What Is Post-Surgery Fibrosis?

Post-surgery fibrosis is the formation of thick or uneven scar tissue that develops as your body heals after a procedure, most commonly after liposuction or other cosmetic surgeries.

When the body repairs itself, it produces collagen fibers to reconnect and close the tissue. This process is normal and necessary, but sometimes these fibers form in excess or in different directions. The result is fibrosis, which can cause firmness, tightness, or visible irregularities such as dimpling or areas where the skin looks pulled.

What Causes Post-Surgery Fibrosis?

Fibrosis is part of the natural healing process, but some factors can make it more noticeable or excessive:

• Fat necrosis – small pockets of fat lose blood supply and harden.
  
• Collagen buildup – excess collagen forms during healing.
  
• Smoking – reduces oxygen flow and slows tissue repair.
  
• Poor nutrition – lack of protein and essential vitamins delays healing.
  
• Poor circulation or venous insufficiency – limits oxygen and nutrients needed for recovery.
  
• Inadequate compression garments – garments that are too loose, too tight, or worn incorrectly can cause uneven pressure, leading to irregular healing and fibrosis.
  
• Skin type and genetics – some people naturally form thicker or more fibrotic tissue.
  

Symptoms of Post-Surgery Fibrosis

After surgery, some swelling and firmness are normal. However, if fibrosis develops, you may notice:

• Hard or lumpy areas that persist beyond a month.
  
• Tightness, discomfort, or restricted movement.
  
• Uneven skin texture, dimpling, or visible pulling.
  
• Persistent redness or pigmentation changes.
  

These symptoms can usually be improved with the right post-surgical care and early treatment.

How Is Post-Surgery Fibrosis Diagnosed?

A trained post-surgery therapist can assess fibrosis by feeling the firmness, mobility, and texture of the treated area. In some cases, imaging such as ultrasound can help evaluate the depth of fibrotic tissue. Early diagnosis allows for better management and results.

What Is the Best Treatment for Post-Surgery Fibrosis?

There isn’t one perfect treatment for fibrosis. The best results can be achieved through a combination of techniques, technology, and professional care  introduced at the right stage of healing and tailored to your individual recovery.

An effective protocol may include:

• Manual Lymphatic Drainage (MLD) to reduce swelling, stimulate circulation, and guide collagen fibers to heal more evenly.
  
• Gentle movement from day one to maintain blood and lymph flow.
  
• Stretching, once approved by your therapist or surgeon, to prevent tightness and improve flexibility.
  
• Proper compression and padding to help tissues heal evenly and reduce irregularities.
  
• Soft tissue techniques, performed in addition to MLD and at the correct stage of healing, to gently soften fibrotic tissue without triggering more inflammation or skin laxity.
  
• Appropriate technology, such as Deep Oscillation, ultrasound, or radiofrequency. There are many devices available, but I only use those that are safe, evidence-based, and proven effective in my clinical experience. Technology must always be applied with the right settings and timing to achieve the best results.
  
• Healthy nutrition and proper hydration to support circulation, help the body eliminate excess fluids, and aid tissue repair.
  

A final word

Fibrosis is a natural part of healing, but when it becomes excessive, it can affect both comfort and appearance. With early assessment, personalised care, and the right combination of treatments, its effects can be significantly reduced.

Even with the best post-operative care and advanced technology, it may not be possible to remove fibrosis completely. Each body heals differently, and individual factors  (such as genetics, skin quality, and scar formation ) play a major role in the outcome. What matters most is following the right protocol and beginning treatment at the right time to give your body the best possible chance to heal smoothly and evenly.

After many years of experience treating post-surgery patients, I’ve learned that no single approach works for everyone. As surgical methods evolve, so must post-operative care. That’s why I continue to study, refine my techniques, and update my protocols to give each patient the safest, most effective, and most up-to-date treatment possible.

If you need professional advice, treatment, or a second opinion about post-surgery fibrosis, I’d be happy to help. You can find me at my clinics in Mill Hill Broadway and Islington, where I offer personalised post-operative care and recovery support.

Frequently Asked Questions About Post-Surgery Fibrosis

Is fibrosis normal after surgery?
Yes, it’s part of the natural healing process. Collagen fibers form to repair tissues, but when too many develop, it can cause firmness or uneven texture.

Can post-surgery fibrosis go away on its own?
Mild cases may improve with time, but professional treatments like MLD and soft tissue therapy help the tissue heal more evenly.

When should I start treatment?
Usually within the first few days or weeks after surgery, as advised by your surgeon or therapist. Early care reduces swelling and helps prevent excessive fibrosis.

Can I prevent fibrosis?
Not completely, but you can reduce the risk by following your post-op plan, wearing proper compression, staying hydrated, and maintaining a balanced diet.

Where can I get treatment in London?
I offer tailored post-surgery care at my clinics in Mill Hill Broadway and Islington, including MLD, soft tissue therapy, and safe technology-based treatments.

If you have questions or would like to book your post-surgery session, contact us today! We’re always glad to help. You can find us in Mill Hill Broadway and Islington.  If you found this article useful, please share it with others who may be starting their recovery journey.

References:

https://d-nb.info/1197702474/34

https://pubmed.ncbi.nlm.nih.gov/24987208/

Guiding Fibrosis Through the Healing Process After Cosmetic Surgery

The post Understanding Post-Surgery Fibrosis: Causes, Symptoms, and Treatment appeared first on Perea Clinic.

What Is a Seroma?

A seroma is a pocket of fluid that can form under the skin after surgery or an injury. It develops when lymphatic vessels are disrupted during a procedure, allowing fluid to collect in nearby tissues instead of draining naturally.

