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Hyperbaric oxygen therapy (HBOT)

What is HBOT?

Hyperbaric oxygen therapy (HBOT) is a medical treatment in which patients breathe 100% oxygen under increased atmospheric pressure. This therapy enhances oxygen delivery to tissues, promoting angiogenesis, fibroblast activity, and collagen synthesis—key factors in wound healing and tissue repair.

Hyperbaric oxygen therapy (HBOT)

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Hyperbaric Oxygen Therapy (HBOT) at Artisan

Clinical Applications in Plastic and Reconstructive Surgery

HBOT has been used in a variety of surgical contexts.

Evidence from case series and systematic reviews: Indicate HBOT can enhance outcomes in reconstructive and aesthetic surgeries, particularly in compromised tissue beds.

1. Chronic and Ischemic Wounds

HBOT improves oxygenation in poorly perfused tissues, accelerating healing.

See reference:

William A Zamboni, Leslie K Browder, John Martinez

Hyperbaric oxygen and wound healing

2. Facial and Head & Neck Reconstruction

HBOT supports tissue survival following flap surgeries and complex reconstructions.

See reference:

Akina Tamaki, Dustin A Silverman, Enver Ozer

The Role of Hyperbaric Oxygen in Head and Neck Reconstruction and Facial Cosmetic Surgery

See reference:

Peter W Kahng, Adeeb Derakhshan, Shekhar K Gadkaree

Hyperbaric oxygen therapy for wounds of the face, head and neck

3. Cosmetic Procedures

HBOT may aid recovery in ischemic complications and post-surgical soft tissue injuries.

See reference:

Richard Simman, Karen Bach

Role of Hyperbaric Oxygen Therapy in Cosmetic and Reconstructive Surgery in Ischemic Soft Tissue Wounds: A Case Series

Case Series & Reviews

HBOT shows improved outcomes in reconstructive and aesthetic surgery.

See reference:

Franco Bassetto, G Bosco, T Brambullo, E Kohlscheen, I Tocco Tussardi, V Vindigni, C Tiengo

Hyperbaric oxygen therapy in Plastic Surgery practice: case series and literature overview

See reference:

Monica K Rossi Meyer, Cherian K Kandathil, Mikhail Saltychev, Eric X Wei, Sam P Most

Effectiveness of Hyperbaric Oxygen Treatment in Facial Plastic and Reconstructive Surgery: A Systematic Review

Wound Healing Mechanisms

HBOT enhances tissue repair and recovery.

See reference:

Sourabh Bhutani, Guruswamy Vishwanath

Hyperbaric oxygen and wound healing

HBOT Promotes Wound Healing

HBOT promotes wound healing through several mechanisms:

Hyperoxygenation: Increases oxygen concentration in hypoxic tissues.

Angiogenesis stimulation: Encourages formation of new blood vessels.

Enhanced fibroblast and collagen activity: Supports tissue repair and tensile strength.

Anti-infective effect: Improves leukocyte function and inhibits anaerobic bacteria.

Emerging Applications

Complements nonsurgical treatment for post-rhinoplasty vascular issues.

See reference:

Shuai Qiang, Xing Fan Yue Yin, Ping Xue, Wen-Jie Dou, Tong Li, Qing Yang

Nonsurgical Approach to Treat Post-Rhinoplasty Vascular Complication With Hyaluronic Acid Injection

Conditions that benefits from HBOT

Chronic and Ischemic Wounds
Facial and Head & Neck Reconstruction
Cosmetic Procedures

who is a candidate

for HBOT

Candidates for Hyperbaric Oxygen Therapy (HBOT) include patients with conditions involving reduced oxygen delivery or impaired healing. In plastic and reconstructive surgery, HBOT is often recommended for:

Chronic or ischemic wounds that are slow to heal due to poor circulation
Compromised skin flaps or grafts following reconstructive or cosmetic surgery
Post-surgical ischemic complications, such as after rhinoplasty or facelift
Patients at risk of tissue necrosis, especially those with diabetes, radiation injury, or vascular compromise

Your surgeon or hyperbaric specialist will assess factors such as wound type, medical history, and overall health to determine suitability.

What to expect?

for HBOT

During treatment:

You’ll rest in a hyperbaric chamber, where the air pressure is increased to 2–3 times normal atmospheric pressure.
You’ll breathe 100% medical-grade oxygen, either in a monoplace (single-person) or multiplace (group) chamber.
Sessions typically last 60–120 minutes, with multiple treatments over several days or weeks depending on your condition.
The therapy is painless and relaxing—you can rest, listen to music, or play with your phone.
Common sensations include ear pressure (similar to airplane descent), which can be relieved by swallowing or yawning.

After treatment, most patients feel comfortable resuming normal activities right away. Mild fatigue or lightheadedness can occur temporarily.

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