당신은 주제를 찾고 있습니까 “post liposuction massage therapy near me – How to do Lymphatic Drainage Massage after Liposuction Surgery – By a Lymphedema Physical Therapist“? 다음 카테고리의 웹사이트 You.aseanseafoodexpo.com 에서 귀하의 모든 질문에 답변해 드립니다: https://you.aseanseafoodexpo.com/blog. 바로 아래에서 답을 찾을 수 있습니다. 작성자 Cancer Rehab PT 이(가) 작성한 기사에는 조회수 120,423회 및 좋아요 2,974개 개의 좋아요가 있습니다.
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Lymphatic Drainage Massage is used after liposuction surgery to decrease swelling, pain, and bruising. Lymphatic massage is a gentle technique recommended by some surgeons to help patients recover quickly after liposuction and as a certified lymphedema therapist, I specialize in lymphatic drainage massage. So in this video, I show how general sequencing is done for liposuction recovery.
𝗟𝗼𝗼𝗸𝗶𝗻𝗴 𝗳𝗼𝗿 𝗮 𝗟𝘆𝗺𝗽𝗵𝗮𝘁𝗶𝗰 𝗗𝗿𝗮𝗶𝗻𝗮𝗴𝗲 𝗣𝗿𝗶𝗻𝘁𝗮𝗯𝗹𝗲 𝗛𝗮𝗻𝗱𝗼𝘂𝘁?
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00:00 Intro
00:40 When to do Lymphatic Drainage Massage
01:39 What areas I will be sharing in this video and why
02:19 Let’s Begin! Starting the full lymphatic drainage massage routine
03:27 Prepping the Lymph Nodes
05:02 Lymphatic Massage for the Abdomen
05:53 Lymphatic Massage for the Back and Glutes
07:00 Lymphatic Massage for the Legs and Thighs
09:18 How long it takes and Safety
Other Videos:
Lymphatic Drainage Massage after a Facelift for Facial Plastic Surgery – https://youtu.be/cB12Jf3lUy4
Lymphatic Massage for Sinus Pressure and Colds – https://youtu.be/8OXa2aP6Wts
Use code KELLY10 for 10% off the BEST, medical-quality lymphedema products at BrightLife Direct (*Shipping is free in the US*): https://bit.ly/3udwb1t
For my favorite, go-to products related to management and wellness for lymphatic health and oncology, checkout my storefront!: http://amazon.com/shop/cancerrehabpt
Disclosure: Links included in this description may be affiliate links. If you purchase a product or service with the links that I provide I may receive a small commission. There is no additional charge to you. Thank you for your support!
*I am a physical therapist, but not your physical therapist. Although I do monitor comments, I cannot respond to personal medical questions. Please know that these are questions for your own doctor or provider as this is general information only. Thanks!
DISCLAIMER
THE CONTENT OF THIS VIDEO DOES NOT REPLACE THE CARE OF PHYSICAL THERAPISTS OR OTHER HEALTHCARE PROFESSIONALS. THIS VIDEO CONTENT IS IN NO WAY TO BE CONSTRUED OR SUBSTITUTED AS PHYSICAL THERAPY OR ANY OTHER TYPE MEDICAL ADVICE, BUT IS FOR GENERAL EDUCATION aND DEMONSTRATION ONLY. THESE MOVES MAY NOT BE APPROPRIATE FOR YOUR SPECIFIC SITUATION, SO GET APPROVAL AND GUIDANCE FROM YOUR OWN HEALTHCARE PROVIDER BEFORE BEGINNING. PERFORM AT YOUR OWN RISK. DON’T USE THIS CONTENT TO SELF-DIAGNOSE OR SELF-TREAT ANY HEALTH, MEDICAL, OR PHYSICAL CONDITION. YOU AGREE TO HOLD HARMLESS AND INDEMNIFY CANCER REHAB PT LLC FOR ANY AND ALL LOSSES INJURIES, OR DAMAGES RESULTING FROM ANY AND ALL CLAIMS THAT ARISE FROM YOUR USE OR MISUSE OF THIS CONTENT.ALL CONTENT OR RECOMMENDATIONS ON THE COMPANY’S WEBSITE, SOCIAL MEDIA, BLOG, OR EMAIL SERIES AND CANCER REHAB PT LLC’s COMMENTS ARE EXPRESSIONS OF OPINION ONLY.
post liposuction massage therapy near me 주제에 대한 자세한 내용은 여기를 참조하세요.
Post Liposuction Massage – Skin & Laser Clinic
Our team offers post liposuction massage starting from just £35 per session, with a treatment time of between 45 and 60 minutes.
Source: www.harleyskinandlaser.co.uk
Date Published: 4/17/2022
View: 8663
Post Liposuction Recovery Lymphatic Massage
Lymphatic drainage has been scientifically proven to help with the pain, swelling and reduce the development of fibrosis that can happen after liposuction.
Source: www.mymassageclinic.com.au
Date Published: 4/8/2022
View: 462
Top 10 Best Post Lipo Massage in Los Angeles, CA – Yelp
Reviews on Post Lipo Massage in Los Angeles, CA – Snatched Body Molding Med-Spa, Pacific Lipo, Downey Post Op Therapy Lymphatic & Cavitation, Skin Lux la, …
Source: www.yelp.com
Date Published: 11/26/2021
View: 7421
Post Op-Lymphatic Massage
Lymphatic Massage is a specialized massage technique that is recommended by plastic surgeons, after liposuction, to accelerate the …
Source: www.massageworksfw.com
Date Published: 8/2/2022
View: 5102
After Lipo masagges | Spa
Lymphatic Drainage Massage (LDM) is a specialized gentle massage technique that is recommended by plastic surgeons after liposuction that encourages lymph flow …
Source: afterlipomassages.com
Date Published: 3/27/2022
View: 7557
Patient Guide: Manual Lymphatic Drainage After Liposuction
Massage Therapist, Lymphaic Drainage Therapist, etc. And I’ve been working with tt, bbl, 360 lipo, arms, thighs and beast reduction clients for …
Source: torontophysiotherapy.ca
Date Published: 8/9/2021
View: 8056
Do I need massage therapy after my liposuction? – Cosmeticsurg
On the other hand, small cannula liposuction techniques do not need massage therapy to get the desired results. Let me go into more detail …
Source: www.cosmeticsurg.net
Date Published: 4/13/2022
View: 5044
How to do Lymphatic Drainage Massage after Liposuction …
Lymphatic Drainage Massage is used after liposuction surgery to decrease … after liposuction and as a certified lymphedema therapist, …
Source: www.youtube.com
Date Published: 2/13/2021
View: 9617
Post Liposuction Massage, lymphatic drainage … – Miami
CS Post Lipo Massage is a center with over 15 years of experience. It was founded in Peru as Estetica Body Slim. Due to the importance of this kind of treatment …
Source: www.cspostlipomassage.com
Date Published: 8/1/2022
View: 2602
Lymphatic Drainage Massage After Liposuction | Dr. Daniel Lee
Dr. Lee recommends lymphatic massage after liposuction to make sure … Gentle, rotating, pumping motions with the therapist’s hands and …
Source: newlifergv.com
Date Published: 6/21/2021
View: 1923
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주제와 관련된 더 많은 사진을 참조하십시오 How to do Lymphatic Drainage Massage after Liposuction Surgery – By a Lymphedema Physical Therapist. 댓글에서 더 많은 관련 이미지를 보거나 필요한 경우 더 많은 관련 기사를 볼 수 있습니다.
