What is a manual lymphatic drainage (commonly referred to as a lymphatic massage)?

Lymphatic therapy has become a buzzword recently and for good reason. Research is finally supporting the impressive role that the lymphatic system plays in our immune system by keeping our body’s fluid level in check and defending against infections. Manual lymphatic drainage (MLD) is the Gold Standard to address lymphatic stagnation and combat swelling, regardless of the reason for inflammation. It uses a light, skin-stretching touch to promote the natural movement of lymphatic fluid, directing it toward lymph nodes and unaffected regions to promote optimal drainage to reduce swelling and fluid retention.  

The reason our technique uses the term “manual lymphatic drainage” vs. “lymphatic massage” is due to the light pressure that’s applied. The lymphatic system is JUST underneath the skin, above the muscle. To activate the lymphatic system appropriately, it is imperative that a light touch be applied to gently open the gates of the lymphatic vessels. A “massage” traditionally refers to a deeper touch that targets the muscle; this is contra-indicated following surgery or when trying to activate the lymphatic system to promote immunity. MLD technique should not hurt, however, if you are only a few days out of surgery, there may be some discomfort at times. Please let your therapist know immediately if this occurs.

Who would benefit from a lymphatic drainage?

The lymphatic system is the cornerstone of our immune system, so this technique can help just about anyone! Our techniques are especially helpful for anyone experiencing prenatal and postpartum swelling, pre- and post-surgical swelling (either cosmetic or orthopedic), or anyone looking to help “detox” their body and boost their wellness and immunity. Our techniques can help with acne, congestion and bloating, hormone imbalance, stress and anxiety, improve nutrient absorption, arthritis, lipedema, Hashimoto’s and other thyroid conditions, joint inflammation or injury, brain fog, fibromyalgia and many more.

Who would NOT benefit from a lymphatic drainage?

Contraindications for this type of therapy include: acute deep vein thrombosis, fever, untreated congestive heart failure, acute inflammation (due to bacteria, virus, poisons) including cellulitis. If you have any questions or concerns about your own medical history, please call us to discuss. Your safety is our number one priority!

What are the benefits of manual lymphatic drainage (MLD) pre-surgery?

The best time to start manual lymphatic drainage is BEFORE surgery. Having 1-3 sessions in the week prior can make a significant difference in your recovery process. MLD can help your body prepare for surgery by cleaning out toxins that naturally build over time and optimizes the cellular environment of the treatment area.  MLD can also minimize the risk for post-op complications such as scar tissue formation, bruising, and infection by promoting optimal lymphatic flow by clearing out stagnant lymph. Even more, it helps to calm the nervous system leading to better outcomes following surgery.

Additionally, our background in occupational therapy in the hospital setting provides additional resources to support healing, including education and training on proper positioning, tips on dressing and bathing to maintain any precautions, how to get in and out of bed without pulling on incisional sites, and general guidelines to make sure your post-surgical recovery area is set up for success. Recovery is hard, let us help make it an easier process.

What are the benefits of manual lymphatic drainage post-surgery?

It is typical, and expected, to have some swelling following surgery as this is the body’s natural response to trauma. MLD is the most efficient way to reduce post-surgical swelling and water retention, as well as to help shed the body of anesthesia and toxins following surgery. This technique can also reduce bruising as it helps cleanse the extracellular spaces where cellular debris and old red blood cells are trapped. This technique is especially valuable following liposuction to any body region but can reduce recovery time for most any cosmetic or orthopedic procedure.

By speeding up the removal of waste products and improving lymphatic flow, you can expect a quicker healing process, reduced swelling, reduced pain, reduced bruising, reduced complications from surgery including fibrosis and seromas, and experience quicker results and return to prior level of function.

How soon can I start with lymphatic therapy after surgery?

Every surgery and surgeon will have a different protocol but typically MLD can begin 2-3 days post-op. It is best to wear your compression garment around the clock for the first 48 hours. The sooner treatment begins, the sooner we can combat swelling and promote optimal healing and recovery.  

What is a seroma?

A seroma is a fluid-filled pocket that develops in the tissue that may appear after surgery or trauma. They are more common when a large amount of tissue is removed, such as during a tummy tuck, liposuction, BBL, or breast enlargement. They are not serious but can at times lead to infection if left unchecked.

Seromas can be treated naturally or through surgical intervention. When treated naturally, MLD is the most recommended treatment. The best way to mitigate this risk for seroma is to start MLD right after surgery. By manipulating excess fluid and directing it toward lymph nodes, the fluid can be absorbed and eliminated, reducing the risk for fluid-build up within the tissues.

