Caesarean scar

The scar remaining after operative labor can significantly ruin the appearance of a woman’s abdomen, and you want to be beautiful and attractive at any age, regardless of the number of children. Therefore, one of the pressing women's issues is the problem of scar removal, its disguise.

The reasons for which a woman makes a cesarean section can be varied. The circumstances in which the operation takes place are also different, hence the different cuts on the abdominal wall.

In a planned operation, a low horizontal incision is usually made along the pubis line. It is relatively small and is located in an area where the skin tension is minimal. This incision makes it possible to make a cosmetic suture, which will be more laborious for the surgeon and will require a special technique of applying material to the edges of the wound, but it heals faster and then becomes invisible. Today, such cuts account for more than 90% of all labor-producing operations.

In an emergency operation, when circumstances arise that prevent the normal birth of the baby already in the course of labor, a cesarean can be performed with a vertical incision: from the navel down perpendicular to the pubis line. This cut requires less time, allows you to quickly remove the child, which is invaluable in situations where the earliest extraction of the crumbs is a matter of life and death.

This dissection is called corporal. Heals such a seam more difficult, longer, various complications are not excluded. After surgery, it remains quite bright and noticeable, often sloppy, spoils the appearance of the abdomen. If the healing of the horizontal scar in the lower abdomen takes on average about 20 days, then the vertical suture will heal for about 60 days.

The healing mechanism is quite simple. The edges of the wound, tightened with suture material or special straps from the medsplav, are tightened due to the formation of new connective tissue cells. Not only is the integrity of the tissue restored, but also of the blood vessels and nerve endings that were crossed at the time of the surgical delivery.

The milder and more correct the rehabilitation process is, the more even the scar will be. The presence of inflammatory sites, places of immune rejection of the filaments makes the suture uneven, ugly, and sometimes even keloid, if the woman has an individual tendency to excessive growth of connective tissue. Such a tendency may well be inherited.

After surgery for the first month, the scar is usually bright, painful, tight. Gradually he turns pale. As the production of collagen by new cells, which appeared to replace those damaged during surgery, the scar becomes softer, its borders are smoothed, do not act. Such an inconspicuous scar is called normotrophic. He does not deliver expressed concern, does not spoil the look of the stomach.

If there are aggravating factors, both internal and external, the scar can heal with difficulty, with complications, and then one of the types of pathological scars is formed: keloid, hypertrophic or atrophic.

If the external scar healed in a timely manner, this process was not accompanied by inflammation, weeping, formation of adhesions, fistulas, hernias, then in 3-4 months it will have little difference. Scar neat, does not protrude above the surface of the skin, uniform, well stretched.

Normotrophic scars do not need to be removed - they are sufficient for some time to be treated with special ointments, gels or use absorbable patches at home.

A hypertrophic scar, which protrudes above the general level of the skin, initially hurts and even peels off, but over time it can decrease on its own or remain the same size, but it tends to turn pale.

In the fight against hypertrophic scars, both local remedies and cosmetic procedures are usually recommended. Only one ointment with such a scar can not cope - the most effective way to apply a set of measures.

Atrophic seams are quite rare. Such a scar looks hollow, failed, pale. Its level is lower than the general level of the skin. Techniques that contribute to the production of collagen and filling it with “failure” help to get rid of an ugly line on the stomach.

As in the case of hypertrophic scars, cosmetic procedures, local remedies and small medical procedures, for example, injections of hyaluronic acid in the scar area, help.

Keloid scar tends to grow. A scar and six months after the operation remains bright, purple or red, saturated, it gradually grows into the next completely healthy tissue. The surface of the scar strongly protrudes, the edges are uneven, with palpation, the scar is painful and dense. Such a flaw will require medical correction, sometimes even surgical excision, and during the recovery phase after treatment, cosmetic procedures.

The younger the scar, the more effective can be conservative local remedies. Ointments and gels, of course, do not guarantee the effect in most cases, but it's worth a try. Young is the scar, which is not 1 year old.

If the scar exists for more than 12 months, conservative treatment is considered ineffective. Silicone-based products, hormones and enzyme preparations in the form of gels, ointments and patches are suitable for the correction of the young scar.

A woman can use local preparations within one and a half to two months after surgery, if there are no complications. Choose a drug will help the doctor. Pharmacists offer a wide range of such funds. The best silicone reagents are Dermatiks, Regivasil, and Zeraderm.

According to reviews, glucocorticosteroids and bone-steroid hormones show the best results among hormonal drugs - they not only prevent the development of inflammation, but also suppress the production of excess collagen and the growth of connective tissue at the hormonal level. Without a doctor's prescription, you should not take them, especially for lactating women.

Enzyme preparations do not have as many contraindications as hormonal, and therefore are more widely used. These include "Kontaktubex", as well as "Fermenkol" and the usual "Heparin ointment».

There is another subgroup of enzyme preparations: preparations based on oils and vitamins. They do not have a pronounced effect and will most likely be completely useless in the presence of a rough and inaccurate scar, but they may well be used by happy owners of neat cosmetic scars.

If the scar remains ugly after a year, and the woman wants to correct it, then we will talk about a set of measures for the correction of chronic scars. With this task, local funds can no longer cope on their own — complex effects are needed. As a rule, if we are not talking about keloid scar, doctors recommend starting with the use of local remedies simultaneously with cosmetic procedures.

To begin with, hyaluronic acid or other substances can be injected into the deep layers of the connective tissue of the scar using electrophoresis or phonophoresis - their usual external use will no longer be effective. In case of phonophoresis, the substance will be introduced deeper with the help of an ultrasonic wave, and during electrophoresis, with the help of an electric current.

The bad news is that it will take a long time to be treated. Soothes the fact that a woman does not have to attend such procedures in a physical room. Today there is a large selection of compact appliances for home use, which will help to be treated without significant time costs.

If such a set of measures does not have an effect, then you can try to resort to the services of beauty parlors and clinics - they can offer some useful procedures to a woman.

• Chemical peeling seam. This is a procedure in which peeling of the rumen is made with the help of fruit acids and abrasive materials, thereby improving its condition and blood circulation. Sessions need to spend a few, the result is not guaranteed.
• Laser polishing. This is a method that involves the gradual and layered removal of overgrown connective tissue from the scar. Such a procedure is quite painful, costly, and quite a lot of them are required.
• Injection Correction. This is the method by which hyaluronic acid or other substances to dissolve the pathological growth will be administered by injection into the scar.

In the fight against heavy, keloid scars plastic surgery comes to the rescue.

There are various methods of excision of inaccurate pathological scars. Essentially, excision is a new operation. The disadvantage is that no doctor can give guarantees that the keloid scar will not return, because the tendency to proliferation of connective tissue can be genetic, and postoperative complications have not been canceled.

Today, such a correction as a tattoo in the scar area is becoming increasingly popular. A skilled tattoo master will make a woman’s stomach not just normal, but really beautiful, and the scar will be completely invisible. This method is not suitable for those who are going to lose weight much. When you gain weight, the abdominal skin will also stretch, the pattern will become ugly.

It is worth adding that the tattoo is not suitable for women who are planning to give birth. During the carrying of the baby and after the next cesarean section, it is necessary not only to come up with a new way to disguise, but also to remove the old tattoo, and this is painful and unpleasant.

You can find out more about the postoperative caesarean scar from the following video.