Fibrosis After Cosmetic Surgery - Treatment Policy

At Medical Massage Professionals, LLC, we are committed to providing the highest quality care for individuals experiencing post-surgical fibrosis. Our specialized approach is designed to improve your results safely and effectively. Please have a look at our policy carefully before scheduling an evaluation or treatment.

How do we determine the areas of treatment

Imperfections after cosmetic surgery

Each treatment zone is roughly the size of an average adult hand, encompassing both the palm and fingers. This open-hand measurement serves as a reliable visual reference, allowing for an intuitive estimation of the size of a single treatment zone. Below, a graphic illustrates the anatomical boundaries that define each zone.

When discussing the human body, it's vital to differentiate between regions, sections, and zones to communicate effectively:

  • - A “region” represents a broad area, like the torso, back, arms, or legs, each encompassing a variety of sections that define their unique characteristics.

  • - A “section” refers to a more precise part of a region, such as the upper back or lower thigh, offering a more apparent distinction within the larger region.

  • - A “zone” is the most specific subdivision, pinpointing the exact area designated for treatment within a section, such as the upper abdomen, lower abdomen, or the mons pubis.

    For instance, while the term "midsection" provides a general idea of the central part of the body, it encompasses distinct zones like the lower abdomen, upper abdomen, and mons pubis, each with its unique treatment considerations.

Additionally, the body's symmetry leads to naturally paired zones, such as the left and right love handles. These paired zones can be treated independently, as they may not always show equal treatment effects, allowing for more tailored and effective care.

FIBROSIS AFTER LIPOSUCTION TREATMENT ZONES

Diagram of a human body showing numbered areas for body contouring or liposuction. The front view includes regions like the upper abdomen, lower abdomen, and thighs, while the back view covers areas like the scapula and buttocks. Each part is numbered and some are noted as 'right & left.'

1. Single Treatment Zones (One Open Hand-Sized Area)

  • Upper Abdomen: From the belly button up. [#1 in the diagram]

  • Lower Abdomen: From the belly button. [#2 in the diagram]

  • Mons Pubis: Directly above the pubic bone (requires Lower Abdomen treatment).[#3 in the diagram]

  • Under bra: The area above the upper abdomen, from the sternum to the under-breast fold. [#4 in the diagram]

  • Sacral Area:  The area immediately above the buttocks.[#25 in the diagram]

  • Lower Back: The area right above the sacral and before the bra line [#26 in the diagram]

  • Back bra line: Mid-back area at the bra strap level.[#27 in the diagram]

  • Buffalo Hump: Fat pad at the base of the neck. [#30 in the diagram]

  • Neck

  • Chin

  • Face

2. Paired Zones (Right & Left Exist, But Can Be Treated Individually)

  • Under bra Ribs (Right & Left): The area bordering the ribs on each side of the breastbone.[#5 in the diagram]

  • Love Handles (Right & Left): Wrap around the waist from front to back.[#6 in the diagram] it reaches as far back as your thumb if you put your hands on your waist.

  • Hips (Right & Left): The area below the love handles, connecting to the legs. [#7 in the diagram]

  • Armpits (Right & Left): Hollow area beneath the junction between the shoulder and the arm. [#8 in the diagram]

  • Inner Arms (Right & Left): Inner part from the armpit to the elbow. [#9 in the diagram]

  • Outer Thighs (Right & Left): Outside part from the hip to the knee. [#10 in the diagram]

  • Inner Thighs (Right & Left): Inner part from the groin to the knee. [#11 in the diagram]

  • Outer Arms (Right & Left): Outer side from the shoulder to the elbow.[#12 in the diagram]

  • Shoulders (Right & Left): [#13 in the diagram]

  • Elbow lines (Right & Left):  [#14 in the diagram]

  • Forearms (Right & Left): [#15 in the diagram]

  • Upper Front Thighs (Right & Left): [#16 in the diagram]

  • Lower Front Thighs (Right & Left): [#17 in the diagram]

  • Knees (Right & Left): Covers the front and slight sides of the knee. [#18 in the diagram]

  • Calves (Right & Left): Back of the lower leg, below the knee. [#19 in the diagram]

  • Ankles (Right & Left): Around the ankle bone area. [#20 in the diagram]

  • Lower Rear Thighs (Right & Left): [#21 in the diagram]

  • Upper Rear Thighs (Right & Left): [#22 in the diagram]

  • Panty Line (Right & Left): Along the bikini line.[#23 in the diagram]

  • Buttocks (Right & Left): Entire buttock area. [#24 in the diagram]

  • Scapula (Right & Left): Shoulder blade area.[#28 in the diagram]

  • Trapezius (Right & Left): From the base of the neck to the shoulder. [#29 in the diagram]

Detailed Midsection Zones of Treatment

The torso functions as an interconnected structural unit. While individual zones can be treated independently, fibrosis frequently extends into adjacent tissue planes. For this reason, certain areas are grouped anatomically to ensure complete correction rather than partial improvement.

These groupings are based on tissue continuity and common post-liposuction fibrosis patterns — not on upselling, but on therapeutic necessity.

Core Single Zones

Each zone may be treated independently when fibrosis is clearly confined.

[#1] Upper Abdomen
[#2] Lower Abdomen
[#3] Mons Pubis
[#4] Underbra

Paired Zones (Double Zones)

These exist on both sides of the body. They may be treated independently, but bilateral treatment is often recommended for symmetry and structural balance.

