After pregnancy, many mothers experience issues such as abdominal muscle laxity, sagging skin, and the development of an abdominal hernia. These physical changes not only affect body appearance but can also lead to discomfort, pain, and reduced self-confidence.
Fortunately, with the advancement of cosmetic surgery, these problems can now be effectively corrected through procedures such as abdominoplasty (tummy tuck) and abdominal hernia repair. In this article, under the expert guidance of Dr. Amir Daryani, a board-certified plastic and reconstructive surgeon, we will discuss the scientific and clinical aspects of these treatments.
Causes of Abdominal Hernia After Pregnancy
An abdominal hernia is one of the most common complications after childbirth. It occurs due to increased intra-abdominal pressure and weakened abdominal muscles. The hernia often appears as a bulge or protrusion in the abdominal area and may be accompanied by pain, swelling, or discomfort.
Factors That Exacerbate Abdominal Hernia
Multiple pregnancies, long or difficult natural deliveries, and significant weight gain during pregnancy can all weaken or tear the abdominal wall. Rapid or excessive stretching of the skin and muscles also contributes to this issue. Additionally, genetic predisposition and age-related muscle weakness can increase the likelihood of developing an abdominal hernia.
Early diagnosis is crucial — timely treatment prevents progression and reduces the risk of serious complications.
Abdominoplasty (Tummy Tuck)
Abdominoplasty, commonly known as a tummy tuck, is a surgical procedure designed to remove excess skin, tighten weakened muscles, and restore a firm, natural abdominal contour. It is especially beneficial for women who, after pregnancy or major weight loss, are dealing with loose skin and separated muscles.
Unlike liposuction, which only removes localized fat, abdominoplasty repairs muscle structure and tightens the skin, offering a more comprehensive aesthetic and functional improvement.
Can Abdominoplasty and Hernia Repair Be Done Together?
Yes — many plastic surgeons, including Dr. Amir Daryani, perform combined abdominoplasty and hernia repair in a single session.
Benefits of Combined Surgery
Reduced anesthesia and recovery time
Lower overall cost and fewer separate procedures
Simultaneous improvement in both appearance and abdominal function
This combined approach provides a more natural, harmonious, and lasting result.

Steps of Abdominoplasty with Hernia Repair
1. Preoperative Consultation
Dr. Daryani carefully reviews the patient’s medical history, physical condition, and aesthetic goals to recommend the most suitable surgical approach.
2. Anesthesia
The surgery is typically performed under general anesthesia to ensure complete comfort and safety.
3. Incision and Access
A low abdominal incision is made, strategically placed to remain discreet under underwear or swimwear.
4. Muscle and Hernia Repair
The abdominal muscles are reconstructed and strengthened, and the hernia is repaired. This crucial step restores the natural support and function of the abdominal wall.
5. Skin Tightening and Contouring
Excess skin is removed, and the remaining skin is gently tightened to create a smooth, toned abdomen.
Postoperative Care and Recovery
Recovery Period: The body needs adequate time to heal and restore strength. Proper rest and adherence to medical advice are essential for minimizing swelling and ensuring natural healing.
Compression Garments: Wearing a medical compression garment helps reduce swelling, support the muscles, and shape the new contour of the abdomen.
Diet and Nutrition: A healthy, protein-rich diet with plenty of vitamins and hydration accelerates tissue repair and recovery.
Daily Activity: Strenuous activity and heavy lifting should be avoided until cleared by the surgeon. Gradual return to work and exercise ensures lasting results and prevents complications.

Benefits and Long-Term Results
Combined abdominoplasty and abdominal hernia repair offer numerous physical and psychological benefits:
Improved Body Contour: Tightened muscles and smooth skin restore a youthful, proportionate figure.
Hernia Correction: Eliminating the hernia reduces internal pressure and discomfort, restoring natural muscle function and movement.
Enhanced Confidence: Patients often experience greater satisfaction with their body image and improved self-esteem.
Lasting Results: With a healthy lifestyle and stable weight, the results remain long-term and sustainable.
Cost of Abdominoplasty and Hernia Repair
The cost of surgery depends on several factors, including:
The size and complexity of the hernia
The extent of abdominal correction required
Type of anesthesia and surgical equipment used
The experience and expertise of the surgeon
For an accurate estimate, a personal consultation with Dr. Daryani is recommended.
About Dr. Amir Daryani
Experience, Precision, and Commitment to Excellence
Dr. Amir Daryani is a leading plastic and reconstructive surgeon in Tehran, known for his expertise in abdominoplasty, body lift, breast surgery, and hernia repair. With years of surgical experience and advanced training, he combines medical science, artistry, and compassion to deliver outstanding and safe results.
Dr. Daryani’s Key Principles
Comprehensive preoperative evaluations and individualized surgical planning
Performing only one surgery per day to ensure full focus and precision
Personally carrying out every stage of surgery, from incision design to final suturing
Use of advanced suturing techniques for minimal scarring
Safe anesthesia by experienced professionals
Procedures performed in modern clinics meeting international safety and hygiene standards
Continuous postoperative follow-up and long-term patient care
Dr. Daryani also participates in international conferences and holds memberships in prestigious organizations, including the Iranian Society of Plastic Surgeons and global plastic surgery associations.
His mission goes beyond aesthetics — it’s about restoring confidence, improving body function, and achieving natural beauty through science and ethics.

