A doctor in a white coat marks guidelines on a woman's bare abdomen with a purple marker, likely preparing for a cosmetic or medical procedure.

Diastasis Recti Repair Surgery

Still being asked about a pregnancy months after giving birth? For many women, the cause is hidden in the abdominal wall. During pregnancy, the rectus abdominis — the “six pack” muscles — frequently separate away from the midline, a condition called rectus diastasis. The result is a persistent bulge that can bring more than cosmetic frustration: weakened, stretched muscles that contribute to discomfort, poor core strength, and in some cases a hernia. Diastasis recti repair restores these muscles to their proper position, rebuilding both the look and the function of the abdomen for patients across Reno and Lake Tahoe.

This surgery is performed by Dr. Erez Dayan, a board-certified plastic and reconstructive surgeon and Medical Director of Avance Plastic Surgery Institute whose training bridges both the functional and aesthetic sides of abdominal wall surgery. A graduate of the Harvard Plastic Surgery Program — where he served as Chief Resident in Plastic and Reconstructive Surgery at Massachusetts General Hospital — and fellowship-trained in aesthetic surgery at the Dallas Plastic Surgery Institute, Dr. Dayan repairs diastasis recti both for medical reasons, when muscle separation causes functional complications, and for cosmetic reasons as part of a tummy tuck or mommy makeover. That combined perspective allows him to restore core strength while delivering a refined, natural abdominal contour.

What Is Rectus Diastasis?

Rectus diastasis occurs when the two bands of the rectus abdominis muscle separate along the midline of the abdomen, most often as a result of pregnancy. Because the stretched and separated muscles can no longer work effectively, they create a sagging or bulging appearance and can lead to pain, weakness, and reduced core stability. In some cases, the gap allows the intestines to push through the abdominal wall, resulting in a hernia. Diastasis recti repair surgery corrects this by bringing the muscles back together and strengthening the abdominal wall.

Diastasis Recti Repair Surgery in Reno/Tahoe

Diastasis recti repair is frequently performed as part of an abdominoplasty, which also removes excess fat and loose skin from the abdomen. Patients considering surgery for overstretched abdominal muscles should wait several months after delivery to allow for complete healing — the muscles can recover to some degree on their own, particularly with exercise and physical therapy. Surgery should be considered only once healing is complete and a meaningful separation remains.

During a private consultation, Dr. Dayan reviews each patient’s options, which may include a full tummy tuck or a mommy makeover, and answers every question so patients can make an informed, confident decision.

“Repairing diastasis is about more than appearance — it’s about restoring the core strength and comfort a patient lost. The best results address both at once.” — Dr. Erez Dayan

Functional and Cosmetic Benefits of Abdominal Muscle Repair

For many patients, diastasis recti repair delivers improvements that are felt as much as they are seen:

Restored Core Strength: muscles returned to their midline position rebuild stability and function
Improved Abdominal Contour: a flatter, firmer midsection without persistent bulging
Relief From Discomfort: reduced strain, weakness, and pain associated with separated muscles
Hernia Correction: repair of bulges where the abdominal wall has weakened
Renewed Confidence: an abdomen that better reflects the effort put into recovery and fitness

What to Expect During Diastasis Recti Recovery

Recovery is guided by a detailed aftercare plan tailored to each patient and the extent of repair performed. Because diastasis recti repair is often combined with a tummy tuck, recovery frequently mirrors that of abdominoplasty, with gradual improvement in swelling over the following weeks. Dr. Dayan and his team provide close follow-up and clear guidance at every stage, helping patients return to activity safely while protecting the repair.

Frequently Asked Questions About Diastasis Recti Repair

How do I know if I have diastasis recti?

Common signs include a persistent abdominal bulge, a visible gap or ridge along the midline when engaging the core, lower-back discomfort, and weakened core strength. A consultation with Dr. Dayan can confirm the diagnosis and the degree of separation.

Can diastasis recti heal without surgery?

