Massage aplication after plastic surgery. Part I

Question about practice and training for massage after plastic surgery. Answer from correspondence question. In connection with your question:

1. We use specialized massage not only in sense of plastic surgery as cosmetic, but reconstructive too. So do not just apply to massage and work with soft tissue after face lift, liposuction and abdominal plasty. Massage is also used for treating scars after burns, trauma, fibrosis, this also applies to breast reconstruction or after mastectomy.

Treatments on the face is a separate issue: the cases, facial reconstruction, post-transplant skin, some dental interventions.

Massage or its components can be used not only after surgery but also before.
As an aid in the palpable diagnosis.
However, these are procedures performed for medical indications, your doctor shall decide.
Presoterapia sometimes helps in the treatment, it is thrue. Massage equipment, cuffs, sometimes taping.

But most helpful is a specialized manual massage, a combination of connective tissue massage, fascial release, lymphatic drainage Manual. Of course, not within one session!

As to the question of breast massage after angioplasty, part of the massage is used more as a self massage.
And also there are differences in procedures due to the country where such treatments have been made.

Personally, I often work with scars, burns, transplants, but also in the second period after liposuction revitalization.

Summing up, the surgeon should write guidelines for the type of massage. It’s not just a recommendation and clinical indications.

As regards the article, actually I wrote once, but it was rather a demonstrative, a brief article, just some suggestions:
http://www.bodywork.com.pl/wp-content/uploads/2009/08/Applying_massage_to_Aesthetic_Medicine_and_Plastic_surgery.pdf

Article from Jurnal of the Australian Association of Massage Therapist

With greetings and best wishes
Piotr Szczotka Instytut Bodywork

Reklamy

Why this way? Part III

Integrating Body Work Massage Piotr Szczotka concept.

In this regard, for several years, I try to share these experiences promoting among others IMBW, the Integrative Massage Body Work, as a relaxing and therapeutic massage, deep relaxation, body work, with elements of therapeutic massage. Focusing on tension, pain and other symptoms of psychosomatic origin.

I bear in mind work with soft tissues, as well as subjective, subtle patient’s reactions not only to a massage, but also to touch itself. Furthermore. I promote in my concept and development of: EF, Emotional Face and  DMA – Dynamic Anti-cellulite Massage used also in the modeling of problem areas.

Nowadays in many methods breathing and other psycho-physical aspects are taken into account especially dealing with mixed injuries. IMBW session has many noted, diagnostic values, especially when the client who comes to the treatment doesn’t really know what to expect from the massage or body work.

touch and space by Piotr Szczotka

Trauma of mixed origin, both physical and mental is a difficult challenge for a psychotherapist, a psychiatrist and also for therapist masseur. While working with other measures, our targets meet somewhere in the middle. Let such therapeutic, interdisciplinary cooperation be as much as possible.

We’re talking about relaxation and anti-stress treatments, psychosomatic aspects of therapy, but can we rate which side of the injury and treatment is more difficult?

Article Excerpts are from the book: „Professional Practice. Massage, clinic and a passion of life „- by Piotr Szczotka. The publication is available in Polish.

Available training, workshops or courses on topics:

Integrated Body Work Massage – relaxation and therapeutic method. Stress, trauma, pressure and other psychosomatic ailments in soft tissue. Working on allegedcontractures, fibrosises, etc.

Building the private zone round the patient with mixed psychical and physical trauma. Emotional face.

Training courses about different thematic:

Massage and work with soft tissue with health and aesthetic problems:

Scars after burns, injuries, massage treatment after reconstructive and plastic surgeries.

Dynamic anti cellulite massage and modeling in problem areas.

Training available in Poland and abroad, also for visually impaired and blind therapists.

Why this way? Part II

Part II

The second patient was a young man after a spine fracture, the result of jumping into water. Initially the contact was extremely difficult- resignation, bitterness and muted responses. Once the life and soul of the party then left to be supported, needing help from others. Day after day we were finding common ground. Although the main part of rehabilitation was conducted by a therapist (the name in those days for physiotherapists) I had a lot of work with quite a large part of the body for massage and one basic rule: consistency, regularity and pushing forward.

The third little patient looked at me with mistrust when I approached her hospital bed. The girl was probably 5 years old, suffered from an injury with numerous scars from burns on a large surface of her thighs and abdominal wall and all down her side. When I wanted to get closer she “welcomed me” with a scream.

Finally, with the approval from the staff, I took off my white clothes off, got changed and getting into the large metal bed, as it was the only option; I started the treatment from playing. It took a while before she allowed me to touch her, or for the first time to apply a special ointment prepared individually for her at a pharmacy. I realize what the consequences may be of such scars, in these specific areas, especially for a future women. Furthermore they were causing contractures around the joints and slight pain. We finally managed to interact; day after day I worked both on healthy tissues and on the scars, especially focusing on the edges of the scars. Consequently, day after day I worked with these areas and finally they began becoming more flexible. The skin became smoother. We didn’t have facilities as they are now, no specialized lasers, physical therapy, what we had was massage without quantitative restrictions and order was continually renewed. The massage and work on soft tissue gradually brought results. Finally, by, discovering her and getting closer, she allowed a deeper massage, which clearly brought her relief. Czytaj dalej

Why this way? Trauma and problem with acceptance Part I

Sometimes clients, patients, friends, ask why we chose our present profession. But sometimes appear deeper, more personal questions. Why we chose so extended specialization. Here is my, true story:

Trauma and problem of acceptance. Massage supporting plastic surgery and psychosomatic renewal. Moving towards a practice to respond to real needs and human tragedies, not necessarily as a response to today’s trends.

Integrating Body Work Massage concept by Piotr Szczotka.

While searching the Web, reading articles or advertising brochures a potential client, a patient would probably often think that we deal in this specialty because it is a fashionable topic, simply popular. Especially nowadays, when on the agenda there is: information about treatments for relaxation, anti-stress treatments, individual beauty treatments, treatments that support aesthetic medicine and post-operative plastic surgery revitalization. It is much rarer to consider the use of massage and related methods for working with soft tissue in a more pragmatic need, such as reconstructive surgery, treatment of injuries, scars, trauma of combined mental and physical origins. As well as using massage to deal with visual problems that are often called health-aesthetic defects, that is, when aesthetic problems suddenly appear, but they are the result of other ailments and health conditions.
The final article published before the epilogue in the book: „Professional Practice. Massage, Clinic and Passion of Life „, shows examples of how individual situations, relationships, breakdown while facing human tragedy and in which way this can affect our lives, the choice of profession and how it can influence on our further practice. These examples have nothing to do with trends, only with an inherent need at a particular moment in time. Czytaj dalej