29 Dec
Hilotherapy in plastic surgery: the treatment that completely changes recovery
One of the biggest fears in plastic and cosmetic surgery is the postoperative period. Swelling, pain, bruising…a “price to pay” that leads many patients to rule out a procedure that could make them happy. But what if this could be minimized? At Cànons Clinics, we are seeing how recovery is completely transformed with hilotherapy.
What is hilotherapy and what are its 5 benefits?
The hilotherapy is a controlled cold medical therapy.
Unlike traditional methods such as ice or cold gel packs, this is medical equipment. Advanced technology applied after surgical procedures to favor a faster and more comfortable post-operative recovery.
It is developed by Hilotherm.
Here I’m going to talk about its use in plastic and cosmetic surgery (what we do in our clinic), but it’s not exclusive to this specialty. It’s used in many others: traumatology, gynecology, ophthalmology, maxillofacial surgery, etc.
What are the benefits?
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- Natural anti-inflammatory and analgesic effect. It reduces inflammation, pain, and bruising after surgery, especially in the first few days. Especially the 72h after surgery when the most swelling is achieved. Patients also appreciate the aesthetic benefits.
- It reduces the need for medication. Since cooling already helps relieve pain, less analgesic medication is needed. We reduce—and in some cases even avoid—pharmacological treatment in favor of a safer, more harmless solution.
- It provides a feeling of relief and well-being. Imagine walking for hours, your feet aching, and then plunging them into cool water. That pleasant comfort is similar to what patients describe with hilotherapy.
- It promotes tissue regeneration. It allows for precise temperature adjustment to minimize or even eliminate the potential adverse effects of cold therapies (burns, nerve damage, etc.). It is a very safe system.
- Accelerates recovery. For all the reasons mentioned above, it shortens the recovery time. If, for example, you’re one of the many people who have to “sacrifice” their vacation days at work for the operation… that’s a huge advantage.
It is a treatment that addresses one of the major demands of surgical patients: less debilitating and much more manageable post-operative periods.
How hilotherapy works and its use in plastic surgery
Application: Does it cause any discomfort?
Hilotherapy is very comfortable.
Essentially:
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- It is applied with anatomic accessories. They are specifically designed for each part of the body. For example, a mask for blepharoplasty, a face mask for a cervicofacial lift, a disc for breast surgery, etc.
- They are placed immediately after the operation in the operated area, which is when the tissues become most inflamed. This allows us to mitigate that reaction early on.
- They maintain a constant temperature of 15-20ºC. Depending on which one we select, depending on the case. We leave it working continuously throughout the entire admission process.
Is it an annoying cold? Not at all. This is what sets it apart from applying ice or cold gels. Those 15-20ºC temperatures achieve maximum benefits with minimal risks and discomfort. Even people with greater sensitivity tolerate it very well.
Moreover, they often find it relaxing.
Then the treatment continues at home minimum for the following 3 days. On patient’s discretion. That is, if they wish, they can rent a hilotherapy device from the company. They will deliver it to their home and pick it up within 3-5 days.
It is similar to professional equipment, but adapted for practical, safe and effective personal use. The maximum amount of time should be set. Up to 24 hours a day to optimize postoperative recovery as much as possible.
The improvement in inflammation and pain is very noticeable.
Photo of our clinic team. The accessories integrate a closed and continuous circuit
through which cold water circulates at the temperature we choose.
Indication: When do we recommend it and how effective is it?
Hilotherapy can be used on virtually the entire body.
It has accessories adapted for the head, face, arms, hands, breasts, abdomen, legs, etc.
In Clinical Canons at the moment, we only indicate it in facial plastic surgery. Regardless of the place the surgery takes place in, may be at our outpatient operating room or in a hospital.
Especially in blepharoplasty, which is where we have the most evidence.
For example, a study in upper blepharoplasty patients observed that postoperative hilotherapy effectively and safely reduced eyelid edema (I’ll leave the link at the end). They took 3D images to compare with vs. without.
It is a very promising technology, our idea is to extend its use to body surgeries as well as in the near future.
For now, I can tell you that:
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- Our patients are very satisfied. Much more comfort. Also in the social sphere. As it reduces inflammation and bruising, helping to better conceal the operation.
- It has hardly any contraindications. Only in very specific cases. Anemia cryoglobular, cold urticaria caused by the release of histamine, Raynaud’s syndrome… We assess it in the consultation.
- We combined it with other postoperative treatments. To further enhance the healing process, we recommend weekly manual lymphatic drainage sessions, in addition to cold therapy.
In the video you can see one of our patients undergoing hilotherapy treatment after blepharoplasty.
Mechanism: How exactly does it work?
Cold therapies have extensive scientific research behind them.
As the temperature drops, hilotherapy induces physiological responses. It affects metabolism, circulation, and the neuromuscular system. The result is a reduction in inflammation, pain, and the risk of bruising.
