As a therapist who works with Lymphatic Massage in Fitzroy North and post-cosmetic-surgery patients, I often get asked, “What’s the difference between MLD and Brazilian lymphatic drainage?” To answer this question, I often have to give people a background of my training as a Lymphatic Drainage therapist and what is happening to their body post-liposuction. What are the differences between Vodder MLD and Brazilian Lymphatic Drainage Vodder MLD, which is the therapy I offer for post-cosmetic surgery and also Lymphoedema management, is a very light, rhythmical, skin-stretching technique. It has about 100 years of history, and it has a strong research base for lymphedema management and is useful in postoperative recovery, either in cosmetic or orthopedic surgery. Brazilian lymphatic drainage, on the other hand, tends to be firmer, more continuous, and pragmatically geared toward reducing swelling and bruising after cosmetic procedures, but it has less scientific evidence to support any benefits. For post-cosmetic surgery lymphatic massage (liposuction, abdominoplasty, facelifts, tummy tuck…) I would strongly recommend gentle Vodder-style MLD, and here is why: Any surgery, including cosmetic surgery, is highly invasive for the body, and therefore, you will present post-surgery with High skin sensitivity Swelling and bruising Pain A gentle approach, as Vodder MLD, would allow: Reduce the swelling with a pain-free approach Take away exceeds inflammation Help reinforce skin sensitivity As the healing process progresses and you move from the acute to the sub-acute healing phase (week 2 to week 3), we can start applying stronger pressure to break down fibrosis. What people call “Brazilian Lymphatic Drainage” “Brazilian lymphatic drainage” (BLD) is a manual therapy that is getting famous thanks to social media presence and some influencers talking about it. It is a practice which often refers to faster, more continuous wave-like movements and sometimes firmer pressure than Vodder MLD, and involves the usage of oil too. Those who offer Brazilian Lymphatic Drainage claim a faster recovery after aesthetic procedures (reducing bruising, local oedema, and tissue stiffness), even though clinical literature that looked into BLD in aesthetic and post-op settings, like randomised trials, describes this technique as debatable, and furthermore, the evidence of its efficacy is limited compared with Vodder studies. What does the research say? Systematic reviews on MLD (Vodder used often) show MLD is commonly used for decongestive therapy in Lymphoedema patients. The quality of the evidence varies, while effect sizes are moderate for some outcomes. Randomised trials that compare Vodder MLD with other modalities (e.g., compression, pneumatic compression) report benefit for symptoms and arm volume in breast cancer-related lymphedema and postoperative swelling in some surgical contexts. An early RCT explicitly used the Vodder technique and showed benefits in arm lymphedema management. Recent reviews and clinical articles regarding plastic-surgery literature highly support the use of postoperative lymphatic massage. The recommendations are to receive MLD one to three times a week, in the early recovery phase, for reducing swelling, pain, fibrosis and improving comfort. That said, often that information is shared by the surgery clinic staff after the surgery; therefore, it’s always better to choose a clinic that is clear and transparent about the post-surgery recovery, and not only about the surgery itself. When looking for studies about the Brazilian Lymphatic Drainage massage, it is hard to find something that is specific enough about this technique, and that doesn’t mix data and trials with other techniques, like bandaging and exercises. Therefore, it’s hard to evaluate the quality of this technique in terms of the RCT protocols. MLD – What works for what? Practical comparison For lymphedema (medical swelling after lymph node removal/cancer). When someone presents with lymphedema, the best choice is Vodder-style MLD as part of complete decongestive therapy. I don’t do this recommendation only because I offer this service, and I know its potential, but also because Most RCTs and meta-analyses have evaluated MLD (in Vodder style) as the safest and evidence-based treatment that has enough relevance for this type of presentation. For early post-operative care after cosmetic procedures (e.g., liposuction, abdominoplasty, facelifts, tummy tuck). In any given surgery, along the acute phase, the body is a high state of inflammation and the site of surgery would be delicate to touch for several weeks post surgery, indeed a gentle approach to the area is highly recommended, so Vodder-style MLD is way safer compare to Brazilian Lymphatic Drainage, because the tissues are fragile; MLD at this stage in time, it would helps reduce oedema and bruising and promotes comfort. Many plastic surgeons recommend MLD early and frequently in the first 2–6 weeks. Later phase (2–6+ weeks): While healing