C-section Scar Healing Stages (2024)

C-section Scar Healing Stages (1)

Cesarean section (C-section) delivery is a common procedure used to deliver a baby when a vagin*l delivery is not possible or safe. However, like any surgical procedure, C-section delivery leaves a scar requiring proper care. Below we review the healing stages and share tips for properly caring for your C-section scar and reducing the risk of complications.

Hemostasis

Hemostasis is the first stage of the C-section recovery timeline. It begins immediately after the surgery and lasts about one to two days. During this stage, the body tries to stop bleeding by forming a blood clot at the incision site. The blood clot acts as a barrier to prevent blood from leaking out of the wound and helps to seal the wound. Keeping the wound clean and dry is essential to avoid infection and to promote healing during this period.

Inflammation Stage

Inflammation is second in the C-section scar healing stages. This stage lasts for about three to five days. During this time, the body's immune system responds to the injury by sending white blood cells to the wound site. The white blood cells help to remove any bacteria or debris that may have entered the wound and prevent infection. The wound may become red, swollen, and tender during this stage. The inflammation stage is a natural part of the healing process, but it is essential to keep the wound clean and avoid touching it to prevent further damage.

Proliferation Stage

Proliferation is the third stage of the healing process. This stage begins about five days after the surgery and lasts up to two weeks. During this stage, the body starts to rebuild the tissues that were damaged during the surgery. New blood vessels and skin cells grow, and the wound begins to close. It is crucial to keep the wound moist during this stage to prevent it from drying out and to promote faster healing.

Maturation Stage

The maturation stage is the final stage and begins about two weeks after the surgery and can last up to two years. During this stage, the scar tissue begins to mature and become stronger. The scar may become lighter and less visible over time. It is essential to protect the scar from sun exposure during this stage to prevent it from becoming darker.

C-section Scar Healing Stages (2)

Types of C-section Incisions

There are several types of C-section incisions, each with its own advantages and disadvantages.

Low Transverse Incision C-section

The most common type of C-section incision is the low transverse incision. This incision is made horizontally across the lower part of the uterus, just above the pubic bone. Most OB-GYNs prefer the low transverse incision because it is associated with less blood loss, a lower risk of complications, and a faster recovery time compared to other incision types.

Classical Incision C-section

Another type of C-section incision is the classical incision. This incision is vertical and is made in the midline of the uterus. Classical incisions are rarely used because they are associated with a higher risk of complications, such as heavy bleeding, infection, and uterine rupture in future pregnancies.

Vertical Incision C-section

A vertical incision is sometimes used in special circ*mstances. This incision is made vertically in the midline of the uterus, extending from the navel to the pubic bone. Vertical incisions are often used in cases where there is a risk of excessive bleeding or if the baby is in a difficult position for delivery. Although vertical incisions allow for greater access to the uterus, they are associated with a higher risk of complications, a longer recovery time, and a greater risk of infection.

Women planning a C-section should discuss their options with their OB-GYN and choose the type of incision best for their situation.

How Long Does a C-section Scar Take to Heal?

It takes six to eight weeks for a C-section scar to simply heal. But altogether, from hemostasis to maturation, it takes up to two years for the scar to form and become less visible. It is essential to care for the wound during the healing process and attend follow-up appointments with your doctor to monitor progress. Below are some tips for caring for your healed C-section scar.

Keep the Wound Clean and Dry

To avoid infection, gently wash the wound with soap and water and pat it dry with a clean towel. Avoid rubbing the area, and don't use ointments or creams unless prescribed by your doctor.

Avoid Lifting Heavy Objects

Lifting anything heavier than your baby can strain the incision site and delay healing.

Wear Loose Clothing

Tight clothing can irritate the wound, so opt for loose, breathable fabrics like cotton.

Stay Active

Light exercise can help prevent blood clots and promote healing. Ask your doctor when it's safe to start exercising again.

Before and After C-section Scar Removal

If you aren’t happy with your C-section scar, you are not alone, and there are many scar removal methods to explore.

Laser Therapy

This method uses a laser to break down scar tissue and promote the growth of new, healthy skin. It's a non-invasive procedure that typically requires several sessions. Laser therapy effectively reduces the appearance of scars, but it can be expensive.

Surgical Excision

This method involves cutting out the scar tissue and stitching the skin back together. It's a more invasive procedure that requires anesthesia and can leave a new scar. Surgical excision is best for large or thick scars.

Dermabrasion

This method involves using a small, high-speed instrument to sand away the top layers of skin. It's a minimally invasive procedure that can improve the texture and appearance of scars. Dermabrasion is effective for shallow scars but may require multiple sessions.

Scar removal is a personal decision that should be made in consultation with your doctor. Consider the risks and benefits of each method, and discuss your expectations and concerns with your doctor.

