For many women, a C-section scar is more than just a mark—it’s a reminder of life-changing experiences, but it can also cause discomfort, tightness, or aesthetic concerns. Whether your scar healed poorly, feels raised or tethered, or simply doesn’t align with how you feel about your body, Dr. Ryan Couvillion offers surgical scar revision techniques to improve both form and function.
Houston’s Destination for C-Section Scar Revision
As a board-certified plastic and reconstructive surgeon, Dr. Couvillion brings both aesthetic precision and deep understanding of scar behavior to every procedure. His individualized approach ensures each revision complements your anatomy and goals—not just removes a mark.
- Improves the appearance of visible C-section scars
- Releases tethered or painful scar tissue
- Addresses overhang or “shelf” deformities
- Can be combined with tummy tuck or fat grafting
- Board-certified in plastic and reconstructive surgery


What Is C-Section Scar Revision?
C-section scar revision is a surgical procedure that improves the appearance, texture, and placement of an existing cesarean section scar. This usually involves excising the old scar, re-closing the skin with meticulous techniques, and correcting any underlying contour issues (such as a shelf of tissue above the scar or adherence to deeper layers).
Scar revision may include:
- Excision of the scar and re-closure with layered suturing
- Release of adhesions or tethering to underlying tissues
- Contour smoothing with liposuction or fat grafting
- Combination with abdominoplasty (if needed)
Benefits of C-Section Scar Revision
- Flattens and refines the scar for a smoother appearance
- Restores natural contour to the lower abdomen
- Reduces pain or restriction caused by deep scar tissue
- Boosts confidence in clothing and swimwear
- Can improve symmetry if previous incision was uneven

Are You a Candidate for C-Section Scar Revision?
You may be a good candidate if:
- You have a thick, raised, or indented C-section scar
- The scar causes discomfort, itching, or tightness
- You experience a shelf or bulge above the scar
- You’re at a stable weight and not planning future pregnancies
- You have realistic expectations about improvement

Preparing for Scar Revision Surgery
During your consultation, Dr. Couvillion will examine your scar and surrounding tissue, discuss your concerns, and create a personalized surgical plan. Pre-op preparation may include:
- Avoiding blood-thinning medications and supplements
- Stopping nicotine use several weeks prior
- Scheduling downtime for recovery
- Discussing the potential benefits of combining with a tummy tuck or liposuction

What to Expect on Surgery Day
- Procedure Type: Outpatient surgery under local or general anesthesia (depending on complexity)
- Length: 1–2 hours
- Incision: Replaces the existing scar
- Closure: Meticulous layered sutures for smoother healing
- Add-Ons: May include liposuction, fat grafting, or abdominoplasty if appropriate
Recovery and Results After C-Section Scar Revision
You’ll return home with post-op instructions and a small dressing or compression garment. Most patients experience mild discomfort that resolves within a few days.
- Light activity within 3–5 days
- Return to work within 1 week (depending on your job)
- Full activity after 3–4 weeks
- Scar appearance improves steadily over 3–6 months
Scars typically heal flatter, less visible, and better positioned than before, with final results improving over time.

Frequently Asked Questions About Tummy Tucks
Will this make my scar disappear completely?
No scar can be erased entirely, but revision techniques can dramatically improve its appearance and feel, especially when performed by an experienced surgeon like Dr. Couvillion.
How is this different from a tummy tuck?
Scar revision focuses only on the scar and surrounding tissue, while a tummy tuck removes excess skin, tightens muscles, and reshapes the entire abdominal area. They can be performed together when appropriate.
How long should I wait after my C-section?
It’s best to wait at least 6–12 months after your C-section to allow the scar to mature and your body to fully heal before considering revision.
Will insurance cover this?
Scar revision is typically considered cosmetic, but some cases with functional issues (pain, restricted movement) may be partially covered. Our team can guide you through the process.
Refine Your C-Section Scar
If your C-section scar is affecting your comfort or confidence, Dr. Couvillion can help you explore your options with compassion and surgical expertise.

Dr. Couvillion is very gifted. I am extremely pleased with my results. Still smiling about it every day. I was taken very good care of by staff and Dr. Couvillion and would definitely recommend a consult!
– Patient, Google Reviews
