Skin, scars, and stiffness: understanding tissue healing and rigidity

Thank to the peroperative endoscopy, the knowledge concerning living human matter is largely improved. A new concept based on multifibrillar inside architectures, able to respond to mechanical constraints, is proposed. This multifibrillar network has a dispersed pattern, a chaotic scaffold, but nevertheless is responsible for the best mechanical efficiency.

Moreover, this multifibrillar harmony under tension is the basic stone of suppleness, adaptive behavior, and maintaining the body shape. But what is the mechanical behavior of this organization, of this scaffolding, when it is destroyed by a trauma? Is this architecture able to restore itself and to renew identically?

Video sequences, made during surgical procedures, show the obvious tissular differences between the scarred tissue and the normal tissue, appreciating the scarring tissue stiffness and the incapacity to reuse the initial embryologic message of construction. Nevertheless, manual therapy is certainly, at the moment, one of the best options to improve the new recovering subcutaneous and cutaneous structures and to diminish the tissular retraction and rigidity.