The fluid inside a seroma isn’t always clear. In the early stages, it may appear pink, red, or brownish if mixed with blood or tissue waste. As the body heals, it often becomes lighter and more transparent, typically pale yellow or straw-coloured.

Seromas usually appear within one to two weeks after surgery, especially after drains are removed. However, they can also develop weeks or even months later, depending on healing speed, fluid retention, or pressure at the surgical site.

Signs and Symptoms of a Seroma

Common indicators of a seroma include:

• A soft or firm lump near the surgical area.
• A sloshing or fluid movement sensation under the skin.
• Tenderness, pressure, or mild pain.
• A visible bulge that may shift slightly when moving.

If the area becomes red, hot, painful, or starts to leak fluid, it may indicate infection or another complication and should be assessed promptly.

Is a Seroma Dangerous?

Most small seromas are harmless and resolve naturally as the body reabsorbs the fluid. However, large or persistent seromas may cause:

• Infection
• Delayed wound healing
• Fibrosis (hardening of tissue)

If swelling increases or symptoms worsen, contact your healthcare provider for assessment and possible drainage.

Treatment Options for Seromas

Treatment depends on the size and severity of the seroma. In many cases, the body can reabsorb the fluid naturally, but some require medical intervention. Treating a seroma may include:

• Observation:
  Small seromas often resolve on their own as the body gradually reabsorbs the fluid.
• Drainage:
  Larger or recurring seromas may need to be aspirated (drained) by a qualified medical professional using sterile techniques.
  In severe or persistent cases, a temporary drain may need to be reinserted to allow continuous fluid removal and prevent pressure buildup.
• Compression:
  Properly fitted compression garments help reduce swelling and limit further fluid accumulation.
• Follow-up care:
  Regular monitoring ensures the seroma has resolved completely and helps detect any signs of recurrence early.

 Aftercare Tips to Prevent Seroma Formation

To reduce the risk of seromas after surgery:

• Avoid heavy lifting or strenuous activity until cleared by your clinician.
• Keep the area clean and dry.
• Wear compression garments as directed , they help reduce swelling and support healing.
• Stay hydrated and follow your post-surgery care plan.
• Report any increased pain, swelling, or fluid discharge to your healthcare provider.

Flying Too Soon After Surgery Can Increase Seroma Risk

Flying shortly after surgery can increase the chance of developing seromas. Cabin pressure and prolonged sitting reduce circulation and promote fluid retention.

To protect your recovery:

• Avoid flying for at least 3 weeks after surgery unless cleared by your surgeon.
• Move your legs and stay hydrated during flights.
• Follow all compression and aftercare instructions.

Clinical observations show that many patients who had surgery abroad (e.g., in Turkey) and flew home within 2–3 weeks later developed seromas — even if they had no fluid buildup before flying. Those who waited longer or had local surgery (e.g., in the UK) experienced fewer complications and smoother healing.

Can Seromas Lead to Fibrosis?

Yes, untreated seromas can cause prolonged inflammation, leading to fibrosis (a buildup of hardened or thickened tissue). This may make the area feel firm, tight, or uneven and affect the contour or mobility of the tissue.

Proper management-such as drainage, compression, and gentle tissue therapy -helps prevent fibrosis and supports a smoother recovery.

Seroma after surgery:A final word

A seroma after surgery is not a normal part of healing, but a common side effect of surgery when more fluid is produced than the lymphatic system can drain. While most cases resolve on their own, early recognition and care help prevent infection, fibrosis, or delayed recovery.

By understanding the causes of seromas, and by avoiding early air travel and following post-surgical aftercare, patients can achieve a safer, faster, and smoother recovery.

If you have questions or would like to book your post-surgery session, contact us today! We’re always glad to help. You can find us in Mill Hill Broadway and Islington.  If you found this article useful, please share it with others who may be starting their recovery journey.

References:

https://pmc.ncbi.nlm.nih.gov/articles/PMC4347361/

Seromas after surgery: Prevention and Treatment

The post Understanding Seromas After Surgery: Causes, Symptoms and Prevention appeared first on Perea Clinic.

Post Surgery Care in North London: Fibrosis is a natural part of the body’s healing process after cosmetic surgery. However, when fibrous tissue forms excessively, it can cause tightness, hardness, or unevenness in the treated area, one of the most common concerns for post-surgery patients. The good news is that with the right post-surgery care, including Manual Lymphatic Drainage (MLD) and proper compression garment wear, you can encourage healthy healing, reduce the appearance of fibrosis, and recover faster.

Starting MLD treatments as soon as your surgeon approves, wearing your compression garment 24/7, and ensuring the right compression level all help prevent fluid build-up and support smooth, even results.

What Is Fibrosis After Surgery?

After any surgery, your body begins repairing itself by producing collagen and new connective tissue. This process is driven by fibroblasts (the cells responsible for tissue regeneration and collagen production).

When fibroblast activity becomes excessive, fibrosis can develop. This creates hard, tight, or uneven areas under the skin where healing tissue forms.

Your body heals in stages:

• Inflammation and coagulation start immediately after surgery.
• Proliferation and remodelling can take weeks or months.

In simple terms, fibrosis after liposuction or cosmetic surgery may feel like firm lumps, hardness, or irregular texture under the skin. It may also cause mild pain or discolouration in the treated area.

What Increases the Risk of Excessive Fibrosis?

