Hi - I searched archives for a while but did not see this question/topic. Sorry if redundant.
I had a c-section three years ago w/ my twins, due to HELLP syndrome (emergency section at 32.5 weeks - talk about drama!)
My scar healed up very, very poorly. Because my platelets were low, I didn't clot, it failed to close, and I had to have home health out to pack/repack it every few days ... loads of fun. Anyway, it left a thick, raised (nearly keloid) scar line (fortunately in my pubic hair, so that's a plus), but also what some people would call a "shelf" - I guess I have loose skin/fatty deposits above and below the scar, which is VERY indented (and rather unattractive ... and visible/lumpy through a bathing suit. Sigh. Sorry to be vain!)
Has anyone else had this "shelf" appearance? Did it get better/go away with a subsequent pregnancy, or stay the same, or get worse? So far, it seems WORSE this pregnancy (I am only 16 weeks along, so not a lot of stretching/growing yet), and that's pretty discouraging. I was hoping that the hormones and pressure might soften it/even it out.
I intend to VBAC (I have two prior successful vaginal deliveries of singletons), so I won't have the option to "fix it" with repeat c-section (if I have a C, it will be an emergency again, not planned; so no way to plan ahead for cosmetic results). However, the current state of affairs is sufficiently bad that, if it does not improve, I will probably consider having it revised/repaired down the line a few years...
Thanks for reading this far! Any experience/thoughts welcome.
I have a kind of reverse shelf, I guess... though I usually call it a pouch (saggy skin hanging over the scar, but the skin underneath is pretty normal). I had a primary csection, and then a planned VBAC turned CBAC. Now I'm pregnant again (6w today). I don't think it got worse after the second time, but it certainly didn't get better. I never really thought about fixing it during another cesection (I'm going to try to VBAC again), but I have thought about getting it fixed after we're "done" having kids. Also I've never really gotten back to by pre-baby weight, I always wonder if if would look better if I lost those last 10 lbs... Mostly it doesn't affect my daily life, so I don't think about it often.
Thank you both so much! I was starting to wonder if I had asked something inappropriate, since no one answered.
lisa1, i wish mine didn't bother me on a day-to-day basis :( i have been to below my pre-preg weight (and back to it, basically, when I conceived this time) and I guess it looked a little better, but not much. It's not so much fat as skin, I guess?? I have had a plastic surgeon friend (female ;)) tell me that she thinks it would be MAJORLY improved with a revision. Question is - how much "extra" skin to take out at the same time?! LOL (I'm not really THAT vain, but I guess I'm a little sensitive about this ... and my terrible melasma, but that's a different topic altogether! I wouldn't trade any of my children for a flat abdomen or "good" skin so I guess I'm mostly still sane.)
lisa2, I will definitely look into massage/treatment on the scar -- that seems like a fantastic idea. Do you know of anyone in the Denver metro area off hand? Otherwise I'll start searching using your suggestions.
Again - thank you!
no, don't do a revision!! cutting out old scar tissue just creates new scar tissue, which can spread and make the same mess. i see this all the time. surgeons need to start paying attention to this and the much ignorde fascia that is hugely hindered by an incision.
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