In Victoria, Lymphoedema patients are entitled to access the SWEP program (State Wide Equipment Program), a government-funded program that provides funding for garment wear on an annual basis. As a Myotherapist and Lymphoedema therapist working in Fitzroy North, I can help you overcome the bureaucracy and understand how to access the SWEP incentives and where to go and purchase the garments. What Is the SWEP Program? The SWEP or State-Wide Equipment Program is a Victorian government-funded scheme that provides subsidised or fully funded medical equipment to eligible individuals living with permanent or long-term conditions, and Lymphoedema is one of these conditions. For those who live with a chronic condition like lymphoedema, the SWEP can significantly reduce the financial burden of compression garments, which are an essential, not optional, part of lymphoedema management. So yes, SWEP is not a treatment program but an equipment funding pathway. Why Compression Garments Are Essential for Lymphoedema Lymphoedema is a lifelong condition, and unfortunately, in most cases, it is not curable. For managing this presentation, therapies like Manual Lymphatic Drainage (MLD) and Complete Decongestive Therapy (CDT) can help reduce the swelling, and then compression is what maintains results. Without appropriate compression: Swelling returns Tissue becomes heavier and more fibrotic Skin integrity is compromised Infection risk (cellulitis) increases This is why access to properly fitted garments through programs like SWEP is so important. What Lymphoedema Items Can Be Funded Through SWEP? The SWEP may assist with funding for: Compression garments (flat knit or circular knit, based on clinical need) Wrap systems Custom-made garments when off-the-shelf options are unsuitable The funding is based on: Medical necessity Functional impact Long-term condition status Financial eligibility The SWEP does not automatically cover all the costs, as approval depends on correct documentation and assessment, and that’s where I can assist you. Below you will find a section dedicated to the cost covered by SWEP via the Lymphoedema Compression Gargments Program (LCGP). SWEP and Lymphoedema Compression Garment Program (LCGP) In Victoria, patients with lymphoedema can access the Lymphoedema Compression Garment Program (LCGP) via SWEP. Indeed, SWEP and LCGP are 2 separate programs, but it is SWEP that took control of the LCGP in 2017, and this is how it works. LCGP is funded by the Department of Health and provides subsidised compression garments and wrap systems for eligible individuals diagnosed with primary, secondary, or sub-clinical lymphoedema affecting the limbs. What Is Funded Under the LCGP? From the day of submission to the SWEP for the garment wear, you have 12 months to get funding for: Adults 4 sets of compression garments per affected limb, or 3 sets of compression garments and 1 kit of Adjustable Wrap Systems (AWS) per affected limb, or 2 kits of Adjustable Wrap Systems (AWS) per affected limb 1 donner (once off) Children under 18 years of age 6 sets of compression garments per affected limb, or 5 sets of compression garments and 1 kit of Adjustable Wrap Systems (AWS) per affected limb, or 2 kits of Adjustable Wrap Systems (AWS) per affected limb 1 donner (once off) Available Subsidies Those above are the number of garments you get funding for, and each garment is subsidised as follows: Ready to Wear (RTW):$150 per set of garments per affected limb Made to Measure (M2M):$300 per set of garments per affected limb where RTW is not compatible with limb size, shape, or required compression class Adjustable Wrap Systems (AWS) kit:$150 per kit Donner (once off):$60 Who Is Eligible for State Wide Equipment Program? To be eligible for SWEP in Victoria, you must: Are a permanent Victorian resident, hold a temporary or permanent protection visa, or are an asylum seeker Have a long-term condition or disability, and/or are frail aged Do not receive other government funding for compression garments Are not an inpatient of a public or private hospital, or a permanent resident of a residential care facility Cannot claim garments through private health insurance Have not been discharged from a public hospital or extended care centre within the last 30 days, where garments relate to the hospital admission Further assistance with determining your eligibility can be obtained via this link, which directs you to the SWEP website’s Check Eligibility page. My Role in Supporting SWEP Applications At my Lymphoedema clinic in Fitzroy North, I regularly support patients by: Performing comprehensive lymphoedema assessments Identifying the correct compression type and class Providing clinical justification for garments Working alongside GPs and specialists for referrals (my clinic is situated in a GP clinic) Ensuring garments align with the patient’s stage of lymphoedema and lifestyle needs As a lymphedema practitioner, I trained with the Vodder Academy for Lymphoedema Management, so I do understand the importance of precise garment selection, not just eligibility. On the other hand, I am also a member of the Australasian Lymphology Association (ALA), and I stay aligned with current best-practice standards when recommending compression solutions. SWEP Is Not a Substitute for Treatment Another important point that I want to mark again is that SWEP does not replace therapy. What this means is that for the best outcomes, compression garments should be used alongside: Manual Lymphatic Drainage (MLD) Complete Decongestive Therapy (CDT) Skin care Movement and load management Ongoing review and garment reassessment In fact, compression works best after swelling has been optimally reduced, not as a standalone solution. This is because compression, applied to a non-managed Lymphoedema, may result in hard to apply, can crack the skin (which would lead to infections), and it may also be painful. SWEP in Fitzroy North At Melbourne Massage and Treatment, Myotherapy & Lymphoedema clinic in Fitzroy North, I support patients with evidence-based care, practical guidance, and individualised planning, so you can manage lymphoedema with confidence. If you’d like support with SWEP-related compression, assessment, or ongoing lymphoedema management, use the button below to book a FREE 15-minute online consultation (Option 9).