Fibrosis is a normal part of healing, but certain factors can overstimulate fibroblast activity and lead to excessive tissue build-up. Understanding these risks helps support smoother recovery:

• Large treatment areas: More tissue handled means greater collagen production.
• Poor lymphatic drainage: Trapped fluid and inflammation increase fibroblast activity.
• Seromas: Fluid build-up under the skin can harden into fibrotic tissue if not drained.
• Smoking: Reduces oxygen and slows healing, raising the risk of fibrosis.
• Genetic factors: Some people naturally produce more collagen or thicker scars.
• Incorrect compression: Uneven or tight garments can cause fluid retention.
• Limited movement: Inactivity restricts lymph flow and delays recovery.
• Infection or prolonged inflammation: Triggers excessive collagen response.
• Poor hydration or nutrition: Slows repair and affects collagen balance.
• Delayed post-surgery care: Skipping early MLD allows fluid and inflammation to linger.

Even though fibrosis is part of healing, early Manual Lymphatic Drainage (MLD), proper compression, gentle movement, and healthy habits help prevent it from becoming excessive.

Common Signs of Fibrosis

• Hard or thickened skin under or around the scar
• Uneven or tight texture in the treated area
• Localised tenderness or discomfort
• Radiating or pulling sensations when stretching
• Slight numbness or reduced sensitivity
• Visible irregularities or dimples on the skin

How Is Fibrosis Identified?

The best way to identify fibrosis early is through palpation: gently feeling the treated area for firmness or unevenness.

When there’s too much swelling or fluid, fibrosis can be harder to feel because the excess fluid masks the firm tissue underneath. Starting Manual Lymphatic Drainage (MLD) early helps reduce this fluid, allowing the tissue to heal properly and making early fibrosis easier to detect and treat.

For deeper or internal fibrosis, an ultrasound or (MRI) scan may be required.

Post surgery care in North London:The Best Treatments for Fibrosis After Surgery

Once fibrosis develops, combining different therapies gives the best results:

• Manual Lymphatic Drainage (MLD)
• Ultrasound Therapy or Deep Oscillation
• Myofascial Release & Stretching

MLD uses gentle, rhythmic movements to stimulate lymph flow, reduce swelling, and ease tightness. After surgery, the lymphatic system can slow down, causing fluid retention and discomfort. Regular sessions help restore balance, soften fibrotic tissue, and support faster healing.

Our post-surgery care plans are tailored to your needs, helping reduce hardness, improve skin texture, and restore comfort for smoother, more even results.

Fibrosis post-surgery care in North London: Frequently Asked Questions

Can fibrosis go away on its own?
Mild fibrosis can soften naturally over time, but early treatment with MLD and complementary therapies speeds healing and improves results.

When should I start Manual Lymphatic Drainage after surgery?
You can usually begin within the first week post-surgery, once your surgeon approves. Starting early helps prevent fluid build-up and supports smoother recovery.

How many MLD sessions do I need?
Most patients benefit from several sessions per week initially, then taper down as swelling and firmness decrease. Your therapist will recommend a schedule based on your healing stage.

Is MLD safe after cosmetic surgery?
Yes, when performed by trained post-surgery specialists, MLD is gentle, safe, and designed to support the body’s natural healing response.

Post-Surgery Care in North London

Our certified post-surgery therapists in Mill Hill Broadway and Islington specialise in Manual Lymphatic Drainage, fibrosis treatment, and post-surgery recovery care.

We proudly serve patients across North London, helping them heal faster, reduce discomfort, and achieve smooth, natural-looking results.

If you have questions or would like to book your post-surgery MLD session, contact us today, we’re always happy to help. You can find us in Mill Hill Broadway and Islington.  If you found this article useful, please share it with others who may be starting their recovery journey.

References:

Fibrosis After Cosmetic Surgery:Why MLD Isn’t Enough

https://d-nb.info/1197702474/34

https://pubmed.ncbi.nlm.nih.gov/24987208/

The post Manual Lymphatic Drainage and Proper Garment Wear: The Key to Reducing Fibrosis After Cosmetic Surgery appeared first on Perea Clinic.

Healing after cosmetic surgery is a complex biological process that requires more than rest and patience, it also demands understanding and precision. With over 20 years of experience in lymphatic drainage and 15 years in post-operative recovery for cosmetic surgery, I’ve seen how often patients are told that manual lymphatic drainage (MLD) alone is enough. In reality, MLD is only one part of a carefully guided journey.

Fibrosis is not something to prevent — it’s a vital part of healing that must be directed correctly.
This article explains why MLD is essential in the early stages, why it isn’t enough on its own after the first few days, and how guided post-operative care leads to smoother, healthier, and more natural results.

Healing after Cosmetic Surgery: Understanding Fibrosis

Fibrosis is a normal and necessary biological response to tissue injury. It represents the body’s effort to rebuild and strengthen the surgical area through the production of collagen. Without this process, proper healing would not occur.

However, when collagen production becomes excessive or disorganised, fibrosis can result in firm, thick, or uneven tissue. This can affect comfort, function, and the final aesthetic result.

Our goal in post-surgical care is therefore not to prevent fibrosis, but to guide it , encouraging healthy, flexible tissue formation and proper collagen alignment through each stage of healing.

When properly managed, fibrosis supports smooth, even recovery. When neglected, it can lead to tightness, lumps, or visible irregularities that alter the final outcome.

The Phases of Healing and the Role of Lymphatic Drainage

1. Inflammatory Phase (0–5 days post-op)

Goal: Reduce swelling and support lymphatic circulation.

During the first few days after surgery, the lymphatic system is under significant strain. Inflammation and fluid accumulation are normal responses to trauma, but they can cause discomfort and delay healing if unmanaged.

Manual Lymphatic Drainage (MLD) is highly effective at this stage. It helps drain excess interstitial fluid, reduce swelling, and relieve discomfort. The technique encourages proper circulation and supports the body’s natural repair mechanisms.

At this stage, MLD alone is often sufficient, as the primary goal is controlling inflammation and promoting fluid absorption.

2. Proliferative Phase (3–21 days post-op)

Goal: Build new tissue and promote balanced collagen formation.

