Hyperbaric Oxygen Therapy Heals Failing Grafts and Flaps


When a doctor applies a skin graft or flap for conditions such as traumatic wounds, burns, infections or skin cancer wounds, they can at times have trouble healing. When such a graft or flap becomes compromised and is not salvageable, hyperbaric oxygen treatments (HBOT) can be crucial as an urgent intervention. Numerous studies have been conducted over the last 45 years clarifying the value of HBOT for the survival of threatened or compromised grafts and flaps.

Time is of the essence in starting HBOT for threatened grafts or flaps, so start HBOT immediately. In fact, the typical protocol for compromised skin grafts or flaps is to start with two treatments per day to salvage as much tissue as early as possible.

Situations requiring HBOT include venous or arterial insufficiency, irradiated or hypoxic (lacking oxygen) wound beds, random flap ischemia, ischemia-reperfusion injuries, excessively large harvested grafts and grafts or flaps secondary to trauma.

We have 20 years of experience helping patients with compromised grafts or flaps heal and get back to living normal lives. Call us, so we can help.

Read more

How Hyperbarics Helps

  • Decreases hypoxia in tissues by increasing oxygen to starved tissues
  • Stimulates fibroblast functionality and collagen synthesis
  • Reduces inflammation and oxidative stress
  • Stimulates angiogenesis (the growth of microscopic new blood vessels)
  • Inhibits ischemia-reperfusion injuries, which occur after blood supply is returned to tissue after it had been starved of oxygen

Patient Experiences

  • Tomas-67-masked-min-1

    Tomas, 67

    After three surgeries, HBOT healed Tomas' abdominal graft

    Tomas, a genial man, had suffered from compartment syndrome and had been in the hospital for three different surgeries on his abdomen. He had a graft that was not healing and not getting the oxygen and the blood supply it needed to heal. His vascular surgeon called Bay Area Hyperbarics to get him in ASAP because it was not healing and the graft was not thriving. With HBOT, Tomas’s belly healed up completely without any further surgeries– to his great relief!

  • Christopher-5-w-mask-min-1

    Christopher, 5

    Helped his toes heal after a farming accident
    Christopher was a happy, cheerful and active boy when he came to Bay Area Hyperbarics. Christopher’s parents had a farm in the central valley of California. Unfortunately, Christopher got too close to a tractor one day, which ran over his five toes and crushed them. After surgery, he healed and ran around just fine. However, when the toes healed, they healed with webbing between them. There was concern that as he grew, the webbing would cause difficulties. So, the surgeon separated the toes, but because of the prior trauma, they would not heal. In essence, the blood supply was limited, and thus not enough oxygen was being carried into the toes. Christopher came to us and watched his favorite movies while sitting in the hyperbaric oxygen chamber with his Dad. His toes healed up just fine. The hyperbaric oxygen treatments grew new microscopic blood vessels, which in turned delivered more oxygen to his toes. Everyone was pleased with the way Christopher’s toes healed up.

Get Started with Hyperbarics

Give us a call

Did a physician refer you? If so, they can download and fax us back a patient referral form. If not, our medical staff will discuss whether hyperbarics is right for you.

We talk with your insurance

Our medical staff contacts Medicare or private insurance to receive authorization and create a plan with you.

You get on the road to recovery

We do a medical intake, explain everything you need to know, and you get started on your hyperbaric oxygen therapy sessions

Refer a Patient


Refer a Patient

You submit patient’s information

As a provider, your office fills out and faxes back the Patient Referral Form. Have questions? Call us!

We get authorizations

We make sure the patient understands treatment and then follow the prescribed protocol to get the patient on the road to recovery!

Patient starts HBOT

Our medical staff meets with the patient to ensure that HBOT is appropriatre, and contacts Medicare or private insurance to receive authorization.

Still looking for answers?

To learn more about HBOT, take a look at our FAQs.

View all FAQ’s >

  • What is Hyperbaric Medicine?

    Hyperbaric medicine, also called hyperbaric oxygen therapy or HBOT, is a medical treatment where a patient sits or lies in pressurized chamber and breathes 100% oxygen. In HBOT, oxygen dissolves into the blood, thus raising the oxygen concentration to very high levels.This increased oxygen is a primary building block for tissues, muscle, and bone repair. Among other benefits, it kicks off cell reproduction, heals injuries and infection more rapidly, and decreases inflammation.

  • Can HBOT help Neuropathy?

    Hyperbaric treatments help heal neuropathy by regrowing small blood vessels and nerves that have died from disease, injuries from radiation and aging. Patients often experience numbness and or pain when they start treatment. Hyperbaric treatments most often bring back sensation and make, for example, walking easier and more enjoyable.

  • Does HBOT kill cancer cells?

    Current research indicates that hyperbaric oxygen does not kill cancer cells. However, there has been a small amount of research indicating that hyperbaric oxygen might reduce the size of certain tumors. Also, there has been a study on mice using hyperbaric oxygen, along with a ketogenic diet, to reduce tumors. Hyperbaric oxygen causes many different healing modalities to kick into gear. Could its effect on strengthening the immune system inhibit the growth of cancer cells? Nobody knows. There are numerous studies conclusively showing that hyperbaric oxygen does not encourage cancer cells or tumors to grow. Some patients claim the hyperbaric oxygen makes them feel a lot more comfortable and functional after chemotherapy and also during healing. Note that some chemotherapy drugs are not to be used with hyperbaric oxygen, as the chemotherapy drugs can be enhanced and thus become toxic. A good hyperbaric oxygen facility (such as Bay Area Hyperbarics) will always call the chemotherapy manufacturer to ensure that hyperbaric oxygen therapy will be helpful and not damaging to the patient.

  • Why would a physician consider HBOT?

    A physician would consider using hyperbaric chamber therapy under a variety of situations. Physicians most typically refer patients to hyperbarics when the patient is not healing with traditional medical interventions and hyperbaric chamber therapy is approved by Medicare for this condition.

    Some patients experience significant unresolved pain and unremitting disease states that the mechanisms of hyperbaric oxygen therapy in a hyperbaric chamber are known to affect, such as the down regulation of inflamatory genes. For an example, some patients have experienced severe, unremitting hives with itching, which did not improve with any specialists interventions.

    Some physicians will consider hyperbaric chamber therapy if the patient has no other good avenues for improving their failing health, and they know the hyperbaric chamber therapy is safe and will not harm the patient.

  • What is the CPT code for HBOT?

    The CPT code for HBOT is G0277.

  • What is Hypebaric Oxygen Therapy?

    Hyperbaric Oxygen Therapy (HBOT) Hyperbaric Oxygen Therapy (HB0T) is a medical treatment where you inhale 100% oxygen in a chamber with increased atmospheric pressure. HBOT injects 400x the oxygen into your tissues and bones and mobilizes stem cells. It regrows healthy tissues in the brain, blood vessels, skin and bones. It also reduces pain and swelling, and speeds recovery.

    It is simple, effective and painless.

  • Does Medicare cover HBOT?

    Medicare covers Hyperbaric Oxygen Therapy for approved conditions, and many insurance companies also cover approved conditions. If your condition is not approved by your insurance, we can discuss our special rates. Give us a call at (408) 356–7438. We are happy to discuss your options with you.

View all FAQ’s >