Cupping the scar is another method of mobilizing these layers of tissues. This is a different mechanism than massage because it gently suctions and lifts the tissues rather than compressing them. This lift allows for increased circulation as well as a stimulus to reorganize the tissues. Over time, it can improve the appearance of the scar, and decrease a shelf-like appearance.

For at-home care, I recommend using the silicone cups. You may see the use of vacuum cups in a clinic and those are fine with a therapist; but for self-mobilization, silicone cups are more user friendly and easy to start with. Link for the cupping set I recommend can be found on the “Helpful Products” page.

Conservatively, it is not recommended to start cupping until 12 weeks post-op. It is a little more intense than massaging with your hands. Your incision should be well-healed before starting cupping.

Start on your back and apply coconut oil or lotion along the incision. Squeeze the cup, apply to your skin, and then let go of the squeeze. Allow your skin to be suctioned up into the cup. From here, gently move the cup along your scar, allowing the scar to lift up and mobilize as you slide. After addressing the scar, move up to the lower abdominals. Remember - this area usually has a bit of restriction, too (especially along midline). Move the cup in different directions all across the lower abdominals to help decrease tightness.

I recommend cupping/scar massage at least 4 days/week for about 5-10 minutes per day. If you are able to do it most days, that is beneficial.

Some areas of the scar may feel tighter or more restricted than others. These are spots I would spend more time. Cupping can feel “weird” at first as it’s an unfamiliar sensation, but it should not be painful. It should not increase soreness the next day or cause bruising. If you have either, it is an indication to ease up on suction.

You can start lying on your back. Progress to positions like sidelying, sitting, standing, and eventually to positions that you feel pulling or restriction (lunging, etc.).