As inflammation begins to settle, the body shifts into rebuilding mode. Fibroblasts (the cells responsible for producing collagen) begin constructing new tissue to repair the surgical area. This is the beginning of fibrosis formation, which, when properly guided, leads to healthy healing.

However, this is also the phase where many post-surgical protocols fall short. Continuing with MLD alone does not address the structural changes happening within the tissue. The new collagen can become dense, uneven, and adherent if not supported through the right techniques.

From my experience as a lymphoedema therapist, once tissue becomes fibrotic, fluid drainage becomes restricted. The hardened tissue limits lymphatic movement, which means before we can drain effectively, we first need to soften and mobilise the fibrotic tissue.

In post-surgical care, this same principle applies. Once the patient enters this phase, treatment must evolve to include:

• Myofascial release and fascia stretching to improve tissue elasticity.
• Therapeutic ultrasound, deep oscillation  to soften dense or adherent areas.
• Gentle mobilisation and guided movement to support circulation and prevent stiffness.

These interventions work alongside MLD to promote proper collagen organisation and prevent long-term irregularities. 

3. Remodelling (Maturation) Phase (3 weeks onward)

Goal: Strengthen, align, and refine new tissue.

During the final stage of healing, collagen fibres mature and reorganise. The tissue gains strength and stability, and the focus shifts toward refining texture, contour, and flexibility.

MLD continues to play a valuable role, but now it must be integrated with advanced manual and mechanical therapies to encourage optimal tissue alignment. At this point, care becomes more individualised (tailored to how each patient’s tissue responds and remodels).

Healing after Cosmetic Surgery: Why MLD alone is not enough

MLD is a cornerstone of post-surgical care, but it was never designed to address every stage of tissue healing. Its primary role is to manage lymphatic flow and inflammation. Once fibrosis begins to develop, the approach must broaden to include tissue manipulation, fascia therapy, and targeted movement techniques.

Relying solely on MLD beyond the initial stage risks missing the crucial opportunity to guide collagen formation. A structured, multi-modal treatment plan ensures that the healing tissue remains soft, mobile, and balanced.

The best outcomes come from understanding the body’s natural sequence of repair and adjusting our techniques as that process evolves.

Healing after Cosmetic Surgery: Time to Evolve Post-Operative Care

For many years, post-surgical protocols in the UK have relied on MLD alone — often delivered as a standard series of sessions regardless of the patient’s stage of healing. But healing is dynamic, not static. Each phase has distinct physiological goals, and treatment must adapt accordingly.

It’s time for post-operative care to move beyond a “one-size-fits-all” approach. Fibrosis is not something to be feared or prevented , it’s something to be guided and managed intelligently.

By combining lymphatic drainage with targeted tissue therapies, compression management, and patient education, we can help the body remodel efficiently; achieving smoother, healthier, and more natural results.

A final word

After two decades working with post-surgical patients, I’ve learned that healing is never passive; it’s a process that needs to be understood, supported, and guided. Fibrosis is not an error of the body; it’s a sign of repair. Our role as therapists is to ensure that this repair happens in the right direction, so tissue remains soft, functional, and aesthetically balanced.

It’s time to move beyond outdated post-operative routines and embrace a more informed, phase-specific approach to recovery. When we guide the healing process with intention, the results speak for themselves: faster recovery, improved outcomes, and patients who truly understand their bodies.

If you’re navigating your recovery or looking to improve your post-surgical protocols, reach out to a qualified post-op or lymphoedema specialist. Knowledge, timing, and the right techniques make all the difference.

We hope this information is useful. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like it, please share!

Hard lumps after Liposuction? How to reduce Fibrosis after surgery.

The post Guiding Fibrosis Through the Healing Process After Cosmetic Surgery appeared first on Perea Clinic.

Post-lipo fibrosis (liposuction) is a common part of the healing process after cosmetic surgery. While it can’t be completely prevented, the good news is that it can be guided and managed to help the tissue heal smoothly and evenly. Understanding what causes it, and how to care for your body during recovery, can make a big difference in your final results.

What Is Post-Liposuction Fibrosis?

Post-lipo fibrosis is the formation of excess or uneven collagen tissue during the healing process after liposuction.

After any surgery or tissue injury, your body repairs itself by producing collagen fibers that reconnect and close the wound (a normal part of healing).
Before surgery, these fibers are perfectly aligned, forming smooth, flexible tissue. Surgery disrupts that alignment, and during recovery, the body focuses on repairing quickly rather than precisely. As a result, new fibers grow in different directions, creating thicker or uneven tissue known as post-lipo fibrosis.

Fibrosis can cause:

• Hardness or tightness in the treated area
  
• Lumps or nodules under the skin
  
• Tenderness or mild pain that persists
  
• Uneven texture or swelling
• Restriction of pulling sensation in the area of the lipo

While fibrosis isn’t always a complication, the quality of healing makes the difference. With the right post-operative care, you can guide this process so the scar tissue heals as smoothly and naturally as possible.

What Causes Post-Lipo Fibrosis?

While fibrosis is a natural part of the healing process, certain factors can make it more pronounced or uneven after liposuction. These influences affect how your tissue repairs itself and can increase the risk of excessive fibrous buildup. Here are the six most common causes:

1. Fat Necrosis

When small pockets of fat lose their blood supply, they can break down (a process known as fat necrosis). The body reacts by forming fibrous tissue around the damaged fat cells, which may feel like firm or lumpy areas under the skin.

2. Collagen Buildup

Liposuction disrupts some of the collagen fibers that support your skin. As your body regenerates them, excess collagen can sometimes accumulate, creating areas of tightness or irregular texture.

