One of the most common surgeries undergone by women is a cesarean section, also known as a C-section. The majority of C-section scars heal well because there is a lot of excess skin after pregnancy with minimal tension on the skin closure. This usually leads to a thin scar that is hidden low, just above the pubic area and below the underwear line. However, sometimes C-sections scars do not heal nicely and can become large, widened, thick, raised, painful, or even indented. This can occur when there is an infection due to contamination from the amniotic fluid and possible meconium in the amniotic fluid. In addition, some people are just prone to thicker hypertrophic scars. Occasionally, the scar position can be too high and can be visible above the underwear.
C-section scar revision is a procedure that removes the old scar and uses precision suture techniques to give extra strength the repair, preventing the scar from widening or thickening again.
C-section scar revision is combined with postoperative scar cream and scar massage, this gives a thinner and less visible scar. We have patients massage the scar with SkinMedica Scar Recovery Gel, which has two of the only proven ingredients to help with scarring: silicone and centella asiatica.
If the c-section scar is too high, it can also be lowered in order to be hidden underneath the underwear. C-section scar revision can be combined with a mini tummy tuck or a full abdominoplasty if there is excess skin or stretch marks on the lower abdomen that need to be removed as well. The old scar is included with the skin that is removed during a tummy tuck, giving just one scar from the tummy tuck.
If only the C-section scar needs revision and there is no need for a tummy tuck, the procedure can be performed in the office procedure room under local anesthesia. This saves the patient from undergoing general anesthesia and avoids the additional costs of the operating room and anesthesia. Dissolvable stitches are used for the C-section scar revision, so that no sutures need to be removed afterwards.
If you have an uneven or thick C-section scar that you would like treated, come visit our plastic surgery office in Fairfield County, Connecticut. Call 203-374-0310 to set up an appointment with Board Certified plastic surgeon Dr. Shareef Jandali. We look forward to seeing you!