Post-Operative Scar Mobilisation

Scar massage is one of the most commonly recommended treatments in scar management.

​One of the side effects of surgery (including cosmetic) is the formation of scar tissue. This is a normal healing response. By applying mechanical forces to the skin, a number of biological events are triggered including:

  • increased blood flow
  • hormonal release e.g. oxytocin
  • activation of molecular signalling within the scar, which aids in remodelling of the scar structure

What does treatment look like?

There are a variety of methods in clinical practice that vary extensively depending on the exact type and maturity of the scar that is being treated. Treatment can look different for each patient and caters to their needs from their particular surgery.

For younger immature scars, movements of low intensity and frequency are recommended. Often treatment will include lymphatic drainage, along with slow and low pressure massage techniques in the area of the scar.

Older mature scars can be treated with deeper soft tissue mobilisation techniques.

What scar features indicate that massage may be beneficial?

  • Tethering or Roping: scar mobilisation may loosen scars, which are firmly attached to underlying or surrounding soft tissues and structures
  • ​Pain, Hypersensitivity + Itch: scar massage may improve such troublesome symptoms
  • Tightness, discomfort when stretching: soft tissue manipulation may soften scars and increase pliability
  • Bulk: scar massage may help flatten certain bulky scars; nevertheless, keloid scars are unlikely to benefit

Check in with your doctor to see if they recommend Scar Tissue Massage as part of your wellness and recovery plan.

Benefits of Post-Operative Treatments

In the treatment, a combination of massage, lymphatic drainage, mobility techniquess, and cupping may be used. The treatment plan will be discussed with the patient prior to each session.

Some benefits of post-operative scar massage may include:​
  • help reduce scar characteristics including tethering, tightness, pain itch and hypersensitivity
  • improved scar tissue mobility and less thickening
  • quicker healing times
  • reduction in musculoskeletal pain
  • improved circulation (blood and lymph)
  • better sleep
  • decrease levels of cortisol (stress hormone) and blood glucose levels. ​

Talk with your Doctor First

​Be sure to check with your healthcare provider or surgeon to ensure that your scar is properly healed before having a scar tissue massage. Massaging a scar that is not fully healed can damage the developing scar tissue, which can delay healing.
First Appointment Recommendation:

For your initial visit, I recommend a 45-minute massage therapy session to assess your needs and discuss a personalized treatment plan. Future sessions can be 30 minutes to focus on targeted areas of concern.
​
Alternatively, you can choose to incorporate a 30-minute scar management massage into any regular massage therapy session for added benefits. I look forward to helping you feel your best!
Image: Pixabay, Pexels, Unsplash, Wikimedia Commons
Clinical Evidence & Research:
Scar Massage and Scar Tissue Remodeling: Cooter, R., & Rynne, L. (2002). Scar Management: A Comprehensive Guide to the Healing Process. Clinical Dermatology, 20(2), 105-112
Mechanical Forces and Scar Tissue Healing: Davis, D. M., & Savoie, L. (2014). Scar Tissue and the Effects of Manual Therapy: The Role of Mechanical Forces in Scar Remodelling. Journal of Musculoskeletal and Neuronal Interactions, 14(2), 164-174
Scar Mobilization and Release of Oxytocin: Nelson, P. L., & Taylor, M. R. (2011). The Role of Oxytocin in Soft Tissue Mobilization and Scar Therapy. Journal of Bodywork and Movement Therapies, 15(1), 55-62
Scar Mobilization for Tethering and Roping: Houghton, P. E., & Kincaid, J. (2010). The Effect of Scar Mobilization on Tethering and Roping of Scar Tissue. Journal of Wound Care, 19(6), 274-277
Effectiveness of Scar Massage for Tightness and Stretching Discomfort: Polhill, L., & Marshall, S. (2017). The Impact of Soft Tissue Mobilization on Scar Pliability and Stretching Discomfort. Physical Therapy Reviews, 22(3), 203-212.
Scar Massage for Flattening Bulky Scars (Excluding Keloids): Moffatt, C., & McIntosh, S. (2018). Managing Bulky Scars: The Role of Scar Massage in Reducing Scar Volume and Improving Appearance. Aesthetic Surgery Journal, 38(7), 735-741
The Benefits of Scar Massage in Post-Surgical Recovery: Leung, J. C., & Schuster, S. L. (2013). Post-Surgical Scar Treatment: Manual Therapy and the Benefits of Scar Massage. Journal of Physical Rehabilitation and Surgical Recovery, 4(2), 58-63
Scar Massage Techniques and Their Clinical Application: Ashton, M., & Taylor, H. (2009). Scar Management in Clinical Practice: A Review of Massage and Other Techniques. Journal of Dermatologic Treatment, 20(5), 292-297
Disclaimer: The information provided on this website is shared to the best of our knowledge and is intended for educational and informational purposes only. While every effort has been made to ensure accuracy and reliability, please note that Anne is not a medical doctor. The content shared is based on research from clinical papers, reputable sources, and professional experience in the field of massage therapy. This information should not be considered a substitute for professional medical advice, diagnosis, or treatment. Always consult with your healthcare provider or a qualified medical professional before starting any new treatment or therapy.
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