A divarication is a widened seperation between the two rectus abdominus muscles. It is not considered a true hernia and there are rarely any complications associated with it. The only concern patients have with a divarication is that it can be quite unsightly.
The simplest way to repair the divarication would be to make a longitudinal incision over the swelling and then repair the bulge. However, if the divarication is a long one, the resultant incision will itself be cosmetically unsightly. Therefore, my recommendation to patients with a large divarication, and also perhaps with some degree of abdominal flabbiness, is to undergo an abdominoplasty (tummy-tuck) in conjunction with repair of the divarication. This way, we keep the incision below the bikini line and it remains invisible when wearing bathers.
Preoperative front view
4 weeks postoperative front view
Preoperative side view
4 weeks postoperative side view