Monthly Archives: January 2026
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SWEP Program for Lymphoedema: What My Patients Need to Know
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Lymphoedema Compression Levels: Understanding mmHg in Compression Therapy
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Jan
Compression therapy is essential for lymphoedema management, and therefore, is worth it write a blog where we are going to talk about what compression is ideal for what lymphoedema presentations, including the mmHg levels. I’m Giovanni, and I run Melbourne Massage and Treatment, a Myotherapy and Lymphoedema clinic in Fitzroy North. I trained with the Vodder Academy in lymphoedema management, and I provide Complete Decongestive Therapy (CDT), which forms the foundation of effective lymphoedema treatment. What Does mmHg Mean in Lymphoedema Compression? As when measuring blood pressure, even when working with Lymphoedema, we use the measuring unit mmHg (millimetres of mercury) when talking about compression. Based on the type of presentation, as lymphoedema therapists, we would recommend different types of compression garments, including flat knit or circular knit. So, here is a short list of the purposes of compression garments: Support the lymphatic system Encourage lymphatic flow Prevent fluid from re-accumulating Maintain the results achieved through CDT Therefore, choosing the correct mmHg compression level is about balancing effectiveness, safety, and comfort, and not only apply some form of pressure on the affected limb. Compression Classes and Lymphoedema Management To simplify how compression garments work, companies like Sigvaris or Juzo grouped the compression into classes or levels, each corresponding to a specific mmHg range. Common Compression Levels Used in Lymphoedema Compression Lower compression levels – 15–20 mmHgOften considered in: Mild lymphoedema Early-stage swelling Fragile or sensitive skin Situations where tolerance is limited Moderate compression levels – 20–30 mmHgCommonly used for: Established lymphoedema Post-intensive CDT Long-term volume maintenance Daily functional support Higher compression levels – 30–40 mmHgUsually required for: Moderate to severe lymphoedema Fibrotic or hardened tissue Significant limb shape changes Swelling that rebounds quickly My personal suggestion is that the correct Compression Level should always be determined following a thorough clinical assessment, in order to avoid fluid retention and waste of money. Why Higher Compression Is Not Always Better Compression level in lymphoedema treatment, as mentioned above, has to be a balance of effectiveness and comfort, and different presentation, with or without fibrosis, mobile or immobile limb, comes with different compression needs. Indeed, applying the wrong type of compression can: Reduce comfort and compliance Increase skin irritation or skin breakdown Compromised lymph circulation Make garments difficult to don and doff In fact, effective Lymphoedema Compression works with the body, not against it, and that’s why for lymphedema presentation compression garments are recommended to be worn after taking specific measurements, that ensure a gradient pressure is applied on the limb, so that the lymph fluid is pushed in the right direction and not towards the extremity of the limb. Compression Levels and Complete Decongestive Therapy (CDT) At Melbourne Massage and Treatment, as part of lymphedema management, I offer MLD as a manual therapy to stimulate the lymphatic system, and CDT (Complete Decongestive Therapy), to reduce the swelling and limb size. More specifically, CDT, can help with: Reduce swelling after the delivery of Manual Lymphatic Drainage (MLD) Improve tissue quality Shape the limb appropriately Prepare the limb for long-term Lymphoedema Compression Help in the breakdown of fibrosis Once the limb has stabilised, compression garments help maintain volume reduction and prevent progression of lymphedema. Professional Assessment Is Essential Certain pharmacies or retail shops (including online one) may sell compression garments, but