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Hyperbaric chamber applications in plastic surgery

Introduction

Plastic surgery has undergone significant progress in recent years, not only in surgical techniques, but also in methods of recovery and postoperative care.
One of the most innovative developments in this field is the incorporation of hyperbaric chamber therapy.
This treatment, which was initially used in other fields of medicine, has proven to be a valuable tool for improving results in plastic surgery.
But what exactly is a hyperbaric chamber and how can it benefit plastic surgery patients?
In this article, we will explore these questions in depth.

What is a hyperbaric chamber?

A hyperbaric chamber is a medical device that allows patients to breathe pure oxygen in an elevated pressure environment.
Under normal conditions, oxygen is carried by the hemoglobin in red blood cells.
However, in a hyperbaric chamber, the increased pressure allows oxygen to dissolve directly into the plasma, reaching tissues and cells that would normally receive a limited amount of oxygen.
This process, known as hyperbaric oxygen therapy, has been used for decades to treat a variety of conditions, from crush injuries to carbon monoxide poisoning.

cámara hiperbárica

General hyperbaric chamber applications

Before delving into its specific use in plastic surgery, it is important to understand the general applications of the hyperbaric chamber in medicine.
This treatment has been used for:

  • Accelerating wound healing

    Especially in patients with chronic wounds such as diabetic ulcers.

  • Treating serious infections

    Such as gas gangrene, where additional oxygen helps kill anaerobic bacteria.

  • Reduce inflammation

    Benefiting patients with traumatic or post-surgical injuries.

These benefits have paved the way for its adoption in plastic surgery.

Hyperbaric chamber in plastic surgery

In the context of plastic surgery, the hyperbaric chamber has become a complementary tool that optimizes postoperative results.
Its ability to improve tissue oxygenation is crucial in procedures where rapid and efficient healing is essential for a favorable aesthetic outcome.
In addition, it has been found to significantly reduce post-surgical complications, which has led many plastic surgeons to include it as part of their treatment protocol.

Benefits of the hyperbaric chamber in plastic surgery

    • Improved healing

      One of the major benefits of the hyperbaric chamber is its ability to accelerate wound healing.
      By increasing the amount of oxygen available to the tissues, collagen formation is stimulated and promotes faster and more efficient healing.
      This is particularly important in plastic surgery where scar appearance is a critical factor.

    • Reduction of inflammation

      Postoperative swelling is a natural response of the body, but in excess, it can compromise the results of plastic surgery.
      Hyperbaric oxygen therapy helps reduce inflammation by improving circulation and decreasing hypoxia (lack of oxygen) in damaged tissues.
      As a result, patients experience less swelling and pain, which facilitates a faster recovery.

    • Infection prevention

      Infections are one of the most feared complications after surgery.
      The hyperbaric chamber plays a key role in preventing infections by increasing the amount of oxygen in the tissues, which creates a hostile environment for anaerobic bacteria.
      In addition, the extra oxygen boosts the function of white blood cells, which are essential for fighting infections.

    • Optimization of the esthetic result

      The primary goal of plastic surgery is to improve physical appearance.
      By using the hyperbaric chamber, the quality of healing is maximized, resulting in thinner and less visible scars.
      In addition, the reduction of inflammation and the risk of infection also contribute to a more satisfactory aesthetic result.

Wound healing with a hyperbaric chamber
Wound healing with a hyperbaric chamber
  • Types of plastic surgery that benefit

    Not all plastic surgery procedures require the use of a hyperbaric chamber, but there are certain procedures in which its use is particularly beneficial:

    • Rhinoplasty

      The use of the hyperbaric chamber in rhinoplasty not only improves internal healing, but can also reduce nasal swelling and improve blood circulation in the treated area.
      This can result in a faster recovery and fewer postoperative complications.

    • Abdominoplasty

      This procedure, which involves restructuring the abdomen, benefits greatly from the additional oxygenation provided by hyperbaric therapy.
      This improved oxygenation accelerates the healing of the extensive surgical areas and reduces the risk of infections and complications.

    • Breast reconstruction

      In cases of breast reconstructive surgery, hyperbaric therapy can be crucial.
      This treatment improves tissue oxygenation, which is essential for good healing and to ensure optimal aesthetic results after reconstruction.

    • face lifting face face lifting

      The hyperbaric chamber can be useful in the postoperative period following a facelift by helping to reduce swelling and improve circulation to the face.
      This contributes to a faster recovery and more satisfactory aesthetic results.

    • Biopolymer removal of buttock biopolymers

      Removal of non-biocompatible injectable materials can be a complicated procedure.
      Hyperbaric therapy improves tissue oxygenation and can reduce the risk of necrosis, as well as facilitate faster recovery.

    • Complex wound repair

      In plastic surgeries that seek to repair complicated wounds or severe trauma, the hyperbaric chamber improves tissue oxygenation, accelerating the healing process and reducing the risk of infections.

    • Interventions in smoking patients

      Patients who smoke tend to have more compromised blood flow.
      Hyperbaric therapy can optimize oxygenation and facilitate faster recovery in a variety of surgical procedures.

    • Scar corrections

      In aesthetic or reconstructive surgeries aimed at improving the appearance of scars, the hyperbaric chamber can contribute to tissue regeneration and a more aesthetic finish.

    The combination of hyperbaric therapy with plastic surgery not only improves results, but can also reduce recovery time, thus providing important benefits in a wide range of surgical procedures.

