Relief from Radiation Fibrosis Syndrome

Posted by stephenrfleury @stephenrfleury, May 13, 2025

Had SCC on the base of my tongue and a couple of lymph nodes in 2020 and was treated with radiation and chemo. Like many of you, I had pretty severe fibrosis in my neck.

In the past month, I had a combination of 2 treatments at Mayo in Phoenix. First, I had Botox injections in my neck to relieve some of the stiffness in the muscles. Those were followed up with a surgery called fat grafting, where they harvest fat cells from your body (belly for me), and inject those cells into your neck to soften the fibrosis. They also breakup some of large fibrotic cords. It has relieved just about all of my pain and much of the stiffness.

Interested in more discussions like this? Go to the Head & Neck Cancer Support Group.

Has anyone had fat grafting to battle radiation fibrosis? Surgeon in Florida is using fat grafting to great effect. Patients have had voice, neck mobility and saliva return after grafting. I am still trying to contact doctors using fat grafting technique. Nearly impossible to get on waiting lists.

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Profile picture for josk @josk

@harleytiger so true ... chances are if I were made aware of the late effects of radiation then, and also have had the chance of encountering head and neck cancer survivors having to cope and handle all these late effects -- I most probably would have opted out of the radiation part!!
Then again - when diagnosed at that time - I didn't have the know-how and the time to look into this.
I was on my own then - without any support - and had to handle all radiation appts and chemo on my own - and chances of doing research on this treatment is completely NIL.
Going forward ... doing best to cope and handle these late effects.
Take care!!!

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@josk I hear what you're saying. When I was confronted with the diagnosis and treatment plans I didn't have this blog to read and ask questions on. Radiation doesn't stop and it's a constant battle. Silly me when my radiation treatments were over I thought to myself, "that wasn't too bad?" Little did I know it was just the beginning. If I didn't do the hard, painful massages and Acupuncture treatments I don't think I'd be able to move my head? I massage my jaw muscles and open my mouth wide all the time to keep it from closing down. There has to be a better way. And doctors don't seem to care about the side effects, at least mine doesn't.

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Profile picture for chubbell42 @chubbell42

Has anyone had fat grafting to battle radiation fibrosis? Surgeon in Florida is using fat grafting to great effect. Patients have had voice, neck mobility and saliva return after grafting. I am still trying to contact doctors using fat grafting technique. Nearly impossible to get on waiting lists.

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@chubbell42

I posted this a bit ago. DM me if you want more info.

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Had SCC on the base of my tongue and a couple of lymph nodes in 2020 and was treated with radiation and chemo. Like many of you, I had pretty severe fibrosis in my neck.

In the past month, I had a combination of 2 treatments at Mayo in Phoenix. First, I had Botox injections in my neck to relieve some of the stiffness in the muscles. Those were followed up with a surgery called fat grafting, where they harvest fat cells from your body (belly for me), and inject those cells into your neck to soften the fibrosis. They also breakup some of large fibrotic cords. It has relieved just about all of my pain and much of the stiffness.

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Profile picture for harleytiger @harleytiger

@josk The doctors don't tell how radiation takes the good out of everything almost. Their only care is that the cancer is gone, side effects don't concern them. I wish I knew then what I know now. It would be different.

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@harleytiger

I think you are over generalizing.

My doctors explained the radiation and how it works. We discussed at a high level the side effects, but deferred it until after the treatments as the impacts are different for each patient. As brutal as the treatments were and the side effect's impacts, they did save my life and I have been able to return to my normal life, albeit I different one.

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Profile picture for harleytiger @harleytiger

Hello Stephen, I too suffer from neck fibrosis from radiation and I was going to physical therapy for hard deep massage a long time and it helped a lot. I couldn't keep going so I bought a SKG H7 Cordless Neck Massager on Amazon for $100. And I also bought a Plantifique Gua Sha facial massage which I use with Hawk Grips massage lotion. I use them once a day or every other day. I also do a lot of neck stretching. It's a little investment, but I think they all help a lot. It's painful at times, but the neck feels much better in the morning. Lastly, I also go to Acupuncture. Along with the Acupuncture, my doctor gives my trigger point shots in the neck hard areas. I haven't tried Botox, but I'm going to ask my doctor on my next visit.

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@harleytiger

I get Botox injections every 90 days and had had fat grafting surgery at Mayo. The combination has almost eliminated the pain and greatly increased my neck's flexibility.

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Hello Stephen, I am on a waiting list to consult wth Dr. Rebecca. Been over a month and still nothing. NoT easy finding doctors who are using fat grafting to battle RIF. even more difficult getting an appointment. Frustrating beyond words. Thanks for your input.

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Profile picture for chubbell42 @chubbell42

Hello Stephen, I am on a waiting list to consult wth Dr. Rebecca. Been over a month and still nothing. NoT easy finding doctors who are using fat grafting to battle RIF. even more difficult getting an appointment. Frustrating beyond words. Thanks for your input.

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@chubbell42

The more about it, I thought someone post that Dr. Rebecca was on temporary leave. For me, Dr. Keole in the physical therapy group referred me to Dr. Rebecca. Perhaps you can find the name of the other doctor who does fat grafting or get a referral from Dr. Keole.

I will send a message to the person who did my PT. Perhaps she knows more.

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Profile picture for stephenrfleury @stephenrfleury

@harleytiger

I get Botox injections every 90 days and had had fat grafting surgery at Mayo. The combination has almost eliminated the pain and greatly increased my neck's flexibility.

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@stephenrfleury
Thanks, I have a appointment with my ENT this week and I’ll ask to get started.

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Profile picture for stephenrfleury @stephenrfleury

@harleytiger

I get Botox injections every 90 days and had had fat grafting surgery at Mayo. The combination has almost eliminated the pain and greatly increased my neck's flexibility.

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@stephenrfleury Stephen, I have a question. Which medical specialty are you going to for the botox and fat grafting? I have a local ENT out of UCLA who did my surgery. But, I have UCLA Health as my primary. I'm just trying to learn where to search? Plastic Surgery? Neurology?

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Profile picture for harleytiger @harleytiger

@stephenrfleury Stephen, I have a question. Which medical specialty are you going to for the botox and fat grafting? I have a local ENT out of UCLA who did my surgery. But, I have UCLA Health as my primary. I'm just trying to learn where to search? Plastic Surgery? Neurology?

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The Botox injections are given by the ENT group at Mayo, while the fat grafting is done by the plastic surgery group.

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