those are probably not specific enough for a Lymphoedema presentation. Indeed, the appropriate Compression Level depends on: Lymphoedema stage Limb shape and size Tissue texture and fibrosis Skin condition Functional needs and daily activity For compression garments, post MLD and CDT therapies, I refer patients to Sigvaris in West Melbourne, which specialises in medical compression for lymphoedema and ensures accurate fitting and garment selection. Lymphoedema Compression in Fitzroy North Living with lymphoedema can be challenging, and you may find yourself in need of ongoing care and help in navigating information regarding the right compression strategy. At Melbourne Massage and Treatment in Fitzroy North, I provide: Evidence-based CDT Personalised lymphoedema management Clear guidance on Lymphoedema Compressions Collaborative care with trusted compression garment providers So if you’re seeking professional lymphoedema treatment in Melbourne, or want clarity around compression levels and mmHg, I’m here to help. Accessing Compression Garments Through the SWEP Program For some people living with lymphoedema, the cost of Lymphoedema Compression garments can be a barrier to effective long-term management. In Victoria, eligible patients may access support through the State-Wide Equipment Program (SWEP), which provides funding for medically necessary aids, including compression garments for lymphoedema. As a Clinical Myotherapist, I can help you go through the SWEP program in collaboration with your GP. The role of the GP is to write a diagnosis and a referral to the SWEP program, and that’s where I can assist them. After that, you can refer to an approved compression provider, such as Sigvaris in West Melbourne, who can advise on garment selection and fitting. The Swep program for Lymphoedema patients can help with: Reduces the cost of Lymphoedema Compression garments for eligible patients Supports long-term lymphoedema management after Complete Decongestive Therapy (CDT) Ensures clinically appropriate compression through professional assessment FAQ – Lymphoedema Compression Levels
Jan
Once you have been diagnosed with lymphoedema (also known as lymphedema), you will soon learn that compression therapy plays a vital role in long-term management of this chronic condition, and one of the most common questions I hear in my clinic is: “What’s the difference between circular knit and flat knit lymphoedema compression garments?” In this blog, I will explain the difference between these two types of lymphoedema compression knit, so that it may help you understand better how your lymphoedema can be managed in the long term. Why Is Lymphoedema Compression Essential? As discussed in many more blogs, lymphoedema is a chronic condition caused by an impaired lymphatic system, which leads to the accumulation of lymph fluid and persistent swelling in one or more body parts. If not correctly managed, lymphoedema can progress and cause: Increased limb size – elephant leg Tissue fibrosis (hardening) Skin changes – including numbness Higher risk of infections – cellulitis is a common one Compression therapy is a cornerstone of CDT (Complete Decongestive Therapy), alongside: Manual Lymphatic Drainage (MLD) – ideal to boost your lymphatic system drainage capacity Skin care is essential to avoid skin cracks and infections Exercise and movement – especially if wearing circular knit compression Long-term compression – So in short, lymphedema compression supports lymphatic flow, helps maintain limb volume reduction, and prevents the worsening of lymphoedema. What Is Circular Knit Lymphoedema Compression? Circular knit compression refers to the method by which garments or bandages are made. In this case, the knit is made using a continuous circular weaving method, creating a seamless and highly elastic fabric. Benefits of circular knit compression: Lightweight and smooth texture Greater elasticity and stretch Often available off-the-shelf More discreet under clothing Circular knits are ideal for those lymphoedema patients who can and should move with the limb affected by