A caesarean scar takes several months to mature: red at first, it fades and softens, generally over six months to a year. When it stays thick, raised, coloured, hollow or sensitive, a dermatologist can assess it and offer treatments to improve its look and comfort. In Marrakech, Dr Sara Zahid sees patients in Guéliz after delivery, once healing is complete and with their gynaecologist's agreement: examination of the scar, basic care, fractional laser and other options depending on the case, with no promise that it will disappear.
A low horizontal line, generally discreet. Red or pink in the first months, it flattens, fades and softens gradually over six months to a year. A scar that thickens, itches, becomes painful, stays very red or extends beyond its line should be shown; discharge, warmth or fever call for a prompt opinion, as they may point to infection.
A scar can be fine and flat, hypertrophic (thick and raised, but limited to its line), keloid (it overflows, more common on dark skin), widened or contracted, adherent (sunken, stuck at depth) or pigmented (browner than the skin). Each type calls for a different treatment, hence the value of an examination before choosing.
Once healing is complete, meaning the skin is closed, with no scab or painful spot, and with your gynaecologist's agreement. Laser and corrective treatments are not done during pregnancy or on a scar that is still fragile; breastfeeding is taken into account according to the treatment. If another pregnancy is planned, the timing is discussed beforehand.
After healing, gentle massage of the scar, a silicone gel or sheets and strict sun protection (mineral sunscreen) help soften it and stop it darkening. These simple steps, explained at the consultation, complement the treatments performed at the clinic.
A fractional laser helps soften the relief, thickness and colour of the scar and make the skin more supple, over several spaced sessions. The clinic has the Fotona SP Dynamis Nx Line platform (Er:YAG and Nd:YAG), whose settings are adapted to skin type and the fragility of the scar. A scar that is still red can benefit from a laser targeting vessels.
Depending on the examination: Dermapen (microneedling) to soften and improve texture, PRP as a complement, local treatment or infiltration for a hypertrophic or keloid scar, and, in some cases of widened or contracted scar, surgical revision may be discussed. Nothing is systematic: the choice is made after examination, with honest information on expected benefits and limits.
After delivery, laser can also improve the suppleness and sensitivity of an episiotomy scar, and relieve tension or discomfort, notably during intercourse. This treatment is only offered once healing is complete, with the advice of your gynaecologist or midwife, and complements pelvic floor rehabilitation.
Offered after delivery and generally once breastfeeding is over, vaginal laser can help with dryness, laxity or small urinary leaks on effort, after an examination and gynaecological advice. It is not done during pregnancy or on a zone that is still fragile; the timing, laser and number of sessions are defined at the consultation.
Several sessions a few weeks apart are generally needed. Improvement is gradual: the scar softens, becomes flatter, more supple and less visible, but it does not disappear. Results vary with the type of scar, its age and the skin; comparison photos allow progress to be followed. After each session, the skin is red for a few days: sun protection is essential.
At the Skin & Aesthetic Clinic, in Guéliz, with Dr Sara Zahid, dermatologist, by appointment, in French, English or Arabic. She works in liaison with your gynaecologist or midwife. A detailed quote is given before any procedure, with no single displayed price.
Once healing is complete and with your gynaecologist's agreement, generally after several months. Corrective treatments are not done on a scar that is still fragile or during pregnancy.
It can soften the relief, thickness and colour of the scar and make it more supple, over several sessions. Improvement is gradual and the scar does not disappear.
It depends on the treatment and your health: the decision is made at the consultation. Some treatments are postponed until after breastfeeding.
Several sessions a few weeks apart. The exact number is defined after examination and adjusted to the scar's response.
An examination specifies the type of scar. Depending on the case: massage, silicone, local treatment or infiltration, laser, and sometimes surgical revision. A keloid scar is more common on dark skin and needs follow-up.
Itching is common during maturation. If it comes with a thickening scar, persistent redness or pain, an opinion is useful.
With strict sun protection (high-SPF mineral sunscreen, clothing) during the first year, especially on olive skin.
Yes, it can improve the suppleness and sensitivity of the area and relieve discomfort, once healing is complete, with your gynaecologist's advice.
Yes, generally once breastfeeding is over, after an examination and gynaecological advice, for example in case of dryness, laxity or small leaks on effort.
The sensation is described as tingling or brief warmth; an anaesthetic cream can be applied. The skin is red and tender for a few days.
The price is given by the clinic after the consultation, as it depends on the treatment and number of sessions. A detailed quote is given before any procedure; there is no single displayed price.
At the Skin & Aesthetic Clinic, in Guéliz, with Dr Sara Zahid, dermatologist, by appointment, in French, English or Arabic.
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