CS scar reconstruction question & any recommendations

[Eastie77]

I am 31 weeks pg with DC2. I had an EMCS with DD1 and the resulting scar is pretty horrendous. My current consultant said it one of the worst he has seen and the the way it has healed is 'highly unusual'.

It is very, very uncomfortable (keloid) and I am in pain every single day. Pregnancy has not helped.

Anyway, I am due to have an ELCS next month. This was recommended by the consultant who delivered DC1 who stated that I would be very unlikely to successfully have a vg birth due to various issues. If the ELCS happens obviously I will get the scar redone and hopefully see an improvement.

However my current consultant has informed me that he disagrees with the previous consultant's opinion and insisted if I go into labour before the date of my ELCS I should attempt a VBAC. He has written that I should undergo 'trial by scar' on my notes. There has been a lot of disagreement / back and forth between him, the other consultant and midwives who have all weighed in with their opinions. All quite exhausting.

Anyway if that happens and I don't end up with an ELCS I assume I will need to get my scar revision done privately as it is considered a cosmetic operation. Although the pain is pretty bad I'm guessing it will not be a priority case on the NHS and going private will just be the quickest option.

Couple of questions-
In the event I have a VBAC, does anyone know how long I'd have to wait before making an appointment to get the scar redone? I'm quite desperate as the pain, discomfort and appearance is really getting me down.

Does anyone have any recommendations for the best place to go? I am based in London but can travel.

Thanks,
Eastie