What is caesarean-section scar revision? Ask the Expert

What is caesarean section scar revision?

Date: 13th January 2021

Last reviewed: 9th January 2024

What is caesarean section scar revision?

Obstetricians are clever at creating high-quality Caesarian Section scars, but cannot avoid all potential problems. They try to place the scar transversely low on the abdominal wall below the bikini line. However, the low scar through pubic hair is also wherein a small proportion of patients risk keloid scars. We now have a genetic test to assess this risk before surgery and can treat the scar itself with Cadogan Scar Management.

The bigger problem is swelling above the scar which bulges through tight clothing. The cause is tethering of the healing scar to deeper structures as it heals and is difficult for the Obstetrician to avoid. It is a problem for even the skinniest patient but becomes more significant for plumper patients. We can surgically revise these scars very effectively at the Cadogan Clinic removing the bulge (Cadogan Caesarian Section scar revision), either under local or general anaesthesia as a day case.

Patients with stretched loose skin and more subcutaneous fat will often benefit from a mini-abdominoplasty, which includes the removal of surplus skin and liposuction of the lower abdominal wall.

Patients, who have Caesarian sections performed in a hurry, often undergo the Classical Caesarian Section with a vertical midline abdominal scar. The scar is not only difficult to hide but also of lesser quality. Cadogan Scar management becomes a more likely option.

Patients who have multiple caesarian sections sometimes end up with multiple scars. We can revise these to replace them with a single good quality scar.

Can C section scars be removed?

Cosmetic Surgery

Scar Revision

Scar revision and reduction can surgically or non-surgically improve the appearance of a scar.

C section scars can be removed effectively and reliably through surgical scar revision that is designed to minimise a scar so that it becomes less conspicuous and blends in with the surrounding skin tone and texture. Recovery time will vary from patient to patient however there are certain actions you can take on a daily basis to remove the C section scar and ensure it heals quickly and effectively, such as using an aftercare cream alongside the surgery to ensure adequate recovery. This will be recommended to you by your surgeon.

Does insurance cover C section scar revision?

Yes, insurance can cover C section scar revision in some instances although each insurance company will be different meaning it’s important to discuss both with the insurance provider and the surgery undergoing the treatment. More often than not you will require documented problems that are causing you significant functional issues and an evaluation of your symptoms along with examination is needed. From this point the insurance company will make the ultimate decision as to whether they will authorise your surgical procedure.

At the Cadogan Clinic, we can assist you with advice surrounding your insurance and any questions or concerns you may have. Simply get in touch with us via the contact form on our website to find out more.

Why is my C section scar so thick?

Cosmetic Surgery

Scar Revision

Scar revision and reduction can surgically or non-surgically improve the appearance of a scar.

C section scars can be thick due to the inflammatory response of the body after a pregnancy. The healing process of an individual depends largely on genetics and pigmentation meaning the shape and feel of the scar can be different for everyone. A surgeon will advise you on measures you can take to improve the appearance of your C section scar. At the Cadogan Clinic we offer comprehensive advice to individuals concerned about their scar, for more information get in touch with us via the contact form on our website.

How do I know if my C section has adhesions?

You can often tell if your C section has adhesions as the c section scar will be indented, oftentimes being thick and raised. Furthermore, if the scar is darker than the rest of the skin, your C section scar may have dense adhesions. Adhesions may result in complications, therefore it’s important to adopt various measures to ensure the risk of a c section scar adhesion is minimised.

The adhesion is caused by damage to the peritoneum (a clear membrane that covers the abdominal organs), the body’s immune system begins to heal itself which leads to the formation of sticky scar tissue and inflammation. During the surgery, the scar tissues may not dissolve like usual through a process known as fibrinolysis because of the low levels of blood chemicals that are needed for the process.

Unfortunately, C sections pose a much higher risk of abdominal adhesions, meaning a specialist should be consulted if you feel one forming. At the Cadogan Clinic we take pride in our ability to offer comprehensive advice to patients with regards to scar revision. For any further questions or concerns, get in touch with us via the contact form on our website.

Treatments mentioned in this article

Body Surgery

Scar Revision

Scar revision and reduction can surgically or non-surgically improve the appearance of a scar.

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