In the months after delivery, the muscles can recover to some degree on their own, especially with exercise and physical therapy. Surgery is considered only once healing is complete and a meaningful separation remains that exercise has not resolved.

Is diastasis recti repair a cosmetic or a medical procedure?

It can be either. Dr. Dayan performs the repair for functional reasons when muscle separation causes medical complications, and for cosmetic reasons as part of a tummy tuck or mommy makeover. Whether any portion may be considered medically necessary varies by individual and insurer, and is best reviewed directly with the office.

Is diastasis recti repair combined with a tummy tuck?

Often, yes. Because abdominoplasty already addresses excess skin and fat, repairing the separated muscles at the same time allows Dr. Dayan to restore both the function and the contour of the abdomen in a single procedure.

When can I have surgery after pregnancy?

Patients should wait several months after delivery to allow for complete healing before considering repair. This also gives the muscles time to recover naturally, so surgery addresses only the separation that remains.

How long do the results last?

When supported by a stable weight, healthy lifestyle, and core conditioning, results are durable and long-lasting. Future pregnancies, however, can re-separate the muscles, so many patients plan repair once their family is complete.

Why Choose Avance Plastic Surgery Institute for Diastasis Recti Repair

Harvard Surgical Training: a board-certified plastic and reconstructive surgeon with Chief Resident experience at Massachusetts General Hospital
Functional and Aesthetic Expertise: repair that restores both core strength and a refined abdominal contour
Individualized Treatment Plans: every procedure tailored to the patient’s anatomy, goals, and stage of recovery
Accredited Surgical Facility: procedures performed in an AAAASF-accredited operating suite built for safety and precision
Comprehensive Aftercare: detailed recovery support and a maintenance program to protect long-term results

Schedule Your Diastasis Recti Consultation in Reno/Tahoe

If separated abdominal muscles are affecting your comfort, core strength, or confidence, diastasis recti repair with Dr. Erez Dayan may help. Contact Avance Plastic Surgery Institute in Reno/Tahoe, NV at (775) 800-4444 to schedule your confidential consultation. Virtual consultations are also available for patients traveling from out of town.

Maintenance Program

The maintenance program at Avance Plastic Surgery Institute is designed to offer patients a convenient way to continue seeing the benefits of our treatments for as long as possible.

To maintain the outcomes of body contouring procedures, we recommend non-invasive and minimally invasive treatments with the following devices:

Forma Body (InMode)
Morpheus 8 Body (InMode)
Evolve

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Reviews

5.0 / 5.0

5.0 stars from 587 reviews

Hands down the most qualified, honest and knowledgeable plastic surgeon in Northern Nevada. Dr. Dayan and his staff are truly committed to offering leading edge technology, quality and professionalism to each and every treatment ranging from to simple non invasive injections to complicated procedures. What he and his team have to offer always seems too good to be true, but they always over exceed expectations and are incredibly budget conscientious. The Reno-Tahoe area is incredibly fortunate to welcome such a skilled and qualified aesthetic professional into the area!

Shelby M.

Dr. Dayan is the surgeon clients should interview with and choose for their procedures. I am always very cautious when deciding important life decisions and I can say without a doubt that I would go through my surgeries again with Dr. Dayan. Every appointment has been professional, courteous, informative, and truthful. I never felt rushed. I also appreciate knowing my privacy is maintained. My fear of pain is very respected, and his demeanor eases it quite a bit. I made my decision to trust Dr. Dayan because of his extensive education, vast experience, and my first-hand witness of his character. These factors have allowed me to look forward to all of my appointments.

Aubrey S.

