C-Section Scar: Which Scar Therapy?


Minas Chrysopoulo, MD   By Minas Chrysopoulo, MD

C-Section Scar: Which Scar Therapy?




Whatever anyone says, no scar therapy will fade a C-Section scar completely. Having said that, there are things you can do and use that can make a big difference.

First off, massage, massage, massage. Wait until the sutures (or staples) are out. Start massaging once your C-section scar has healed over and any scabs have fallen off. Massage as firmly as you can (but obviously don't open up the wound!) Older, well-healed scars can be massaged more firmly. This helps soften up the scar.

Some women find it easier to massage with a lotion or cream. You can either pick something like cocoa butter that smells nice but doesn't really help the scar much, or an actual scar therapy. As for what to pick if you decide to go that route... there are very few that are actually backed by scientific studies.

Let's start off with what to avoid. Vitamin E is a great anti-oxidant and so it's good for preventing sun-damage. It should not be used on scars though as it it does nothing for scar healing whatsoever. Even worse news is that it causes contact dermatitis (skin allergy) in 33% of users!

Multiple studies also show that Mederma (onion extract) does not improve scar appearance either. It's better than nothing because it provides moisture to the healing scar but it's actually no better than plain Vaseline jelly or cocoa butter.

Scientific studies have shown that the following DO improve scar healing and appearance:

1) Stable vitamin C

2) Silicone

3) Some botanicals (natural plant extracts) like aloe vera and licorice extract

Both vitamin C and silicone help healthy collagen production by the skin that is essential for optimal s
car healing. Vitamin C also works very well for decreasing the red or brown discoloration seen with a lot of C-section scars. Silicone (gel and sheeting) also decreases the production of abnormal collagen that can cause thick, raised scars (which can lead to hypertrophic and keloid scars). Silicone also softens scars by normalizing the alignment of new collagen fibers.

If you choose a product with vitamin C ensure that it contains a "stable" form C. Most forms of vitamin C used in skin care products are unstable and quickly turn brown after the container is opened. This is a sign that the vitamin C has become oxidized and therefore no longer works. Products that are brown to begin with should probably be avoided as many manufacturers color the cream brown so that users cannot tell when the cream becomes oxidized. Use products that specifically address this vitamin C stability issue (or at least are not brown to begin with).

In terms of botanicals, aloe vera accelerates wound healing, decreases inflammation, stimulates new skin growth through amino acids, and promotes healing in the deepest skin layers. Licorice extract is also a strong anti-inflammatory, accelerates skin renewal, and lightens the hyper-pigmentation seen with some scars. Interestingly, licorice also boosts the scar-lightening effects of vitamin C so the 2 should be used together whenever possible.

It is also important to keep your scar out of the sun. If you simply must use the tanning booth just cover up your scar. Repetitive sun exposure will turn your scar permanently red and undo all the hard work you've put in in trying to make it look better.

Last, but by no means least... be patient. New scars take many months to mature and look their very best. Keep massaging and using your scar therapy religiously and it will pay off.

Tags & Keywords : C-section scar, scar therapy
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Comments


SifunaH

#1 by SifunaH - Nov 13, 2009, 4:05 pm Rating: ratingfullratingfullratingfullratingfullratingfull Unrated

very educative


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