Greatest Recommendations For Healing Your Incision Scars After C-Section
Approximately one-third of live births in the United States are delivered by cesarean section (C-section). After undergoing a C-section, there is a high probability that subsequent deliveries will also be conducted through a C-section, resulting in visible scars.
This article will delve into the various types of incisions used for C-sections, immediate post-C-section care, and potential remedies for unsightly or problematic scars, as outlined by Dr. Joel Aronowitz.
Various Types Of Incisions Utilized For C-Sections
OB-GYNs may perform the incision for a C-section in three different locations. These include a midway incision on the pubic mound, a site at the upper pubic hairline, and a vertical incision rather than a horizontal one.
The most prevalent location for a C-section incision is just above the pubic hairline. Ideally, the OB-GYN will reopen the scar from the initial C-section to conduct subsequent C-section deliveries.
It’s not uncommon for a horizontal C-section scar to result in an “overhang,” known as a “panis.” This occurs because the bottom of a horizontal C-section incision heals down to the muscle, whereas the top only heals through the skin.
Measures Women Can Take to Avoid a C-Section Scar
Dr. Joel Aronowitz advises women who anticipate a C-section to discuss with their OB-GYN who will handle the closure post-procedure. It’s vital for expectant mothers to inquire about the individual responsible for the closure, whether it will be the doctor or a member of their team. Expressing concerns about the scar’s appearance to the delivering physician is crucial.
The incision for a C-section can be closed using staples instead of sutures. Dr. Aronowitz recommends sutures, although staples are acceptable if removed within seven to ten days. Following the removal of staples or sutures, applying silicone cream twice daily for three to six months can help minimize redness.
Dr. Aronowitz emphasizes the significance of keeping the C-section incision moisturized during the healing process. Products without fragrances such as CeraVe and Cetaphil are often effective, but it’s important to conduct an allergy test by applying a small amount of the product on the skin before using a larger quantity over the scar.
A C-section scar can be present without the actual C-section. This uncommon condition is caused by hyperkeratosis, an overgrowth of the skin, and can be prevented by using prescription steroid skin creams.
Consult a Plastic Surgeon Regarding Troublesome Scars
If a scar becomes thick or raised, Dr. Aronowitz advises patients to seek an early consultation to discuss strategies for reducing the scar.