3. Smoking

Nicotine and tobacco reduce blood flow and oxygen delivery to healing tissues. This slows recovery and increases the chance of excessive fibrosis. Surgeons recommend quitting smoking at least four weeks before and after surgery for best results.

4. Poor Nutrition

Healing requires nutrients such as protein, vitamin A, and vitamin C. A diet lacking these essentials can delay tissue repair and affect how the scar tissue forms.

5. Poor Circulation or Venous Insufficiency

When blood flow is restricted, the tissues receive less oxygen and fewer nutrients. This can lead to delayed healing, cell damage, and an uneven fibrotic response.

6. Skin Type and Quality

Everyone heals differently. Some people naturally produce more collagen or form thicker scar tissue, depending on factors such as skin elasticity, age, and genetics.

How to Know If You Have Post-Lipo Fibrosis

Some firmness and swelling are normal after liposuction, but certain signs may suggest the tissue is healing with more fibrosis than usual. Look out for:

• Pain or tightness that lasts longer than a few weeks or returns after improving
• Hard or lumpy areas that persist beyond one month
• Uneven skin texture or dimpling, where the skin may look slightly pulled or irregular
• Persistent redness or pigmentation changes in the treated area

If you notice these symptoms, don’t worry, they can usually be improved with professional post-operative care.

How to Manage and Improve Post-Lipo Fibrosis

While you can’t completely stop fibrosis from forming, you can guide the healing process to ensure your scar tissue settles evenly and smoothly.

Start Manual Lymphatic Drainage (MLD) Early
Manual lymphatic drainage (MLD) is one of the most effective treatments after liposuction. Starting sessions soon after surgery helps reduce swelling, prevent fluid buildup (seromas), and improve circulation. This gentle massage technique helps the body eliminate waste and guides collagen fibers to form in a more uniform way.

Keep Moving From Day One
Gentle daily movement is essential after surgery to support circulation, prevent stiffness, and promote healing. Light walking or simple mobility helps your lymphatic system function effectively and reduces the risk of complications.

Introduce Stretching When Advised
As soon as your surgeon or post-surgery specialist recommends it, start gentle stretching to restore flexibility and prevent tightness. These movements help the healing tissues stay supple and reduce the risk of fibrotic restriction.

Follow Your Surgeon’s Instructions
Consistently wearing your compression garment and padding, staying hydrated, and avoiding excessive pressure on the treated area all help promote smoother healing and reduce uneven scar formation.

Eat a Balanced, Nutrient-Rich Diet
Nutrients are essential for optimal collagen formation. Focus on foods rich in lean protein, vitamins A and C, and antioxidants to support tissue repair and skin regeneration.

Can Medication Prevent Fibrosis?

There are no specific medications that can prevent fibrosis after liposuction because fibrosis is a natural part of healing. However, certain nutrients can support the process and help your body create healthier, more flexible tissue.

Vitamin A

• Supports tissue repair and cell regeneration
  
• Regulates collagen production
• Improves skin texture and quality
  

Vitamin C

• Promotes collagen synthesis
• Strengthens skin, tendons, and blood vessels
• Aids in wound healing and reduces inflammation

A Note on Iron
In my professional experience, patients with low iron levels often take longer to heal and may be more prone to inflammation or fibrosis. While current medical research on this link is limited, maintaining healthy iron levels supports overall recovery and wellbeing.

Post-Lipo Fibrosis: Final Thoughts

Fibrosis is a normal and essential part of the healing process. What matters most is how well it’s guided and managed during recovery. With the right  post surgery aftercare manual lymphatic drainage, compression and garments, ultrasound or deep isolation, proper nutrition, and consistent follow-up, you can help your body heal in a smoother, more balanced way.

At Perea, every post-liposuction treatment plan is tailored to your unique needs, helping you recover comfortably and achieve the best possible results. If you’d like advice or want to book a consultation, contact or visit us in Mill Hill Broadway or Islington. We are always glad to help. If you like it, please share!

References:

Hard lumps after Liposuction? How to reduce Fibrosis after surgery.

The post Post-lipo Fibrosis: Causes and Treatment appeared first on Perea Clinic.

Severe damage in your knee cartilage and/or bone produces a non-functional and painful joint. When other treatments fail, Knee replacement is a good choice. This type of orthopaedic surgery replaces the entire knee joint with a prosthesis: man-made artificial joint. After surgery you might notice swelling, pain and other temporary side effects, but don´t worry! Manual Lymphatic Drainage MLD can relieve symptoms and speed up the recovery proces. Let’s see the role of MLD in knee replacement post-op…

What is Knee arthroplasty: knee replacement?

It is a type of orthopaedic surgery that replaces your rubbered knee for a new one. In other words, damaged cartilage and bone are removed from the knee joint and replaced for man-made pieces (prosthesis).

According to the specific damage, the prosthesis can be placed in:

• Lower end of the thigh bone (femur). The replacement part is usually made of metal.
• Upper end of the shin bone (Tibia:the large bone in the lower leg). The replacement part is usually made from metal and strong plastic.
• Back side of your kneecap (knee cap= patella). The piece is most of the time made from a strong plastic.

Reasons why knee arthroplasty takes place: Causes

There are many different reasons to perform this type of surgery. Your surgeon may recommend it when:

• Osteoarthritis. Gradual breakdown of the meniscus (cartilage that cushions the knee joint). Symptoms: pain and limited movement as bones begin to rub against each other.
• Rheumatoid arthritis. Autoimmune condition that can also damage the knee joint over time. Symptoms: pain, inflammation and stiffness.
• Previous or current injuries. Severe damage from trauma, like a serious fall causing fracture, car accident,  repetitive sports injuries, etc., can lead to irreversible damage that can only be fixed with a prosthesis.
• Osteonecrosis. Lack or reduced blood supply to the femur, causing the bone death and break, which results in a painful joint. 
• Meniscus tears. A torn meniscus, the C-shaped cartilage that cushions the knee, can lead to pain, inflammation, and limited mobility.
• Ligament injuries that don’t respond to other treatments.
• Deformity due to other conditions like arthritis or genetic factors.
• Overuse that causes severe damage
• No improvement after trying other treatments.

