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Is the scar from a private CS better than NHS???

(41 Posts)
whatatip Sun 31-Jul-11 08:19:16

Someone said this to me recently...it's rubbish surely?
She said that was why she wanted to go to the Portland, because she thought the surgeons would do a cosmetically better job of a CS than the surgeons would do on the NHS.

Now initially I thought that sounded wrong, then the more I think about it I think it sounds ridiculous. But I have no experience of a CS so I want to know what people with experience might say.

ChristinedePizan Sun 31-Jul-11 08:27:46

Well my scar is almost invisible and it's a 4 year old NHS one and actually it's nicer than my friend's private one. You might want to remind your friend that nearly all private consultants are actually also NHS ones and that going private is no guarantee of being good with a needle and thread

ZakuroFujiwara Sun 31-Jul-11 08:29:23

I have had an NHS scar and a private scar. Both were very good - all midwives commented on it both times!

More to do with partiucular surgeons I think than whether you pay or not. Stands to reason that some surgeons will be better than others.

GreenTeapot Sun 31-Jul-11 08:30:21

I'm perfectly satisfied with my regulation issue NHS scar thanks! I haven't got a private one to compare it with, but as a vet I can confidently say that my surgical scars do not vary depending on who's paying for the operation grin. Your friend's a loon.

GreenTeapot Sun 31-Jul-11 08:33:36

I should also add that scars depend as much, in fact more, on genetic make up and things like infection than they do on the surgeon. There's no massive skill in making a linear incision then suturing it so the edges meet!

ttalloo Sun 31-Jul-11 08:34:35

I had two CSs at the Portland and everyone marvelled at the neatness of my scar, because my obstetrician used glue rather than staples or stitches to put it back together. But as has been said before, it all depends on the surgeon and their approach - which is regardless of whether they are NHS or private. And it's a ridiculous basis on which to choose an obstetrician, or decide whether to opt out of the NHS.

Does your friend think she'll get a tummy tuck at the Portland at the same time as getting the world's best CS scar?

QTPie Sun 31-Jul-11 08:55:25

Since surgeons who do private CSs also practice on the NHS.... No - you could have exactly the same surgeon....

Although, I suppose, on the NHS it COULD be more luck of the draw - ie you could get a much more junior (less experienced) surgeon?

I say this after having my knee sutured after a skiing accident (laceration, 8 stitches in the front of my knee. I had a very junior doctor doing the suturing and she probably didn't do the best job... HOWEVER lacerations are notoriously much harder to stitch than incisions.

However, mostly, I agree with others - genetics, infection would play the biggest part. An ELCS might also generally get better results than a crash/EMCS - since less rush in making the incision. BUT a surgeon would still take a lot of care in any incision obviously.

sybilfaulty Sun 31-Jul-11 09:00:43

I have had 3 CS and my last one was definitely th ebest - had a pressure dressing applied as the old scar was raised and keloid and they were trying to prevent this. I don't scar well though and you can still see parts of it 2.5 years on but really it is so low that my knickers cover it anyway. If I wore a bikini then the world would look at the dodgy tum rather than a wee scar.

In my last 2 CS the SHO closed after the Reg had done the baby and the internal stitching. In my first one, the SHO did the whole thing. I was the first CS he had ever done and he said afterwards he was terrified but frankly I was too knackered and vomitous to care at the time!

silverangel Sun 31-Jul-11 09:45:50

My surgeon is also a private surgeon, I'm presuming the scare is going to look the same and she won't do anything differently as I'm NHS. Her private work is in the same hospital anyway!

thursday Sun 31-Jul-11 11:20:03

i had a crash section 2 years ago, my scar is virtually invisible. i've discovered on a thread elsewhere that it is quite long compared to others, probably due to urgency, but it was beautifully executed. i had staples.

Imnotaslimjim Sun 31-Jul-11 12:17:40

I was a bit of a guinea pig for my NHS CS. They were trialling a new technique at the hospital that has left me with practically no scarring! She is talking rubbish

superv1xen Sun 31-Jul-11 12:22:42

Does your friend think she'll get a tummy tuck at the Portland at the same time as getting the world's best CS scar

ttalloo grin

i have had 2 cs on the nhs and my scar is very neat and nearly invisible. so no, i doubt it makes a difference.

BalloonSlayer Sun 31-Jul-11 12:29:16

I've had 3 NHS scars and they have all been good. My last one (they cut the old one out each time they do a new CS) was done by a woman surgeon and has been virtually invisible for at least a year, probably more (DS2 is nearly 4). DD was nearly 5 when I had DS2 and I don't think the scar from her birth was as invisible as this one is, when I had DS2.

