C-Section Shelf Repair Many women can have an unsightly “shelf” at their lower waist after a cesarean section. Cesarean section shelves tend to occur when the c-section scar heals all the way from the skin to the muscle, and the upper skin folds and hangs over the scar. This requires scar removal and gentle re-approximation of each anatomic layer to its proper counterpart. The c-section shelf can be treated alone, with lipo 360, with full tummy tuck, or a variation of other liposculpting procedures we perform.