is progressing and you step into a sub-acute phase of recovery from the post-cosmetic surgery, firmer or more targeted techniques, which recall what Brazilian Lymphatic Drainage can be used to address residual fibrosis/stiffness, always with the surgeon’s clearance. That said When dealing with post-cosmetic surgery fibrosis, even Vodder MLD would include firm pressure. That’s how fibrosis is broken down. For general wellbeing, detox/relaxation, cellulite or fluid retention Gentle MLD (Vodder) is great for relaxation, reducing mild fluid retention, and supporting circulation without soreness. Good for regular wellness maintenance. Brazilian-style DLM is often used in aesthetic clinics for body contouring and cellulite care; people report feeling less heaviness and faster visual improvement, but the high-quality evidence is more limited, and outcomes vary with practitioner technique. MLD Safety & Contraindications – What You Need To Know In my practice, I am selective about who I offer MLD, especially after cosmetic surgery, and here is what I would look out for: Active infection Uncontrolled heart failure Acute deep vein thrombosis (DVT) Untreated cancer without clearance Fever Recent major bleeding or unstable medical conditions Liver or Kidney conditions After cosmetic surgery, you have to make sure to follow the surgeon’s recommendation about antibiotic intake, and or other medications. MLD can not start unless you are cleared of all the above. So, which do I recommend, Vodder or Brazilian Lymphatic Drainage? It is now quite clear that at Melbourne Massage and Treatment, for MLD, either […]
Tag Archives: Lymphatic System
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Lymphoedema Compressions: Circular Knit vs Flat Knit
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Face Swelling After Rhinoplasty: What You Should Know
Along with many types of post-cosmetic surgery presentations I get to work with, Rhinoplasty can [...]
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Elbow Tendinopathy Rehab: What You Should Know About It?
Elbow tendinopathy, whether it presents as tennis elbow (lateral elbow pain) or golfer’s elbow (medial [...]
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Brazilian Lymphatic Drainage vs Vodder MLD
As a therapist who works with Lymphatic Massage in Fitzroy North and post-cosmetic-surgery patients, I [...]
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Myotherapy for ACL Rehab in Fitzroy North
ACL stands for anterior cruciate ligament, and is the strongest ligament in the knee. ACL [...]
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Dec
Liposuction interventions are on the rise, driven by the enormous influence of social media on how we look and by the abundance of cheap clinics worldwide. While liposuction surgery removes stubborn fat deposits, the recovery period from this type of intervention is often underestimated. As a clinical myotherapist specialised in Manual Lymphatic Drainage (MLD) Vodder style, I regularly work with clients who are navigating the post-operative process, and I often get to hear clients who haven’t been fully informed about the post-surgery care needed, and the timeframe of recovery. Indeed, many patients who have undergone Liposuction surgery are surprised to learn that MLD plays a supportive role in the recovery process, and not by “boosting” healing, but by complementing your body’s natural ability to manage swelling, fluid congestion, and fibrosis. Below, I explain what liposuction involves, why MLD is recommended before and after surgery, and what you can expect during the healing timeline. What Exactly Is Liposuction? Liposuction is a surgical procedure that aims to remove excess fat from targeted areas of the body. There are different ways in which liposuction can be delivered, but what they all have in common is the usage of a cannula to break down and suction fat from beneath the skin. Once the surgery is delivered, and the fat is removed, the body experiences trauma in the form of: Swelling Fluid accumulation Tissue inflammation Disruption to lymphatic pathways Development of fibrosis (hardened or rope-like scar tissue) Superficial blood cloth Manual Lymphatic Drainage (MLD) is a manual therapy that can make a significant difference for all those presentations. How Manual Lymphatic Drainage Supports the Healing Process MLD is a non-invasive, gentle manual technique that stimulates the movement of lymphatic fluid toward functioning lymph nodes. Compared to a regular massage (Remedial Massage, Deep Tissue, Thai Massage…), it does involve the usage of oil or creams and does not aim to reproduce any pain or inflammatory response. In fact, it is the opposite; it aims at taking away excessive inflammation, as this is one of the many roles of the lymphatic system, and the technique I used is Vodder style, which is clinically recognised for its rhythmic, directional, and methodical application. Here’s how MLD supports recovery after liposuction: Reducing Post-operative