I have a small pocket that is soft and is not adhered to a C-section scar. Can this area have lipo? (Photos)

Question

11 months post my 2nd c section. I have a small pocket that is soft and is not adhered to scar. I can pull the scar no problem and it lifts up and moves around. But the right side only has this pocket above the scar. I’m in shape and don’t need a tummy tuck per a plastic surgeon but not sure my options and want opinions if anyone has done anything for this. Also don’t want a longer scar.

Ellen Ozolins, MD · Answer

Thanks for sharing your concerns. Your "small pocket" might be caused by localized fat accumulation, minor asymmetry from the original closure of the C-section scar, or residual swelling or laxity in that area. The fact that the scar is mobile and not adhered is a positive sign, as it indicates there is no deep scar tissue restricting movement. This means your options are more cosmetic than reconstructive. You could consider mini liposuction to target that specific area of fat. If you also have mild skin redundancy, treatments like radiofrequency (such as Morpheus8) or microneedling with RF may improve skin texture and tightness. A consultation with a board-certified surgeon can help you determine the best approach after an examination.

Joel Patrick Maier, MD · Answer

Yes, liposuction can help flatten that area. However, if there is extra skin, you may need a small skin tuck to help make as flat and tight as possible. Thank you.

David Hansen, MD · Answer

You can smooth out most irregularities with micro lipo under local easily and quickly.  The micro canulas go in without leaving any big scars at all and can break up fibrous tissue from scars and can lipo out fat quickly.  Morpheus can help also as well.

Camille Cash, MD · Answer

You may have improvement with a little liposuction to that area.  If the pocket is made of scar tissue versus fat you could consider a scar revision to flatten it.  See a board certified plastic surgeon near you for an assessment.

Mats Hagstrom, MD (license on probation) · Answer

It’s unlikely you have an uneven fat distribution.
My best guess is the contour is based on how your skin drapes.
To assess the thickness of subcutaneous fat, pull the skin tight, then gently press against your skin with the fingertip until you feel the underlying muscle.
 It’s a very gentle touch.
This is in my opinion, the best way to assess the thickness of subcutaneous fat.
If the problem isn’t a difference in thickness of subcutaneous fat, then liposuction isn’t the correct treatment. If the fat thickness is truly different on one side, then Liposuction would be the treatment of choice.
It’s very unusual for people to have asymmetric of fat distributions.
This is more likely to be related to how the skin drapes in my opinion, but I don’t have the luxury of an examination.
Consult with plastic surgeons in your community.
Best,
Mats Hagstrom MD

I have a small pocket that is soft and is not adhered to a C-section scar. Can this area have lipo? (Photos)

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