Keloid from a C-section: what to know

During healing, the body lays down collagen to close the caesarean incision. With a keloid, scar tissue continues to build and crosses the original wound edges. The area may be darker or lighter than nearby skin, smooth or shiny, firm to touch and sensitive when clothing rubs against it. It does not mean the caesarean operation went wrong. A scar that stays within the incision is more consistent with a hypertrophic scar, while redness, discharge or fever points towards a wound problem needing medical review.

Take a clear photograph for comparison and arrange an examination if the scar is changing or bothersome. Once the wound is fully closed, a clinician may suggest silicone gel or sheets, injections, pressure therapy, laser treatment or surgery. Avoid scratching, shaving over a tender area or applying unprescribed steroid creams. Gentle movement and postnatal physiotherapy may support recovery after birth, but exercises should not pull on an open or painful incision. Mention previous keloids before any future procedure.

Get prompt advice for spreading redness, warmth, pus, wound separation, fever, new severe pain or a swollen area beside the incision. These findings can signal infection or another complication rather than a stable keloid. Seek assessment for a scar that grows quickly, repeatedly bleeds or limits movement. Earlier review helps separate scar treatment from urgent wound care.

Ask how the scar compares with a normal healing incision, whether you need a dermatologist or surgeon, and which treatment is safe while breastfeeding. Ask when to begin silicone care, how to reduce rubbing, and what plan would be used for a future caesarean or other operation.