Fibrosis

The term fibrosis describes an increased formation of connective tissue as a reaction to injury or persistent irritation. The body replaces damaged tissue with fibre-rich, denser tissue. This is less elastic and alters the original structure. In aesthetic medicine, fibrosis occurs, amongst other things, following injections, surgical procedures, or repeated mechanical stress. Inflammatory processes within the tissue can also trigger this remodelling. The affected area often feels hardened. Nodules or strands can be palpated beneath the skin. The surface may appear irregular. Depending on the location, feelings of tension or restrictions in mobility can develop. The degree of severity varies considerably. Mild fibrosis often remains inconspicuous, whilst more pronounced changes can affect the aesthetic outcome or cause discomfort. Treatment is guided by the cause, depth, and extent of the change. Manual techniques such as targeted massage can loosen the tissue and promote circulation. Injections — for example with enzymatic or anti-inflammatory substances — are used to dissolve hardened structures. Energy-based methods such as laser or radiofrequency can improve tissue quality. In complex cases, a surgical approach may be appropriate in order to release or remove fibrotic structures. The aim of every treatment is to restore suppleness to the tissue structure, smooth the surface, and reduce functional complaints.