Post-cesarean scar hyperplasia

The hyperplasia of cesarean section scars may be due to the patient's non-scar-prone physique, which leads to the formation of scars. Or if the wrong method is used to treat the wound, it will easily cause scars. The scars will gradually disappear within one to two years after a cesarean section. If you want to remove scars, you can use professional treatment. If the scars are shallow, you can apply therapeutic drugs.

What causes hyperplasia of scars on cesarean section incisions?

1. Age: Young people are most likely to develop hypertrophic scars, mainly because of the vigorous growth and development of adolescent tissues, strong reactivity after trauma, and the strong skin support. Given their age, pregnant women who undergo cesarean sections are more likely to develop scars.

2. Skin support: includes the support caused by the degree of skin tissue damage and the support of the skin tissue itself. Hypertrophic scars are more likely to form in areas with high support and high activity, such as the chin, front of the scapula, deltoid muscle, upper back, elbows, hips, knees, knee joints, and dorsum of the feet. The transverse abdominal incision selected for cesarean section has much less support than the longitudinal incision, so the scar is also smaller.

3. Skin melanin: People of color have more melanocytes and are more prone to keloids. The incidence of keloids in blacks is 9 times that of whites. It is more likely to occur during periods of active pituitary gland physiology, such as puberty and pregnancy.

How long does it take to remove scars after cesarean section?

After a cesarean section, the wound scabs over two weeks later. The area begins to turn red, purple, and hard, which lasts for about three months to half a year. Fibrosis gradually stops, the scar gradually becomes flatter and looser, and the color turns dark brown. At this time, the scar will itch. Pregnant women must not scratch, which will aggravate the scars. If the itching is unbearable, pregnant women can apply some topical medicine. Also do not use boiling water to clean, as that will aggravate the scar irritation of the skin, make the connective tissue produce inflammation, and the wound will not heal.

During cesarean section, when choosing the abdominal incision, try to choose a transverse incision. The transverse incision has much less support than the longitudinal incision, so the scar is also smaller. Before removing the stitches after surgery, pregnant women should avoid strenuous activities to avoid excessive stretching of the abdominal skin, which may cause poor healing or rupture. After the stitches are removed, it is recommended to use an elastic bandage to pressurize the abdomen to prevent the formation of scars.