주제에 대한 기사 평가 post liposuction massage therapy near me
- Author: Cancer Rehab PT
- Views: 조회수 120,423회
- Likes: 좋아요 2,974개
- Date Published: 2021. 9. 7.
- Video Url link: https://www.youtube.com/watch?v=zjHYjx1QEHM
What massage is best after liposuction?
Manual lymphatic drainage (MLD) massage is frequently recommended by plastic surgeons during the recovery phase following cosmetic liposuction. This specialized form of massage is generally believed to decrease recovery time and improve results, by reducing post-surgical swelling and fibrosis (scar tissue formation).
How soon after Lipo Can I get a lymphatic massage?
It’s recommended that patients who underwent surgeries like liposuction or tummy tucks start with three to five massage sessions beginning two weeks after the procedure. “The timing is ideal because the bruising will be gone, so it won’t be painful,” Dr.
Are Post Lipo massages necessary?
While lymphatic massage is not required to achieve beautiful results from VASERlipo, or any liposuction procedure, some patients find that it helps them heal more quickly and makes their full results visible more speedily.
How long after liposuction should you massage for?
Every patient is different, however, most doctors advise their patients to begin their MLD treatment the 4th or 5th day after surgery to obtain the best, and fastest, results. A professional MLD massage therapist will know exactly what to do. He/she will massage in the right place and with the right amount of pressure.
What happens if you dont get massages after lipo?
Lymphatic massage is the prime choice when it comes to reducing swelling, as it removes the fluid build-ups lying under your skin. But that is not the only reason why you should be concerned. These fluid build-ups, if untreated, eventually can cause your skin to harden, and for swelling and bruising to happen.
How do I make my stomach smooth after liposuction?
Tummy tucks are the most common, tightening the skin over the new smooth area, in order to eliminate rolls or any other skin irregularity caused by liposuction. Doctors can perform skin tightening procedures, such as arm lift or thigh lift, on almost any area of the body.
How long after lipo does skin tighten?
Every person is different and your plastic surgeon can talk with you about skin tightening as part of your body contouring procedure if warranted. Depending on how much fat is removed, you can expect to see final results between 1-3 months after the procedure.
How do you break up scar tissue after liposuction?
Laser therapy is another outpatient procedure that can break apart keloid and hypertrophic scars resulting from liposuction. In this procedure, a laser heats the scar tissue while stimulating healthy cell growth around the area. Laser therapy is a simple procedure, and recovery doesn’t take long.
What is the fastest way to recover from liposuction?
- Do Not Push Yourself Too Fast. …
- Take a Walk. …
- Say No to Cigarettes. …
- Hydrate Your Body. …
- Eat Well. …
- Keep Your Incisions Clean. …
- Avoid Tight-Fitting Clothing. …
- Skip the Gym.
Is cupping good after liposuction?
Cupping is safe after liposuction, but you should wait at least 12 weeks post-procedure because it may negatively affect your results.
Does lymphatic massage hurt?
A lymphatic drainage massage uses pressure applied to key areas to unblock the flow. This technique is completely painless, as constant soft pressure is applied and increased slowly.
Can I do lymphatic massage on myself?
Lymphatic self-massage is a gentle skin massage where the skin is gently stretched and released along lymph pathways. Lymphatic self-massage helps move extra fluid from swollen areas damaged by cancer treatment. This extra fluid can be moved into an area where the lymph nodes are working well.
What reduces swelling after liposuction?
Do not sit outside in the sun, soak in a hot tub, or go in a steam room during the early stages of recovery. Cold, on the other hand, can be beneficial. Applying an ice pack or cold compress to swollen areas of the body may go a long way in reducing swelling and discomfort after liposuction.
Why is my stomach hard after lipo?
After any type of surgery, the skin can build up adhesions and scars as part of the healing process. However, the body can abnormally increase the production Fibroblast (a main connective tissue cell present in the body) in the form of bands which connect two or more tissues causing hardness under the skin.
Is deep tissue massage good after liposuction?
DEEP TISSUE crushes the lymphatic system and after surgery will cause more damage, bruising and swelling. This is also another way Seromas are created. Deep Tissue is CONTRAINDICATED after surgery. Lymphatic Drainage is meant to be light work because the lymph system is right underneath the skin.
How do you massage a lump after liposuction?
Massaging the firm lumps after liposuction can help to soften the tissue that is progressing through some internal scarring. I usually recommend 2 times daily for 3 minutes each time. Lotion and hand massage works well or you can even add a handheld electrical or battery powered massager. I hope this info is helpful.
Can you get a Swedish massage after lipo?
Yes. All of our massage therapists are trained in manual lymphatic drainage, which is a gentle form of massage that helps reduce post-operative swelling by accelerating the normal flow of excess lymphatic fluid.
Patient Guide: Manual Lymphatic Drainage After Liposuction
Manual lymphatic drainage (MLD) massage is frequently recommended by plastic surgeons during the recovery phase following cosmetic liposuction. This specialized form of massage is generally believed to decrease recovery time and improve results, by reducing post-surgical swelling and fibrosis (scar tissue formation). But is manual lymphatic drainage after liposuction really warranted? If so, for which patients?
