(concept) Maintaining fulcrum awareness when working on a client after plastic surgery helps prevent disruptions to the skin integrity and reattachment of underlying skin layers by avoiding excessive tension on the skin. With postOp clients having compromised skin barriers, added tension could lead to complications such as stretch marks, infections, saggy skin, persistent acute edema, or delayed healing. These dynamics ensure therapists apply techniques & strokes effectively based on the client’s goals, anatomy, and procedure. Since the fulcrum point varies with each stroke & depends on factors like client girth & procedure type, awareness of these dynamics helps therapists adjust pressure & effort accordingly to achieve optimal results while minimizing risks.