First of all, let's understand how the scar of caesarean section is formed: subcutaneous tissue, fat, fascia, muscle, foreskin, peritoneum, etc. are cut by surgery during caesarean section. Such a deep wound is affected by operating level, postoperative care, skin tension, personal physique and other factors, and scars of different degrees are formed in the healing process. Normal scars are just a thin line, which is neither painful nor itchy, but some scars will gradually proliferate, bulge, become red and swollen, and become itchy. This kind of hypertrophic scar belongs to pathological scar and needs treatment.
The hyperplastic period of hypertrophic caesarean scar lasts about 6 months, and some will last longer. The earlier the scar is treated, the better the effect will be. However, mothers often take care of their babies or think that scars will heal themselves if they are not treated early, which leads to scar hyperplasia, thickening, widening and hardening, and deepening of color, which is difficult to treat, but the treatment effect at this time is far less than when the wound is just formed.
So, how to treat cesarean scar hyperplasia?
According to scar experts from Jinan Modern Dermatology Hospital, there are many ways to repair scars. For example, some caesarean section scars are concave, some are convex hyperplasia, and some form keloids. According to different types of scar treatment, we should take systematic comprehensive evaluation and different treatment methods, and according to individual differences, not limited to a single treatment method, through the combination of various treatment methods, we can achieve the best treatment and repair effect of scars.
It is suggested that scar patients choose minimally invasive treatment, such as comprehensive intervention and degradation of scar tissue by instruments and drugs, promoting scar atrophy and ablation, activating skin regeneration mechanism, and reconstructing normal skin morphology with skin cells.
If there is no severe contracture or super-severe hyperplasia of scar, surgical resection of scar tissue is not recommended clinically. Surgical excision of scar will still cause serious trauma, and scar hyperplasia will still occur during wound healing.
In addition, doctors in Jinan Modern Dermatology Hospital suggest that early prevention of scars is very important, such as reducing skin tension, keeping wounds clean and dry, waiting for scabbed skin to fall off naturally, using antibiotics or growth factors to protect wounds and promote healing, which will reduce the severity of scars and even avoid hyperplasia.