[#5R & #5L] Underbra Ribs
[#6R & #6L] Love Handles

Posterior & Back Zones

[#25] Sacrum
[#26] Lower Back
[#27] Bra Line

Liposuction zones for massages after cosmetic surgery
Midsection treatment zones for fibrosis after liposuction cosmetic surgery

Torso Fibrosis Pattern Classification

Fibrosis does not always remain confined to a single spot.
Because the torso functions as a connected structural unit, treatment scope is determined by how far tissue tension extends — not just where it appears.

The following classifications explain how patterns are grouped.

How to Use This Page

This page explains how treatment zones are defined and how fibrosis patterns may be grouped anatomically.

It serves as a general reference.

Your personalized Report of Findings contains the specific number of zones and protocol recommended for your condition.

Zone groupings listed here do not override your individualized treatment plan.

Your personalized Report of Findings specifies your recommended protocol. These classifications are used internally to determine therapeutic scope after assessment. Patients do not self-select a pattern. Your personalized Report of Findings specifies your recommended protocol.

LOCALIZED PATTERN


REGIONAL PATTERN


STRUCTURAL (CIRCUMFERENTIAL) PATTERN

Fibrosis limited to a single anatomical zone without structural pull into surrounding areas.

Used for:

  • Discrete cords

  • Post-protocol refinement

Extension into adjacent zones

When fibrosis spreads beyond one zone but does not wrap around the torso, regional treatment is recommended to ensure complete release and prevent residual tension.

Wrap-around involvement

When fibrosis forms a continuous band around the torso, isolated treatment is insufficient.

A clinical framework used to determine the appropriate scope of treatment based on tissue spread and structural continuity

Finding Your Rhythm: How Session Timing Influences Your Healing Journey

Understanding the difference between back-to-back and spaced-out sessions helps you make the best decision for your body and your schedule.

At Medical Massage Professionals, we work with patients from all over the world. We understand that traveling for treatment requires careful planning, and a common question we hear is: "Can I do my sessions back-to-back to make my trip more efficient?"

The answer is yes, we can and do accommodate this request. However, our strong clinical recommendation is to space sessions out. To help you make an informed choice, we want to explain the "why" behind our advice. It all comes down to optimizing your body’s natural healing process for the most effective and stable outcomes.

The Body’s Healing Timeline: What Happens After a Session?

A powerful therapy session is a proactive signal to your body. It encourages change, improves circulation, and helps release tension and metabolic waste. This process initiates a vital healing response, which can include temporary inflammation as the body begins its repair work.

This initial phase is crucial. Your body needs time to:

  • Process the treatment's input.

  • Flush out metabolic waste.

  • Allow initial inflammation to subside.

  • Begin integrating the changes into new, healthier tissue patterns.

When we give the body this time, we set the stage for more profound and stable progress in the next session.

A Smart Strategy for Our Traveling Patients: The "Phased Approach"

For our patients who travel, we often recommend a strategy that balances efficiency with effectiveness: dividing your treatment into phases.

Instead of trying to do all your sessions in one tightly-packed trip, consider planning two or three shorter trips, each with a focused round of 2-3 sessions.

Why this works so well:

  1. Maximizes Each Session: Within a single trip, you can space your 2-3 sessions with a day of rest in between (e.g., Monday-Wednesday-Friday), giving your body crucial recovery time.

  2. Builds Stable Progress: Each round of sessions builds a solid layer of correction. You then return home, allowing your body to fully integrate these changes over several weeks.

  3. Long-Term Efficiency: When you return for your next phased round, your therapist can build upon a stable foundation, often allowing them to progress more quickly and effectively than if the sessions were all done consecutively on inflamed tissue.

This phased approach is not just for travelers; it's a strategic model that anyone can benefit from for achieving lasting, high-quality results.

In Summary: Your Journey, Your Choice

  • For Optimal, Cumulative Results: Spaced-Out Sessions are the gold standard.

  • For a Single Intensive Trip: Back-to-Back Sessions can be accommodated, with the understanding that the therapeutic focus will adapt to your body's immediate state.

  • For the Best of Both Worlds: Consider the Phased Approach—multiple shorter trips with spaced-out sessions in each—for a strategy that is both travel-friendly and clinically ideal.

Our commitment is to provide you with the best possible care and the information you need to make the right decision for your health and your life. We’re here to talk about these options with you and create a treatment plan that aligns with your goals.

Contact us today to discuss which session rhythm is right for you.

Medical Massage Professionals is dedicated to providing expert, personalized care to help you achieve stable and lasting wellness.

Spaced-Out Sessions: The Gold Standard for Cumulative Progress


The Analogy: Building a Strong Foundation
Think of your treatment plan like building a stone wall. Each session is a new layer of stones. After placing a layer, let the mortar set and cure before adding the next layer. This creates a structure that is strong, aligned, and built to last. Stacking layers too quickly results in a less stable wall.

How This Applies to You:
When you return for a session after a few days of recovery, your therapist works with tissue that has integrated the changes from the previous visit. The area is calmer and more receptive, allowing your therapist to build effectively on the established progress. This layered approach is the most effective way to achieve cumulative, stable results.

Back-to-Back Sessions: A Different Therapeutic Approach

The Analogy: Caring for a Sunburn
Imagine you have a sunburn. The smartest thing to do is to get out of the sun and let your skin begin healing. If you were to go right back into the intense sun the next day, you would compound the stress on your skin, potentially delaying the overall healing process.

How This Applies to You:
In a back-to-back session schedule, the second session begins before your body has fully recovered from the first. The area is often still tender and congested. While this is absolutely possible, it requires a different therapeutic strategy.

Your therapist must adjust their techniques and pressure to avoid overstressing the tissues. Consequently, the focus of the second session often shifts towards calming the initial response and ensuring comfort, which means less time can be spent on making new, deeper corrective progress. The overall trajectory toward your goals remains the same, but the path is different and often slightly less efficient.

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