Hello, congratulations on your pregnancy, I am 38 and have three boys. 19, 3, 1 years. All of them c-section. The last two boys were by c section horizontal incision. Yes. My doctor just cut on top of the previous incision. She said I should not worry about the skin being weaker because of it. As a matter of fact it has healed nicely, surprisingly. I did have a little larger incision with my last boy, his head was a little larger than the 3 year old so she cut a like an inch more. Hope all is well and send some baby magic my way. Would like to be pregnant again at 38.View Thread