I do have the “c section pouch” above my scar and I’m wondering what kind of procedure I would need to remove it (photo)

Options for this problem depend on overall abdominal skin laxity and patient preference.
Removal/revision of the scar with downward traction on the skin below the belly button will smooth out the lower abdomen, but the scar will need to be longer than the existing C-section scar. If there is a small amount of overlap without a lot of excess skin, the scar can be minimally longer than the C-section scar.
If the problem is primarily excess skin in the lower abdomen, and the skin laxity above the belly button is acceptable to the patient, the procedure can be confined to the lower abdomen, with the scar of varying length depending on the amount of skin redundancy.
If there  is upper abdominal skin laxity and the patient wants this to be smoother as well, the procedure must free the skin above the belly button, which is a full abdominoplasty.
Scar revision with removal of a moderate amount of skin is an office operating room procedure. An abdominoplasty is done in the operating room with general anesthesia.

Thank you for your question! Based on your photos, I recommend a tummy  tuck. This procedure will  completely remove the scar from the c-section, in addition to the excess skin and fat to your abdomen. I recommend consulting with a board certified plastic surgeon, who can create a personalized plan for you. Best of luck!

Hi, thanks for your photos and your question.  This type of fullness above the scar is common after some c-section incisions  so you are definitely not alone.  This is one reason why various “mommy makeover“ procedures exist. There are actually multiple options  from as simple as an in-office scar revision to as comprehensive as a full tummy tuck (abdominoplasty). There are also hybrid  procedures (at least 2) that are still surgical but less involved. It would be best for you to have an in-person assessment to determine what is right for you, based on your anatomy and your goals for outcome and recovery.