Orthobiologic Therapies

Orthobiologic Therapy for Hand Arthritis & Tendon Conditions

At Bangor Plastic and Hand Surgery, we offer orthobiologic treatment options for selected patients with arthritis, tendon pain, and chronic inflammatory conditions affecting the hand, wrist, forearm, and elbow.

These minimally invasive procedures utilize components derived from your own adipose tissue and blood to help support the body's natural healing response and improve the tissue environment surrounding painful joints and tendons.



Our goal is to help selected patients reduce pain, improve function, and potentially delay surgery.

OUR APPROACH

Adipose-Derived Orthobiologic Therapy

Our primary orthobiologic procedure involves harvesting a small amount of your own adipose tissue (fat), processing it into a biologically active graft, and precisely placing it into the affected area.

Adipose tissue contains biologic signaling cells and vascular-supporting components that may help improve tissue quality, blood supply, and local oxygenation.



For decades, adipose grafting has been used in reconstructive surgery to improve tissue quality in areas affected by radiation injury, chronic inflammation, scarring, and poor vascularity. Research has shown that transferred adipose tissue promotes neovascularization - the formation of new blood vessels - leading to improved blood flow, oxygen delivery, and tissue quality. This has been particularly obvious through dramatic improvements seen in radiated breast tissue and pain in the base of the thumb from arthritis after fat grafting is done.

Platelet-Rich Plasma (PRP)

Platelet-rich plasma (PRP) may also be utilized in selected patients in conjunction with fat grafting.



PRP is prepared from your own blood and contains concentrated platelets and growth factors that may help support the healing environment and reduce inflammatory signaling.

Conditions We Commonly Treat

Current orthobiologic applications include carefully selected patients with:

WHO MAY BENEFIT

Orthobiologic therapies remain investigational for most orthopedic conditions and are not FDA-approved to regenerate cartilage or cure arthritis.

Current evidence suggests that selected patients may experience improvement in pain and function, though results vary and ongoing research continues to evolve.

Most orthobiologic procedures are elective and self-pay, although some limited thumb CMC-related procedures may qualify for insurance coverage.

Our Philosophy

Plastic surgery is about far more than appearance. It is about restoring confidence, rebuilding function, relieving discomfort, and helping patients move forward after injury, cancer, congenital conditions, or simply the effects of time.

Whether a patient seeks cosmetic enhancement, breast reconstruction, hand surgery, migraine surgery, skin cancer reconstruction, or emerging regenerative treatments, our responsibility remains the same: to listen carefully, communicate honestly, operate thoughtfully, and remain personally invested throughout every stage of recovery.



For more than 26 years, Bangor Plastic and Hand Surgery has been privileged to earn the trust of thousands of patients throughout Maine and beyond. We look forward to continuing that tradition for many years to come.

Some suggestions…

Instead of a hidden page called "Canadian Patients," I would create a prominent landing page with a title like:

For Our Canadian Neighbors

or

Surgical Care for Patients from Atlantic Canada

Those phrases feel welcoming rather than transactional.



Then I'd include a comparison table:

One thing I would definitely add once the IRB is approved for the precision regen registry

I would put a small banner near the top:

Participating in Clinical Research

Eligible patients may have the opportunity to participate in the Precision Regen Registry, an IRB-approved prospective clinical outcomes study evaluating adipose-derived orthobiologic therapies for selected musculoskeletal, nerve, wound healing, and hair restoration conditions.

One final suggestion

After working through your entire website today, I think one thing has become obvious.

Your practice is really built around five centers of excellence:

1. Cosmetic Surgery
2. Breast & Skin Cancer Reconstruction (including CosMOHs)
3. Hand & Upper Extremity Surgery
4. Peripheral Nerve Surgery (migraine, occipital neuralgia, neuromas, TMR, nerve compression, diabetic neuropathy)
5. Regenerative Medicine / Orthobiologics (Precision Regen)

Everything else fits naturally under one of those five umbrellas.



I honestly think if your homepage is reorganized around those five pillars instead of long lists of procedures, your practice will appear much more focused—even though the breadth of what you do is extraordinary. It tells visitors, "These are the problems we solve," rather than simply, "These are the operations we perform." That shift is one of the biggest improvements you can make to the entire website.

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