#C section scar revision skin
#C section scar revision full

Your doctor uses a skin stapler to close the incision with metal staples - a popular choice because it’s the easiest and quickest option. The incision on the uterus is always closed with dissolvable stitches, but the one on your skin may be closed in one of three ways:

Classical incision How are C-section incisions closed?.

The incision on your uterus will be one of the following: For example, it may be done in a preterm delivery, when the baby is nestled low in your uterus or in another unusual position, or in an emergency labor situation. Vertical incisions may be slightly more painful and take a little longer to heal. It used to be common, but now is typically only reserved for certain situations. Also known as a “classical” C-section, this incision is down the middle of the uterus. It’s also less likely to split if you try to have a vaginal birth after a C-section (VBAC) when delivering a future baby. That’s because it’s done across the lowest part of the uterus, which is thinner - meaning less bleeding. A low-transverse incision (or a “bikini cut”) is used in 95 percent of C-sections today.

The type of incision on your abdomen may not be the same as the one on your uterus and instead will be either: Trusted Source National Institutes of Health, National Library of Medicine, National Center for Biotechnology Information Cesarean Section See All Sources Your practitioner won’t need to cut your abdominal muscles - they can simply separate them to access the uterus, according to the National Institutes of Health (NIH). The second is into the uterus, in order to reach in and deliver your baby. The first is through the skin of your lower abdomen, about an inch or two above your pubic hair line. Please contact us at 31 or to further information or an appointment for a consultation at our Chicago or Winnetka office.During a C-section, your doctor makes two incisions. We would be happy to analyze your particular situation and explain the options that will be best for you. This involves tightening of the deep muscles and fascia that play a key role in supporting the abdominal wall.

#C section scar revision full

These patients will usually get the best results with a full abdominoplasty by one of several versions of the high lateral tension technique. This will remove the scar and excess skin above it move the umbilicus to a better position and sculpt the excess fat that may be present in the central abdomen.įor some patients there is a significant loss of deep structural support in addition to the loose skin, excess fat, and tethered scar that we have already discussed. If the deep tone is good and there is a significant amount of loose skin both below and above the umbilicus and a tethered C-section scar, then a superficial abdominoplasty, usually combined with liposuction, will be helpful. If there is reasonably good tone of the deep muscles and fascia, a combination of lower abdominal liposuction with removal of the scar and some of the skin above it will restore a nice balance to the abdomen. Perhaps the most common pattern is a tethered scar, loose skin of the lower abdomen, and a concentration of fat in the lower abdomen. A needle is passed through the skin, and the sharp tip of the needle is used to break the bands of scar tissue that tether the surface scar to the deeper tissue. Sometimes if the scar at the skin surface itself is fine and the only problem is the band of deeper scar tissue, this can be released by means of a trick known as a Rigotomy, after the surgeon who developed the technique. Usually the best treatment involves surgical removal of the scar and release of the tethering beneath it, so that the skin will glide in a normal manner. This means that when a woman stands, the skin below the scar is anchored to a high position, so that the tissues above the scar tend to bulge over it.įor some women the only problem is the tethering of the scar. In almost all cases one of the key factors is a tethering of the C-section scar to deeper tissue underneath. The relative contribution of each of these factors will determine the best treatment. There are three factors which contribute to the bulge: a tight band of scar tissue underneath the original C-section scar, excess fat in the lower abdomen, and loose skin. Even in a trim and otherwise athletic woman, this bulge may be quite noticeable, especially on side view.Īs with all other aspects of plastic surgery, proper treatment comes from making a proper diagnosis. These bulges are notoriously resistant to diet and exercise and can impose limitations in the choice of clothes and swimsuits. One of the most common problems that patients come to see me about is a bulge or fullness just above a C-section scar. Breast Surgery: 10 Things to Know About Breast EnhancementĬorrecting the Bulge above a C-section Scar with Tummy Tuck, Liposuction, and other Options.