Best C-section Scar Removal Method

If you're looking for a non-invasive, affordable, and effective solution for your C-section scar, Dermaclara is the answer.

Non-Invasive

Dermaclara is a silicone patch that promotes collagen production and reduces the appearance of scars. Unlike surgical methods or laser therapy, there is no need for anesthesia, surgery, or any downtime or recovery period.

Affordable

Compared to the scar removal methods we listed above, Dermaclara is highly affordable. Dermaclara silicone patches can be reused up to 30 times, elongating the solution and saving you money.

Effective

Clinical studies have shown that Dermaclara reduces the appearance of scars by up to 90%! Dermaclara patches naturally boost collagen and elastin production and improve the overall texture and tone of the skin in just one use.

Easy To Use

Dermaclara patches are simple to use. You apply the patch over your scar and leave it on for several hours or wear it overnight to get care while you sleep. It's that simple!

C-section Scar Healing Stages (3)

Follow the steps below to start integrating Dermaclara into your daily routine.

Step 1: Prep Your Skin

Clean your face with Claraprep, our soft and gentle cleanser.

Step 2: Apply Dermaclara Patches

Apply to the décolletagé and set the timer for 15 to 20 minutes.

Step 3: Gently Peel Off Patches

Delicately remove the patches and clean them with Patch Prep. Let them dry before reapplying them to the backing card. Dermaclara patches can be reused up to 30 times.

Dermaclara is the best pregnancy and postnatal-safe skincare. We aim to give you the skin you deserve and care for you. The journey to rediscover your body after giving birth is long, and Dermaclara has the facts, tips, and tools to stand with you the whole way.

C-section Scar Healing Stages (2024)

FAQs

How do I know if my C-section scar is fully healed? ›

About six to eight weeks after baby's birth, your c-section incision should be completely healed, and you'll be able to gradually resume most of your normal activities, including exercising, driving and lifting items heavier than baby.

How long does it take for C-section incision to heal completely? ›

How long does it take to recover after a c-section? It usually takes about 6 weeks to recover from your c-section but this will depend on your individual situation. If you had any problems during or after your c-section, or if you're looking after other children at home, you may feel you need more time to recover.

What a healing C-section scar should look like? ›

In general, your scar should not ooze pus or bleed. As it heals, it might be lumpy, feel tight, or develop a c-section shelf. These are things to look out for and know can be corrected with the proper care and attention.

How long does it take for C-section scar to heal internally? ›

Whether you've birthed vagin*lly or via c-section, the physiological tissue healing takes around six weeks. However, whilst your scar from the outside may look better, the process of healing is still well and truly underway deep down.

How do I know if my C-section scar opened inside? ›

If this has happened, you might be able to see some of the stitches or staples that are no longer in place. Your C-section might look like a fresh wound, with redness or bleeding. If your C-section opening is due to an infection in the area, you'll see signs of infection, such as redness, swelling, or pus.

When can I start bending after C-section? ›

When Can I Start Bending After C -Section? As your body heals and the pain decreases when you move around, you can slowly try bending (between weeks 4 and 6).

What is a realistic recovery after C-section? ›

It takes about six weeks to recover from a C-section, but each person's timeline will be different. An incision — typically a horizontal cut made in your lower abdomen — can take weeks to heal. During that time, it's recommended that you avoid lifting anything heavier than your baby.

Can I wash my C-section incision after 3 weeks? ›

Some people are ready for pre-pregnancy activities like taking a bath within a few weeks after the C-section. But for others, it may take 4 weeks or longer for the surgical site to heal. The decision to take a bath comes down to the incision site. It needs to be well healed before submerging your body in the water.

Is it normal for C-section incision to still be sore after 3 weeks? ›

You'll probably feel some soreness in the incision, and you may have bleeding or discharge for up to 6 weeks after the C-section. That's expected. However, the following symptoms warrant a call to your doctor, because they could signal an infection: redness, swelling, or pus oozing from the incision site.

How do you prevent a cesarean overhang? ›

Manual scar tissue mobilization and cupping can help to minimize the shelf-like appearance. Both techniques essentially lift and move tissues that are stuck which can reduce the indentation and thus minimize “shelf.”

What causes C-section overhang? ›

A C-section pouch is actually caused by scar tissue left behind by your C-section scar. In some cases, the way your body recovers after surgery can cause excess fat to find itself in your lower belly area.

Can you sleep on your side 2 weeks after C-section? ›

After a c-section, you should sleep on your back or side. This shouldn't put too much strain on your c-section wound. You can also try sleeping on your back with your head elevated.

