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The condition

Mummy Pouch

What is a c section pouch?

A lot of women have noticed changes in their lower abdomen after giving birth via a C Section procedure. And one area of concern is the C Section pouch. Also called a mummy belly, C Section pouch refers to a very small belly overhang that lies just above the scar from a major abdominal surgery. It can seem like a stubborn stomach bulge that never gets smaller, no matter how many sit-ups you do.

This is not simply a matter of excess fat, it is a combination of scar tissue, weakened abdominal muscles, connective tissues, and skin that has been stretched. And although it is completely normal with women who have undergone a caesarean section, it can also be a sensitive subject, one that affects confidence and body image. Fortunately, there are ways to control or treat it even after a major surgery.

C Section pouch, Diastasis Recti and Pannus Stomach

These three conditions might appear similar but they are actually quite different.

A C Section pouch is primarily a cosmetic concern of how the excess loose skin and fat drape around the scar after the massive weight loss during the C Section recovery process. This is commonly a result of the way the skin heals, tissue develops and body fat redistributes naturally after pregnancy. It can seem like a pouch or a C Section shelf, and it may decrease in size over time, but it does not disappear on its own.

Diastasis Recti, on the other hand, is an abdominal separation that sometimes requires physical therapy to heal. Pregnancy stretches out the abdominal wall as the baby grows. Sometimes, the two sides of the “six-pack” muscles do not completely return together after delivery. This results in the abdominal area having a gap or dome down the center due to muscle separation. It can be a contributor to a bulging stomach, but it is about muscle, not skin or fat.

Then there is the pannus stomach, which is a larger overhang of skin and fat that can actually hang lower, over the pubic area or even the thighs. It typically occurs following dramatic weight gain, weight loss or multiple pregnancies.

You can also have more than one of these at once. For instance, you may have women with Diastasis Recti and a C Section pouch or small pannus, which you would not be able to differentiate just by looking initially.

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The symptoms

A bulge above your C-section scar
A protruding abdomen
Excess skin that protrudes even more when sitting or when bending over
Tight or thick feeling of skin around the scar
Feeling insecure in tight clothes because of your lower belly’s shape
When to see a doctor?
Consultation Is The Key
When should you be worried?

There is no reason to rush to the doctor just because you have noticed a C Section pouch. But if your pouch is causing you emotional or physical discomfort, it is definitely worth a chat with a specialist. At our clinic in London we will provide you with a private consultation to discuss the C Section pouch removal that suits you.

The causes
What causes a c section pouch?

There can be several factors that contribute to a mummy pouch:

  • Pregnancy pressure: The growing baby pushes on your tummy resulting in intra abdominal pressure, stretching stomach muscles and formation of apron belly, which can make a bulge, especially following a C-section.
  • Extra weight gain: Pregnancy encourages the abdominal muscles to stretch, and the skin to become padded, producing a pronounced pouch.
  • Genetics: Weakened core muscles or skin that does not snap back tightly, can make you more prone to a post-baby pouch.
  • Hormonal Changes: Hormones such as oestrogen relax tissues to help delivery, but they can also make it more difficult for your tummy to recover and tone.
The risk factors
Who is at higher risk of a c section pouch?

Depending on a number of factors, some women are at higher risk of getting a C-section pouch:

  • Multiple C-sections: Further pregnancies can create excess scar tissue and more separation of muscles.
  • Poor scar healing process: Your genetics, post-op care and presence of infection can all influence how well your scar heals.
  • Poor core muscles before or after pregnancy: If your core is less conditioned, it may have a harder time snapping back.
  • Age: As the years pass, the skin elasticity changes and loses its ability to recover.
The complications
Hidden Dangers
  • What happens if a C-section pouch is not treated?

    A C-section pouch is typically not a health risk, but it can play a role in how you feel about your body. It is more of a cosmetic thing for most, but it can also weaken your core strength, cause skin irritation, and make you self-conscious.

The prevention
Core Strength Routine
Can exercise really help with C Section scar overhang?

It can! Soft core workouts before and after baby keep your tummy muscles strong and supported. A strong core provides added resilience to your belly after a baby. It is all about moderation, and with the right doctor’s approval.

Exercises to try

With easy exercises, such as deep belly breathing, pelvic tilts, and light core contractions. These are mild and safe in the first days. No crunches or planks in the beginning because they can do harm than help while things are healing.

Supportive Postpartum Wear
Does it really work?

Yes! Wearing a postpartum support belt can add some extra support to your incision wound and your lower back. It supports you so you feel more comfortable, keeps you in place and reduces swelling for those first few weeks. This helps the abdominal muscles to knit back together, encourages good posture and prompts the pelvic floor muscle awareness.

How long should you wear one?

Begin with a few hours a day and see how it feels for your body. The majority of mums will find themselves in them for somewhere around 6 to 8 weeks. Make sure it is snug, not tight and always consult with your doctor before you use one.

Healthy Eating Habits
Does it affect the C-section pouch?

Definitely. Eating a healthy, balanced diet can help your body heal and stop extra fat forming around your tummy. Load up on fruits, veggies, lean proteins, and whole grains to stay energized between meals and keep your belly happy and have a healthy lifestyle.

Foods to avoid

Try to reduce sugary snacks and processed foods, they can create bloat and make the pouch look more prominent. When you can, keep things simple, whole and fresh.

Ease Into Motion
Can I walk around after my C-section?

Yes and it is a good thing, actually. Some short walks can do your body good once your doctor says it is ok. Gentle movement helps keep your blood circulating and may reduce swelling of your belly.

Safe movement postpartum

Even just walking around the house is a good place to start. Do not take it too seriously, and listen to your body. Avoid anything that feels like a workout, no heavy lifting, running or core exercise routine until your body is ready.

Massage And Scar Care
Will massaging my scar help with the C Section overhang?

Yes! Once your scar is completely healed, scar massage can help soften up the tissue again and may also help reduce that little pouch, excess scar and muscle restriction some mums experience. It can improve circulation, which can also help everything sit more smoothly.

Do it safely

Apply a little oil or lotion that contains Vitamin A which can improve skin elasticity and it increases blood flow to the area. Use clean hands to rub in a circular motion around, not on, the scar at first. You can start massaging on the scar as soon as 6 to 8 weeks later, but only if your doctor says it is okay.

  • collapse expand
    Can exercise really help with C Section scar overhang?
  • collapse expand
    Does it really work?
  • collapse expand
    Does it affect the C-section pouch?
  • collapse expand
    Can I walk around after my C-section?
  • collapse expand
    Will massaging my scar help with the C Section overhang?
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The Olive Branch LDN

The Olive Branch LDN

★★★★★

Wonderful first experience here- thanks so much Dr Stark!

16th May 2025

John

John

★★★★★

Very calming and professional

12th May 2025

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Rhea Sahans

★★★★★

Excellent service by Dr Stark

14th May 2025

Anna Zhang

Anna Zhang

★★★★★

Very good

12th May 2025

Sinead McCann

Sinead McCann

★★★★★

Great experience with Dr Omar. Highly recommend

9th May 2025

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Joshua Hagley

★★★★★

Fantastic service. Dr Omar was very kind and helpful.

9th May 2025

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David Perkins

★★★★★

Saw Dr Omar who was great, friendly and professional.

24th March 2025

Gillian and Bill McLeod

Gillian And Bill McLeod

★★★★★

Wonderful consultation with Lesley!

11th March 2025

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Yasmin Juma

★★★★★

Very good service

10th March 2025

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Frida Carlow

★★★★★

Great treatment! Very helpful receptionist!

10th March 2025