Keloid after a C-section: what to know

A healing caesarean scar may be pink, firm or itchy at first and gradually soften. A keloid keeps producing extra scar tissue and can become smooth, shiny, thick and larger than the original wound. It may extend into nearby skin rather than staying within the incision line. Keloids are not caused by an internal problem with the womb, and they are not contagious. A raised scar can also be a hypertrophic scar, an irritated stitch reaction or an infection, so appearance alone cannot confirm the diagnosis.

Keep the area clean and avoid picking, scratching or rubbing it. Do not apply strong creams, steroid products or home remedies to a healing incision without advice. Once the wound has fully closed, a clinician may discuss silicone sheets or gel, steroid injections, pressure treatment, laser care or scar surgery. Keloids can return after removal, so follow-up and preventive treatment matter. Postnatal physiotherapy may help comfort and movement after abdominal surgery, but it does not remove a keloid.

Arrange medical review if the scar is enlarging, painful, very itchy or affecting movement or clothing. Seek prompt care for increasing redness, warmth, swelling, wound separation, pus, fever or worsening abdominal pain, because these signs may indicate infection rather than a settled keloid. A rapidly changing or bleeding lesion also deserves examination.

Ask whether the scar is a keloid or another healing problem, when treatment can begin, how recurrence will be reduced, and which option suits breastfeeding or a future pregnancy. Ask how to protect the incision during movement and when massage is safe.