I had three consultations and didn't make any decisions lightly, but Dr. Dayan blew the competition out of the water. From the moment I met him during my consultation, he was honest and open while also personable. He also insisted on putting me in touch with previous patients before I made my decision so that I could have a better understanding of the process and recovery as a whole. I ultimately picked him because I knew he would do a good job but also because I felt at ease with him. The day of surgery, I was very nervous and he was comforting while efficient with his time. He was also completely honest with me during my recovery and called either myself or my husband often to make sure I was doing well, but also to make sure my husband understood the process completely. He also makes himself so available for any little questions or concerns I've had, making me feel secure in knowing he's only a phone call or a text away. Although I am not yet completely healed (only 3 weeks post-op) I already feel so confident in the work that has been done. He has helped me to transform something that had me so insecure for such a long time into a body I feel comfortable in. I cannot wait for the final results! I won't hesitate to return to Dr. Dayan for anything else I need done. Between him and his office staff (Alli) I feel like more of a member of the Avance family rather than a patient!

Jacelyn O.

I highly encourage anyone who is considering plastic/reconstruction surgery to schedule a consultation with Dr. Dayan. I couldn't have asked for a better experience and outcome from my breast augmentation. At my consultations, not only did I get my questions thoroughly answered, but I was treated with such genuine kindness and patience. Dr. Dayan is professional, highly knowledgeable, honest and has a certain way of connecting with others. For these reasons, I trusted him and felt supported throughout my whole breast augmentation experience from pre- to post-surgery care. All around, I felt safe and informed about this big decision/investment which is all I could ever ask for. I recovered so much easier than I expected, and my breasts are looking perfect and natural! Dr. Dayan definitely listened to what I wanted and followed through. Lastly, I want to mention how sweet and supportive his team is over at Avance! I am very appreciative of their service.

Sidney C.

My results after a "noninvasive" procedure are amazing. The cutting-edge techniques and noninvasive technology that Dr. Dayan incorporates into his procedures, as well as being a gifted and talented surgeon and individual, all contribute to his many accomplishments. However, I personally am impressed with his abilities to listen, communicate, and create beautiful results. I highly recommend a consultation with Dr. Dayan before making a final decision on any kind of procedure. Just another satisfied patient!

Mary J.

I had a perfect experience at Avance. Dr. Dayan was quick, professional, and checked in with me regularly to make sure I was comfortable during the short procedure I needed done. His demeanor was calming and I was able to put full trust in his abilities from start to finish. Erez really knows his stuff, and it's amazing he's here in Reno when he could clearly be somewhere much bigger if he wanted. I definitely won't hesitate to book again if needed.

Chris S.

Absolutely an amazing experience! Where to start? When I first thought of getting a mommy makeover my expectations were not that high because I didn’t ever think I could look the way I wanted to. I always just hoped it would be an improvement and I would be happy with that. Then I met Dr. Dayan. From the first consultation he made me realize that he could give me beautiful results that I didn’t know were possible. He was so kind and confident and I knew from that moment that he was going to be my surgeon. I booked my surgery (a breast augmentation with implants and a tummy tuck with lipo) that day and it was the best choice I have ever made. Before my procedure he was very thorough and explained step by step what he was going to do which made me feel so comfortable. I actually wasn’t nervous at all. I was so excited! I am now 1 month post op and my results are above and beyond what I could have ever dreamed my body could look like after a mommy makeover. Dr. Dayan did an exceptional job. I am not completely healed and I already am so pleased. There are no words that can do justice to how amazing it is to put trust in someone with my body and wake up with results that are better than I could have ever imagined. He truly is skilled in his profession and has the eye for what is best for your body to give you the best results. He followed up with me several times post op to see how I was feeling. If I had any concerns or questions he responded to them quickly and personally which made me feel confident that everything was going well! His care is exceptional from beginning to end. He has an amazing staff as well. His Patient coordinator Ali is so sweet and helpful. She is amazing with communication as well as helping you with financial options and scheduling. You won’t be disappointed working with Dr. Dayan and Ali!

Valerie F.

Dr. Dayan and his team are the best of the best! The level of care, professionalism is top of the class. I strongly recommend Dr. Dayan and his entire team. I cannot say enough about his work - he is incredibly talented and I am confident under his care. Of course the results are amazing! I love my LIPS!

Nasya M.