Liposuction causes swelling and tissue damage that needs to be managed for best results
During the early period following liposuction surgery patients will experience swelling, bruising and discomfort. This is to be expected since liposuction is a relatively invasive procedure (see Figure 1). Common forms of liposuction involve either injecting a significant amount of medicated fluid into the area (‘tumescent’ or ‘super wet’ techniques) or using ultrasonic vibration or laser to liquefy the fat, before suctioning it out using a sharp-ended vacuum tube (a ‘cannula’). These procedures can create significant tissue damage.
Some side-effects of liposuction are experienced by every patient – and should be managed for every patient
The popular opinion of fat is that it’s simply an undesirable lumpy white mass of stored calories, but this is far from the truth. Fat is an important and active living tissue. Comprised primarily of adipocyte cells (which store lipids) and connective tissue (the glue that holds tissues together), fat is heavily vascularized (lots of blood vessels and lymphatic vessels) and plays key roles in energy storage and hormonal regulation. Removing fat by liposuction causes damage to blood and lymphatic vessels as well as the destruction of cells and connective tissue. This has the double effect of causing blood and lymph fluids to accumulate, while also creating more space for it to pool.
[Interesting side note: The circulatory system (arteries and veins) and the lymphatic system (lymph vessels and nodes) work together to maintain the fluid balance in tissues. Arteries deliver blood to the tissue, a nutrient rich fluid bathes the cells, and then this fluid returns to the circulatory system via the veins, AND via the lymphatics (where it is known as ‘lymph’). Both venous and lymphatic systems need to be functional to maintain an appropriate fluid balance in tissues, and when either fail, swelling results (chronic venous insufficiency or lymphedema, respectively).]Post-surgical pooling of blood and lymph fluid should be monitored for every liposuction patient, and when necessary, treated, as should tissue separation caused by the sweeping action of the suction tube. Without proper management of these side effects poor aesthetic outcomes can result, along with the possibility of longer recovery times, greater pain, and health complications. The abdominal compression garment put on in the operating room and worn thereafter (as per surgeon instructions) accomplishes the dual tasks of decreasing the pooling of blood and lymph (much like applying pressure to a wound stops the bleeding) and bringing the separated tissue in close proximity to encourage healing. Insertion of small drainage tubes into the spaces where fat was removed can further prevent pooling over the first few days following surgery.
Other side-effects of liposuction can vary person-to-person and so individual post-operative needs vary
For some patients, standard interventions will suffice, recovery will be fast, and aesthetic outcomes optimal. Unfortunately, not every patient will have this experience. The post-surgical recovery process varies person-to-person according to a variety of factors including the type and extent of liposuction, age, health and physical activity levels, skin characteristics, smoking, complications such as infection, and so on.
Variable side effects include:
Scarring
Inflammation and repair processes bring immune cells to the area to help clean out dead tissue and waste, and new connective tissue is laid down to help knit the tissue back together. When the accumulation of connective tissue is significant (known as ‘fibrosis’ or scarring) this process thickens the tissue and decreases its pliability. Excessive fibrosis may be felt by hand, may restrict motion or produce feelings of tightness, and may even be visually noticeable. Scarring will naturally diminish with time as the tissue gradually remodels itself, but this process can be long and some scarring is likely to be permanent.
Prolonged swelling or swelling pockets
In general, swelling may be greater than necessary if compression garments are removed too early, not applied properly or consistently, or not sized appropriately. Excessive fluid presence or localized pockets of fluid may slow recovery and/or make the results less aesthetically optimal by encouraging uneven healing and fibrosis. Uncontrolled swelling could potentially create other complications such as small pockets of fluid becoming trapped (called a ‘seroma’), inflammation, and infection.
How should these variable side effects be managed?
Judicious adherence to your surgeon’s recommendations, including follow-up, is the best way for you to minimize your recovery time, optimize your results, and avoid potential complications. Surgeons often recommend that their patients supplement their recovery with manual lymphatic drainage as early as possible, ideally within the first few days post-surgery. The idea behind this recommendation is that manual lymphatic drainage could potentially help prevent and alleviate the build-up of fluid and formation of scar tissue. But where does this recommendation come from? Some of the surgeons who recommend manual lymphatic drainage also benefit financially from offering it to their patients as an add-on service. So how do we know this is a worthwhile recommendation?
Should we expect manual lymphatic drainage after liposuction to be beneficial?
Plastic surgeons frequently recommend manual lymphatic drainage after liposuction, or after abdominoplasty with liposuction (a ‘tummy-tuck’). It’s also recommended as a post-liposuction treatment by the Dr. Vodder School, the largest manual lymphatic drainage massage training and certification body. Nevertheless, why should we expect it to help?
What is manual lymphatic drainage, and what does it do?
Manual lymphatic drainage massage is offered by registered physiotherapists and massage therapists (and other health professionals) who have received additional training and certification. Using sequences of gentle massage strokes, manual lymphatic drainage helps to stimulate the flow of fluid through the lymphatic system, thus relieving swelling. This technique is routinely offered along with compression garments and education as part of Combined Decongestive Therapy (CDT), the standard treatment for patients with chronic lymphatic insufficiency (lymphedema). But should we expect it to help patients recovering from liposuction?
Should it benefit liposuction patients?
While many plastic surgeons recommend it, some don’t. I noticed one plastic surgeon commented online that they didn’t believe it was ‘possible’ to manually push fluid through the lymphatic system. They went on to say that many patients describe lymphatic massage to be ‘excruciatingly painful’. Perhaps this could be the case if the technique was performed incorrectly, or by someone who is not certified, but otherwise it is easy to demonstrate that both of these comments are incorrect. Here’s why:
Manual lymphatic drainage is a central component of CDT, which is the treatment recommended by the International Society of Lymphology for managing chronic swelling in patients with lymphatic insufficiency (lymphedema). Imaging studies confirm that manual lymphatic drainage massage significantly increases the flow of fluid in lymphatic vessels in normal individuals (ref 2). This finding explains the large number of clinical studies and anecdotal observations collected over decades of use that demonstrate its clinical effectiveness (for a recent systematic review see ref 3). It’s also important to note that pain is not described as a side-effect of manual lymphatic drainage massage in these studies, nor is it mentioned by any knowledgeable publication or web article. To the contrary, manual lymphatic drainage is more gentle than conventional massage and is frequently described as enjoyable. This also coincides with our own experience.