lymphoedema. Indeed, the circular knits are designed to allow the lymphedema patient to move; therefore, while the limb is compressed, the lymphatic system is simultaneously boosted by compression and movement. When circular knitting may be suitable: Mild lymphoedema Early-stage lymphedema Limbs with minimal shape distortion Well-controlled swelling However, due to their elasticity, circular knit garments often lack the containment needed for more advanced lymphoedema, especially when fibrosis or limb shape changes are present. What Is Flat Knit Lymphoedema Compression? So, even in the case of Flat-knit compression, the name refers to the way the fabric is produced, like flat fabric and stitched together with a seam. This allows for higher stiffness and customised shaping. Benefits of flat knit compression: Firmer, more supportive structure Superior containment of swelling Custom-made to individual limb measurements Better control of irregular limb shapes Flat knit is usually recommended for: Moderate to severe lymphoedema Long-standing or progressive lymphedema Skin folds or lobes Fibrotic tissue Swelling that rebounds quickly A lymphoedema patient is unable to move much Therefore, based on the severity and lymphoedema stage, we would suggest using flat knit compression for more severe presentations or for someone who is unable to move the limb(s) affected. Compression Garments and Complete Decongestive Therapy (CDT) At Melbourne Massage and Treatment, in Fitzroy North, I offer Complete Decongestive Therapy (CDT) as part of lymphoedema management, which is internationally recognised as the most effective approach to lymphoedema treatment. Here is a list of things that I would offer during a lymphoedema management appointment: Comprehensive lymphedema assessment Manual Lymphatic Drainage Swelling reduction during the intensive phase of CDT Preparing limbs for compression garments Education on long-term self-management To simplify the process of lymphoedema management, at Melbourne Massage and Treatment, I do offer a free 15-minute online consultation, where I can answer your questions and go through an initial assessment about your clinical history. Compression After CDT After we manage to reduce the swelling in the limb(s) affected by lymphoedema, via MLD and CDT, which can take 3 to 5 appointments, or more, depending on your presentation, we can then look into getting garment wear that can fit your limb(s), so that the swelling can be managed for a longer time. While I do not supply compression garments directly, I refer patients to Sigvaris in West Melbourne, specialists in medical compression for lymphoedema, ensuring accurate fitting and high-quality garments. Circular Knit vs Flat Knit: Which Is Right for You? The correct compression garment depends on several factors, including: Stage and severity of lymphoedema Limb shape and tissue texture Presence of fibrosis Skin health Lifestyle and daily activity This is why coming for an appointment and getting your lymphoedema assessed and treated, where needed, is essential before selecting compression. Lymphoedema Treatment in Fitzroy North Living with lymphoedema can be challenging, but with the proper care, education, and treatment plan, it can be effectively managed. At Melbourne Massage and Treatment in Fitzroy North, I focus on: Evidence-based CDT Individualised lymphedema management Clear guidance around compression therapy Collaborative care with trusted garment providers Therefore, if you are in need of professional lymphoedema treatment in Melbourne or need clarity around compression options, I’m here to support you. About myself: a Myotherapist specialised in Lymphoedema Management My name is Giovanni, and I run Melbourne Massage and Treatment, a Myotherapy and Lymphoedema clinic in Fitzroy North. I trained with the Vodder Academy in lymphoedema management, and I provide Complete Decongestive Therapy (CDT), the gold standard for lymphedema treatment. My approach is tailored to each individual patient, to achieve objective results, and to help you enjoy more your life while dealing with Lymphoedema management.
