Can a keloid after a C-section be prevented?

A keloid forms when scar tissue continues growing beyond the boundaries of the original incision. It may become raised, firm, itchy, tender or darker than the nearby skin. This differs from a hypertrophic scar, which is raised but remains within the incision line.

Personal healing tendency matters. A previous keloid, including one from an earlier operation, piercing or injury, is useful information for the obstetric and dermatology teams. Infection, wound tension and repeated friction may also make scar management more difficult, although good care cannot remove an inherited tendency.

Before a planned caesarean, tell the surgeon about past keloids and show their location if possible. After birth, follow wound-care advice, avoid picking or stretching the incision, and seek treatment early if infection signs appear.

Once the wound is fully closed, a clinician may discuss silicone gel or silicone sheets. Some scars benefit from specialist treatments such as corticosteroid injections, but the choice and timing depend on healing, symptoms and whether you are breastfeeding. Sun protection can limit colour contrast, though it does not prevent the underlying overgrowth.

Arrange a review if the scar is becoming progressively thicker, expanding beyond the incision, persistently painful or itchy, or restricting comfortable movement. Earlier assessment can clarify whether the change is a keloid, a hypertrophic scar or another wound problem.

A hot, increasingly red incision, discharge, fever, worsening pain or separated wound edges needs prompt maternity care because these signs concern wound healing rather than cosmetic scar appearance.

Ask how your previous scars affect the plan, when the incision will be considered fully closed, which silicone product is appropriate, and how long it should be used. You can also ask what would trigger referral to dermatology or plastic surgery and which treatments fit with feeding plans.