But this same surgeon is correct in suggesting that there is likely little to no scientific evidence supporting massage of any type after liposuction. The question isn’t whether manual lymphatic drainage can reduce swelling – it can. The question is whether manual lymphatic drainage after liposuction can offer patients a quantifiable clinical benefit over standard care. Unfortunately, we can’t answer this question with clinical study data; I can find only primarily anecdotal support in the clinical literature rather than proper clinical studies (for example, see ref 4).
The jury is still out. There is insufficient evidence to suggest that manual lymphatic drainage should be recommended to all liposuction patients, and I would suspect that it would have little benefit in some patients. But is there a group of liposuction patients we would expect it to benefit? Yes. The available information suggests that manual lymphatic drainage would help relieve swelling in liposuction patients who are having difficulty controlling swelling otherwise, and furthermore, that eliminating excessive swelling would be expected to speed recovery and improve results (such as less fibrosis and improved skin texture).
What is it like to receive manual lymphatic drainage after liposuction?
Manual lymphatic drainage is usually delivered in one-hour sessions, and should include some education on self-care practices. It is not painful, much more gentle than regular massage, and is usually described as being pleasant. No oils or other products are used on the skin during these sessions.
Surgeons typically recommend for best results that care be initiated in the first few days following surgery (within the first 5 days), and some recommend that patients come for a standard number of treatment sessions. However, the number of sessions should ideally be determined by the therapist in conversation with the patient and based on: the amount of swelling; patient responsiveness to treatment; patient commitment to self-care practices; and of course, on the patient’s perception of benefit and financial considerations. Patients should experience some benefit from the very first treatment, and may find that this benefit increases upon subsequent visits, but typically no more than a handful of sessions are required to achieve maximal benefit.
*Possible* benefits of manual lymphatic drainage after liposuction
It may speed up the healing process by: reducing swelling and bruising, increasing the removal of cellular debris and other waste from the area (including free fats), reducing local inflammation, and decreasing the risk of infection by improving the immune response (the lymphatic system plays an active role in immune surveillance, immune cell transport, and clearance). It may decrease scarring and the build-up of fibrotic nodules (hard lumps), and consequently improve skin texture and tone. It may decrease pain, sensitivity and touch-avoidance by speeding healing and providing gentle and pleasing massage.
Why do I say *possible*? Even though manual lymphatic drainage has been shown in clinical studies to offer these benefits in other contexts (such as for lymphedema, lipedema, ligamentous sprains, etc.). Clinical evidence for its use in liposuction patients is inadequate to draw strong conclusions. With that said, it is likely that at least some liposuction patients would see benefit from adding manual lymphatic drainage to their post-operative care.
Possible negative side effects of manual lymphatic drainage after liposuction
Manual lymphatic drainage has been shown to be a safe technique with very few complications or contraindications. This includes for patients who have recently undergo breast cancer surgery (a common risk factor for lymphedema). The same holds true for liposuction patients, with the caveat that liposuction patients seen shortly after their procedure have wounds that are actively healing and appropriate care should be taken.
Which liposuction patients might benefit most from manual lymphatic drainage?
The patients who stand to benefit most from manual lymphatic drainage would be those with a lot of swelling, and/or with swelling that is difficult to reduce. Typically, these are patients where compression garments couldn’t be used, weren’t used effectively, or weren’t used at all. Liposuction patients that experience fluid build-up away from the surgical site, such as in the legs, could also benefit. With respect to fibrosis, patients with more extensive procedures are more likely to benefit from the fibrosis-reducing effects of manual lymphatic drainage.
Other patients may benefit psychologically. Since it is a safe and enjoyable massage technique, it may be beneficial to consider it for patients who might otherwise wonder or worry that their recovery could have been easier, or their results better, or for patients who exhibit fear-based touch-avoidance after this sort of procedure, and who can afford the additional expense.
Summary
Manual lymphatic drainage post-liposuction is recommended by many plastic surgeons, as well as by the Dr. Vodder School (the largest manual lymphatic training and certification body). But should manual lymphatic drainage be broadly recommended to patients following liposuction? Maybe. Broad recommendations should typically be reserved for treatments where reasonably strong clinical evidence exists, and where the benefits outweigh the risks. For example, manual lymphatic drainage (as part of ‘combined decongestive therapy’) is the recommended treatment for the chronic swelling condition known as lymphedema. Unfortunately, there have been very few clinical studies to examine the benefits and risks related to the use of manual lymphatic drainage after liposuction, so strong clinical evidence does not exist to support a general recommendation.
With that said, based on our understanding of manual lymphatic drainage it seems very likely that at least some liposuction patients would stand to benefit from it. And for those who are unsure of the benefit, the experience should still be pleasant and without negative side effects.
References
Benefits of Lymphatic Massage after Lipo
by SSA (southernsurgicalarts.com)
VASERlipo® is one of the hottest treatments in cosmetic surgery right now, due its unique ability to create high-definition contours through precise, selective fat removal. With this cutting-edge technology, a qualified cosmetic surgeon can even eliminate stubborn fat pockets to reveal six-pack ab muscles.
Many of our patients are finding that there is a way to get even more beautiful results from this procedure—following it with a lymphatic massage.
What is Lymphatic Massage?
A lymphatic massage is a specialized procedure that helps the lymph system work more efficiently. Specifically when done following surgery, the treated area is given special attention to speed up recovery and provide smoother results. There are many benefits to lymphatic massage. It:
Reduces swelling and helps prevent fluid collection
Promotes the flushing of toxins
Prevents the formation of scar tissue and fibrosis
Improves circulation of blood and lymphatic fluid
Stimulates wound healing
May reduce discomfort
After a procedure like liposuction, tissue can produce excess lymphatic fluid as the body reacts to the traumatic action of the insertion of cannulas and removal of fat.
Even with less intrusive procedures, some patients may experience a degree of tissue disruption, leading to an accumulation of excess fluid, called edema. In some cases, pockets of fibrosis may form, leading to hardened areas of scar tissue.
During lymphatic massage, a qualified massage therapist gently manipulates the skin and underlying tissues in the areas of lymph production to increase circulation and promote drainage and healing.
The massage itself tends to be gentle and light, and should be a relaxing and comfortable procedure for the patient. Additionally, the reduction in discomfort and swelling immediately afterwards makes a lymphatic massage an even more pleasurable experience.
