Tearing is very non-specific and will pull, break, and damage the good, healthy tissue to which the scar tissue is attached. Tearing is what occurs with Manipulation Under General Anesthseia (MUA) which is very non-specific and often causes permanent damage. The OAT non-surgical procedure involves careful isolation and very specific dissection of only the bad tissue and none of the good. The difference between tearing and dissecting is significant. Tearing is dangerous and dissection is safe if it is properly controlled.