How MLD can help in knee replacement post-op

Lymphatic drainage massage MLD is a gentle manual therapy that boosts the lymphatic system’s ability to clear excess fluid and debris from the surgical site. Your certified and experienced therapist uses rhythmic, light strokes to encourage lymph vessels to contract and move fluid toward lymph nodes (to be expelled through urine), reducing fluid buildup that causes swelling.

Some benefits are:

• Reduced post-op swelling.
• Improved blood and lymph circulation.
• Enhances oxygen and nutrient delivery to healing tissues.
• Boosts your immune function.
• Reduces pain.
• Improves mobility.
• Increases the removal of toxins and waste.
• Speeds elimination of injected fluids during the procedure.
• Eases pressure on nerves, joint and ligaments.
• Reduces stress and anxiety.
• Improves general wellbeing.
• Reduces bruises that can appear after surgery.
• Reduces fibrosis.
• Avoid or reduce seromas.
• Faster recovery: Studies show lymphatic drainage massage can cut recovery, helping patients return to normal faster.

How MLD can help in knee replacement post-op: A final word

Manual lymphatic drainage (MLD) after knee replacement helps by gently stimulating lymph flow to reduce post-operative swelling and inflammation. Also,it promotes faster removal of excess fluid and waste products from tissues around the knee. Reducing pain and stiffness and  improving joint mobility and comfort. In addition, MLD supports better wound healing by enhancing local circulation.Overall, it aids recovery, helping patients regain movement and function quickly.

We hope this information is useful. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like it, please share!

References:

https://medlineplus.gov/ency/article/002974.htm

https://www.nhs.uk/conditions/rheumatoid-arthritis/

The post Knee replacement (Arthoplasty) Post-op: How MLD Can help appeared first on Perea Clinic.

Braquioplasty or Arm lift is a surgical procedure aimed to improve the appearance of the upper arms by removing excess fat and skin, creating a more functional, toned and defined arm contour. Arm lift and MLD are a powerful duo to help people not only with aesthetic issues but also patients with conditions like lymphoedema, lipoedema or arm trauma who after being treated want to improve the appearance of their arm/arms. Let´s have a closer look…

What is arm lift: Brachioplasty?

An arm lift, brachioplasty, is a surgical procedure that reshapes and contours arms by removing excess fat and sagging skin. It targets the area from above the elbow to the underarm (armpit). 

Most common causes for arm lift surgery

Most common causes patients undergo a braquioplaty are:

• Significant weight loss causing saggy skin that no longer retracts.
• Severe cases of lipoedema and lymphoedema, they also need liposuction for best results (function and apereance).
• Skin loss of elasticity and firmness naturally over time.
• Genetic predispositions affecting skin tone and structure.
• Reduced muscle tone in the upper arms, leading to a flabby appearance.
• Sun damage, which degrades collagen and elastin fibers in the skin.

A liposuction plus this procedure can highly benefit patients with lymphoedema and lipoedema (severe stages) where other treatments couldn’t control progression and mobility was almost lost due to inflammation. 

Note: While exercise can help improve muscle tone, it often cannot correct excess loose skin, so sometimes surgery is the best option for restoring the apearance of your arms.

How long does recovery time last?

Recovery from arm lift surgery usually takes several weeks, each case is different. Most patients can resume light activities within one to two weeks and generally return to daily routines, including lifting, after about six weeks. Swelling and bruising are common in the early days post-surgery but gradually improve. Compression garments and Manual Lymphatic Drainage (MLD) are needed to assist in shaping, reducing swelling and fluid retention while speeding up recovery.

What to expect during the recovery time after braquioplasty

Here, what patients usually notice during the first weeks of recovery, but remember each case and needs are different, so recovery period may vary according to the person and post-op treatment.

• First 1-3 days: Moderate soreness, bruising, and swelling are common; pain can be managed with medication (prescribed by your surgeon). Movement of the arms will be limited, and heavy lifting is prohibited.
• One week to 10 days: Discomfort significantly decreases, and most bruising and swelling begin to resolve (improves faster with MLD). Many patients can return to light work and daily activities during this period.
• 3-6 weeks: Patients usually start daily activities, with full healing and scar maturation continuing over months (recovery should always be followed by your surgeon and post-op therapist).

How Manual Lymphatic Drainage (MLD) Helps Arm Lift Post-Op

Lymphatic drainage massage is a gentle manual therapy that boosts the lymphatic system’s ability to clear excess fluid and debris from the surgical site. Your certified and experienced therapist uses rhythmic, light strokes to encourage lymph vessels to contract and move fluid toward lymph nodes (to be expelled through urine), reducing fluid buildup that causes swelling.

Some benefits are:

• Reduced post-op swelling.
• Improved blood and lymph circulation.
• Enhances oxygen and nutrient delivery to healing tissues.
• Boosts your immune function.
• Reduces pain.
• Improves mobility.
• Increases the removal of toxins and waste.
• Speeds elimination of injected fluids during the procedure.
• Eases pressure on nerves.
• Reduces stress and anxiety.
• Improves general wellbeing.
• Reduces bruises that can appear after a liposuction procedure or other surgical procedures.
• Prevents seroma.
• Reduces fibrosis.
• Helps with shape definition.
• Faster recovery: Studies show lymphatic drainage massage can cut recovery time by 50-70%, helping patients return to normal faster.

