Csection Scar and How to get Rid of the Skin Above It? (photo)

Question

Hello I have had three csections and my last was 8 years ago. I am an extremely fit woman with great abds but I have this skin over the scar can I have it removed or fixed. The scar itself is fine but the skin above it bothers me. Thanks 

	update:

	I am quite surprised I may need a mini tummy tuck. My stomach is very flat and I have a six pack so the tuck part is scarey to me. i would love to hear other alternatives to this. I thought i may just have to open the skin and have it pulled again without going into muscle.

Mathew C. Mosher, MD · Answer

Your concerns are very common and the solutions is usually a mini tummy tuck to tighten the lower abdomen. Non-surgical solutions are much less effective when the skin has lost a lot of it's natural tone. In some situations these modalities may be recommended in our practice but only after an examination to see what is the best approach for you.

	If surgery is recommended you will need about 2 weeks aways from your obviously very active and fit lifestyle.

	Dr. Mosher

Emmanuel Mallol Cotes, MD · Answer

Thank you for your question. To provide a valid medical opinion I will need to see pictures of you body from different angles. I would suggest to be treated by board certified plastic surgeon with experience in this procedure, to get the best desired results.
Respectfully,Dr. Emmanuel Mallol Cotes.-

Robert M. Lowen, MD · Answer

If you have a flat stomach, as you say, and the picture confirms, then no muscle/fascia repair is needed. The length of the scar will depend entirely on how much extra skin is present above the C-section scar.
Women with a relatively small flap of loose skin above the C-section scar have this removed under local anesthesia in the office operating room.
You can call this a mini-abdominoplasty, since it is a minimal operation on the lower abdomen, but in the case here, would not involve muscle tightening.

Richard J. Bruneteau, MD · Answer

Your picture suggests the
presence of a small amount of excess skin that overhangs your C-section
scar.Unfortunately, the only way to
correct this problem is to remove the excess skin, and this usually always
requires a mini-abdominoplasty.This
procedure removes excess skin and tightens the lower abdomen.It can be combined with tightening of the
underlying muscles and liposuction to the upper abdomen if this proves to be
necessary. If
you’re considering this type of procedure, it’s important to consult a
board-certified plastic surgeon who can perform a physical examination.This surgeon should be able to formulate a
treatment plan that addresses your anatomic concerns and achieves your
aesthetic goals.

Joel Patrick Maier, MD · Answer

You are one or the rare cases where a mini-tummy tuck is indicated. The will help tighten the slack skin hanging over the scar and smooth out the contour. Recovery is not nearly as involved as a full tummy tuck. Thanks for sharing.

Edwin C. Pound, III, MD · Answer

As a scar heals, it tends to contract downward. This can lead to a depressed scar which can, by extension, make the surrounding tissue look fuller. It is difficult to tell from your picture if this is the case. With most c-section scars, the options would be to revise the scar itself, possibly with a small mini-tummy tuck to pull down any excess skin +/- a little bit of liposuction in the area. A doctor examining you in person will be in a better position to advise you on which would work best for you.

Ronald Schuster, MD · Answer

Your situation is very common. You just need a mini tummy tuck. The lower tummy skin just needs to be lifted, pulled down slightly and the extra removed. I would include a little lipo as well. You probably don't need your muscles tightened but it's hard toe tell from a photo. Good luck.

Steven Wallach, MD · Answer

Sometimes the tissue above the c-section scar does not redrape well or is tethered in some way. A scar revison and a small amount of skin excision may help.

Aaron Stone, MD · Answer

You can call it a mini tummy tuck or a scar revision but the goals are the same-remove the old scar and some of the extra skin just above the scar and realign the different layers of the skin in the scar. That can be done without doing anything to the underlying muscle.
	
	My response to your question/post does not represent formal medical advice or constitute a doctor patient relationship. You need to consult with i.e. personally see a board certified plastic surgeon in order to receive a formal evaluation and develop a doctor patient relationship.

Vincent P. Marin, MD, FACS · Answer

From your photographs it appears that you have a problem that should be easily solved. The multiple c sections have resulted in scarring in the same location and a depressed abdominal scar. This can be remedied by removing the scar and excess skin and creating an even and flat lower abdomen. All of this should be confirmed in a formal consultation with a board-certified plastic surgeon in your area.

Best of luck.

Best of luck.

Csection Scar and How to get Rid of the Skin Above It? (photo)

Answers (15)

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