Advanced Scar & Tissue Therapy in Virginia Beach, VA
Manual techniques to soften, flatten, and restore sensation to post-surgical scars and fibrotic tissue.
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Scar & Tissue Therapy Instructions — What to Know
Before Your Appointment
- Arrive with clean, dry skin — no oils, lotions, balms, creams, or makeup on treatment areas
- Wear loose, comfortable clothing
- Bring any compression garments you use or have been instructed to wear
- Do not take pain medication 1–2 hours prior unless prescribed — it can mask sensory feedback needed for safe tissue work
- Notify your practitioner of any changes in health status, medications, or surgical care
Surgical & Medical Clearance
- Written medical or surgical clearance is required when applicable
- Treatment cannot proceed on open wounds, unhealed incisions, active infection, or areas with compromised healing
- If required clearance is not received, treatment will be postponed or modified
Appointment Structure (75 min total)
- ~15 min: Intake review, documentation, measurements/photographs, garment review, treatment planning
- ~60 min: Hands-on scar and tissue treatment
- Patients should not expect 75 minutes of hands-on treatment time
After Your Session
- Temporary responses may include: soreness, redness, skin markings, temporary changes in swelling, increased warmth, fatigue, or mild emotional release
- These are generally short-lived
- Stay well hydrated
- Wear compression as instructed
- Follow all post-treatment guidance provided
Contact TheraFlow Health if you experience increasing pain beyond expected soreness, signs of infection, significant bruising, worsening swelling, or any reaction that feels unexpected. In a medical emergency, call 911 immediately.
Advanced Scar & Tissue Therapy is a medically guided service. Booking an appointment does not guarantee eligibility. All care decisions are based on clinical assessment, safety considerations, healing status, and available documentation.
Transforming scars through specialized manual care
Sessions may also include moist heat application, oscillation and vibration therapy, and targeted decompression — all selected based on your tissue presentation that day. Every session begins with MLD to prepare the tissue before hands-on scar work begins.
Sessions may also include: heat therapy using medical-grade hydrocollator moist heat · oscillation and vibration therapy · targeted decompression therapy · lymphatic cupping · gua sha · kinesiology taping · red light therapy · cryotherapy · silicone scar support · CBD oil (Stage 2)
Conditions treated
- Post-surgical fibrosis and hard tissue
- Banding after BBL or liposuction
- Puckering and dimpling at incisions
- Restricted tissue mobility
- Hypertrophic and keloid scars
- C-section scar adhesions
Scar types we treat
- Post-liposuction fibrosis
- C-section scars
- Mastectomy & reconstruction scars
- Tummy tuck and BBL scars
- Burn and trauma scars
- Hypertrophic and keloid scars
The treatment window
Scar tissue is most responsive during the remodeling phase — 6 weeks to 2 years post-procedure. The sooner treatment begins within this window, the better.
Even older scars often respond. It is rarely too late.
What is fibrosis and can it be treated?+
Fibrosis is hardened scar tissue that forms when post-surgical inflammatory fluid isn't adequately cleared during recovery. It often feels like firm lumps, resistance, or unevenness under the skin. Advanced Scar & Tissue Therapy uses specialized manual techniques — lymphatic cupping, gua sha, moist heat, and more — to soften fibrotic tissue and restore normal texture and mobility. Tissue changes are often noticeable within the first session.
What does banding feel like after a BBL or liposuction?+
Banding presents as tight, cord-like tissue beneath the skin — often pulling or restricting movement in areas treated with liposuction or BBL. It is a form of scar tissue formation and responds well to targeted manual therapy. At TheraFlow Health, banding is assessed at your first appointment and treated as part of a structured, progressive plan.
How soon after surgery can I start scar therapy?+
The optimal window for scar therapy is typically 6 weeks post-procedure onward, through the tissue remodeling phase which can last up to 2 years. Surgeon clearance is required before beginning. In the weeks before scar therapy starts, post-surgical MLD addresses acute swelling and reduces the risk of fibrosis forming in the first place — making scar therapy easier and more effective when it begins.
Is scar tissue permanent after surgery?+
Not necessarily. Scar tissue is most responsive to treatment during the remodeling phase — roughly 6 weeks to 2 years post-procedure. Specialized manual therapy can significantly improve the texture, mobility, and appearance of surgical scars during this window. Even older scars often respond. It is rarely too late to start.
Do I need surgeon clearance for scar therapy?+
Yes. All post-surgical tissue and scar therapy at TheraFlow Health requires documented physician clearance prior to your first appointment. Please bring any post-operative instructions or clearance documentation from your surgical team to your first session.
"Eva is incredibly talented at her craft. During my post op recovery I visited Eva a number of times to help with healing and swelling. The way I felt before and after my visits were night and day — I cannot express how thankful I am for her expertise and care."
"I wasn't a true believer at first. But I decided to give it a try, and thank goodness I did — I am now 100% hooked. My swelling was minimal and my recovery time was noticeably shorter. Eva tailors each session to exactly what your body needs that day."
Want to go deeper on scar and tissue care? Nodes & Notes, our evidence-informed publication written by Eva Tutic, CLT, CPST, LMT, covers topics like this in more detail.
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