Understanding Caesarean Section Scars: What You Can Do About Them

Caesarean sections (C-sections) are one of the most common surgical procedures performed worldwide, with many women undergoing them as part of their childbirth journey. While the focus during pregnancy and birth is naturally on the health of mother and baby, it’s often only much later - sometimes months or even years down the line - that women start to think about the scar left behind.

One of the most frequent concerns patients express is: “I didn’t even know you could do anything about C-section scars!” The good news is, you absolutely can - and for many, doing so can make a significant difference to both appearance and confidence.

In this article, we’ll explain why C-section scars can look the way they do, what options exist to improve them, and how modern scar revision techniques can help restore your confidence.

What Is a C-Section Scar?

A caesarean section typically leaves a horizontal scar just above the pubic area. Most women heal well, but it’s not uncommon for the scar to heal in a way that’s less than ideal. Some scars become:

• Indented or sunken, creating a noticeable groove in the lower abdomen

• Raised or thickened (a hypertrophic scar or keloid)

• Discoloured, particularly in contrast with surrounding skin

• Associated with a “shelf” or bulge of tissue above the scar

This can happen even with the best surgical technique, and it’s often due to how the scar tissue forms beneath the skin and how the surrounding fat and skin heal in the months following birth.

Why Do Some C-Section Scars Leave a “Bulge” or Indentation?

One of the most common complaints is that the scar creates a pouch-like appearance in the lower tummy - something many describe as a “fat shelf” or bulge they never had before.

This typically happens because the scar adheres tightly to the underlying muscle, pulling the skin inward. Meanwhile, the fat and skin above it sit naturally, creating a visible step or indent. It’s not your imagination - and it’s not your fault. This is a common and very real anatomical issue caused by the way tissues heal after surgery.

Can You Improve the Appearance of a C-Section Scar?

Yes. And for many women, scar revision surgery can dramatically improve both the look and feel of their lower abdomen.

At our clinic, our approach to C-section scar revision is both precise and tailored. Here’s what the procedure typically involves:

1. Scar Release and Excision

The indented scar and any tethered tissue are carefully removed. This helps free the skin from the deeper layers it’s stuck to, allowing it to sit more naturally and smoothly.

2. Fat Redistribution

To prevent the scar from re-indenting, we use a clever technique where we reposition fat tissue from above and below the scar. This provides a smooth, even contour and ensures better long-term cosmetic results.

3. Meticulous Skin Closure

The skin is then closed using low-inflammatory dissolving stitches - minimising irritation, reducing the risk of visible stitch marks, and supporting optimal healing.

All of this is done with the highest standard of surgical precision and under controlled conditions to give you the best possible outcome.

What Results Can You Expect?

While no scar can be made to disappear completely, a well-executed scar revision can:

• Dramatically reduce or eliminate the indentation

• Restore a smoother contour to the lower abdomen

• Improve scar colour and texture

• Boost self-confidence, particularly when it comes to wearing fitted clothes, swimwear, or underwear

Many of our patients report feeling more comfortable in their bodies again - something that often gets lost after the physical and emotional toll of childbirth.

Is C-Section Scar Revision Right for You?

If you’re self-conscious about your scar, or you find the area uncomfortable, tight, or aesthetically displeasing, it’s worth seeking an expert opinion. Scar revision isn’t just about appearance - it’s also about restoring your comfort, confidence, and body autonomy.

You might be a good candidate if:

• It’s been at least 6–12 months since your C-section (to allow time for natural healing)

• You’re in good general health

• You have realistic expectations and want an improvement in appearance, not perfection

Your Next Step

If your C-section scar is affecting how you feel about your body, you don’t have to live with it. Scar revision is a safe, effective treatment performed by experienced plastic surgeons - and for many, it’s a small change that makes a huge difference.

Ready to explore your options?

Book a consultation with our team to discuss how we can help you feel confident in your body again.