A final word

Arm lifting (braquioplasty) is a surgery aims to give arms back  the lost appearance (reduce shaggy skin, improve appearance of muscle tone, reduce fat deposits). Manual lymphatic drainage (MLD) after arm lifting helps to reduce swelling, boost your immune function, speed up recovery and more. For that reason, incorporating lymphatic drainage massage as part of post-operative care is highly recommended for optimal healing and results after an arm lift. Remember your post-op treatment should be performed by a certified therapist who treats you better and tailors your post-op treatment according to your needs. 

We hope this information is useful. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like it, please share! 

References:

https://baaps.org.uk/

https://www.theaestheticsociety.org/

https://pereaclinic.com/benefits-of-manual-lymphatic-drainage-mld

https://pereaclinic.com/surgery-benefits-of-manual-lymphatic-drainage/

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After a C-section, inflammation is part of the natural response for short-term healing and scaring. You may also feel pain and stiffness, however, early hands-on treatment can help you reduce symptoms and heal faster, so you can enjoy more quality time with your newborn. Manual Lymphatic Drainage (MLD) after a C-section benefits recovery by stimulating the lymphatic and circulatory system to enhance lymph flow, boost your immune function, while reducing other symptoms and speeding up the healing process. Let´s have a closer look…

What is a C- section?

A C-section (cesarean section) is a major abdominal surgery where different abdominal layers from skin to uterus are cut in order to deliver a baby. This procedure, often necessary for safe childbirth, but also can be chosen and programmed by mothers; as any other surgery, it needs recovery time to ease pain, swelling, stiffness, scarring, etc., but don¨t worry! there is specialised care (MLD) to support healing.

What is Manual Lymphatic Drainage?

Its a gentle, rythmic and soft massage technique that moves retained fluid by gently pumping it back into the lymph vessels and nodes, reducing the swelling, fluid retention, pain, etc. Without Lymph Massage (MLD)  inflammation can evolve into fibrosis (a permanent hardening of the tissue) or a seroma (pocket of serum). For these and many more reasons, many  obstetric surgeons prescribe MLD as part of your post-op treatment.

Manual Lymphatic Drainage after C-section: How it Benefits Recovery?

Manual Lymphatic Drainage (MLD) after Cesarean section benefits recovery by:

• Stimulate the lymphatic system to enhance lymph flow.
• Reduce post-surgical swelling and fluid retention by moving excess fluid away from the surgical site.
• Decreases discomfort.
• Reduces pain.
• Boost your immune function.
• promotes faster healing.
• Helps improve scar appearance.
• Promotes scar tissue mobility by prevents the formation of adhesions that restrict movement.
• Helps to avoid fibrosis and seromas.
• Improves mood.
• Reduces stress and anxiety.
• Encourages removal of waste, toxins, and excess fluid from tissues.
• Enhance tissue repair.
• Tones the intestine, which helps fight constipation.
• Lowers blood pressure.

Scientific evidence supports these benefits, research showed It supports immune function by helping the lymphatic system clear debris and promotes a faster, more comfortable recovery process. Clinical observations have noted improved scar softness and reduced sensitivity with MLD, along with decreased risk of complications such as seroma formation or excessive scar thickening. Early initiation of MLD, starting a few days to weeks after surgery under healthcare provider guidance, is considered safe and effective in cesarean recovery.

We hope this information is useful. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like it, please share! 

References:

https://openpublichealthjournal.com/VOLUME/16/ELOCATOR/e187494452309192/FULLTEXT/

https://www.sciencedirect.com/science/article/abs/pii/S1744388121001687

The post Manual Lymphatic Drainage (MLD) after C-section: Boosting healing appeared first on Perea Clinic.

Orthognathic surgery (Jaw surgery) is a specialised surgical procedure to correct irregularities and misalignments of the upper jaw (maxilla), lower jaw (mandible) or chin to improve facial function and/or aesthetics. Lymph-buccal massage is a type of Manual lymphatic drainage (MLD), a gentle massage technique that stimulates the lymphatic system. It helps recovery from orthognathic surgery by reducing postoperative swelling, pain, and discomfort, thus boosting your immune system and promoting healing. Let´s have a closer look…

What is Orthognathic Surgery?

Orthognathic surgery (jaw surgery) is a surgery performe in your jaw or nearest areas. Its main objective is to improve your jaw function or aesthetic (or both if needed). In other words, surgeons perform orthognathic surgery when orthodontic treatment alone cannot resolve jaw misalignments, when there are several functional issues, aesthetics, etc,. Jaw surgery might need repositioning the upper jaw, lower jaw (bilateral sagittal split osteotomy), or chin (genioplasty) to correct skeletal jaw abnormalities.

The surgery addresses functional issues such as difficulty chewing, speaking, breathing, and also improves facial symmetry and aesthetics. The procedure may include moving one or more parts of the jaw and is done through incisions inside the mouth with minimal external scarring.

How do I know if I need Jaw surgery?: Causes for orthognathic surgery

Most common causes are:

• Malocclusion. Misalignment of teeth due to improper bite (overbite, underbite, crossbite, open bite).
• Jaw misalignment. Discrepancies in jaw growth causing speech difficulties, chewing problems
• TMJ conditions (Temporomandibular joint disorders- there are 30 different types) jaw joint or/and the muscles dysfunction. Some symptoms are: jaw pain, soreness, headaches, difficulty opening or closing the mouth, clicking or popping sounds you chew.
• Obstructive sleep apnea. Misalignments can momentarily interrupt breathing while sleeping. So, repositioning the jaw can widen the airway, reducing breathing interruptions during rest.
• Facial trauma and congenital defects. When there are fractures or deformities, surgery is performed for better function and appearance.
• Facial asymmetry and cosmetic concerns. Balancing facial proportions to get closer to the patient’s aesthetic requirements and needs.

