Fibrosis After Cosmetic Surgery - Treatment Policy

At Medical Massage Professionals, LLC, we are committed to providing the highest quality care for individuals experiencing post-surgical fibrosis. Our specialized approach is designed to improve your results safely and effectively. Please have a look at our policy carefully before scheduling an evaluation or treatment.

  • At Medical Massage Professionals, LLC, we strive to provide clear and timely communication while ensuring efficiency in managing patient inquiries. To maintain an organized and professional experience, we have the following communication guidelines:

    • Primary Communication Channels: We use SMS exclusively for clients within the U.S. and WhatsApp as the default communication method for international patients. Other channels (e.g., social media messaging) are not monitored for appointment scheduling or service inquiries.

    • Response Time: We respond to messages during office hours as promptly as possible. Standard response time is typically within a few hours, but it may vary due to workload, time zone differences, or operational priorities.

    • Respecting Response Time: Clients are expected to wait for a response via the designated channels before attempting to contact us through other means. Repeated inquiries across multiple platforms can delay responses and disrupt workflow.

    • Office Hours: Responses will only be provided during official working hours. If a message is sent outside of these hours, it will be addressed on the next business day.

    By contacting us, you agree to abide by these communication protocols, ensuring a smooth and respectful interaction for all parties.

  • Fibrosis treatment is a specialized therapy designed to improve scar tissue mobility, reduce post-surgical imperfections, and enhance overall recovery. Due to the complexity of fibrosis and individual healing responses, results vary based on factors such as:

    • The severity and duration of fibrosis

    • Individual healing capacity

    • Consistency in treatment sessions

    • Proper post-treatment care

    Our expertise lies in assessing your condition and developing a customized approach to optimize your results.

  • Before beginning any fibrosis treatment, all patients must undergo an evaluation. This is a crucial step to determine:

    • Whether you are a suitable candidate for treatment

    • The estimated number of sessions required

    • The recommended frequency and post-care guidelines

    • Quote a treatment plan

    Remote & In-Person Evaluations

    • Remote Evaluations: Conducted via a secure video call. Patients will complete an intake form beforehand and may be asked to submit photos of the affected areas.

    • In-Person Evaluations: Available at our clinic for those seeking a direct assessment.

    All evaluations require a signed Consultation & Authorization Form before the appointment.

  • Fibrosis correction requires consistency for optimal results. Treatment packages are valid for three months from the date of purchase. If a patient fails to maintain consistency, it is assumed they have abandoned treatment. Sessions cannot be resumed after extended breaks, as the progression of fibrosis may render previous work ineffective.

    Treatment re-instatement will be exceptionally considered on an individual basis. Reassessment and reinstatement fees are applicable.

  • The estimated number of sessions provided during the evaluation is based on your condition at the time of assessment. However, several factors may alter this estimate:

    • Additional Treatments: If you undergo other treatments alongside fibrosis correction, some therapies may leave residual effects that could worsen your condition, requiring adjustments to the initial plan.

    • Undisclosed Treatment History: If previous treatments were not fully disclosed or their impact was misrepresented, they may interfere with progress, potentially increasing the number of sessions required.

    • Remote vs. In-Person Assessment: A remote evaluation relies on visual observation and patient-reported details. In-person evaluations allow for direct palpation (touch assessment), which may reveal aspects not evident in photos or descriptions. As a result, the treatment estimate given remotely may change upon an in-person assessment.

    For the best possible outcome, transparency about past and ongoing treatments is essential.

  • While our treatments are highly effective, we believe in full transparency:

    • Results vary from patient to patient.

    • Severe fibrosis may require multiple sessions or may not be fully reversible.

    • Patience and adherence to the treatment plan are essential for the best possible outcome.

    We prioritize honesty and will only recommend treatment if we believe we can provide noticeable improvement.

  • Patients must provide the following before any treatment begins:

    • A completed intake form with medical history and surgical details

    • A valid government-issued ID for identity verification

    • A signed Confidentiality Agreement (if applicable) to protect our proprietary techniques

    Medical Massage Professionals, LLC follows strict confidentiality protocols. Any photos taken for progress tracking will be used solely for medical documentation unless explicit permission is granted for educational or marketing purposes.

    • All payments are non-refundable.

    • Prepayment & Confirmation:

      • Full payment is required in advance and is non-refundable.

      • Payment and intake forms must be completed at least one day before the scheduled treatment as confirmation of service.

      • Cash payments are the only exception; however, intake forms must still be submitted before arrival—no exceptions.

    • Rescheduling Fees:
      Due to the complexity of fibrosis treatments and the difficulty of replacing canceled appointments (especially for out-of-town patients booking weeks in advance), rescheduling fees apply as follows:

      • More than 72 hours' notice: $50 per session

      • Less than 72 hours' notice: $100 per session

    • No-Show & Late Policy:

      • Patients arriving more than 15 minutes late may forfeit.

    • Days Available for Treatment

      • Regular Schedule: Treatments are available Tuesday through Saturday, 9:00 a.m. to 4:00 p.m. (EST). Sessions must conclude by closing time.

      • Surcharges for sessions outside our regular business hours.
        Our regular business hours are Tuesday through Saturday, 8 am to 4 pm. Sessions must be finished by closing time. 

        Early A.M. appointment surcharges are

        • 🕖 Starting at 8 am would be $25/session.

        • 🕖 Starting at 7 am would be $50/session.

