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Cicatrization is likely to be the essential work of the connective tissue, specifically of the collagen produced by fibroblasts.

The injury causes a topical bleeding allowing a clot to develop and ensuring a contact between the two sides of the wound. After that, fibroblasts (among other things) will occupy the area to form a fibrous bridge providing mechanical strength. Finally, an epidermalization is carried out with the return of elastin and will finalize the cicatrization process.

However, the scar tissue could often have particularities, bringing various consequences to the patient and the practitioner:

  • Excessive fibrosis heading toward a hypertrophy with inflammation;
  • A cheloid when the hypertrophy persists abnormally;
  • Adhesions on deeper levels heading toward a hypotrophy.

Very quickly, it will be necessary to mobilize the area in order to prevent and lift off certain adhesions. Draining the area will allow the evacuation of the stasis and a vascularization, helping exchanges and trophicity of the tissues.


Augmentation du débit lymphatique en Vacuodermie.

Augmentation de la synthèse d'élastine et collagène, Macarak et Lapierre.

La Kinéplastie : traitement des cicatrices traumatiques ou chirurgicales, J.M. Hebting MKDE, Annales de la Kinésithérapie, Vol 10, 1987.

Treating scars with Masso-Kinesiotherapy, J.M. Hebting MKDE, G. Atlan Plastic surgeon, Collège de chirurgie plastique et réparatrice.

Lymphoscintigraphic study of LPG System, A. Leduc PhD, O. Leduc physiothérapeute (ULB), P. Bourgeois m.d., C. Van de Bossche physiothérapeute, T. Snoeck physiothérapeute, Bruxelles, jan. 1995.