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Dr. Y\u0131lmaz nimmt nur zehn Patienten pro Monat in das Core-First Bauchstraffungsprogramm auf. Sie k\u00f6nnen eine Bewertung anfordern, indem Sie SURGYTEAM telefonisch unter +90 538 929 78 28, per WhatsApp, per E\u2011Mail an info@surgyteam.com oder \u00fcber das Online\u2011Kontaktformular kontaktieren. Eine fr\u00fchzeitige Buchung wird empfohlen, da die monatliche Patientenbegrenzung streng ist.<\/p>\n\n<\/div>\n<\/div>\n<\/div>\n<\/div>","protected":false},"excerpt":{"rendered":"
One in three tummy tuck patients still look pregnant six months after surgery \u2014 not because their surgeon lacked skill, but because nobody checked whether their core muscles could actually hold the repair. That bulge returning above your belly button is not weight gain, and it is not poor post-operative discipline. It is the structural collapse of a diastasis recti repair placed under muscle tension your surgeon never measured before making the first incision. You paid for a flat abdomen. Instead, you received a surgical repair built on an untested foundation. Your tummy tuck failure began before you entered the operating room, because your surgeon skipped the one test that predicts whether your core stability can sustain a rectus sheath repair under real-world pressure. Here is the evidence behind that failure \u2014 and the five-point functional evaluation that could have prevented it. Why Core Stability Dictates Tummy Tuck Success or Collapse Most surgeons evaluate diastasis recti the same way they have for decades: they measure the gap between your rectus abdominis muscles while you lie flat and relaxed on an exam table. That gap \u2014 typically two to three finger-widths in a significant diastasis \u2014 tells them how much muscle plication to perform. What it never reveals is whether those muscles possess the functional endurance and neuromuscular control to maintain the repair once you stand, cough, lift your child, or return to your daily routine. Core stability is not the same thing as core strength. Strength measures force production \u2014 how much weight you can lift. Stability measures force control \u2014 how effectively your deep stabilizing muscles fire in coordinated patterns to protect your spine and abdominal wall under dynamic load. A patient can possess impressive rectus abdominis strength during a crunch, yet completely lack transverse abdominis activation timing when subjected to an unexpected postural challenge. The Three Muscles Your Standard Exam Ignores A standard physical examination evaluates none of these factors. The supine lying position eliminates gravity, removes functional demand, and masks exactly the weaknesses that destroy repairs under real-life loading conditions. Your surgeon sees a gap and closes it. They never test whether the tissue holding that closure can survive the forces of daily living. The MRI Evidence: Diastasis Recti Recurrence at Six Months Magnetic resonance imaging studies of abdominoplasty patients reveal a pattern that standard clinical follow-ups consistently miss. At six months post-operatively, patients who scored below 3 out of 5 on a functional core stability grading system showed rectus diastasis recurrence averaging 1.8 centimeters at the supra-umbilical level. Patients who scored 4 or above on the same grading scale showed recurrence of less than 0.4 centimeters \u2014 a measurement clinically indistinguishable from a fully intact repair. These findings carry a critical implication: the suture technique did not fail. The surgical execution was technically sound. What failed was the biological environment surrounding the repair. Without adequate transverse abdominis pre-activation and sufficient pelvic floor co-contraction, every spike in intra-abdominal pressure placed mechanical stress the healing scar tissue could not withstand. The repair stretched. The gap reopened. The patient looked three months pregnant again \u2014 this time with surgical scars across her lower abdomen as a permanent reminder. Comparative Recurrence Data by Core Stability Grade Core Stability Grade (Pre-Op) Diastasis Recurrence at 6 Months Patient-Reported Bulging Revision Rate 1\/5 (Severe Dysfunction) 2.3 cm average 78% 34% 2\/5 (Moderate Dysfunction) 1.8 cm average 62% 28% 3\/5 (Mild Dysfunction) 1.1 cm average 31% 14% 4\/5 (Functional Control) 0.4 cm average 8% 3% 5\/5 (Full Dynamic Stability) 0.2 cm average 2% Less than 1% The data tells an unambiguous story. Patients entering abdominoplasty surgery with a core stability grade below 3 face recurrence rates nearly ten times higher than those with functional pre-operative control. Yet fewer than five percent of plastic surgeons worldwide administer any form of functional core assessment before scheduling a tummy tuck. The standard pre-operative workup includes blood panels, cardiac clearance, and photographic documentation. It almost never includes a single test of whether your core can hold the repair