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A scar following an episiotomy, a perineal tear or a caesarean section may cause pain, a pulling sensation or discomfort during everyday activities or sexual intercourse. Postpartum scar treatment is tailored to the cause of your symptoms, the scar's location and how it has healed. At Tartaczna 2 Medical Centre in Gdańsk, consultations and postpartum scar revision procedures are provided by gynaecologists Dr Volha Khitrun and Dr Marek Korożan.
A scar is connective tissue that forms as the body repairs an injury, such as a surgical incision or a tear during childbirth. Collagen, a protein produced by cells involved in wound healing, plays an important role in this process.
At first, a scar may be red, firm and sensitive to touch. Over time, its collagen fibres are remodelled, and the scar usually becomes paler and softer. Scar maturation takes many months, sometimes up to around two years. Not every scar needs a procedure.
Consider a gynaecological consultation if the following symptoms persist after the wound has healed:
Pain may also be associated with excessive pelvic floor muscle tension, tissue dryness, granulation tissue or inflammation. An examination helps establish whether the scar itself needs treatment or whether other conditions are contributing.
Increasing pain, a fever, pus or a wound that reopens needs prompt medical assessment. Do not wait for a routine appointment about the scar's appearance if you develop these symptoms.
A perineal scar may be tender, less flexible or cause local pulling around the vaginal opening. During your consultation, the doctor assesses the scar, any painful areas and the surrounding tissue.
Treatment may include pelvic health physiotherapy, appropriate care and treatment of associated problems. If there is persistent distortion or a painful scar contracture, your doctor may suggest surgical scar revision. Pain during intercourse alone does not automatically mean that surgery is needed.
An abdominal scar following a caesarean section may become thickened, indented or sensitive. Assessment includes its appearance, tenderness and movement in relation to the surrounding tissue. Depending on the findings, non-surgical treatment or surgical revision may be considered.
Treatment of the skin scar addresses the abdominal wall. A scar in the wall of the uterus, including a possible caesarean scar defect, requires a separate gynaecological assessment and appropriate investigations.
Conservative management may include:
For selected skin scars, a doctor may consider laser treatment to improve their texture and appearance. The suitability of laser treatment in the perineal area requires a separate assessment.
Evidence supporting hyaluronic acid injections, platelet-rich plasma (PRP) and mesotherapy specifically for postpartum scars is limited. Their potential use requires a discussion of the treatment aims, risks and alternatives. Platelet-rich plasma is not a scar filler.
Scar revision involves surgically correcting tissue that has healed in an unsatisfactory way. It may include removing part of the scar, releasing a contracture and closing the tissue with stitches. The aim is to improve comfort, tissue mobility or the appearance of the treated area.
Your doctor determines the extent of the procedure and the type of anaesthesia. Minor corrections may be performed under local anaesthesia. Surgery creates a new scar, which also needs to heal and mature. Complete pain relief or an invisible scar cannot be guaranteed.
The timing depends on wound healing, the severity of your symptoms and the proposed treatment. Scar care and physiotherapy are adapted to your stage of recovery. Elective surgical revision is considered after assessing scar maturation and the response to previous treatment. Persistent pain or healing problems are reasons to seek advice earlier.
Bring your birth or operation records and a list of your medicines to the consultation. Tell your doctor if you are breastfeeding, planning another pregnancy or have previously had problems with wound healing. Do not stop anticoagulant or antiplatelet medicines on your own.
Temporary tenderness, swelling or bruising may occur after the procedure. Possible complications include bleeding, infection, delayed healing, changes in sensation, persistent pain or further abnormal scarring.
You will receive instructions on hygiene, dressings and follow-up appointments. Returning to intercourse, sport and activities that cause friction or stretching around the treated area depends on wound healing and your doctor's assessment. The final result is assessed after the new scar has matured, which takes several months.
At Tartaczna 2 Medical Centre, consultations and postpartum scar revision procedures are provided by gynaecologists:
Book a consultation through our reception team or ZnanyLekarz. Call +48 58 719 10 25 or email kontakt@tartaczna2.pl. When booking, please specify whether you would like advice about a perineal scar or a C-section scar.
