospital
Mommy Makeover | Mastopexy + Full Abdominoplasty
After two pregnancies, this patient was left with skin laxity and a change in shape to both her breasts and tummy — despite returning to a stable, healthy weight. She was happy with her breast volume but troubled by the drooping and excess skin, and by the loose skin and stretch marks across her abdomen.
We planned a combined approach:
🔹 Mastopexy (breast uplift) — excess skin removed and the nipple repositioned higher to lift and reshape the breast, while keeping her own natural volume, exactly as she wanted. This uses an “anchor” pattern scar.
🔹 Full abdominoplasty (tummy tuck) — removal of the loose skin and stretch marks below the belly button, with repair of the separated tummy muscles (diastasis recti) that so commonly follow pregnancy.
Because she’s naturally slim and athletic, no liposuction was needed — tightening the muscle separation and removing the skin overhang simply revealed the toned, defined abdomen that was already there. She’s especially delighted with her new core definition. 💪
Every patient and every result is individual. Surgery carries risks, and a full consultation is essential to understand whether a procedure is right for you.
📍 Surgery by Paul Wilson @ Northwood Hospital, Bristol Consultations via the link in bio.
#MommyMakeover #Abdominoplasty #TummyTuck #Mastopexy #BreastUplift PlasticSurgery CosmeticSurgery BristolSurgeon PaulWilsonAesthetics NorthwoodHospital PostPregnancyBody DiastasisRecti
Breast Augmentation
A natural increase in volume — restoring shape after hypomastia
Hypomastia is the medical term for naturally underdeveloped breast tissue. It’s a recognised developmental variation, not a flaw — but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape — not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile Mentor micro-textured implant, placed subfascially through an inframammary incision — a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life — and that outcome means as much to me as the surgical one.
Shared with this patient’s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery — any decision should follow a personal consultation.
📍 Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
📞 Phone: +44 7480 125890
🌐 Website: paulwilsonaesthetics.co.uk
🕐 Hours: Monday–Friday, 9:00 AM – 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
Breast Augmentation
A natural increase in volume — restoring shape after hypomastia.
Hypomastia is the medical term for naturally underdeveloped breast tissue. It`s a recognised developmental variation, not a flaw — but for many women it affects how comfortable and confident they feel in their own body.
This patient, a mum of two with a completed family, had thought about augmentation for several years. Her request was simple and one I hear often: a natural, modest increase in volume and improved shape — not a dramatic change. On examination she had reduced upper-pole fullness in both breasts with good underlying symmetry.
Rather than reaching for a number, we planned this properly. Measurements, 2D and 3D imaging morphed to her chosen implant, external sizers tried on in clinic, and a home rice test to let her feel the volume for herself. Her choice: a 275cc round, moderate-profile silicone micro-textured implant, placed subfascially through an inframammary incision — a plan designed to add soft upper-pole fullness in proportion to her petite frame.
You can see in the lateral and oblique views how the goal was balance, not bulk.
The psychological side matters just as much. In appropriately assessed patients, augmentation for hypomastia is consistently associated with improvements in body image, self-confidence and quality of life — and that outcome means as much to me as the surgical one.
Shared with this patient`s full consent.
Results vary from person to person. This is educational and not a recommendation to undergo surgery — any decision should follow a personal consultation.
📍 Address: 1400 Parkway North, Stoke Gifford, Bristol BS34 8YU (Northwood Hospital)
📞 Phone: +44 7480 125890
🌐 Website: paulwilsonaesthetics.co.uk
🕐 Hours: Monday–Friday, 9:00 AM – 5:00 PM
#BreastAugmentationUK #Hypomastia #NaturalResults #PlasticSurgeon #BeforeAndAfter
Happy Friday! Cycle to work day! #paulwilsonaesthetics #northwoodhospital #cycletowork #happyfriday #starbucks