    How the hyperbaric chamber is used

    The use of the hyperbaric chamber in plastic surgery is usually organized in a protocol that is tailored to the specific needs of the patient.
    A typical protocol may include 60 to 90 minute sessions, before and after surgery, over a period of 10 to 20 days.
    The frequency and duration of treatment depends on the type of surgery and the general health of the patient.
    It is essential that the protocol be supervised by a specialized physician to ensure the safety and efficacy of the treatment.

    Side effects and contraindications

    Although hyperbaric oxygen therapy is generally safe, it is not without risk.
    Side effects may include:

    • Middle ear barotrauma

      Due to elevated pressure.

    • Fatigue and dizziness

      Sometimes experienced after the session.

    • Temporary blurred vision

      Caused by changes in the refraction of the eye.

    In addition, there are contraindications that should be considered, such as in patients with respiratory infections, untreated pneumothorax or certain cardiac conditions.

    Scientific evidence

    The use of hyperbaric chambers in plastic surgery is not just a trend; it is supported by a growing body of scientific evidence.
    Numerous studies have shown that hyperbaric oxygen therapy improves wound healing, reduces inflammation and decreases the incidence of postoperative complications.

    For example, a study published in *Plastic and Reconstructive Surgery* showed that patients undergoing hyperbaric oxygen therapy after abdominoplasty had faster healing and fewer complications compared to those who did not receive this treatment.
    Another study, focused on breast reconstruction, found that hyperbaric therapy significantly reduced the risk of tissue necrosis, a serious complication in this type of surgery.

    These studies, among others, have established a solid basis for the inclusion of the hyperbaric chamber as part of the postoperative protocol in certain plastic surgeries, highlighting its effectiveness and safety.

    Costs and availability

    Although the benefits of the hyperbaric chamber in plastic surgery are clear, it is important to consider the costs and availability of the treatment.
    The cost of hyperbaric oxygen therapy sessions can vary considerably depending on geographic location, clinic and duration of treatment.
    On average, one session can cost between 100 and 300 euros, and a complete treatment could range from 1,000 to 6,000 euros.

    In terms of availability, not all plastic surgery clinics have hyperbaric chambers, which may limit access to this treatment for some patients.
    However, its use is increasing and more and more specialized centers are investing in this technology to improve postoperative results.

    At Clínica Sanza we have hyperbaric chambers offered by the Sagrat Cor Hospital in Barcelona, with which we collaborate in all our surgeries.

    Future prospects

    The field of plastic surgery is constantly evolving, and the use of the hyperbaric chamber is an example of how technology can be integrated to improve outcomes.
    In the future, hyperbaric oxygen therapy is expected to be used more widely, not only in complex surgeries, but also in more common procedures such as liposuction and rhinoplasty.

    In addition, continued research may uncover new applications of the hyperbaric chamber in plastic surgery, such as its use in combination with cellular and regenerative therapies.
    The possibility of accelerating wound healing and improving the quality of regenerated tissue opens new doors for reconstructive and aesthetic procedures.

    Conclusion

    The incorporation of the hyperbaric chamber in plastic surgery represents a significant advance in postoperative care.
    Its ability to improve healing, reduce inflammation and prevent infection offers great value to surgeons and patients alike.
    Although there are still some barriers, such as cost and availability, scientific evidence supports its efficacy and its future in this field looks promising.
    As more clinics adopt this technology and more studies are conducted, it is likely that the hyperbaric chamber will become a standard in postoperative plastic surgery care.

Frequently Asked Questions (FAQs)

How long does a session in the hyperbaric chamber last?

Sessions usually last between 60 and 90 minutes. The number of sessions required depends on the type of surgery and the patient’s condition.

Is hyperbaric chamber therapy painful?

No, the therapy is not painful. However, some patients may experience a sensation of pressure in the ears, similar to what it feels like when taking off in an airplane.

Can I have hyperbaric therapy before surgery?

Yes, in many cases it is recommended to start therapy before surgery to prepare the tissues and improve postoperative healing.

Are there any risks of infections from the use of the hyperbaric chamber?

The hyperbaric chamber actually helps prevent infection by improving tissue oxygenation and supporting immune function. However, it is essential that the treatment be supervised by a medical professional.

Is it recommended for all types of plastic surgery?

Not necessarily. The hyperbaric chamber is most beneficial in procedures that involve a high risk of complications or in patients with pre-existing conditions that hinder healing. Your surgeon will evaluate if it is appropriate in your specific case.

When are the first benefits of hyperbaric oxygen therapy noticeable?

Patients usually begin to notice improvements in healing and reduction of inflammation after the first 3 to 5 sessions. However, the full benefits are seen at the end of the entire recommended treatment.

Can I experience any side effects after hyperbaric therapy?

Although uncommon, some patients may experience fatigue, dizziness or a slight feeling of pressure in the ears after therapy. These effects are usually temporary and resolve quickly.

Is it necessary to follow any special care after a session in the hyperbaric chamber?

Generally, no special care is required. However, it is advisable to rest and stay well hydrated after the sessions. Your doctor will give you specific indications according to your situation.

How effective is the hyperbaric chamber compared to other postoperative recovery methods?

The hyperbaric chamber is highly effective, especially when combined with other traditional methods of recovery, such as physical therapy and wound care. Its ability to improve tissue oxygenation makes it unique compared to other treatments.

Can I combine hyperbaric oxygen therapy with other postoperative treatments?

Yes, hyperbaric oxygen therapy can be combined with other treatments such as lymphatic massage, manual lymphatic drainage and the use of anti-inflammatory drugs, always under the supervision of your surgeon.
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