Swelling As with any surgery, even Liposuction leads to significant swelling as the body implements an inflammatory response post-trauma (the physical damage of cutting the skin open and removing body tissue). MLD helps guide the fluid that builds up due to the inflammatory response back into the lymphatic circulation, easing pressure and discomfort. Minimising the Formation of Fibrosis Fibrosis is the body’s natural response to invasive body intervention and to sudden skin dilatation; indeed, it is a common presentation in Lymphoedema too. The fibrotic tissue is a common concern after liposuction, and without proper care, tissue can become firm and lumpy, affecting the final aesthetic result.Here is how MLD supports the breakdown and prevention of fibrosis: Increasing lymph flow Softening congested areas In the fibrotic area, we apply strong pressure (still pain-free) to break fibrosis down Encouraging natural tissue remodelling That’s where more frequent treatment is most helpful. To break and manage fibrosis at its best. Preparing the Body Before Surgery The reason why MLD should be considered as a pre-operative intervention too, lies in the fact that a stimulated Lymphatic System place you in an advantageous position along the recovery process, by improving lymphatic circulation, creating better conditions for tissue recovery after surgery. When Should You Start MLD After Liposuction? Once the surgery has been delivered, the ideal time to begin MLD is as soon as you have finished your course of antibiotics, as long as: All open wounds are closed, and No infection is present. The above are essential precautions to prevent the spread of infections. Also, the early start of MLD practice would ensure the best outcome post-surgery. What To Expect from MLD Treatment Post-Liposuction While many patients find out about MLD only after they receive the surgery, and this often happens when they have their surgery overseas, in countries like Turkey, Thailand, Bali, they are still not sure till the time they meet me, what MLD treatment would be about for their post-surgery recovery. In this case, I always explain in detail what the treatment is going to be about, starting with and overview of: What is the lymphatic system How we stimulated What you should expect post-treatment, and what to do and not to do Healing time frame Other topics I had to share and reassure my patients about are: MLD is not painful There is no body fluid extraction I am not going to push liquid out of your incision Yes, you need to drink plenty of water post-treatment I found that patients who undergo liposuction, especially in Turkey, come back with tough stories about acute post-surgery care, where they get their incision reopened, and liquid milked out from there. THIS IS A DANGEROUS PRACTICE AND IS NOT MLD AND IS NOT WHAT I OFFER ANYWHERE UNDER ANY CIRCUMSTANCES. How Should You Prepare Yourself for and MLD Treatment? Here is a list of things to be aware of before you go for and MLD treatment: Food and water – You can eat a light meal a few hours before your treatment and ensure you drink only water before and after the treatment. Strictly avoid alcohol – Avoid any form of intoxication before and after treatment, as this can make you really sick and unwell Medication and Clinical History – In the initial consultation form, you must declare any medication you are taking or have taken and your clinical history, to ensure no contraindications for MLD are present. Avoid cream or lotion – Application of cream or lotion on the skin would make the skin slippery and more difficult to stretch, impairing then the stimulation of the lymphatic system Post Treatment – MLD is extremely relaxing. Ensure to have some time off after your session, in case you feel like a nap or not doing […]
Sep
Within the last few years, cosmetic surgeries have been on the rise in Australia. These types of interventions can be helpful for quick body changes. Still, the recovery process post-surgery is often under-estimated and misinterpreted, especially when, past a couple of days or just a few weeks, the body’s response to surgery leaves behind hard lumps, thick skin, and reduced sensitivity. The thought skin and lumps are simply fibrosis, and the reduced sensitivity results from damaged nervous system endings. At Melbourne Massage and Treatment in Fitzroy North, I specialise in Manual Lymphatic Drainage (MLD) using the Vodder technique, helping clients reduce swelling, assisting the recovery, and breaking down fibrosis post cosmetic surgery, safely and effectively. If you’re looking for post-surgery care in Fitzroy North or Melbourne, here’s how MLD can support your recovery and improve your results. What is Fibrosis After Cosmetic Surgery? Fibrosis formation post cosmetic surgery is the result of tissue damage that occurred during the surgery. When going for an intervention like liposuction, where fat is removed from the body (either at the abdominal level, arms or legs or elsewhere), the body, to replace