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I am 55 years old and have a rather large umbilical hernia that I’ve had since I was an infant. Until now, no one has said that I should have it repaired; however, just recently my medical doctor sent me to a general surgeon to evaluate the repair of it. Since the effects of pregnancy and age have also caused my abdomen to fall, could a plastic surgeon repair the hernia and do a tummy tuck at the same time? My thoughts are that unless the abdominal muscles are tight, the hernia will only return later. Please give me your opinion.