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Vertical vs. Bikini-Line Hysterectomy Scars: Treatment Plans That Work

July 14, 2025

One of the first things you will need to talk to your doctor about before undergoing a hysterectomy is the most appropriate type of incision. It’s a small detail, but it matters as it’ll affect your recovery time and how the scar will look later. So, let’s break down the two options- vertical and bikini-line. This will help you determine which one will work best for you.

Difference Between Vertical and Bikini-Line Hysterectomy Incisions 

Here’s the difference between vertical and bikini-line hysterectomy.

  • Vertical incision: It is a straight cut from just below your belly button to your pubic bone. It’s used when the surgery is more complicated, like if your uterus is enlarged or if you need other procedures at the same time. The scar from a vertical incision is usually longer and visible at first. You might feel more sore, and the recovery time might be longer in this case. Also, avoid lifting heavy items or doing intense activities for a while.
  • Bikini-line incision: This incision is horizontal, made right above your pubic area. It’s used for more routine surgeries and leaves a smaller and discreet scar. In this case, the healing generally tends to take less time. Also, the bikini-line incision leaves a smaller, less noticeable scar that’s easy to hide. But if the surgery is more complex, this might not give the surgeon enough space to work. Most people can get back to regular activities sooner, but still, following your doctor’s instructions will be helpful.

How to Care for Your Scar After Hysterectomy

After the incision heals, you can help your scar heal better and fade faster by doing the following things:

1. Scar creams: Whether you have a vertical or bikini-line incision, using a good scar cream will help speed up healing and improve the scar’s appearance. At Scar Protocol, we offer natural-based creams that provide long-term results to help reduce scar visibility.

2. Massage: After your scar has healed enough, gently massage it with some scar cream. It can help break down the scar tissue and improve the healing over time.

3. Sun protection: Once your scar heals, make sure to use sunscreen (SPF or higher). Going into higher UV rays without protection can darken the scar and make it even more visible. 

4. Follow your doctor’s instructions: Your doctor will provide you with specific care instructions, such as when to start using creams and how to take care of your scar. You should follow them to get the best results.

Final Thoughts 

Choosing between a vertical or bikini-line incision typically depends on the type of surgery. Both types are effective, but understanding how they affect your scar and recovery time will help you make the best decision.