the void left by the fat removal, builds up fibrotic tissue. The fibrotic tissue is mainly made of collagen. While this reaction is natural, it can often cause: Hard lumps or nodules under the skin; Uneven skin contour or texture; Tightness or restricted mobility; Tenderness or discomfort. There is no real way around those types of side effects post-liposuction, at least in the short term, and the body would take weeks to recover fully (up to 3 months). That said, everybody reacts differently to this type of intervention, and based on the type of intervention received, the recovery process can vary. Who Benefits Most From Lymphatic Drainage Massage After Cosmetic Surgery? Here is a short list of cosmetic surgery interventions that are going to leave you with fibrosis in the post-surgery time, and that would benefit from Lymphatic Drainage Massage intervention: Liposuction (abdomen, thighs, arms, chin) – This includes liposuction for Lipoedema management too. Tummy tuck – Either due to post-liposuction or from severe weight loss. Breast surgery (augmentation, reduction, reconstruction) – If this is due to breast cancer, one should be aware of any risk of Lymphoedema development. Facelifts and neck lifts Brazilian Butt Lift (BBL) – This type of intervention requires fat to be removed from other body parts, as the abdomen, and that’s where fibrosis would build up. How MLD Helps Reduce Fibrosis Manual Lymphatic Drainage (MLD) is a gentle, specialised technique that stimulates the lymphatic system to clear excess fluid, reduce swelling, and assist with the healing process. After surgery, your lymphatic system could be damaged and can struggle to keep up with its work, and that’s where MLD makes a big difference. Indeed, the stimulation of the Lymphatic System, via MLD therapy, can help in assisting your recovery and ensure that the fibrotic tissue gets absorbed and dismissed, restoring freedom of movement and leaving you soon after treatment in a deep relaxation state. I trained in the MLD with the Vodder style, therefore I can provide precise, tailored treatments that are safe for sensitive post-operative tissue. Book your post-surgery lymphatic drainage in Fitzroy North today to safely reduce fibrosis. When Can I Start MLD Treatment Post Cosmetic Surgery? Generally, MLD is safe to start as soon as the antibiotic cycle is ended post-cosmetic surgery. Given the light touch of this type of therapy, we aim to produce no pain during the treatment, so we can work close to the surgical side, without affecting the recovery process. On the other hand, I found myself occasionally referring patients to the local nurse or GP here at Fitzroy North Doctors, as their recovery immediately post-surgery was compromised by misleading suggestions and procedures offered by overseas cosmetic clinic surgery. If you are not sure about what’s going on with your recovery, please, before placing a booking for an MLD treatment, talk to your GP about your recovery state, and if you have any questions regarding MLD treatment, you can always reach out to me via the contact page. How Many MLD Sessions Do I Need To Reduce The Fibrosis? As mentioned earlier, everyone responds differently to cosmetic surgery, but in my experience, it would take at least 4 to 6 weeks to start seeing a significant difference in fibrous tissue presence. That said, the number of sessions and the time length of the sessions can vary, based on the area where you received the surgery. Abdominal surgery only: I will recommend 2 to 3 treatment per week, for the first 3 weeks. Within the first week, we may spend 1 hour per session, and from the 2nd week onwards, we reduce the treatment to 45 minutes. Multiple liposuction sites: as there are multiple areas where you received a surgery, we may need to extend the time of treatment up to 1 and a half hours initially, or go for multiple sessions, each for a different area. The first few treatment may take longer as we want to spend some extra time trying to break down the fibrosis with a gentler touch, due to the high sensitivity of the body, which is high due to post-surgery. As the sensitivity decreases, and we can apply further pressure, we can achieve the same result in fibrosis reduction with less time. If you are not sure what works best for you, you can book a 15-minute free online consultation, so we can discuss your needs and work out a treatment plan in accordance with them. MLD Prices in Fitzroy North All my services are offered at the same rate and are as follows: 90 mins – $175 1 hour – $125 45 mins – $ 115 30 mins – $90 All those prices are inclusive of GST. The 90-minute option is available only if required, and not via the booking system. Why Choose MLD at Melbourne Massage and Treatment in Fitzroy North? Not all lymphatic […]
Aug