When can you lift 30 lbs after C-section? ›

Lifting Restrictions

As a cesarean section is an abdominal surgery, your doctor will likely advise you to not lift anything over 8-10 lbs, depending on the doctor as well as the details regarding your cesarean and your personal health. Lifting restrictions typically last anywhere from 6-8 weeks.

Is it OK to sleep on the side after C-section? ›

Sleeping on Your Side

Sleeping on your left side aids in optimum blood flow, which is great for your recovering body. You may still need that full-body pregnancy pillow around to support your belly and hips.

What happens if you lift too much after C-section? ›

This pressure and weakened pelvic floor can lead to the drop and protrusion of organs, a serious medical condition.” With a cesarean birth, lifting too heavy too soon can cause your incision (either external or internal) to open, rupture, or cause other serious medical issues.

Why does my C-section scar hurt inside? ›

We find that chronic c-section scar pain has myofascial layers (abdominal muscles, connective tissue, nerves, blood vessels) that often have adhesions and are not able to slide and glide properly. The result is tension and stiffness in the scar tissue and nearby structures.

Why does my C-section scar hurt internally? ›

What Causes C-Section Scar Pain and Complications? Overgrown scar tissue from a c-section can cause numbness, pain, and tightness in the lower abdomen. It can also be difficult to activate your abdominal muscles, leading to subsequent feelings of weakness or back pain.

What is the hardest day of C-section recovery? ›

The first day after a C-section is often the hardest, and moving around may hurt. Take any prescribed pain medication on schedule, and time your trips to the bathroom or around the room to coincide with when the pain medicine kicks in, suggests Dr. Woeber.

How many hours should I rest after C-section? ›

Returning to Physical Activities After a C-Section

It's important to get out of bed and walk around within 24 hours after surgery.

How long can I walk 3 weeks after C-section? ›

3 weeks post-cesarean delivery

After you've been home from the hospital for 3 weeks or so, you might be walking for up to 15 minutes, gradually building up the time if it feels good. Keep up your daily pelvic floor exercises too.

When can I stop cleaning my C-section? ›

While your scar is fresh—usually for the first two weeks—you'll be instructed not to lift anything heavier than your baby so as not to disturb the healing process. During this time, you can shower freely using a mild soap without scrubbing the area.

How should I sit after C-section? ›

Always sit well back on a supportive chair, your feet should be able to touch the floor in order to support your posture. Use pillows to support your back and to rest your baby on your lap to bring them into a comfortable feeding position. You can then use pillows to support your own arms.

Can an incision get infected after 3 weeks? ›

A surgical wound infection can happen at any time from 2 to 3 days after surgery until the wound has healed. This is usually 2 to 3 weeks after the operation. Sometimes, you can get an infection several months after an operation.

Why does my C-section still hurt after 4 weeks? ›

Some women do experience symptoms related to their C-section scar long after the operation. Some women feel pain, restriction, or a pulling sensation on or around their scar months or even years after surgery. This is normally due to the build-up of scar tissue which can stick to muscles or even organs and cause pain.

Why is my incision itchy 3 weeks after C-section? ›

If you experience some itching on or around your caesarean scar, don't worry. This is normal as part of the wound healing process. Itching could be caused by pubic hair growing back if it was shaved before surgery. Do not scratch the wound as this can cause infection.

Does coughing affect C-section stitches? ›

Laughing, Sneezing, and Coughing Can Hurt—A Lot

While it's rare for your stitches to come apart, it is important to give yourself literal, physical support after a C-section. The best thing you can do when you feel like laughing—or coughing or sneezing—is to put a pillow over your stitches and press it onto yourself.

How long will my stomach be swollen after C-section? ›

Swelling after a C-section is completely normal, and gas pains can be excruciating. They should pass within a week, once your bowels are moving normally again (abdominal surgery causes them to "shut down" temporarily, so pooping after a C-section might not come easy).

Do all C sections leave a pooch? ›

Some women are lucky to come away scar-free, without any sign of a C-section pooch. However, other women are left with a red, rigid scar often accompanied by an overhang of loose skin. According to top plastic surgeon Dr.

Does the C-section pooch go away? ›

Sometimes all your C-section pooch needs is time and regular massage of the scar. After 6-12 months, if that C-section shelf is still there, chances are high that it will always be there unless we treat it.

How can I prevent FUPA after C-section? ›

Here are some top tips to reduce belly fat after c section:
  1. Get a Postnatal Massage: Massages help to break up belly fat and release fluids from the lymph nodes which can greatly help in weight loss post c section delivery. ...
  2. Breastfeed. ...
  3. Walk Off the Extra Weight. ...
  4. Bind Your Tummy. ...
  5. Take Up Yoga. ...
  6. Get Adequate Sleep.