For example, look at this paradoxical situation.
After surgery, the body activates mechanisms to repair the wound. The metabolic rate increases, and the body begins to demand much more oxygen. This oxygen arrives with difficulty because the surgical procedure in itself alters its transport.
That is to say, the tissue asks for more fuel to heal, but receives less. A deficiency state that causes additional damage and more edema. Edema that, in turn, further hinders oxygen delivery.
It’s a vicious cycle.
Applying cold has been shown to reduce this metabolic rate and, consequently, the oxygen the tissue needs to regenerate. This is how hilotherapy breaks that vicious cycle, facilitating recovery.
Graphic illustrating how hilotherapy reduces postoperative oxygen demand in treated tissues.
This prevents oxygen deficiency and promotes regeneration.
Image courtesy of Hilotherm.
Hilotherapy VS applying ice after surgery
Who hasn’t put ice on their skin after getting hit?
Or cold gel packs. To reduce inflammation and soothe pain. It’s a form of cryotherapy widely used to treat acute injuries, relieve muscle contractures, accelerate muscle recovery, and also to optimize post-operative recovery.
That’s why, in a consultation, the question sometimes arises of what is best.
What I always say:
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- Ice is cold and aggressive. It can reach 0°C or lower. Not everyone can tolerate it. It can be painful and may burn, especially gel packs. Improper use can affect the nerves, circulation, and healing.
- Its benefits are short-term. It melts and loses its effectiveness quickly, requiring reapplication. As an immediate solution, for example, for a sprain, it’s fine, but if we’re looking for something long-lasting after surgery…
- It’s impractical. The skin must be protected, held in the hand or otherwise, and attention must be paid to the weather, the moisture that forms, etc.
The first two facts make it even considered a controversial method.
For their part:
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- Hilotherapy maintains a constant temperature within safe ranges and distributes it evenly throughout the operated area. Avoid thus causing damage from excessive cooling and has fewer contraindications.
- We set the temperature to 15-20ºC to facilitate lymphatic drainage. Below 15°C, cold hinders fluid elimination. Besides, it’s less well tolerated. The 15-20°C range is effective and not at all bothersome.
- It’s more comfortable. With these accessories, you feel no weight, and they’re secured with straps that don’t move. Adjustable cold gel packs are available, but they tend to be less ergonomic and more bulky, heavy and difficult to hold.
For all these reasons, at Cànons Clinics we always opt for hilotherapy. Advanced medical treatment VS homemade remedies. Greater efficiency and safety.
Eye mask for thehiloterapiafacial. The idea is to wear it as much as possible.
Since you don’t have to worry about replacing it or about getting it wet;
at their home, patients even sleep with it on.
Do you want to find out more or make an appointment?
In my opinion, hilotherapy is proving to be a turning point in plastic surgery.
Anything that improves recovery and outcomes, with supporting evidence, is welcome. And this treatment works wonders. Our patients are delighted.
Shall we talk and I’ll tell you more?
If you are considering surgery or have already had it, and you want to improve your post-operative experience. Call us on 683 27 07 09, write to us on WhatsApp or fill out the form (button below).
If you are a professional, you would be interested in renting our outpatient operating room with hilotherapy. Same here. Contact us and we’ll get back to you, we will inform you of the conditions without obligation.
We are in Barcelona and Granollers.
References
If you’d like to investigate further…
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- Visit the website of Hilotherm.
- Liu J et al. Eyelid edema reduction following blepharoplasty: a 3D imaging-based pilot study on the efficacy of Hilotherapy. Quant Imaging Med Surg. 2025 Oct 1;15(10):9170-9178. Source.
- Vila-Rovira R et al. El valor y la efectividad de la aplicación del frío (15 grados centígrados) en el postoperatorio inmediato en cirugía estética. Experiencia en 107 pacientes de cirugía estética. European Aesthetic Plastic Surgery Journal. 2017;7(1):46-54. Source.
- Bates AS, Knepil GJ. Systematic review and meta-analysis of the efficacy of hilotherapy following oral and maxillofacial surgery. Int J Oral Maxillofac Surg. 2016;45(1):110-117. Source.
- Wang Y et al. Clinical Applications and Potential Mechanism of Cold Acclimation Therapy. J Multidiscip Healthc. 2025;18:4113-4120. Source.
Dr. Víctor Hernàndez Machado.
Medical Director of Cànons Clinics
Plastic surgeon specializing in facial surgery and body contouring, with experience in the private sector since 2001. I advocate for honest aesthetic surgery and medicine in which results improve, not change.
Registered doctor in Barcelona number 30493, member of the SECPRE and general secretary of the Spanish Society of Surgical Medical Lasers (SELMQ).
Currículum. LinkedIn.




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