Post-Surgical Lymphatic Drainage FAQs
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Step 1 Free Phone Consultation - We review your surgery and determine how to best support your needs.
Step 2 Book your treatment package online
Step 3 Complete online intake forms prior to first treatment - Referrals are typically not required from your doctor, however, occasionally surgeon clearance may be requested depending on timing, procedure, symptoms, or medical history.
Step 4 First in-home session -A personalized plan is established and treatment is initiated.
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Manual Lymphatic Drainage is gentle, specialized care designed to support your body’s natural fluid movement. When it is provided by a licensed physical therapist, your session can also include clinical screening, safe movement guidance, range of motion, scar and tissue mobility work, education, and an exercise plan that adapts as your healing changes. Because the lymphatic system depends on muscle activation to help move fluid, exercise is an integral part of swelling management.
This is not a one-size-fits-all massage. It is individualized recovery support built around your surgery, symptoms, precautions, and goals.
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Post surgery where lymphatic pathways are disrupted resulting in increased swelling.
People with a medical diagnosis of lymphedema where there is chronic failure of the lymphatic system.
People with Chronic Venous Insufficiency with progression into lymphedema
People diagnosed with lipedema progressing into lipo-lymphedema
Orthopedic/ sports injuries with swelling
Current evidence does not strongly support MLD for "detoxification”, weight loss, cellulite reduction, boosting immunity in healthy people, chronic fatigue, fibromyalgia, migraine prevention, cosmetic body sculpting without edema, or improving lymphatic function in healthy people with normal lymphatic systems.
More evidence based research is needed in support of these claims to recommend them outside of the demographics supported by studies.
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Body Contouring
Abdominoplasty (tummy tuck)
Circumferential body lift
Fleur-de-lis abdominoplasty
Panniculectomy
Liposuction (all body regions)
Arm lift (brachioplasty)
Thigh lift
Buttock lift
Body lift after massive weight loss
Breast Surgery
Breast augmentation
Breast lift (mastopexy)
Breast reduction
Breast reconstruction
Facial Cosmetic Surgery
Other Cosmetic Procedures
Brazilian Butt Lift (BBL)
Gynecomastia surgery
Mommy makeover (combined procedures)
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Reduces postoperative edema
Excessive or prolonged swelling can increase tissue pressure and may interfere with normal oxygen and nutrient diffusion within healing tissues. Managing swelling may help support the body's normal healing process.
Supports lymphatic function after post surgical superficial lymphatic vessel disruption
A Certified Lymphedema Therapist (CLT) understands how cosmetic surgery can temporarily alter normal lymphatic drainage patterns and can adapt treatment to encourage lymphatic flow through intact, functioning pathways during recovery.
Enhances overall recovery experience
Promotes relaxation
Can improve post-operative symptoms including pain and improve tolerance to compression garments
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Initiation of MLD typically starts 3-10 days post op. There is no set timeline as it depends on the procedure, tissue integrity, and stability of the incision MLD is generally recommended 2-3 times a week initially, then tapers to 1-2 times per week for up to 4-6 weeks post surgery. It can then be continued as needed for persistent swelling.
Pre surgical MLD is not strongly supported by evidence in healthy individuals, however, it may benefit the lymphatic system in people with pre-existing lymphatic or fluid management impairments.
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Your lymphatic system is your body's natural drainage system. Its job is to collect extra fluid, proteins, and cellular waste in your tissues and return them to your bloodstream.
Unlike your heart, which pumps blood throughout your body using veins and arteries, the lymphatic system doesn't have its own pump. Instead, it relies on your breathing, muscle movement, and healthy lymph vessels to keep fluid moving. The fluid passes through lymph nodes, which act like your body's natural filtering stations.
After surgery or an injury, your body produces extra fluid as part of the normal healing process. At the same time, some of the tiny lymph vessels may be temporarily disrupted, making it harder for fluid to drain efficiently. This can lead to swelling, tightness, discomfort, and a feeling of heaviness.
Manual Lymphatic Drainage (MLD) is a gentle, specialized treatment designed to support your body's natural healing process. Using light, rhythmic movements, MLD helps encourage excess fluid to move toward healthy lymph vessels to be transported to lymph nodes to be filtered and returned to your circulation. The goal is to help reduce swelling, improve comfort, and support a smoother recovery.
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K-tape applied correctly creates tiny areas of lift in the skin. Even though you may have to wear compression garments that press everything down overall, the tape still changes how the pressure is distributed in the tissues underneath. Those small pressure differences can help fluid move toward healthier lymphatic pathways instead of pooling in one area and may encourage lymphatic and superficial fluid movement.
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Yes! While I mostly work with post cosmetic surgery patients, I have a long history of working with lymphedema and lipedema patients and can absolutely provide assistance in MLD, compression guidance, education, and skin care.