While lymphatic massage is not required to achieve beautiful results from VASERlipo, or any liposuction procedure, some patients find that it helps them heal more quickly and makes their full results visible more speedily.
A general recommendation is to have three to five massage treatments, but some patients may experience benefits from as few as one to two treatments. Your cosmetic surgeon can advise you as to whether lymphatic massage will benefit you following your liposuction or other surgical procedure.
If you would like to learn more about VASERlipo, post-surgical healing, or your options regarding cosmetic surgery in general, please call Southern Surgical Arts at 423-266-3331. Our board-certified, award-winning cosmetic surgeons, Dr. Carey Nease and Dr. Chad Deal, will be happy to answer your questions.
Post Liposuction Recovery Lymphatic Massage – My Massage Clinic
Post Liposuction Recovery Lymphatic Massage
Lymphatic drainage for Pre and Post liposuction. Lymphatic drainage has been scientifically proven to help with the pain, swelling and reduce the development of fibrosis that can happen after liposuction. Any surgical intervention, involves damage to tissue and the natural response of damaged tissue is swelling. This swelling can lead to edema, if this edema is left stagnant it can lead to fibrosis. This is why post operative care within the first 6 to 8 weeks is so important as lymphatic drainage massage will help to reduce the swelling, pain, decrease your recovery time and get you to your desired outcome faster.
Continual post operative in the first 6 to 8 weeks is extremely important after liposuction on any area of the body and should start within 4 to 7 days after. This care involves professional lymphatic drainage massage twice to three times a week; combined with daily stimulation of the lymph system with self massage and gentle walking while in compression garments.
The amount of time for these weekly session will depend on the amount of area on the body that has had liposuction. The first session is normally 60 to 90 mins long and all subsequent sessions will be individually tailored.
Lymphatic drainage Pre- liposuction
Lymphatic drainage massage helps with the circulation and the health lymphatic fluid. The healthier the circulation of lymphatic fluid is, the quicker the tissue can heal after damaged. So having a lymphatic drainage massage a week to a minimum of 4 days before the surgery can help reduce recovery time. It is not advised to have a lymphatic drainage massage closer then 4 to 3 days prior, as this will have too much of a stimulation affect on the circulation and can cause the body to metabolize drugs quicker.
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4075221/
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Top 10 Best Post Lipo Massage in Los Angeles, CA
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This is a review for body contouring in Los Angeles, CA:
“Vannesa is absolutely amazing, her massage therapy has quickly become essential to my self care routine. Vanessa’s understanding for esthetic aftercare & lymphatic system is immense, her work is both gentle and powerful. When I first came to her I had just had a complete liposuction and bbl, obviously I was very sore and my body retained a lot of fluids I was amazed at how quickly and profoundly her treatments worked my body immediately felt a difference and you can see it as well I highly recommend her for anyone who is looking for expertise and healing hands”
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Post Op-Lymphatic Massage
Why is Lymphatic Massage necessary?
Cosmetic surgeries all produce swelling as it is part of the body’s normal healing process. Liposuction and tummy tucks can disrupt the natural pathways taken by the lymphatic system due to the surgery location. This can cause a build up of fluids (or swelling). Some patients experience lumpiness to the areas affected with liposuction, which is normal for most patients after surgery. The lumpiness is caused by trauma from the surgical instrument that is used under the skin to extract fatty tissue. The tunnels which are created by the surgical instrument can fill with fluid and left-over fat and become swollen. This fluid and left-over fat tends to begin to harden 1-3 weeks after surgery; however, Lymphatic Massage can help combat against this!
Lymphatic Massage moves the fluid by gently pushing back into the lymph passages. This treatment has been demonstrated to show positive results, even after just a couple of massage treatments! Most patients need 4 to 6 weeks worth of Lymphatic treatments to remove most of the excess fluid; however, most patients can expect relief even after the first treatment! Doctors will advise their patients that, without massage, there is a risk that the swelling and inflammation could turn into fibrosis, which is a permanent hardening of the area. Lymphatic Massage ensures you’ll achieve the best results possible from your procedure!
What is Lymphatic Massage, and how soon/often should I get it?
Lymphatic Massage is a specialized massage technique that is recommended by plastic surgeons, after liposuction, to accelerate the recuperation period. Every patient is different, but most doctors advise their patients to begin their Lymphatic Massage treatment the 4th or 5th day after surgery to obtain the best, and fastest, results. A one hour Lymphatic Massage is recommended once or twice weekly during the first month of recovery. After the first month, half hour Lymphatic Massages once weekly are often sufficient. The science behind why this massage works is fairly simple. Stroking the areas of the body that process the lymph fluid, and the lymph nodes, causes the fluid to drain. Below is a link to a video example of some Lymphatic Massage techniques:
***Lymphatic Massage is NOT Lymphatic Drainage. We do not drain any fluids nor touch any incision site. We simply massage the excess fluid back towards the lymph nodes; therefore, helping the fluid to circulate through the lymphatic system and reduce build-up and swelling.
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Patient Guide: Manual Lymphatic Drainage After Liposuction
Manual lymphatic drainage (MLD) massage is frequently recommended by plastic surgeons during the recovery phase following cosmetic liposuction. This specialized form of massage is generally believed to decrease recovery time and improve results, by reducing post-surgical swelling and fibrosis (scar tissue formation). But is manual lymphatic drainage after liposuction really warranted? If so, for which patients?
Liposuction causes swelling and tissue damage that needs to be managed for best results
During the early period following liposuction surgery patients will experience swelling, bruising and discomfort. This is to be expected since liposuction is a relatively invasive procedure (see Figure 1). Common forms of liposuction involve either injecting a significant amount of medicated fluid into the area (‘tumescent’ or ‘super wet’ techniques) or using ultrasonic vibration or laser to liquefy the fat, before suctioning it out using a sharp-ended vacuum tube (a ‘cannula’). These procedures can create significant tissue damage.
Some side-effects of liposuction are experienced by every patient – and should be managed for every patient
The popular opinion of fat is that it’s simply an undesirable lumpy white mass of stored calories, but this is far from the truth. Fat is an important and active living tissue. Comprised primarily of adipocyte cells (which store lipids) and connective tissue (the glue that holds tissues together), fat is heavily vascularized (lots of blood vessels and lymphatic vessels) and plays key roles in energy storage and hormonal regulation. Removing fat by liposuction causes damage to blood and lymphatic vessels as well as the destruction of cells and connective tissue. This has the double effect of causing blood and lymph fluids to accumulate, while also creating more space for it to pool.
