Hyperbaric Oxygen Therapy for Compromised Skin Grafts & Flaps in Sherman Oaks & Calabasas

Skin grafts and surgical flaps are commonly used in reconstructive, trauma, oncologic, and cosmetic procedures. When these tissues fail to heal properly due to compromised blood flow or oxygen delivery, Hyperbaric Oxygen Therapy (HBOT) is a medically recognized adjunctive treatment used to support tissue survival and healing.

At OxygenWell, we provide medical-grade Hyperbaric Oxygen Therapy for patients with compromised skin grafts and flaps, serving the Sherman Oaks and Calabasas communities with evidence-based care aligned with FDA and UHMS guidelines.

What Are Compromised Skin Grafts & Flaps?

A skin graft involves transplanting skin tissue to cover a wound or surgical site, while a surgical flap transfers tissue along with its blood supply to repair defects caused by trauma, cancer surgery, reconstructive procedures, or cosmetic surgery.

A graft or flap is considered compromised when it shows signs of inadequate oxygenation or blood flow, resulting in delayed healing or tissue failure.

Clinical signs of compromise may include:

  • Tissue ischemia (poor blood flow)
  • Cyanosis or pallor of the graft/flap
  • Delayed wound healing
  • Partial tissue loss
  • Skin breakdown or ulceration
  • Necrosis (tissue death)
  • Increased risk of infection

Causes of Graft or Flap Compromise

Radiation-related soft tissue necrosis may present as:

Insufficient blood supply

Venous congestion

Tissue hypoxia (low oxygen levels)

Infection

Hematoma or swelling

Radiation-damaged tissue

In some cases, compromise may develop after cosmetic or elective surgical procedures, including situations where post-surgical necrosis or non-healing wounds occur.

Compromised Grafts & Flaps After Cosmetic Surgery

Following cosmetic or aesthetic procedures, compromised tissue may present as:

  • Post-surgical ischemia
  • Skin flap necrosis
  • Delayed wound healing
  • Partial tissue loss
  • Non-healing surgical wounds

These complications may arise even when surgery is technically successful, particularly in patients with underlying vascular risk factors, smoking history, prior radiation exposure, or infection.

Hyperbaric Oxygen Therapy may be considered as an adjunctive treatment to support tissue salvage and wound healing in these medically documented cases.

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Why Compromised Tissue Fails to Heal

Successful graft and flap survival depends on adequate oxygen delivery during the critical early phases of healing. When tissues are hypoxic, the body cannot:

  • Generate new blood vessels effectively
  • Produce collagen for wound closure
  • Control infection
  • Maintain tissue viability

Without sufficient oxygen, tissue breakdown and necrosis may progress.

How Hyperbaric Oxygen Therapy Helps Compromised Grafts & Flaps

Hyperbaric Oxygen Therapy involves breathing 100% oxygen in a pressurized chamber, significantly increasing the amount of oxygen delivered to tissues with limited blood flow. For compromised skin grafts and flaps, HBOT may support healing by:

Increasing oxygen delivery to ischemic tissues
Enhancing angiogenesis (new blood vessel formation)
Improving graft and flap viability
Reducing tissue edema and inflammation
Supporting infection control
Promoting wound healing and tissue repair

HBOT helps create an environment that supports tissue salvage and recovery when used alongside appropriate surgical and medical care.

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FDA & UHMS Status

FDA-Approved / UHMS-Recognized Indication

Hyperbaric Oxygen Therapy is FDA-approved and UHMS-recognized for the treatment of compromised skin grafts and surgical flaps when specific medical criteria are met. Treatment eligibility depends on clinical documentation of tissue compromise and physician evaluation.

Insuracne Accepted

Insurance Coverage & Referrals

Many patients receiving HBOT for delayed radiation injury may qualify for insurance coverage, including:
Medicare
PPO insurance plans
Blue Shield
United Healthcare and more.
Coverage is typically based on:
Documented history of radiation therapy
Evidence of delayed tissue injury
Medical necessity
Physician referral
Prior authorization requirements
Our team assists with insurance verification and coordination prior to initiating treatment.

What to Expect at OxygenWell

At OxygenWell, Hyperbaric Oxygen Therapy is delivered in a clinically supervised, medical-grade environment. Patients receive:

Individualized treatment planning
Evidence-based hyperbaric protocols
Monitoring by trained hyperbaric professionals
Care focused on safety, comfort, and outcomes

Treatment courses often involve multiple sessions over several weeks, depending on tissue response and physician recommendations.

Why Choose OxygenWell

FDA-approved medical-grade hyperbaric chambers

Experience treating radiation-induced tissue injury

Medically supervised and hyperbaric certified.

Locations in Sherman Oaks & Calabasas

11+ years practicing hyperbaric medicine.

Integrative, science-driven approach to healing

Schedule a Hyperbaric Consultation

If you or a loved one is living with achronic non-healing wound and exploring Hyperbaric Oxygen Therapy, our team ishere to help.

ⓘ Medical Disclaimer

Hyperbaric Oxygen Therapy is a medicaltreatment and may not be appropriate for all patients. Treatment eligibility,protocols, and insurance coverage depend on individual diagnosis and medicalevaluation. OxygenWell does not guarantee outcomes.