Jan
Along with many types of post-cosmetic surgery presentations I get to work with, Rhinoplasty can also present with facial swelling, which is one of the most common (and often most frustrating) parts of post-surgery recovery. While you may find many therapists claiming to work with lymphatic massage, as a therapist trained in Manual Lymphatic Drainage (MLD) through the Vodder Academy, I can help you achieve great results post surgery and help your body deal with excessive swelling, bruising, and, where it happens, even fibrosis. I So in this article, I want to explain why swelling can last longer than expected after rhinoplasty, what the science tells us, and how MLD may help reduce swelling and limit the development of fibrosis during the healing process. Why Does Swelling Persist After Rhinoplasty? Rhinoplasty is a surgery that can be done for cosmetic or functional reasons, like improving nasal breathing, and is a surgical procedure that involves deliberate trauma to bone, cartilage, and soft tissue. This trauma triggers inflammation and a temporary disruption of the lymphatic system, the network responsible for clearing excess fluid from tissues. Scientific research published in the Plastic and Reconstructive Surgery Journal shows that: Approximately two-thirds of post-rhinoplasty swelling resolves within the first month Up to 95% resolves by 6 months Residual swelling can still be present 12 months or longer, particularly in the nasal tip. Now, two things about those data: Those numbers are the results of a study done on 40 patients, so still, even if they are quite promising, more evidence is welcome for further comparison. On the other hand, this prolonged swelling is a normal physiological response, but it can be uncomfortable and visually concerning. The Role of the Lymphatic System in Facial Swelling The swelling that you may present with post-rhynoplasty surgery is due to a temporary impairment of the lymphatic system, which acts as the body’s drainage mechanism. After surgery, lymphatic vessels can become overloaded or temporarily impaired, leading to fluid stagnation in facial tissues. In another paper by Meade R et al. (2012), published in the Oxford Academic Journal, it is shown that postoperative facial surgery disrupts lymphatic flow, leading to prolonged edema in the head and neck region. In more chronic cases, where lymphatic fluid stagnates for prolonged periods, patients may also experience tissue hardening and early fibrosis. What Is Manual Lymphatic Drainage (MLD)? Manual Lymphatic Drainage is a gentle, non-invasive manual therapy designed to stimulate lymphatic vessels and redirect fluid toward functioning lymph nodes. Unlike remedial massage or deep tissue techniques, MLD is a post-surgical lymphatic massage characterised by: Light Pressure Slow and rhythmic Movements MLD aims to stimulate superficial and deep lymph vessels, not muscle tissue MLD is internationally recognised as part of Complete Decongestive Therapy (CDT), the gold-standard conservative treatment for lymphatic swelling. Lasinski B.B. et al. (2012). How MLD May Help Reduce Swelling After Rhinoplasty As mentioned above, the number of patients who undergone clinical trials for post-rhinoplasty swelling treatment is limited, but along with other studies available on PubMed, the physiological principles of MLD are well supported, and here is a breakdown of what you can come across while doing some research: Supporting Fluid Reabsorption By stimulating lymphatic flow, MLD helps the body clear excess interstitial fluid more efficiently, which may assist in reducing facial puffiness and pressure. Marxen T. et al. (2023). Improving Tissue Mobility Reduced fluid stagnation helps tissues remain softer and more pliable during healing, an essential factor for aesthetic outcomes. Masson I. et al. (2014). Encouraging Symmetrical Healing MLD techniques can be adapted to address asymmetrical swelling, which is very common after rhinoplasty. Ulu M. et al. (2025) MLD and the Prevention of Fibrosis When the body goes through severe trauma, like a surgery, as part of its natural reaction, it may build tissue under the skin. This tissue is called: Fibrosis. Fibrosis may feel firm to the touch and leave you with a feeling of tightness under the skin. When swelling is unattended, can leads to fibrotic formation and changes. In this clinical study by Masson I. et al. (2014), they looked into post-liposuction and body contouring surgery, and how Manual Lymphatic Drainage, particularly when combined with other conservative therapies, can reduce both swelling and tissue fibrosis. While facial tissues differ, the underlying biological mechanism is shared: improved lymph flow supports healthier tissue remodelling. When Can MLD Begin After Rhinoplasty? Timing is crucial, but MLD post- rhinoplasty should only begin: With surgeon approval Once acute inflammation has stabilised Using facial lymphatic drainage massage protocols appropriate for post-surgical tissue Once the antibiotic cycle is finished, and the risk of infections is no longer there anymore At Melbourne Massage and Treatment in Fitzroy North, I tailor each session based on: Surgical date Healing stage Tissue sensitivity Presence of swelling or firmness MLD is not a painful treatment, and it doesn’t matter how sensitive your skin is, or how good you are at tolerating pain, still, throughout the treatment, pain should not be experienced, as this would lead to increased inflammation, which is not what we need, when clearing off exceed lymph liquid to reduce oedema post-surgery. My Approach With MLD at Melbourne Massage and Treatment – Fitzroy North As a Vodder-trained MLD therapist, my focus is on precision, safety, and evidence-informed care. Each session is: Gentle and non-invasive Individualised to your healing phase Focused on supporting natural lymphatic recovery Most clients benefit from a short series of treatments over several weeks or months, depending on swelling persistence. Nothing can boost your healing, whether you went through a cosmetic surgery or just had a severe incident, but there are certain practices, like MLD or exercises, and even good food and plenty of rest, that can help in assisting your healing process and not make it worse or longer. <div class=”faq-accordion”> FAQs: </div>