[Interesting side note: The circulatory system (arteries and veins) and the lymphatic system (lymph vessels and nodes) work together to maintain the fluid balance in tissues. Arteries deliver blood to the tissue, a nutrient rich fluid bathes the cells, and then this fluid returns to the circulatory system via the veins, AND via the lymphatics (where it is known as ‘lymph’). Both venous and lymphatic systems need to be functional to maintain an appropriate fluid balance in tissues, and when either fail, swelling results (chronic venous insufficiency or lymphedema, respectively).]Post-surgical pooling of blood and lymph fluid should be monitored for every liposuction patient, and when necessary, treated, as should tissue separation caused by the sweeping action of the suction tube. Without proper management of these side effects poor aesthetic outcomes can result, along with the possibility of longer recovery times, greater pain, and health complications. The abdominal compression garment put on in the operating room and worn thereafter (as per surgeon instructions) accomplishes the dual tasks of decreasing the pooling of blood and lymph (much like applying pressure to a wound stops the bleeding) and bringing the separated tissue in close proximity to encourage healing. Insertion of small drainage tubes into the spaces where fat was removed can further prevent pooling over the first few days following surgery.
Other side-effects of liposuction can vary person-to-person and so individual post-operative needs vary
For some patients, standard interventions will suffice, recovery will be fast, and aesthetic outcomes optimal. Unfortunately, not every patient will have this experience. The post-surgical recovery process varies person-to-person according to a variety of factors including the type and extent of liposuction, age, health and physical activity levels, skin characteristics, smoking, complications such as infection, and so on.
Variable side effects include:
Scarring
Inflammation and repair processes bring immune cells to the area to help clean out dead tissue and waste, and new connective tissue is laid down to help knit the tissue back together. When the accumulation of connective tissue is significant (known as ‘fibrosis’ or scarring) this process thickens the tissue and decreases its pliability. Excessive fibrosis may be felt by hand, may restrict motion or produce feelings of tightness, and may even be visually noticeable. Scarring will naturally diminish with time as the tissue gradually remodels itself, but this process can be long and some scarring is likely to be permanent.
Prolonged swelling or swelling pockets
In general, swelling may be greater than necessary if compression garments are removed too early, not applied properly or consistently, or not sized appropriately. Excessive fluid presence or localized pockets of fluid may slow recovery and/or make the results less aesthetically optimal by encouraging uneven healing and fibrosis. Uncontrolled swelling could potentially create other complications such as small pockets of fluid becoming trapped (called a ‘seroma’), inflammation, and infection.
How should these variable side effects be managed?
Judicious adherence to your surgeon’s recommendations, including follow-up, is the best way for you to minimize your recovery time, optimize your results, and avoid potential complications. Surgeons often recommend that their patients supplement their recovery with manual lymphatic drainage as early as possible, ideally within the first few days post-surgery. The idea behind this recommendation is that manual lymphatic drainage could potentially help prevent and alleviate the build-up of fluid and formation of scar tissue. But where does this recommendation come from? Some of the surgeons who recommend manual lymphatic drainage also benefit financially from offering it to their patients as an add-on service. So how do we know this is a worthwhile recommendation?
Should we expect manual lymphatic drainage after liposuction to be beneficial?
Plastic surgeons frequently recommend manual lymphatic drainage after liposuction, or after abdominoplasty with liposuction (a ‘tummy-tuck’). It’s also recommended as a post-liposuction treatment by the Dr. Vodder School, the largest manual lymphatic drainage massage training and certification body. Nevertheless, why should we expect it to help?
What is manual lymphatic drainage, and what does it do?
Manual lymphatic drainage massage is offered by registered physiotherapists and massage therapists (and other health professionals) who have received additional training and certification. Using sequences of gentle massage strokes, manual lymphatic drainage helps to stimulate the flow of fluid through the lymphatic system, thus relieving swelling. This technique is routinely offered along with compression garments and education as part of Combined Decongestive Therapy (CDT), the standard treatment for patients with chronic lymphatic insufficiency (lymphedema). But should we expect it to help patients recovering from liposuction?
Should it benefit liposuction patients?
While many plastic surgeons recommend it, some don’t. I noticed one plastic surgeon commented online that they didn’t believe it was ‘possible’ to manually push fluid through the lymphatic system. They went on to say that many patients describe lymphatic massage to be ‘excruciatingly painful’. Perhaps this could be the case if the technique was performed incorrectly, or by someone who is not certified, but otherwise it is easy to demonstrate that both of these comments are incorrect. Here’s why:
Manual lymphatic drainage is a central component of CDT, which is the treatment recommended by the International Society of Lymphology for managing chronic swelling in patients with lymphatic insufficiency (lymphedema). Imaging studies confirm that manual lymphatic drainage massage significantly increases the flow of fluid in lymphatic vessels in normal individuals (ref 2). This finding explains the large number of clinical studies and anecdotal observations collected over decades of use that demonstrate its clinical effectiveness (for a recent systematic review see ref 3). It’s also important to note that pain is not described as a side-effect of manual lymphatic drainage massage in these studies, nor is it mentioned by any knowledgeable publication or web article. To the contrary, manual lymphatic drainage is more gentle than conventional massage and is frequently described as enjoyable. This also coincides with our own experience.
But this same surgeon is correct in suggesting that there is likely little to no scientific evidence supporting massage of any type after liposuction. The question isn’t whether manual lymphatic drainage can reduce swelling – it can. The question is whether manual lymphatic drainage after liposuction can offer patients a quantifiable clinical benefit over standard care. Unfortunately, we can’t answer this question with clinical study data; I can find only primarily anecdotal support in the clinical literature rather than proper clinical studies (for example, see ref 4).
The jury is still out. There is insufficient evidence to suggest that manual lymphatic drainage should be recommended to all liposuction patients, and I would suspect that it would have little benefit in some patients. But is there a group of liposuction patients we would expect it to benefit? Yes. The available information suggests that manual lymphatic drainage would help relieve swelling in liposuction patients who are having difficulty controlling swelling otherwise, and furthermore, that eliminating excessive swelling would be expected to speed recovery and improve results (such as less fibrosis and improved skin texture).
What is it like to receive manual lymphatic drainage after liposuction?
