AURA · New Orleans
Scar tissue is a process.
So is undoing it.
A physician-led, ultrasound-guided pathway for patients living with the firmness, banding, and chronic discomfort that can follow platysmaplasty, neck lift, and other surgical procedures. Delivered entirely in-house at The Fascia Institute in New Orleans.
Patients across Louisiana and the Gulf South come to AURA when their healing has slowed, stalled, or never quite finished — when a successful surgery has left behind a tissue environment that simply refuses to soften on its own. AURA was built around that exact stage of recovery.
01 · The Program
Advanced Ultrasound &
Regenerative Aesthetics.
AURA is the post-surgical recovery program developed by Dr. Jacques Courseault at The Fascia Institute and Treatment Center®. It exists because the months that follow a cosmetic or general surgical procedure are governed by tissue biology the procedure itself cannot control — and because patients dealing with persistent fibrosis, banding, tethering, or discomfort deserve a structured, physician-led plan rather than the advice to wait.
Every AURA pathway is built around high-resolution diagnostic ultrasound, an integrated suite of regenerative modalities, ultrasound-guided injection medicine, and individualized metabolic optimization. The platysmaplasty literature openly acknowledges that persistent banding and prolonged firmness are recognized post-operative phenomena requiring active management (Pelle-Ceravolo et al., Plast Reconstr Surg, 2017); the same applies across the broader hypertrophic scar literature (Berman et al., Dermatol Surg, 2017). What these patients need is not more patience — it is a clinician trained to image the tissue and intervene in it directly.
“In our clinic, the first question is never what we are going to do. The first question is what we are going to see. The ultrasound dictates the plan.”
02 · Indications
The complications we focus on resolving.
AURA was developed around the demands of platysmaplasty and neck lift recovery — the area where post-surgical fibrosis is most visible, most palpable, and most frustrating for patients. The protocol generalizes naturally to other surgical recoveries with similar tissue dynamics.
Following Aesthetic Surgery
- —Platysmaplasty & neck-lift tightness
- —Persistent platysmal cords & visible banding
- —Cervicomental contour stiffness
- —Abdominoplasty fibrosis & numbness
- —Capsular firmness after breast surgery
- —Liposuction nodules & contour irregularities
- —Arm & thigh lift scar discomfort
Following Other Surgery
- —Adhesions following orthopedic surgery
- —Thyroid & parathyroid scar firmness
- —Cesarean scar pain & tethering
- —Hernia repair restriction
- —Pelvic surgery fascial fibrosis
- —Post-trauma deep tissue restriction
- —Radiation-induced fibrosis
A surgical site not listed above is not a reason to assume AURA cannot help. The evaluation begins with imaging — and the imaging defines what we treat.
03 · The Toolkit
Five complementary modalities,
delivered under one roof.
Complex fibrosis rarely yields to a single tool. AURA’s value is in the layering — each modality reaching a different depth, a different tissue type, and a different stage of remodeling. All five are available in-house in New Orleans, sequenced into a plan tailored to your imaging findings.
01
Image-Guided Prolotherapy
Precision hydrodissection delivered to the exact adhesion plane visualized on ultrasound — the mechanism reviewed in detail by Lam et al. (2020).
02
Human TECAR
448 kHz capacitive-resistive radiofrequency — endogenous tissue heating that drives fibroblast activity and softens fibrosis from within the tissue itself (Hernandez-Bule et al., 2014).
03
Focused Shockwave
Acoustic pressure waves that disrupt chronic dense fibrosis and stimulate neovascularization at depths where softer therapies plateau — particularly valuable for older, more organized scar tissue.
04
PEMF Therapy
Pulsed electromagnetic fields modulate cellular recovery and inflammation — non-invasive support that compounds across the entire treatment arc and bridges the days between injections.
05
Red Light Therapy
Photobiomodulation that supports wound healing, anti-inflammatory signaling, and collagen quality — reviewed comprehensively by Hamblin (2017).
Metabolic medicine, layered alongside. The physical modalities above are paired with personalized supplementation guided by genomic and biochemical testing — measuring methylation capacity, B-vitamin and glutathione status, and inflammatory tone that govern fibroblast performance and scar collagen quality. MTHFR polymorphism status, for instance, has documented functional consequences for one-carbon metabolism (Antoniades et al., 2009). When indicated, AURA includes Genomics Performance Screening to make these variables visible.
04 · How a Pathway Unfolds
From the first ultrasound
to durable change.
