I do not like my C-Section scar. My loose skin hangs over it and I want it gone. Can the old scar be removed with the surgery or will I end up with 2 scars?
Most C-Section Scars are horizontal. Better OB-Gyn surgeons try to hide the scar low in a bikini bathing suit pattern. The scar has 2 components, the surface, and the deeper components that stick the surface to the underlying muscle and fascia. When there is excess tissue, I can almost always include the surface scar in the tissue to be removed. I can also place the new scar in a better position under a modest bathing suit line if the older C-section scar was too high. I can usually also remove most if not all of a vertically placed Cesarian section scar, all if there is enough loose skin. Here is one of the many examples of a C-Section scar being included in my Tummy Tuck sculpture. In this next example
UK Tummy Tuck, I was able to move a high Cesarian scar to a lower location.
Analysis of the deeper components of the scars seems to be rarely done on Plastic Surgeon's sites, nor in the literature.
Video Tummy Tuck Healing Tissues and How They Move is one of the examples of documenting the problem of scar and tissues before surgery and the results of the abdominoplasty. In addition they show the healing and evolution of this healing demonstrating the fine surface deeper tissue scar evolution over time. This is a belly dancer giving a unusual look at fine tissue movement issues.
Hope this helps,
Michael Bermant, MD
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