Why does the scar have a hard lump after a cesarean section?

Patient's question:

Why does the scar have a hard lump after a cesarean section? At first, I didn't pay much attention, but recently I noticed that a thick horizontal lump has grown after the wound healed. It looks really bad, and I wonder if there's any good way to remove this ugly lump.

Doctor's answer:

After most cesarean incisions heal, they usually leave behind a scar. Most scars are harder in the middle, which is a normal phenomenon. This is due to the fibrosis of local granulation tissue and generally cannot be completely removed. Therefore, it is recommended to let nature take its course. If the scar is quite noticeable, it may indicate a tendency towards keloid formation. Thus, there is individual variation in scar conditions. It is best to let nature take its course.

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