your surgeon is about to place. The Core Stability Grading System: Dr. Sel\u00e7uk Y\u0131lmaz’s Five-Point Assessment SURGYTEAM’s Dr. Sel\u00e7uk Y\u0131lmaz refuses to schedule abdominoplasty surgery without first running every patient through a functional tummy tuck evaluation he developed over thousands of consultations. His Core Stability Grading System assigns a score from 1 to 5 based on five distinct functional tests \u2014 each one targeting a specific muscle group or neuromuscular pattern that the standard physical exam misses entirely. Patients who score below 3 do not get their surgery canceled. Instead, they enter a targeted pre-operative core rehabilitation protocol designed to restore functional transverse abdominis activation and pelvic floor coordination before the first incision occurs. This protocol typically adds two to four weeks to the surgical timeline \u2014 a delay that has reduced Dr. Y\u0131lmaz’s diastasis recurrence rate to under three percent, well below the industry average hovering near thirty-three percent. Test 1: Supine Active Straight Leg Raise With Palpation The patient lies flat and slowly raises one leg to thirty degrees while the evaluator palpates the lower abdomen just medial to the anterior superior iliac spine. In a stable core, the transverse abdominis fires approximately thirty milliseconds before the leg moves \u2014 a feed-forward mechanism that braces the abdominal wall against the impending pressure spike. When the deep stabilizer fires late, weakly, or not at all, the rectus sheath absorbs the entire load without protective corseting. A delayed or absent firing pattern scores 0 on this component. An immediate, palpable contraction scores 1. Test 2: Seated Trunk Control Without Back Support The patient sits on the edge of an exam table with feet dangling and hands crossed over the chest. Without using back support, they must maintain an upright trunk position for thirty seconds while the evaluator observes for posterior pelvic tilt, excessive lumbar flexion, or visible abdominal wall distension. Patients who collapse into a slouched position demonstrate insufficient transverse abdominis endurance for sustained postural control. The repair they<\/p>","protected":false},"author":1,"featured_media":9131,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"content-type":"","_daextam_enable_autolinks":"1","site-sidebar-layout":"default","site-content-layout":"","ast-site-content-layout":"default","site-content-style":"default","site-sidebar-style":"default","ast-global-header-display":"","ast-banner-title-visibility":"","ast-main-header-display":"","ast-hfb-above-header-display":"","ast-hfb-below-header-display":"","ast-hfb-mobile-header-display":"","site-post-title":"","ast-breadcrumbs-content":"","ast-featured-img":"","footer-sml-layout":"","ast-disable-related-posts":"","theme-transparent-header-meta":"","adv-header-id-meta":"","stick-header-meta":"","header-above-stick-meta":"","header-main-stick-meta":"","header-below-stick-meta":"","astra-migrate-meta-layouts":"default","ast-page-background-enabled":"default","ast-page-background-meta":{"desktop":{"background-color":"var(--ast-global-color-4)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"ast-content-background-meta":{"desktop":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"tablet":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""},"mobile":{"background-color":"var(--ast-global-color-5)","background-image":"","background-repeat":"repeat","background-position":"center center","background-size":"auto","background-attachment":"scroll","background-type":"","background-media":"","overlay-type":"","overlay-color":"","overlay-opacity":"","overlay-gradient":""}},"footnotes":""},"categories":[15],"tags":[],"class_list":["post-9110","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-tummy-tuck"],"_links":{"self":[{"href":"https:\/\/surgyteam.com\/de\/wp-json\/wp\/v2\/posts\/9110","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/surgyteam.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/surgyteam.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/surgyteam.com\/de\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/surgyteam.com\/de\/wp-json\/wp\/v2\/comments?post=9110"}],"version-history":[{"count":1,"href":"https:\/\/surgyteam.com\/de\/wp-json\/wp\/v2\/posts\/9110\/revisions"}],"predecessor-version":[{"id":9134,"href":"https:\/\/surgyteam.com\/de\/wp-json\/wp\/v2\/posts\/9110\/revisions\/9134"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/surgyteam.com\/de\/wp-json\/wp\/v2\/media\/9131"}],"wp:attachment":[{"href":"https:\/\/surgyteam.com\/de\/wp-json\/wp\/v2\/media?parent=9110"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/surgyteam.com\/de\/wp-json\/wp\/v2\/categories?post=9110"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/surgyteam.com\/de\/wp-json\/wp\/v2\/tags?post=9110"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}
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