As a Lymphoedema therapist, I often get asked what the difference is between Lymphoedema and Lipedema. In this blog, we will explore the differences, the similarities, and what can be done for prevention, management and treatment of those presentations. Furthermore, we will look into how Lipoedema can degenerate into a Lipo-Lymphoedema, and why this is not the case for everyone. What is Lipoedema? Lipoedema is a chronic adipose tissue disorder that primarily affects women. On a global scale, we know that about 11% of women are affected by this presentation, and it often runs in families as it has a strong genetic component. The major characteristics of Lipoedema are an abnormal and symmetrical accumulation of fat around the hips, buttocks, thighs, and legs, and upper arms. On the leg area, the fat appears in abundance in the medial side of the knee, too. Where feet are completely untouched by the fat accumulation, this fat is resistant to diet and exercise and is often painful to touch. The pain is due to the cutaneous nerve entrapped in the fatty tissue, and so delivers a pain response when stimulated. Other Lipoedema key features: Often triggered or worsened by hormonal changes Symmetrical fat distribution Soft, nodular, or lumpy tissue Pain and easy bruising – as per the pain, bruising is due to blood capillary compression from the fat, and so, is easily damaged by touch No skin thickening or pitting in the early stages Nowadays, there is increasing awareness about this presentation, and more and more women find benefit from a management protocol that is not only about cardio and exercise. Part of the Lipoedema management includes: Movement Compression stocking Antiinflammatory diet Skin care Where and if needed, cosmetic surgery intervantion What is Lymphoedema? Lymphoedema, on the other hand, is a condition where lymphatic fluid builds up in the tissues due to a malfunctioning lymphatic system, causing chronic swelling. Compared to Lipoedema, Lymphoedema is strictly related to the Lymphatic system. It can be primary (congenital or hereditary) or secondary (due to trauma, surgery, radiation, or infection affecting the lymphatic system). Lymphoedema characteristics: Unilateral or asymmetrical swelling (though it can be bilateral) Pitting edema – It consists of deep indentation (pitting) left behind on the skin when pressure is applied Skin changes over time (fibrosis, hyperkeratosis, papillomatosis) Affects feet and hands as well – primary lymphedema would start from the extremity Heaviness or tightness in the affected area – can potentially be pain-free, but the limb/s may feel very heavy It does affect men and women – only primary lymphedema has a genetic component Lymphoedema Management The management of Lymphoedema is more tricky than lipoedema, as everyone may react differently to the management, it can be related to other health issue which needs to be considered, and requires the patient to be active in the management side of things. At Melbourne Massage and Treatment, I treat different types of lymphedema, as per the upper and lower body, focusing on an initial reduction of the swelling via a combination of Manual Lymphatic Drainage (MLD) and compression with Combined Decongestive Therapy (CDT). The management of this presentation can take anywhere between 3 and 5 or more appointments, depending on the severity of the presentation. The treatments are better done in close proximity, 24 to 48 hours one after the other, so that we give no time to the body to accumulate fluid back under the skin. Once the combination of treatment allows us to achieve the desired result, which is bringing the limb/s to a thinner size, you will be scheduled for a custom garment wear compression, which will guarantee to maintain the results achieved. This is usually done at other clinics, like Sigvaris or Juzo clinics. Those clinics are specialised in the making of garment wear. Custom garments wear last about 6 months, so twice a year, you will need to change them, and if needed, because the limb/s may start swelling again (especially in summer, when there is a change of atmospheric pressure, due to the heat), a short series of MLD and CDT therapy may be needed. Key Differences between Lymphoedema and Lipoedema Feature Lipedema Lymphoedema Cause Abnormal fat metabolism Lymphatic dysfunction Gender prevalence Almost exclusively women Affects both sexes Onset Often at puberty, pregnancy, or menopause Can be congenital or triggered by injury/surgery Distribution Symmetrical, lower limbs and arms Can be asymmetrical; any body part Feet/Hands Spared Usually involved Pain Tender, painful fat Often painless, heavy feeling Skin texture Soft, nodular fat Skin thickens over time (fibrosis) Pitting Rare (early) Common (early) Response to elevation Minimal improvement Often improves with elevation (if early stage) Bruising Common Not typical Common Characteristics of Lymphoedema and Lipoedema As seen above, the characteristics of Lipoedema and Lymphoedema are different, but, both conditions share chronic swelling, potential functional limitations, and a need for long-term management: Both can cause leg discomfort, heaviness, and swelling Both may lead to reduced mobility Neither condition improves