38 year old, 3 children, twins. Tummy Tuck for C-Section Scar Area Revision? (Photos)

Thank you for your photos. Hematoma, with or without infection, is a well-known potential complication after any surgery, although it is rare. Now that your hematoma has resolved, and your incision is fully healed, and the scar is matured, you are unhappy with its appearance and have pain in the area. A scar revision could be accomplished where the old scar is removed, and, depending upon your anatomy, varying amounts of abdominal skin tightening could be performed. This would leave you with a new incision line, which should be better than your old incision line. With revision, there is still a very small possibility of a hematoma, although the odds are strongly in your favor of that not happening. Whether the scar revision would help with the physical pain is harder to predict. A detailed consultation with a plastic surgeon should help you understand your best option. Best wishes.

What you went through after your C-section is more common than people realize, and it’s completely valid to feel both physically and emotionally affected years later. Based on your symptoms and concerns, you may be a candidate for a tummy tuck (abdominoplasty) or scar revision surgery to address lingering discomfort, scar tissue, and the disconnected feeling in your lower abdomen.
The complications you had like hematoma, infection, and fluid expulsion are known risks in surgeries involving the lower abdomen, but they aren’t guaranteed to happen again. Your healing experience could have been specific to your C-section, or it may signal a higher sensitivity in that area. A thorough evaluation with a board-certified plastic surgeon, ideally with access to your medical records, would help determine your individual risk and the safest path forward. Many patients with complex surgical histories go on to heal beautifully with the right care plan.