Post-surgery Lymphatic Drainage Massage

According to the Aesthetic Surgery Journal, manual lymphatic drainage (MLD) is a component of complete decongestive therapy on surgical treatment, which has demonstrated benefit in reducing the development of fluid buildup following surgery.

Post-surgery Tisular Lymphatic Drainage Massage is a specialized technique that can help promote recovery and reduce swelling caused by fluid buildup. This is often supported by a gentle, rhythmic massage technique that uses light pressure and strokes to encourage the movement of lymph fluid toward the lymph nodes, where it is filtered and recycled. 

The FIRST week following surgery is a critical phase. During this time, the focus is often on managing post-surgical swelling and discomfort.  Cosmetic plastic surgeries in which Post-surgery Lymphatic Drainage Massage is recommended are: 

• Face lift
• Eyelids procedures 
• Mammoplasty (breast reduction)
• Mastopexy (breast lifting) 
• Liposuction 
• Lipectomy (fat removal from thighs, abdomen, buttocks)
• Abdominoplasty (tummy tuck)
• Post-mastectomy breast cancer patients 
• Brachioplasty 
• Thighplasty 

Benefits: 

• Promotes healing:

  Lymphatic massage can help to break down scar tissue and promote tissue regeneration. 

• Reduces pain:

  By improving drainage and circulation, lymphatic massage can help to alleviate pain and discomfort. 

• Reduces swelling: 

  Lymphatic massage helps to drain excess fluid and lymph nodes, reducing swelling and bruising. 

• Improves circulation:

  Massage stimulates the lymphatic system, which supports blood flow and reduces stagnation. 

• Improves urinary secretion:

          Release of adrenergic hormones, serotonin, and histamine. 

When to Receive Lymphatic Massage:

Lymphatic massage can typically be started 24-48 hours after surgery. The frequency and duration of massages will depend on the type of surgery and the individual's recovery process. 

Procedure:

The certified massage therapist will gently manipulate the skin and lymphatic vessels using specific techniques (Vodder, Leduc). The massage will focus on draining interstitial fluid and waste from the affected area towards the lymph nodes. 

Precautions: 

• Avoid lymphatic massage if you have an infection, open wounds, or blood clots. 

• Inform your therapist about any medical conditions or medications you are taking. 

• Wear comfortable clothing that allows for easy movement. 

• Reduces fibrosis and seromas. 

Benefits of Not Receiving Lymphatic Massage: 

While lymphatic massage is beneficial, it is not essential for everyone after surgery. However, without lymphatic massage, recovery may take longer, swelling may be more pronounced, and the risk of complications such as infection may increase. 

Session includes the following: 

The first session may take up to 75 minutes and includes evaluation and treatment. 

Phase 1 (Days 1-14): Manual tissular lymphatic massage plus the application of body aesthetic devices such as high frequency, ultrasound (low frequency), LED light therapy, or infrared light therapy.   

Phase 2 (Days 15 & up): Manual lymphatic drainage massage plus application of body aesthetic devices such as radio frequency, cold hammer, ultrasound, LED light therapy.  

Conclusion: 

Lymphatic massage can be a valuable addition to post-surgical recovery, providing benefits such as reduced swelling, improved circulation, and faster healing. It is important to consult with a qualified healthcare professional to determine if lymphatic massage is appropriate for you and to follow their instructions carefully. If your surgeon has advised you to undergo an LMPP, please provide any specific instructions to ensure an effective massage treatment. The surgeon's office may email us instructions to: info@rewind2wellness.com 

Cite:

Marxen T, Shauly O, Goel P, Tsan T, Faria R, Gould DJ. The Utility of Lymphatic Massage in Cosmetic Procedures. Aesthet Surg J Open Forum. 2023 Feb 28;5:ojad023. doi: 10.1093/asjof/ojad023. PMID: 36998743; PMCID: PMC10045879.