C-Section Scars Reduction and removal

What are C-Section operations?

A c-section, or cesarean section, is a surgical procedure used to deliver a baby through an incision in the mother’s abdomen and uterus. The incision is made through the skin, fat, and muscle layers to access the uterus for the delivery of the baby.

After the c-section, the incision is closed using sutures or staples, and a sterile dressing is applied to the area. The healing process of the incision typically takes several weeks, during which time the scar will gradually fade in color and size. In some cases, women may experience itching, numbness, or sensitivity in the area surrounding the scar.

Some women may develop keloid or hypertrophic scarring, which occurs when the body produces an excess of collagen during the healing process, causing the scar tissue to become raised and thickened. This type of scarring is more common in women with a history of keloid scarring or in those with darker skin tones.

About one-third of moms give birth by C-Section. Scars that result after the removal of the incision from C-Section Surgeries can be very frustrating and requires good care by the mother. The scar that results depends on the abdominal incision used. Horizontal incisions are more common (95%), and more preferred as they result in less bleeding, and the scar that forms after the horizontal incision heals is less sightly than the scar that results from the vertical incision. Vertical incisions are more painful and take longer to heal, and the resulting scar is more visible than the scar from the horizontal incision.

The scar size is between 10 to 15 cm, and in the beginning, it will be red, but the redness decreases. The C-section scar type is usually a hypertrophic scar. 

How to take care of the c-section scar?

• The scar may feel itchy, so be careful about scratching the area as it may infect the scar.
• Keep the scar area dry and clean. Do not vigorously scrub the scar area, just pat it with a clean towel.
• Avoid exposing the scar to the sun to minimize the damage to the scar tissue.
• Expose the scar to air as it promotes faster healing.
• Immediately after the wound heals, use a silicone scar gel on the healed wound to minimize the chances of a scar forming. The sooner you use it and less likely a scar will form.
• Avoid rigorous exercise for a few months after birth. Do not carry heavy items or bend a lot. However, walk a lot as it gets your blood flowing and promotes faster healing.

How long will it take for the scar to heal completely?

The healing time for a C-section scar can vary depending on several factors, including the mother’s overall health, the extent of the incision, and whether there were any complications during the surgery or recovery period. Generally, it can take several weeks to several months for a C-section scar to heal completely.

In the first few weeks after the surgery, the incision site may be swollen, tender, and red, and there may be some drainage or discharge. Over time, the swelling and tenderness should gradually subside, and the scar will begin to fade in color and become less noticeable.

During the healing process, it’s important to keep the incision site clean and dry and avoid strenuous activity or heavy lifting.

Some tips for caring for the incision site:

• Keep the incision site clean and dry: Gently clean the incision site with mild soap and water and pat it dry with a clean towel. Avoid using harsh chemicals, such as hydrogen peroxide or alcohol, as they can irritate the skin.
• Cover the incision site: After cleaning and drying the incision site, cover it with a sterile dressing to protect it from bacteria and prevent clothing from rubbing against it.
• Monitor the incision site: Check the incision site daily for signs of infection, such as redness, swelling, or discharge. 
• Avoid tight clothing: Avoid wearing tight clothing or anything that can rub against the incision site, such as tight waistbands or pants.
• Avoid strenuous activity: Avoid strenuous activity, heavy lifting, or exercise until cleared by your healthcare provider.

Can the c-section scar be exposed to sunlight or should it be kept covered?

It’s recommended to keep a c-section scar covered and protected from sunlight during the initial healing period, which can take several weeks to several months. This is because the sun’s UV rays can cause discoloration and hyperpigmentation of the scar, which can make it more noticeable.

During the initial healing period, it’s best to keep the scar covered with clothing or a bandage when going outside or when exposed to sunlight. If you need to expose the scar to sunlight, it’s important to apply sunscreen with a minimum SPF of 30 to the area, making sure to apply it evenly and reapply frequently.

Once the scar has fully healed and the incision site is closed, it’s generally safe to expose it to sunlight without additional protection. However, it’s still important to use sunscreen on the area to prevent discoloration and hyperpigmentation.