Benefits of Lymp-Buccal Massage (MLD) after Jaw Surgery

Our specialised Lymph-Buccal Massage is a gentle type of MLD designed to improve blood and lymph flow. It blends Buccal Massage, Lymphatic Drainage, Jaw Mobilization, and Myofascial Release; in order to reduce pain, swelling, tension in the jaw, face or neck, improve healing, etc,. It can be performed before and after orthognathic surgery.

Clinical studies have explored the benefits of MLD post-orthognathic surgery and some finding are:

• MLD can accelerate the reduction of postoperative swelling, evidenced by 3D facial scans.
• Patients receiving MLD report less pain and improved comfort during the first month after surgery.
• While some studies show no statistically significant differences, MLD is considered safe and helpful in enhancing recovery comfort, reducing facial edema, reducing stress and anxiety before and after surgery, and improving general well-being.
• MLD may also help to speed up postoperative facial swelling and improve patient quality of life during recovery.​

Other benefits of Lymph-buccal massage (MLD)

• Jaw & Tension Relief: Specifically designed for those with jaw tension, TMD (Temporomandibular Disorder), or who are prone to stress-related tension. This treatment alleviates pain and discomfort while improving overall relaxation.
• Aesthetic Enhancement: Sculpted cheeks, a defined jawline, and a lifted, rejuvenated facial appearance.
• Detox & Circulation Boost: Improves lymphatic and blood circulation, reducing puffiness, and promoting a healthier, more vibrant complexion.
• Relaxation & Mood Enhancement: Promotes deep relaxation, reduces stress, and enhances mood through targeted muscle relaxation and facial toning.
• Also, ideal for those with sinus issues (reduces swelling and helps to open airways).

Lymph- Buccal Massage (MLD) after Jaw Surgery: A final word…

Orthognathic surgery is a pivotal procedure for correcting jaw deformities that affect function and appearance. Complementary therapies like Manual Lymphatic Drainage can support and speed up recovery by managing swelling, pain and discomfort; in addition, it relieves stress and axiety before and after surgery. In other words, Lymph-Buccal Massage makes smoother your healing experience. If you have any questions, contact us, we are glad to help!

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always glad to help. If you like this blog, please share!

References:

https://pubmed.ncbi.nlm.nih.gov/32680812/

https://clinicaltrials.gov/study/NCT01983436

https://www.nationwidechildrens.org/specialties/center-for-complex-craniofacial-disorders/treatments-and-procedures/orthognathic-surgery

Lymph-Buccal Massage

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Over the years, HIV has become a treatable disease, with long prognosis and good quality of life; however, a cure has not been found yet. As in many chronic conditions, science looks to reduce symptoms, avoid disease progression (AIDS) and improve the general wellbeing of patients. Recent research showed many benefits of Massage Therapy for HIV and AIDS patients. In this blog, we will talk about what these conditions are and how massage can help you. Let´s have a closer look…

What is HIV?

HIV (Human Immunodeficiency Virus) is a virus that attacks cells called CD4 which are a type of T-cells, white blood cells ( immune system), that defend us from viruses, germs, infections and illnesses. When not treated, this virus turns into AIDS and makes patients vulnerable to diseases. 

What is AIDS?

AIDS (Acquired Immune Deficiency Syndrome) is the most advanced stage of HIV. On the other hand, HIV patients who intake treatment as prescribed are at very low risk of developing AIDS.

HIV (if not treated properly) causes AIDS by attacking CD4 cells and turning them into HIV factories; in other words, CD4 cells turn into HIV cells and multiply and spread all over your body (circulatory and lymphatic systems) weakening your immune system (less- t cells:CD4 cells) and making you vulnerable to get infections that can be dangerous for your health or mortal.

Benefits of Massage Therapy for HIV and AIDS

Recent research showed evidence to support the use of massage therapy to improve quality of life and immune function in patients living with HIV/AIDS. The objective of this systematic review was to examine the safety and effectiveness of massage therapy on quality of life, pain and immune system parameters in people living with HIV/AIDS. The trials were small, nevertheless, the results were convincing. Here some conclusions:

• Massage therapy stimulates lymphatic and blood flow (Manual Lymphatic Drainage) helps transport immune cells and detoxify the body, potentially supporting immune responses. Disclaimer: for patients who intake treatment as prescribed.
• All patients of any age and at any stage of the disease can benefit from massage therapy.
• There are positive changes in immune function, in particular CD4+ cell count and natural killer cell counts (rise), due to massage therapy.
• Pain reduction.
• Stress and anxiety reduction.
• Lowers risk of depression.
• Improves energy levels.
• Improvement in general quality of life.
• Massage therapy can be combined with other stress-management modalities and may have the same positive effect on immunological function.
• Adverse or harmful effects were not well reported.

A final word…

There are many proven benefits of MLD and massage therapy for HIV and AIDS patients, however, further and extensive studies are needed to show more benefits. If you are a HIV or AIDS patient, remember, you are not alone! we are here for you.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always glad to help. If you like this blog, please share!

References:

https://pubmed.ncbi.nlm.nih.gov/20091636/

https://www.nccih.nih.gov/health/providers/digest/massage-therapy-for-health-science

https://www.cochrane.org/evidence/CD007502_massage-therapy-people-hivaids

https://pubmed.ncbi.nlm.nih.gov/23098696/

https://www.hiv.gov/hiv-basics/overview/about-hiv-and-aids/what-are-hiv-and-aids

The post Massage Therapy for HIV and AIDS: What Science says appeared first on Perea Clinic.