Post-cesarean scar hyperplasia

Scars are disastrous for women, but there are always some scars that we cannot avoid, such as the marks left on the mother's belly after a caesarean section. The incision left by a caesarean section is not small, and the incision may not heal completely after the mother's body recovers. Moreover, some women have a scar-prone constitution, and once scars appear, it is difficult to remove them even with medication. How to treat scar hyperplasia after cesarean section?

Caesarean section scars are marks left on the wound after surgery. They are generally white or grayish white, smooth and hard. About two to three weeks after the surgical incision has healed, the scar begins to grow, and the area becomes red, purple, hardened, and protrudes from the skin surface. There are new nerve endings in the scar, but they are disorganized.

Scar Repair

Scar treatments include: surgical treatment, drug treatment, compression therapy, laser therapy, radiation, freezing, and silicone patch treatment. The following focuses on several of the more common treatment methods;

Scar removal surgery

Principle: Use surgery to reduce the width of scars or change the direction of scars toward skin texture.

Surgery can remove hypertrophic scars and keloids on the belly, as well as scars near joints that impede movement. It is often combined with steroid injections and follow-up with a silicone patch. When used alone, it may cause abnormal scar regeneration.

Steroid injection

Principle: By controlling the abnormal proliferation of capillary endothelial cells in hemangiomas and forming the process of immature new blood vessels, the treatment of proliferative hemangiomas can be achieved. Corticosteroid injections are the first-line treatment for hypertrophic scars and keloids. Intralesional injections every 4-6 weeks are continued for several months or until the scars flatten. Pain during injection often affects patient compliance and may require local anesthesia.

Compression therapy

Principle: It mainly uses pressure to narrow the blood vessel lumen in the scar, reduce blood flow, cause the scar tissue to lack nutrition, and significantly inhibit the proliferation of scar tissue, thus achieving the purpose of scar treatment. This is the standard treatment for hypertrophic burn scars, and although the mechanism of action is unclear and rigorous experimental evidence is lacking, compression garments are often used in hospitals. This special bandage-like garment needs to be used continuously for up to 12 months.

Radiation therapy

Principle: Radiation can penetrate human tissue. When it irradiates scar tissue, its radiation energy is transferred to the tissue, causing physical and chemical damage to the scar, thereby inhibiting and destroying the growth of the scar and achieving the purpose of scar treatment. Because of the possibility of side effects, radiation therapy is usually used only to treat keloids in adults who have not responded to other treatment options.