What is fibrosis?

Following surgery or trauma of any kind, the skin responds by sending fibroblasts (a connective tissue cell) to the area to protect it via wound remodeling and collagen deposition. Despite its attempt to be helpful, this can result in unwanted lumps, bumps and hardened or uneven skin if left unchecked. Because this is the body’s natural way of healing, fibrosis is one of the most common side effects of surgery. The good news is you can control the risk for fibrosis as it is greatly diminished through MLD and proper garment wear following surgery.

Can I reduce the appearance of my scar?

Yes! One of the aspects that we work to address is reducing the appearance and size of scars once the incision is healed. Not only are scars an unwanted reminder, scar tissue can also impede lymphatic flow and lead to increased swelling as we heal. Through scar management techniques and education, we can minimize these risks.

Do I need a referral?

A referral is not needed, however, depending on the surgery received and protocol in place, we may reach out to surgeon to promote interdisciplinary collaboration for optimal results.

Do you take insurance?

We do not take insurance; however, we can provide a Superbill upon request that you can submit to insurance for reimbursement. Please note, you must have a prescription for lymphatic massage or lymphatic work from your physician including the correct medical codes for us to issue you a superbill.

How many sessions will I need following surgery?

Every surgery and every person is unique is their recovery so there is no one-size-fits-all. Some individuals will only require 1-6 treatments after surgery whereas others may benefit from 6-12. Typically, it is recommended to have 3 treatments the first 1-2 weeks following surgery and then taper off as results occur. Please note that the recovery process from most cosmetic surgeries can last 3-6 months with some individuals benefiting from monthly maintenance following the acute recovery process.

An example of a schedule is below:

o   Week 1: 3x per week

o   Week 2-3: 2-3x per week

o   Week 4 and on: 1x per week for maintenance

We realize not everyone has the time or finances for this, so we work with every client’s needs to optimize healing. We can teach self-MLD from day one for those who are unable to have the recommended number of sessions.

How many sessions will I need while pregnant? Postpartum?

Depending on levels of inflammation and individual preference, clients may benefit from weekly, bimonthly or monthly sessions to reduce swelling and promote relaxation. Postpartum lymphatic drainage can begin anytime after a vaginal delivery and 14 days after a C-section. Depending on levels of inflammation, some clients benefit from weekly or biweekly sessions to start before progressing to maintenance phase.

Trying to conceive?

For individuals undergoing IVF or experiencing hormonal imbalances, lymphatic drainage may be helpful in mitigating side effects and regulating hormones. If actively trying to become pregnant, it is best to be seen during the follicular phase, up until ovulation.

How many sessions will I need for wellness + chronic conditions?

Depending on levels of inflammation and underlying issues for swelling, clients may benefit from 1 session per week, or 2 sessions/month to start and then transition to 1x/month for maintenance.

How will I feel after treatment?

Most will feel lighter, calmer, and have increased energy and vitality. You will also likely have increased urination (this is the primary way toxins are released) and increased thirst. However, since we are stimulating your body’s natural defense system and helping aide in detoxification, there is always a chance for mild side effects. This is known as the “detox flu” and symptoms may include fatigue, nausea, dizziness and/or headache.

While this is rare, it is important to know this going into the treatment. These symptoms will last less than 48 hours and once it is over, you will have a boosted immune response.

Why is manual lymphatic drainage more expensive than traditional massage?

Lymphatic massage is typically more expensive than regular massage due to the extensive training we receive. The technique used is unique to the lymphatic system and is a totally separate discipline from traditional massage. Many people now offer lymphatic therapy, but it is imperative to ensure that whoever you choose to work with has received the proper training. The pathways used, where we start, as well as the rhythm and strokes applied, is of utmost importance. Using an incorrect approach, especially after cosmetic surgery, can lead to more harm than good. When working with Feel Good Lymph, you can rest easy knowing that we are qualified at what we do.

Reagan was trained through the Academy of Lymphatic Studies to become a “Certified Lymphedema Therapist” as well as through the Norton School to become “Certified Cosmetic Surgery Therapist”. These certificates ensure the highest level of skill and qualification when treating swelling, especially swelling related to cosmetic surgery. Additionally, her background in Occupational Therapy in a hospital setting provides additional insight into the recovery process, including knowing what signs and symptoms to look for with infection. She can also provide a home exercise program specific to your needs to promote healing and range of motion within the parameters set by the surgeon and specific surgery.