01
The Initial Visit
A focused 60-minute consultation with Dr. Courseault. Surgical history and symptom review, clinical examination, and high-resolution diagnostic musculoskeletal ultrasound of the affected region — with localized fascial mapping to identify exactly where restriction lives within your tissue.
When the imaging findings allow, a first treatment may be delivered at the conclusion of this visit.
02
The Written Plan
Within three business days you receive a treatment plan and itemized cost estimate. A typical AURA pathway integrates a prolotherapy series with TECAR, layered with one or more of shockwave, PEMF, and red light. Genomics Performance Screening and customized supplementation are recommended when warranted.
03
Treatment Series
All treatment is delivered in-house at FIT New Orleans. Prolotherapy is administered as a series — frequently spaced two to four weeks apart, and frequently requiring several sessions over multiple months. Adjunctive injections including PRP, hyaluronic acid, or corticosteroid may be incorporated when indicated, quoted separately based on the agent and region.
TECAR, shockwave, PEMF, and red light sessions advance the tissue between injections — non-invasive work that compounds across the arc.
04
Reassessment
We re-image at structured intervals — confirming that what we see, what we feel, and what you experience are aligned. The transition into a maintenance cadence happens when the structural change is durable rather than when the calendar arbitrarily says it should.
05 · Where Every Pathway Begins
The AURA
Initial Evaluation.
An hour of physician time. Direct ultrasound imaging of the tissue you are concerned about. A localized fascial mapping assessment to characterize the restriction precisely. A clinical conversation about what you have been told, what you are feeling, and what the imaging actually shows.
Three business days later: a written plan and an itemized estimate. Some patients begin treatment at the same visit when findings support it.
AURA Evaluation
$795
60-minute physician evaluation
- ·Surgical history & symptom intake
- ·Clinical examination & palpation
- ·High-resolution diagnostic ultrasound
- ·Localized fascial mapping
- ·Written plan within 3 business days
- ·Itemized cost estimate
Treatment services — prolotherapy sessions, TECAR, shockwave, PEMF, red light therapy, advanced injections (PRP / HA / corticosteroid), comprehensive Fascial Mapping®, and Genomics Performance Screening — are individually quoted within your written plan, based on the findings of your evaluation visit. Charges for any scheduled service include a written Good Faith Estimate provided within three business days.
06 · A Note on Timeline
Slow medicine.
Honest about what it takes.
There is no fixed timeline we can promise you, because there is no fixed biology that applies to every patient. A prolotherapy series may need many sessions, spread across months, to fully release the adhesions you are dealing with. TECAR effects accumulate session over session, not within a single visit. Some patients respond quickly; others require deeper, longer work. We tell you what we see on imaging, what we are doing in clinic, and what we recommend next — at every step.
AURA does not revise surgical results. That is the work of your aesthetic or general surgeon, and we coordinate with their office whenever appropriate. What AURA does is optimize the biological environment in which their surgical result is healing. The patients who recover most completely are the ones who treat this as a months-long collaboration rather than a quick procedural fix.
“We build the plan around what we see. You provide the consistency. Together that combination is what makes the tissue change.”
07 · The Physician
Every AURA evaluation, ultrasound, and injection is performed personally by Dr. Jacques Courseault.
Dr. Courseault is the founder of The Fascia Institute and Treatment Center®, a Tulane-trained physiatrist whose New Orleans practice is built on diagnostic musculoskeletal ultrasound, regenerative orthopedic medicine, and ultrasound-guided procedural work. He is the developer of Fascial Mapping® and the Hydrofascia Release™ protocol — proprietary techniques refined across thousands of physician-led procedures.
AURA carries that ultrasound-first, single-physician approach into the specific domain of post-surgical scar tissue. Plastic surgeons, facial-plastic surgeons, and general surgeons in New Orleans increasingly refer patients to AURA for the same reason — they want a structured biological recovery plan in the hands of one physician, not a tour through an assembly line of specialties.
AURA · New Orleans
The surgery is in the past.
The recovery is still yours to shape.
Every AURA pathway begins with the $795 evaluation. Delivered exclusively at The Fascia Institute and Treatment Center® in New Orleans, with personalized planning and same-day first-treatment options when imaging supports them.
The Fascia Institute and Treatment Center®
New Orleans, Louisiana
Serving New Orleans, Metairie, the North Shore, Baton Rouge, and the greater Gulf South.
AURA is a physician-led post-surgical recovery program. It does not replace evaluation by your aesthetic or operating surgeon, and we coordinate with their office whenever appropriate. This page is intended as patient education and does not constitute medical advice.