Manual lymphatic drainage is usually delivered in one-hour sessions, and should include some education on self-care practices. It is not painful, much more gentle than regular massage, and is usually described as being pleasant. No oils or other products are used on the skin during these sessions.
Surgeons typically recommend for best results that care be initiated in the first few days following surgery (within the first 5 days), and some recommend that patients come for a standard number of treatment sessions. However, the number of sessions should ideally be determined by the therapist in conversation with the patient and based on: the amount of swelling; patient responsiveness to treatment; patient commitment to self-care practices; and of course, on the patient’s perception of benefit and financial considerations. Patients should experience some benefit from the very first treatment, and may find that this benefit increases upon subsequent visits, but typically no more than a handful of sessions are required to achieve maximal benefit.
*Possible* benefits of manual lymphatic drainage after liposuction
It may speed up the healing process by: reducing swelling and bruising, increasing the removal of cellular debris and other waste from the area (including free fats), reducing local inflammation, and decreasing the risk of infection by improving the immune response (the lymphatic system plays an active role in immune surveillance, immune cell transport, and clearance). It may decrease scarring and the build-up of fibrotic nodules (hard lumps), and consequently improve skin texture and tone. It may decrease pain, sensitivity and touch-avoidance by speeding healing and providing gentle and pleasing massage.
Why do I say *possible*? Even though manual lymphatic drainage has been shown in clinical studies to offer these benefits in other contexts (such as for lymphedema, lipedema, ligamentous sprains, etc.). Clinical evidence for its use in liposuction patients is inadequate to draw strong conclusions. With that said, it is likely that at least some liposuction patients would see benefit from adding manual lymphatic drainage to their post-operative care.
Possible negative side effects of manual lymphatic drainage after liposuction
Manual lymphatic drainage has been shown to be a safe technique with very few complications or contraindications. This includes for patients who have recently undergo breast cancer surgery (a common risk factor for lymphedema). The same holds true for liposuction patients, with the caveat that liposuction patients seen shortly after their procedure have wounds that are actively healing and appropriate care should be taken.
Which liposuction patients might benefit most from manual lymphatic drainage?
The patients who stand to benefit most from manual lymphatic drainage would be those with a lot of swelling, and/or with swelling that is difficult to reduce. Typically, these are patients where compression garments couldn’t be used, weren’t used effectively, or weren’t used at all. Liposuction patients that experience fluid build-up away from the surgical site, such as in the legs, could also benefit. With respect to fibrosis, patients with more extensive procedures are more likely to benefit from the fibrosis-reducing effects of manual lymphatic drainage.
Other patients may benefit psychologically. Since it is a safe and enjoyable massage technique, it may be beneficial to consider it for patients who might otherwise wonder or worry that their recovery could have been easier, or their results better, or for patients who exhibit fear-based touch-avoidance after this sort of procedure, and who can afford the additional expense.
Summary
Manual lymphatic drainage post-liposuction is recommended by many plastic surgeons, as well as by the Dr. Vodder School (the largest manual lymphatic training and certification body). But should manual lymphatic drainage be broadly recommended to patients following liposuction? Maybe. Broad recommendations should typically be reserved for treatments where reasonably strong clinical evidence exists, and where the benefits outweigh the risks. For example, manual lymphatic drainage (as part of ‘combined decongestive therapy’) is the recommended treatment for the chronic swelling condition known as lymphedema. Unfortunately, there have been very few clinical studies to examine the benefits and risks related to the use of manual lymphatic drainage after liposuction, so strong clinical evidence does not exist to support a general recommendation.
With that said, based on our understanding of manual lymphatic drainage it seems very likely that at least some liposuction patients would stand to benefit from it. And for those who are unsure of the benefit, the experience should still be pleasant and without negative side effects.
References
Do I need massage therapy after my liposuction?
The short answer is that it depends on what method was used to do your liposuction.
Patients are constantly asking me this question and they always seem surprised when I tell them that my liposuction technique does not require post-operative massages.
There are some liposuction techniques that really do benefit from massage therapy (often referred to as a lymphatic massage, MLD, or manual lymphatic drainage massage).
On the other hand, small cannula liposuction techniques do not need massage therapy to get the desired results.
Let me go into more detail to explain why massage techniques are helpful in some cases and not needed in others.
Massage therapy is generally recommended for two reasons:
to reduce swelling to “break up” scarring and prevent skin surface contour deformities that are cased by internal scar adhesions in the subcutaneous tissue
Both of these issues need to be solved in order for you to get a smooth, even liposuction result.
So you may ask: What causes swelling and internal adhesions?
To understand what causes swelling and internal adhesions during liposuction, you have to think about what happens during the procedure. A hollow or solid metal tube called a “cannula” is inserted into the subcutaneous space above the muscle and below the skin like this:
This illustration shows how the tip of the cannula is inserted below the skin into the fat layer above the muscle. Notice the large hole at the end of the cannula tip this particular illustration!
As the cannula glides back and forth in the subcutaneous tissue, it will break up some of the connective tissue to various degrees. Depending on the amount of damage there can be swelling, and the attempt to repair the damage sometimes leads to scar formation and internal adhesions.
Swelling
Normally, fluid comes out of the blood vessel (arteries and veins) and accumulates in the spaces that are in between cells and organs. This is called the interstitial space. The Lymphatic vessels are small fragile vessels that absorb this fluid in the interstitial space and return it to the veins. These fragile lymphatic vessels can be injured during liposuction. When this happens, you get swelling as the tissues are soaked with fluid that is not being drained by the damaged lymphatics.
Larger cannulas will create more ‘open space’ (than a thin cannula). The increased open space gives more opportunity for more fluid to collect there. “Lymphatic massage” is a massage technique used to help the fluid move along to areas where the lymphatic system is intact and, as such, the extra fluid can be drained.
Another method used to control swelling is compression. I personally believe that if you use compression early on, and continuously, you can reduce or eliminate the need for lymphatic massage.
Internal Adhesions
Internal adhesions happen after liposuction when a significant amount of tissue has been damaged or taken out and the hole left by the cannula has to be repaired or filled in by scar tissue. The larger the hole (from the cannula), the more repair there is to do. Larger cannulas leave larger holes.
Internal adhesions can cause dimpling or furrows in the skin after liposuction. The scar tissue binds to the edges of the remaining healthy tissue. This is called an adhesion. It can form a hard mass and in time starts contracting. This contraction of the scar pulls in the skin, creating a dimple or a furrow in the skin.