        • 🕕 Starting at 6 am would be $75/session.

        Late P.M appointments surcharges are :

        • 🕓 Starting at 4 pm for fibrosis or other services would be $25/session

        • 🕕 Starting at 5 pm for fibrosis or other services would be $50/session.  

        • 🕖 Starting at 6 pm for fibrosis or other services would be $175/session.

        🗓️ Any nonworking day, including (Monday- Sundays and holidays) sessions, are $150 above the regular session rate


        Charges are for each session you want to so outside our regular business hours. Subject to availability


  • To ensure fairness and efficiency in booking our services, we have the following scheduling and availability guidelines:

    • Deposit Requirement: A 30% deposit is required to secure your appointment dates. This deposit guarantees your selected time slot, as our availability fluctuates with incoming bookings.

    • First-Come, First-Served: All appointment slots are allocated on a first-come, first-served basis. We can only guarantee availability once a deposit and confirmed dates are provided.

    • Commitment to Dates: Clients must provide their preferred appointment dates at the time of booking or shortly thereafter. If no dates are provided, we cannot guarantee availability or honor the offer indefinitely.

    • Non-Refundable Policy: All payments, including deposits, are non-refundable. Failure to schedule within the designated timeframe will result in forfeiture of the deposit.

    • Timeframe for Booking: Clients who have paid the deposit have 90 days from the consultation date to schedule and begin treatment. If no appointment is scheduled within this period, the offer will no longer be valid.

    • Completion of Treatment: For those who pay in full and begin treatment, all sessions must be completed within 90 days from the first appointment.

    By making a payment, you acknowledge and agree to these terms.

  • To protect our proprietary methods, we screen potential patients working in healthcare or beauty industries. If a conflict of interest is identified, we reserve the right to decline treatment.

    Additionally, we maintain a professional environment and do not tolerate disruptive or aggressive behavior.

  • By engaging with Medical Massage Professionals, LLC and receiving any treatment, you acknowledge and agree to the following:

    • Understanding of Treatment Limitations: You understand that results vary from person to person. Medical Massage Professionals, LLC does not guarantee specific outcomes, and you acknowledge that treatments are provided based on professional expertise, but individual reactions cannot be predicted.

    • Non-Disparagement Agreement: You agree not to make, publish, or share any false, misleading, or defamatory statements regarding Medical Massage Professionals, LLC, Marian Sotelo-Paz, or any of its employees, associates, or partners in any format, including but not limited to social media, public forums, blogs, review platforms, and community groups.

    • Acknowledgment of Informed Decision: You confirm that you have reviewed the available information about the treatments, fully understand the nature of the services, and are participating of your own free will. Dissatisfaction with personal results does not reflect the company’s qualifications or expertise.

    • Legal Consequences of Defamation: Any violation of this agreement, including defamatory, misleading, or damaging remarks about the company or its personnel, will be considered a breach of contract. In such cases, the company may seek damages of up to $1,000 per incident or publication.

    By proceeding with treatment, you confirm your acceptance of these terms.

How do we determine the areas of treatment

Imperfections after cosmetic surgery

In the context of body areas, "region or section" refers to a larger, general body area, such as the chest or abdomen. In contrast, "zone" describes a smaller, more specific section within that region, acting as a sub-area with distinct characteristics. The open hand is used as a standardized visual reference to approximate the size of a treatment zone. Each zone is equivalent to the surface area of an average adult hand, including the palm and fingers. The graphic below will help you determine the anatomical boundaries. 

Sometimes, zones of concern are grouped in pairs, such as the left and right love handles. These zones can be treated independently since they are not adjacent. However, a minimum of two zones must be booked if the report involves multiple adjacent zones. For example, treating the upper and lower abdomen and the mons pubis requires booking at least two zones. Treating just one zone without affecting an adjacent zone is not feasible, so a broader area must be considered.

Please keep in mind the limitations of each zone, as each one requires a specific amount of time for treatment. Only the booked zones will be treated. Unfortunately, we cannot accommodate requests to treat the mons pubis alone without addressing the lower abdomen. As a patient, it's essential to prioritize the zones that concern you the most for treatment.

BODY ZONES OF TREATMENT

DETAILED MIDSECTION ZONES

Single Zones

  • Upper Abdomen: The area immediately above the belly button, approximately the size of your hand, placed sideways.

  • Lower Abdomen: The area immediately below the belly button, also about the size of your hand, is placed sideways.

  • Underbra: The zone directly above the upper abdomen, under the breast, and along the lower ribcage.

  • Mon Pubis: The area directly below the lower abdomen, covering the region above the pubic bone.

Paired Zones (Double Zones)

  • Love Handles: These are located on each side of the abdomen, extending lengthwise from an imaginary vertical line drawn from the center of the nipples downward. On the back, they extend as far as the thumb can reach when you place your hands on your waist. These zones can be treated independently if necessary.

  • Underbra Ribs: This area is above the love handles, along the ribcage, and directly beneath the breast. It forms the upper portion of the paired zones.

Combination Sections

  • Extended Abdomen Section: This includes the entire upper abdomen and full lower abdomen, plus 30% of the zones: under bra ribs, love handles, under bra, and mon pubis.

  • Full Front Abdomen or 180° Section: This includes the entire upper abdomen, full lower abdomen, full under the bra, 50% of the mon pubis, 50% of the under bra ribs, and 50% of the love handles