Board-Certified Plastic Surgeon · SBCP (Brazilian Society of Plastic Surgery) · ISAPS Member · CBC (Brazilian College of Surgeons) · CRM-SP 112499 · 20+ years in plastic surgery

What is MIRELA®

MIRELA® (Minimally Invasive Robotic Endoscopic Lipoabdominoplasty) is a proprietary surgical technique developed by Dr. Alexandre Sanfurgo. Through three small incisions hidden in the lower abdomen, robotic instrumentation is used to repair the separated abdominal muscles (diastasis recti), remove localized fat from the flanks to redefine the waistline, apply skin-retraction technology to improve skin quality, and — when present — repair an associated umbilical hernia in the same operation. All of this without the long horizontal scar of a traditional abdominoplasty.

Treating these together, rather than as separate procedures, is what produces a meaningfully better aesthetic result: diastasis correction alone flattens the bulge, but it’s the combination with flank liposuction that actually rebuilds a defined waistline.

Dr. Sanfurgo is recognized as a global pioneer of the aesthetic, body-contouring approach to robotic diastasis repair — combining muscle correction, localized fat removal, flank contouring, skin quality, and hernia repair into a single procedure designed around cosmetic outcome, not just structural repair.

Do You Recognize Yourself Here?

Most women who come to Dr. Sanfurgo don’t say “I have diastasis recti.” They say:

“I put the dress on, but it shows a bulge — people ask if I’m pregnant”

“I’ve lost my waist. There’s no definition anymore, just a bulge where my waistline used to be”

“My belly button is ugly now — it sticks out and has no shape”

“My lower back curves more than it used to, and my posture feels off”

“I’m embarrassed to wear a bikini because of my post-pregnancy belly”

“I just want my pre-pregnancy body back”

“People have actually asked me if I was pregnant”

These are aesthetic complaints — not hernia symptoms. And they’re connected: the abdominal bulge caused by diastasis is exactly what erases waist definition, because the muscle separation lets the abdominal wall push forward where a defined waistline should be. That distinction is exactly why MIRELA® exists.

Is MIRELA® Right for You?

• Diastasis recti after pregnancy (postpartum abdominal separation)
• Mild to moderate localized abdominal fat
• Mild to moderate skin laxity
• At least 3 months after finishing breastfeeding

Not a candidate for extensive skin excess? That’s okay — traditional abdominoplasty may still be the right option, and Dr. Sanfurgo will advise you honestly during your consultation.

Why a Plastic Surgeon (Not Just a General Surgeon)

Diastasis recti repair sits at the intersection of two specialties: general surgery (which addresses the abdominal wall itself) and plastic surgery (which addresses body contour, skin, and aesthetic outcome). Dr. Sanfurgo is board-certified in both — a rare combination. Most surgeons offering robotic diastasis repair internationally come from a general/digestive surgery background and treat diastasis primarily as a structural repair, similar to hernia surgery.

Since the vast majority of patients seeking diastasis correction are motivated by aesthetic goals — not hernia-related symptoms — Dr. Sanfurgo’s dual training means the procedure is planned from the outset around body contour, not just muscle repair. MIRELA® combines diastasis correction with flank fat removal, skin-retraction technology, and — when needed — umbilical hernia repair in a single operation for exactly this reason.

Traveling for Surgery?

Dr. Sanfurgo already treats international patients traveling from the United States, Germany, Italy, China, and beyond. His team coordinates virtual consultations, pre-operative exam review, and your full in-country logistics in São Paulo.

This website is for informational purposes only and does not constitute medical advice. Results vary by patient. All surgical procedures carry risks; a full risk discussion takes place during in-person or virtual consultation.