Skin Graft Flap (At Risk of Tissue Death)
Skin grafts and surgical flaps are essential tools in reconstructive and trauma surgery. However, their success depends heavily on adequate blood flow and oxygen supply. When a flap or graft shows signs of ischemia (lack of oxygen), there is a real risk of tissue death, delayed healing, or graft failure. Early intervention can make the difference between successful recovery and repeat surgery.
How HBOT Supports Graft and Flap Viability
At Under Pressure, Hyperbaric Oxygen Therapy (HBOT) is used to increase oxygen availability to at-risk grafts and flaps, supporting tissue survival and recovery. HBOT:
- Increases oxygenation in poorly perfused tissues, improving cell viability
- Reduces post-operative swelling, improving blood flow and nutrient delivery
- Stimulates angiogenesis, helping new capillaries form within the graft or flap
- Decreases the risk of infection, which can further compromise healing
This makes HBOT a powerful tool in salvaging threatened grafts and optimizing reconstructive outcomes.
When Is HBOT Most Effective?
- Immediately post-surgery if the flap appears dusky, cool, or slow to bleed
- In patients with diabetes, smoking history, or radiation-damaged tissue
- When microvascular anastomosis is involved in complex reconstructive procedures
Why Choose Under Pressure?
We work closely with plastic surgeons and wound specialists to create time-sensitive HBOT plans. Treatments are often started within 24–48 hours of graft placement to maximize tissue rescue potential.
- Fast access for post-op patients
- Daily or twice-daily sessions as needed for flap salvage
- Clear outcome tracking and ongoing collaboration with your surgical team
The treatment process
Initial consultation
- Post-Surgical Evaluation: We assess graft appearance, perfusion status, and surgical notes.
- Ischemia Identification: We use visual signs and diagnostic tools to evaluate oxygen delivery and flap health.
- Treatment Coordination: HBOT is often started urgently to prevent further tissue loss.
Treatment Process
- During Treatment: You’ll lie comfortably in our chamber while breathing 100% oxygen typically for 60-120 minutes, which helps deliver life-sustaining oxygen directly to the compromised tissue.
- Session Frequency: Daily or twice-daily treatments may be recommended during the first 5–10 days post-op.
- Outcome Monitoring: Tissue color, capillary refill, and healing are closely tracked.
Preparing for your HBOT treatment
- Pre-Treatment Guidelines:
- Avoid compression over the graft/flap site.
- Inform us of any fever, chills, or drainage.
- Bring surgical reports or post-op photos if referred.
- Post-Treatment Instructions: Continue prescribed wound care, minimize motion, and avoid pressure on the graft site.
Contraindications and Safety Information
- Who Should Avoid HBOT: Contraindications are rare but include untreated pneumothorax and certain inner ear or sinus conditions. We perform full safety checks before starting therapy.
Expected Outcomes
- Recovery Timeline: Improvements in color, temperature, and capillary refill can be seen within a few sessions.
- Long-Term Benefits: HBOT helps avoid graft failure, speeds up healing, and contributes to better cosmetic and functional outcomes.
What our patients say
I had a wonderful experience at the salon. The hyperbaric oxygen therapy helped me with my chronic fatigue, and I noticed a significant boost in my energy levels.
The staff is attentive and made me feel comfortable throughout the process. I will definitely be recommending this place to my friends!
Jessica Wilson
As an athlete, I am always looking for ways to improve my performance and recovery. The hyperbaric oxygen therapy offered here has been a game changer for me. I feel more energized and my muscle soreness has decreased.
The team is professional and truly cares about their clients' well-being. I can't thank them enough!
David Brown
Hyperbaric oxygen therapy has transformed my skincare routine. My complexion has improved dramatically, and I love how my skin feels. The salon's atmosphere is welcoming, and the staff is always ready to help.
I highly recommend this service to anyone looking to enhance their beauty regimen!
Emily Davis
I was skeptical at first, but after trying hyperbaric oxygen therapy at this salon, I am a believer! My recovery time after workouts has significantly decreased, and I feel more vibrant overall.
The environment is calming, and the team is dedicated to providing the best experience possible. I will definitely be returning!
Michael Smith
After my sessions at the salon, I feel rejuvenated and full of energy. The hyperbaric oxygen therapy has made a noticeable difference in my skin's appearance, and I can't recommend it enough!
The staff is incredibly knowledgeable and friendly, making each visit a pleasure. I always leave feeling refreshed and looking my best.