I had staples with DS1 and DD but I can't remember what I had for DS2. Maybe it was something different. I can't believe I can't remember! confused It definitely wasn't glue though, I'd have remembered that.

allhailtheaubergine Sun 31-Jul-11 12:35:15

I heard if you go private they stitch you up using a white tail strand from an unicorn and treat the wound with mermaid tears.

In the NHS they use bale-a-twine and a bit of cooking brandy.

Meglet Sun 31-Jul-11 12:46:52

My EMCS scar was a bit wonkier than my ELCS and hysterectomy. But even then they have all faded down to a faint white line.

I did get a mini stomach tuck with my hysterectomy. The surgeon wanted to make sure the scar was nice and neat so cut out a cm of the old cs scars before he stitched me back up grin. I can still see the ends of the cs scars as they are longer.

FWIW I had dissovable stiches with my EMCS, staples with my ELCS (not as bad as I feared) and a running stitch with my hysterectomy.

Meglet Sun 31-Jul-11 12:48:36

Actually I'm not sure I did have staples, might have been one of the stiches with beads. Can't believe I've forgotten it was only 3 years ago confused. Whatever it was it was fine.

Meglet Sun 31-Jul-11 12:48:38

Actually I'm not sure I did have staples, might have been one of the stiches with beads. Can't believe I've forgotten it was only 3 years ago confused. Whatever it was it was fine.

ShowOfHands Sun 31-Jul-11 12:58:28

They didn't even stitch mine. Bloody NHS lobbed me a rusty, blunt needle and a bit of John McCririck's arse hair and told me to do it myself.

I actually do have a friend with a private cs scar and hers is fairly raggedy due to infection/reopening. Same friend swears I'm lying about my NHS cs as my scar is almost completely invisible.

emsyj Sun 31-Jul-11 12:59:50

I had a crash section but my scar is quite tidy (according to the midwives, who were very impressed and said it was a very neat scar for an emcs). I don't have an overhang either.

I don't think you can predict how good or bad your scar will be, but I think they are normally below the knicker line anyway, so if I didn't have a giant spongy post-baby belly and cake-induced thunder thighs I could wear a bikini no problem!

BalloonSlayer Sun 31-Jul-11 13:17:50

ooh Meglet, thanks, you have jogged my memory! I think I had something with beads at the end too.

visavis Sun 31-Jul-11 15:06:44

grin allhailtheaubergine. Mine is of the unicorn variety, but don't think it is any better or worse than friends who have had theirs done on the NHS. How good or bad it is is down to your own skin healing as well as the surgeon. I suppose the only thing which has any relevance is the degree of experience of the surgeon.

kippersandjam Sun 31-Jul-11 15:16:30

i have had one nhs and one private. the only difference was that the surgeon in the NHS after cutting by unborn baby when she opened me up, narrowly missing his eye, (stitches at birth, nice) handed over mid stitching to a student and gave them some on the job experience- pull harder! had no idea a student was going to be involved in the cs as it wasn't planned, but not an emergency either. qo 10 mins later i lost over 2.5 litres of blood

2nd one, private, no problems, no bleeding, cautherised wound and tidied up proud flesh inside from first one. did cut in same place.

must say the scar in both went quite quickly, and had the melting stitches, not the others -ouch!

suggest to look for a surgeon who does them ALL the time if you have the chance.

BagofHolly Sun 31-Jul-11 17:44:20

Add message | Report | Message poster  allhailtheaubergine Sun 31-Jul-11 12:35:15
I heard if you go private they stitch you up using a white tail strand from an unicorn and treat the wound with mermaid tears.

In the NHS they use bale-a-twine and a bit of cooking brandy.


I'm a bit in love with you! grin

1944girl Sun 31-Jul-11 18:57:24

Message withdrawn at poster's request.

theborrower Sun 31-Jul-11 18:57:25

I've never heard that, sounds a bit crazy to me confused

I've also heard that (possibly, sometimes) EMCS scars may not be as neat as ELCS scars, due to there being bit more of a rush involved. But I guess that depends on how fast we're talking. And I'm sure they're still going to try and hold a steady hand...!

My EMCS scar is pretty neat. The midwives / doctors etc that saw it / checked it after made comments like "Oh, that's neat", and "Good job" etc.

I'm not too bothered. It's so low down, the only people that ever see it are me and my husband. If it was a crazy wiggling line or something, then maybe I might be a bit narked...

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