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post plastic surgery

What is fibrosis?

After any type of surgery, the skin can build up adhesions and scars as part of the healing process. However, the body can abnormally increase the production Fibroblast (a main connective tissue cell present in the body) in the form of bands which connect two or more tissues causing hardness under the skin.​ Your wound heals in stages. The healing process starts the instant your surgeon makes the incision. The acute stages of coagulation and inflammation can take minutes or days, whereas the proliferative and remodeling stages can take days, weeks or even more. Although various cell types are involved in fibrosis, it’s the fibroblast, the main character when we talk about wound remodeling and collagen deposition. Fibroblast plays an important role in creating and remodeling this extracellular tissue and in some cases, this excess fibrous tissue can be painful or disturb your body functions. In other words, fibrosis is a set of imperfections that you can observe after liposuction and are described as painful hard lumps under your skin where liposuction has been done. It can also appear as large pores, tissue discoloration and uneven areas.

What are the symptoms of fibrosis? Fibrosis post-op is characterized by:

  • Feeling of a radiating pain, in some cases it could be constant or get worse in some postures.

  • Thick and hard skin added to your scar tissue

  • Uneven skin

  • Local pain around the incision

  • Numbness or loss of light touch sensation

  • Pulling sensation on the area as you try to move or stretch

What is the best treatment for fibrosis?

Once you have developed fibrosis you need combination of treatments to achieve better results such as: Manual Lymphatic Drainage, ultrasound therapy, myofascial and prescribed stretches. Lymphatic Drainage, unlike some other forms of massage, it uses very light pressure, combined with soft pumping movements to drain the excess of fluid from the affected area towards the lymph nodes. After surgery your lymphatic system becomes suppressed. Therefore, the lymphatic system is not filtering properly, causing you pain and fluid retention. Manual Lymphatic drainage also allows fresh nutrients such as oxygen, vitamins and minerals to nourish your cells, at the same time, it reduces swelling, bruising, and fibrosis; it helps in the scarring process and alleviates pain. Daily drainage is important to relieve pain and drain excess of fluid and speed up recovery. Our fibrosis treatment is designed to help you recover fast and help reduce scar tissue and uneven skin. The treatment is tailored based on your needs.

Some risk factors are:

The size of your scar. When the scar is big there are more possibilities to develop fibrous tissue. Genetics. There are people who are prone to develop fibrosis even when having small cuts, they can develop big scars (keloids). lack of movement. Sitting for long period increases the risk of fibrosis. Remember you need to move every hour for 5 minutes after your surgery and increase exercise as soon you start feeling better. Un appropriated garment and compression ​ There is no way to say who can develop fibrosis, but if you developed it don’t worry, fibrosis can be treated at early stage with manual lymphatic drainage or if is more chronic a combination of Lymphatic drainage, ultrasound, and fascia stretches can help to soften the tissue and restore the affected area. Fibrosis needs to be treated as soon as you notice the hard lumps under the skin, the longer you wait to see a professional the more difficult to treated.

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