How can I tighten my hanging belly after C-section? ›

Here are some things you can do to help firm up loose skin.
  1. Develop a cardio routine. Cardio exercise can help burn fat and tone your muscles. ...
  2. Eat healthy fats and proteins. ...
  3. Try regular strength training. ...
  4. Drink water. ...
  5. Massage with oils. ...
  6. Try skin-firming products. ...
  7. Hit the spa for a skin wrap.

Can I lay on my stomach 5 days after C-section? ›

Recovering from a C-section requires that you give yourself space and time needed to heal properly. This also means that some activities and behaviors may need to be avoided or adjusted until you're at least 6 weeks postpartum, you're fully healed, or your doctor has confirmed it's OK to do so. Avoid: stomach sleeping.

Can I go back to work 2 weeks after C-section? ›

After a C-section, she recommends women take eight weeks off and to avoid heavy activity to prevent complications. “A lot of women still have significant pain at two weeks after,” she said.

Can I tie my belly 2 weeks after C-section? ›

Q: Can I still belly bind if I have a c-section? A: You can still receive belly binding if you have a c-section. We will wait until 4 – 6 weeks postpartum, based on your healing and recovery. The belly bind still has many benefits within the first three months.

How do you know if you are overdoing it postpartum? ›

If your postnatal bleeding (lochia) gets heavier or changes colour (becomes pink or red) after activity, you could be overdoing it. You're also likely to feel very tired. Listen to your body. Pace yourself and make sure you get plenty of rest too.

How long after C-section can you lift 50 lbs? ›

2 "It's recommended to wait the full six weeks after Cesarean delivery to resume any lifting more than 15-20 pounds," says Dr. Koidahl. "This is to let the incision fully heal."

How far can I walk 10 days after C-section? ›

During the first six weeks after having your baby, you can gradually increase activity at a pace that suits you. You could start with a five-minute walk, and gradually extend this time when you feel able. Ask your midwife or health visitor if you're unsure about what's best to do.

When does C-section pain peak? ›

It is major abdominal surgery and it will take you a while to heal. “Pain following a C-section is typically the strongest the first few days and subsides as you continue to heal over the course of a few weeks,” says Blindt.

How do I know if my C-section is healing properly? ›

The biggest outcome predictor is how other scars on your body have healed. While many women will see their c-section scar thin out and gradually fade in color over time, some scars will protrude and remain reddish or purple for longer.

How long do you bleed after C-section? ›

How long do you bleed for after a c-section? You will have some vagin*l bleeding (called lochia) for 2–6 weeks after the birth. Bleeding sometimes lasts longer than this, but it should have stopped by 12 weeks. This bleeding happens after vagin*l and c-section births.

How do you know you are recovering from C-section? ›

At first, your cut (incision) will be raised slightly and pinker than the rest of your skin. It will likely appear somewhat puffy. Any pain should decrease after 2 or 3 days, but your cut will remain tender for up to 3 weeks or more. Most women need pain medicine for the first few days to 2 weeks.

How long should I clean my C-section scar? ›

Use warm, soapy water to wash your incision daily (usually when you shower). Pat the area dry after cleaning. If your doctor used tape strips on your incision, let them fall off on their own. This usually takes about a week.

Can I lay on my stomach 3 weeks after C-section? ›

Recovering from a C-section requires that you give yourself space and time needed to heal properly. This also means that some activities and behaviors may need to be avoided or adjusted until you're at least 6 weeks postpartum, you're fully healed, or your doctor has confirmed it's OK to do so. Avoid: stomach sleeping.

How far can I walk 3 weeks after C-section? ›

3 weeks post-cesarean delivery

After you've been home from the hospital for 3 weeks or so, you might be walking for up to 15 minutes, gradually building up the time if it feels good. Keep up your daily pelvic floor exercises too.

When should I stop cleaning my C-section incision? ›

They're keeping your wound closed and clean. While your scar is fresh—usually for the first two weeks—you'll be instructed not to lift anything heavier than your baby so as not to disturb the healing process. During this time, you can shower freely using a mild soap without scrubbing the area.

When can I stop washing my C-section incision? ›

You may remove your wound dressing and take showers if stitches, staples, or glue were used to close your skin. Do not soak in a bathtub or hot tub, or go swimming, until your provider tells you it is OK. In most cases, this is not until 3 weeks after surgery.

Why do C sections leave a pooch? ›

The C-section pooch occurs when the C-section scar is anchored down to your core abdominal muscles. That makes the stretched out skin of your belly and the fat above it more noticeable. When the layer of fat between the skin and the muscle is disrupted during the surgery, the scar is not able to move freely.

Do C sections cause apron belly? ›

A C section pouch refers to the excess skin and fat that accumulates around the abdomen after a C-section procedure. This is also referred to as a pannus stomach, mummy tummy or apron belly – and can be a huge source of emotional distress for many women.

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