Obstetricians are clever at creating high-quality Caesarian Section scars, but cannot avoid all potential problems. They try to place the scar transversely low on the abdominal wall below the bikini line.
However, the low scar through pubic hair is also wherein a small proportion of patients risk keloid scars. We now have a genetic test to assess this risk before surgery and can treat the scar itself with Cadogan Scar Management.
The bigger problem is swelling above the scar which bulges through tight clothing. The cause is the tethering of the healing scar to deeper structures as it heals and is difficult for the obstetrician to avoid. It is a problem for even the skinniest patient but becomes more significant for plumper patients. We can surgically revise these scars very effectively at the Cadogan Clinic removing the bulge (Cadogan Caesarian Section scar revision), either under local or general anaesthesia as a day case.
Patients with stretched loose skin and more subcutaneous fat will often benefit from a mini-abdominoplasty, which includes the removal of surplus skin and liposuction of the lower abdominal wall.
Patients, who have Caesarian sections performed in a hurry, often undergo the  Classical Caesarian Section with a vertical midline abdominal scar. The scar is not only difficult to hide but also of lesser quality. Cadogan Scar management becomes a more likely option.
Patients who have multiple caesarian sections sometimes end up with multiple scars. We can revise these to replace them with a single good quality scar.