The main character: Ms. Yan, 27 years old, travel company tour guide Two years ago I gave birth to a little girl by C-section, which was a very happy event. At that time, I asked the obstetrician to make a transverse incision for aesthetic purposes and used intradermal sutures, saying that it would be more convenient not to remove the sutures. But a month or so after the birth, the trouble came. The scar on the lower abdomen became obvious, protruding and red on the surface, and the worst part was that it itched like crazy, especially when I wore slightly tighter pants. The itching is too painful when you are resting at home during maternity leave, but when you go to work, especially when you go out with a group. It’s embarrassing to scratch this area. I heard that plastic surgery has a special program to treat scars, so I wanted to go to the hospital several times to ask what could be done about it, but when I talked to my family, no one understood: the scars in this area are absolutely invisible with clothes on, so what is the need for plastic surgery? I don’t want to be a part of this, but I don’t want to be a part of this. I don’t dare to wear jeans even now, although my figure has almost recovered, but this scar is really bothering me too much. I am afraid that it will keep growing more and more and become a scar, what can I do? Am I considered to be scarred? I really wanted to find a specialist to consult, but several times I made up my mind, but several times I found it difficult to talk about it and gave up. Now, I finally got up the courage and hope to treat it through surgery or other methods. I have heard that some scars can become cancerous over time, so the more I think about it, the scarier it gets. I would like to ask the experts if there is anything I can do to make the scars disappear? Or at least it won’t be so itchy and uncomfortable that I want to scratch and embarrass myself in front of people, right? But what are the side effects of the treatment? In modern society, with economic development, people’s standard of living is also rising, and the number of people who pursue a high quality of life has far exceeded the number of people who can be satisfied with just food and clothing. The pursuit of one’s own perfection does not tolerate the slightest flaw on the body, let alone the lower abdominal scars that can embarrass people in public. Ms. Yan’s confusion represents the problem of a significant number of women with similar experiences. The high amount of hair around the incision in the lower abdomen and the proximity to the bacterially contaminated perineum, combined with problems such as overly tight underwear, can easily lead to infection of the incision. Sometimes the infection is not visible and needs to be treated, but it sows the seeds of future scar growth. Intradermal sutures with absorbable threads are invisible outside the skin and do not need to be removed, which increases the convenience after surgery, but these threads are usually made of multi-stranded fibers, and the seams of the threads can easily harbor bacteria, which increases the risk of micro-infection and future scar growth. Generally speaking, scars are the inevitable result of wound healing. Once a scar is formed, it is very difficult to disappear. The best outcome is for the scar to be inconspicuous, or relatively hidden. The natural evolution of scars also has a process. About three weeks after wound healing, scars will all appear to be red in color, thickened, itchy and other hyperplastic phenomena, and then gradually fade, and by about six months when the scars mature, they may not be obvious. This is of course a process of change at best. Scars will have different evolutionary processes and lengths of time depending on the site, the individual’s body type and the degree of tissue damage during surgery, and the tension of the scar. If the scar continues to grow even two years after the wound heals, especially if there are some symptoms such as pain and itching, it will need to be treated. Ms. Yan is worried that she belongs to the scar body, but in fact, people who really have scars are a minority in the population. The proliferation of scars is largely related to the location of the scars. For example, scars on the front of the chest, back of the shoulder, lower abdomen, joint areas and other relatively high tension and infection-prone areas are prone to hyperplasia. In contrast, scars are different from hyperplastic scars. Scars can invade normal skin and have a tendency to grow similar to a tumor. However, scars can also be induced by a small skin break, so the distinction between the two requires a timely visit to the hospital. If scars are under high tension for a long time, they tend to break down and few of them do eventually become cancerous and form scar cancer. Therefore, early treatment is also needed for such scars that break down repeatedly. So far, scar treatment is still a challenge. However, it is possible to relieve scar symptoms and make scars less visible as long as long-term treatment follow-up is adhered to and a comprehensive treatment approach is used. In addition to surgical excision of scars, there are local injection treatments, radiation irradiation, laser, microdermabrasion, various topical medications to inhibit scar growth, and dressing agents. Depending on each individual’s situation, the treatment of scars needs to be designed with an individualized treatment plan. From experience, local injection treatment has a clear effect on relieving the painful and itchy symptoms of scars, and can also induce scars to shrink and flatten and inhibit proliferation. Surgery and other treatment methods can then be considered in conjunction with the post-treatment situation as appropriate. At present, as far as the information provided by Ms. Yan is concerned, this option is probably the most suitable treatment for her.