To prevent this dimpling, a stronger massage technique is used to “break up the scar.” Massage techniques, such as rollers, are used to break up this scar as it is being formed to prevent formation of adhesions that pull on the skin.
Types of Liposuction and when massage is necessary
There are three common liposuction techniques where we can plan for whether lymphatic massage will be needed or not. The only technique which does not require massage after the surgery is when surgery is performed with thin cannulas. This is because the tunnels (from the fat extraction) made by the thin cannula are so small that they do not accumulate fluid like big tunnels made by bigger cannulas.
Liposuction performed with thin cannulas does not need post operative massage to attain a smooth result.
Ultrasonic / Laser Lipo
An ultrasonic cannula or a laser cannula works by emitting energy that will liquefy, or “melt,” fat cells along the path of the cannula. These dead fat cells are then sucked out.
Unfortunately, that same energy can damage some cells that do not get sucked out. The body then creates an inflammatory response around these dead or damaged cells which, in turn, creates further tissue destruction. The result is large tissue gaps that have to be repaired or get filled in by scar tissue. Postoperatively , many surgeons performing this technique will recommend massage therapy . In many cases, unfortunatley, massage therapy is the only way to get a final result that is smooth.
Conventional Suction Cannulas
Conventional suction cannulas suck whatever is surrounding the cannula. The larger the cannula, the larger the gap of missing tissue that is left behind. Any cannula above 4 millimeters in diameter can leave tissue gaps that have to be filled in by scar tissue. Sometimes these large tissue gaps get filled in with fluids * and that is called a seroma.
Small Suction Cannulas
When you use small cannulas, 3 millimeters in diameter or less with small suction holes, it is virtually impossible to leave large tissue gaps that will result in scar tissue. The reason is that by taking out the tissue in multiple small fragments, you leave normal tissue in between that can repair the tissue without creating scar masses or internal adhesions.
This illustration shows how the tip of the cannula is inserted below the skin into the fat layer above the muscle. Notice how the cannula is thin and the holes are very small at the end of the cannula tip!
Summary: small suction cannulas do not need lymphatic massage afterwards
Needless to say, any surgeons who are using large cannulas, Laser lipo, or ultrasonic lipo should consider massage therapy for all of their patients.
I have been performing liposuction in my practice since the early 90’s and I have never referred any liposuction patient for massage therapy after surgery. I would never depend on a massage therapist to smooth out my surgical result. Likewise, I have not had any patients develop seroma after liposuction in years.
Here are two different cannulas for comparison. Notice how small the holes are on the thinner cannula I’m holding at the bottom of this photo taken during an actual liposuction procedure!
So, will you need massage therapy after your liposuction?
Tummy Tuck in Mcallen, TX
By Dr. Daniel Lee
Q: Why do I need lymphatic drainage therapy or lymphatic massage after my liposuction?
A: If you have ever had liposuction then you know that hardness or lumpiness can result in the areas where fat was removed. These post-surgical changes are caused by inflammation and trauma from the cannula (an instrument that sucks out the fat) moving under the skin. Channels are formed by the cannula that can fill up with fluid and the tissue also becomes swollen. Manual lymphatic massage helps to move the fluid by gently moving it back into the lymph vessels. Reducing swelling can reduce discomfort. Without lymphatic massage, the inflammation can evolve into fibrosis (a permanent hardening of the tissue) or a seroma (pocket of blood) can form. Dr. Lee recommends lymphatic massage after liposuction to make sure patients get the best possible results.
Q: Is lymphatic massage and deep massage the same thing?
A: No, although it may seem that deep massage would assist in decreasing the hardness following liposuction, it can actually increase the circulation to the treated areas making it harder to evacuate the lymph fluid. Lymphatic massage therapy uses a light touch, thus it limits inflammation and swelling. It is a myth that deep massage and heat are beneficial in healing after liposuction. So, even though it may seem to you that a deep massage or other forms of therapeutic or Swedish massage would be helpful, it is not.
Q: Does lymphatic massage improve bruising after liposuction?
A: Yes. Bruises are an accumulation of blood cells in the tissue. Lymphatic massage helps clear out these trapped blood cells.
Q: Is lymphatic massage painful?
A: No. Since there is usually a light touch involved in the massage, the discomfort is limited.
Q: What is the treatment like?
A: The atmosphere is the same as a massage treatment room with dim lighting and soft music. Although you are in a massage setting, it is important to understand that lymphatic massage treatment is a specific form of bodywork designed to efficiently move lymph fluid in your body. Stimulation of the lymphatic system activates the parasympathetic nervous system producing an automatic physiological relaxation response. Many clients fall asleep. Gentle, rotating, pumping motions with the therapist’s hands and fingertips begin at the collarbone area, then focus on areas where there is a concentration of lymph nodes…the underarms, abdomen, groin, and back of the knees. Usually the entire session is performed with you lying in the face-up position because all of the areas of lymph nodes that need to be decongested are located on the front of the body. It is necessary to open up the major lymphatic areas on the front of your body before the backside of the body can drain. It is very important to decongest the areas of drainage in the groin, abdomen, underarms and collarbone areas before sending extra lymph fluid to them. Directing lymph fluid to nodal areas without opening the lymph nodes up first increases the discomfort and overwhelms the nodes, leading to increased recovery time.
Q: How many treatments will I need?
A: Lymphatic massage can actually be used prior to liposuction. It allows for the tissue to be prepared for the tissue trauma and improves tissue swelling and inflammation prior to the surgery. Most patients get 1-6 treatments post-operatively and that is enough.
Q: How often is lymphatic massage applied?
A: The first week after surgery, the lymphatic massage can be done as frequently as daily. The second week, as frequent as every other day. It is not possible to get too much manual lymphatic massage and the sessions can be scheduled at your convenience.
Q: How soon after my procedure can the massage begin?
A: It is possible to begin within 24 hours.
Q: It has been over a month since I had my procedure. Is it too late to begin?
A: No. The healing process after these types of procedure is several months. If it has been over a month since your procedure you can still get the soothing benefits of lymphatic massage.
Q: Who do I contact to schedule an appointment?
A: Call New Life Cosmetic Surgery and Wellness Center at 956-969-8369. We have therapists at our location that will take excellent care of you.
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