Mr Omar Tillo
Consultant Plastic Surgeon
When considering whether you should have surgery, it is often difficult to know if you are deciding on the right procedure. If you have muscle laxity or are of a larger weight, then you may be more suited for a mini-abdominoplasty. You will be able to attend a consultation with a surgeon prior to the procedure, where the correct procedure for you will be clarified.
An ideal candidate is a slim patient with a scar localised on the lower abdominal contour. There are situations when women have a difficult labour and the doctor decides to perform an emergency Caesarian. In this situation, the scar is the reminder of an unpleasant event and they want to have it removed. The specialists from Centre for Surgery use special suture techniques to improve the deeper tissues and the look of the scar. Depending on the particular case of the patient, if a woman experiences muscle laxity or significant fat, then it may be recommended to have a mini-abdominoplasty.
It is important to know whether you are planning on having more children, as this will stretch the lower abdomen skin and you will lose the results of this procedure.
You may be a candidate for c-section scar revision if you:
Best results are achieved on people who are a healthy weight for their height. Therefore, if you are considered overweight, your surgeon may recommend that you lose weight before the surgery. The surgeon will be able to recommend appropriate diets to follow before the procedure.
If you are a smoker, you may be advised to quit, as this will help with the healing process.
The surgery is performed under local anaesthetic, however, this can be performed under general anaesthetic if you prefer.
The procedure will last around 45 to 60 minutes.
The procedure involves cutting out the c-section scar, which then leaves less tension in the lower abdomen area. The surgery may also involve ClearLipo™. This involves using small cannulas to remove any fat around the scar. The combination of these two methods will ensure you have a reduced scar and an aesthetically pleasing lower abdomen.
Immediately after the surgery, you should not feel any pain due to a long-lasting local anaesthetic injection. However, once this wears off, you may feel some pain and discomfort. Your doctor will be able to recommend pain management medication for you to take during this period.
After surgery you will notice that the new scar looks red, however, this will fade with time and will not be as prominent as your original c-section scar.
After the c-section scar revision surgery, you should try and avoid any strenuous activity for 10 days. After this time, you will be able to resume your usual day-to-day routine.
You may notice that the new scar will become red and raised. However, with time the scar will appear pale, fine and flat. Your surgeon will be able to give you advice on how to improve the look of the new scar.
If you are a slim patient, and the only issue that is bothering you is the scar, then it is recommended to have a scar revision. If you have skin excess or muscle laxity, then you may need a mini-abdominoplasty. The C-Section scar revision does not remove the excess skin, and if this is the problem in your case, then you may need liposuction.
It is advisable to wait at least six months from the c-section before having a scar reduction. In some cases, it is recommended to wait one year because it is important for your weight to be stable. In addition, if you plan to have more children in the future, you should wait until then to have this procedure.
If you are overweight, or if the doctor considers that your weight is not optimal for your height, you should consider following a diet and exercise regime to achieve great results. The best results are with slim patients, and if you have difficulties in losing lower abdominal fat, then you should consider having a mini-abdominoplasty.
Generally, a local anaesthetic will be used. This means you will be awake for the procedure but will not be able to feel any pain where the procedure is taking place.
If you do not want to be awake for the procedure, discuss this with your surgeon.
The C-Section scar revision will not last more than one hour, and the doctor will perform it under local anaesthesia, so you will be able to leave the clinic after having the procedure. It is advisable to avoid practising exercises and to support the scar with tape for the following weeks, for getting the best results. This operation has no risks, so there are no reasons to stay overnight.
You may notice that the scar will become red and raised. Do not worry, this is perfectly normal. With time the scar will fade in size and colour.
If you are concerned, your surgeon will be able to give you tips which you can follow to minimise the appearance of the scar.
You should avoid all strenuous physical exercise for 10 days.