with calorie restriction or exercise alone – it is more about stop the intake of inflammatory food Compression therapy is often used for both Both can have a progressive nature if not managed properly – especially lymphoedema Misdiagnosis is common, often delaying effective treatment When Lipedema Becomes Lipo-Lymphoedema If we stick to a vision of Lipoedema progression, that is possible when no management is put in place, this presentation can degenerate into secondary lymphatic impairment, resulting in a combined condition known as Lipo-Lymphoedema. How this happens: As the fat keeps accumulating under the skin, and there is an increase in inflammation, the lymphatic vessels are put under major load and potential damage Over time, this leads to fluid retention and swelling due to the lymphatic system failing to do its job As the lymphatic system becomes overwhelmed, the person may start experiencing lymphedema symptoms (Example: swelling in the extremities, feet and or hands) Patients now experience both fat deposition and fluid buildup, making treatment more complex Signs that Lipedema has progressed: Swelling starts in the feet […]
Jul
The term “inflammation” originates from the Latin word “inflammare”, meaning “to set on fire” or “to ignite”. And this is why it may sound scary, and sounds like a bad thing to go through, but in the initial phase of an injury, the inflammation is actually a necessary part of healing. Indeed, this initial step is how your body signals that something is wrong and starts the repair process. On the other hand, if the injury is not looked after, especially when we talk about major injury, the inflammatory process can become problematic. In this blog, we are going to look into what the steps are to take when going through an injury, which can be a sprained ankle, recovering from surgery, or managing chronic pain, in order to have the best recovery. The 0–72 Hour Rule: Respect the Acute Phase When going through the initial phase of an inflammation, which is the first 72 hours post-injury, the body enters the acute inflammatory phase, and this is absolutely normal and necessary for the body to start taking action towards safe healing. In this process, the immune system rushes white blood cells and inflammatory mediators to the area to begin cleanup and repair. Things to avoid: Avoid anti-inflammatories (NSAIDs or corticosteroids): As this process is needed from the body to understand what has happened and to clear up the area from eventual pathogens, taking something that suppresses the process is not ideal. Avoid ice: Ice is a vessel restrictor, which means it would slow the amount of blood that is sent to the area. Yes, it may reduce the swelling, but that swelling is innoquos compare to the consequence of not having blood rushing to the area with the nutrience and substance needed to start the healing process. Things you can do: Protect and rest the area. Avoid using the injured area and place weight on it. Rest it and where possible do really some minimal movement that may not cause pain or disconfort. Compression and elevation help reduce fluid buildup. If your goal is to reduce swelling, you can apply compression and keep the area elevated. After 72 Hours: Shift to Recovery Support Past the first 72 hours, the inflammatory response was meant to be settled. If that’s not the case, that’s when it ok to take anti-inflammatories. That would help manage the pain in the long term and allow you to start moving freely. That said, before you take any medication, always consult your GP or pharmacist. Moving forward, this second phase of the injury recovery is called remodelling and repair. In this phase, it is the time to: Introduce gentle movement and rehabilitation exercises – most often isometric hold, which we spoke about in another blog. Use anti-inflammatory agents (if needed) under professional guidance. Massage therapy and heat packs become helpful — they promote circulation, lymphatic drainage, and tissue flexibility. While the remodelling and repair phase starts past the 72h post injury, the recovery itself may last weeks or months, depends on the type of injury. For more details about the healing process of different tissues, read this blog. What Are The Symptoms of Inflammation Post-Injury You may notice that soon after an injury the body has a really specific way to respond to what just happened. This response include: Swelling – more blood is sent to the area; Skin redness Pain to touch or movement Those are some of the visible or more noticeable aspects of an inflammatory response post injury, but on the macroscopic level, there is more happening, such as the rush of white cells to the injured area, and the increase of blood clotting cells, if the skin is cracked. Food, Fats, and Chronic Inflammation: The Lymphatic Link An inflammation is not a process that comes only from an injury. The food and drinks that we intake are a significant source of chronic, low-grade inflammation, especially when they include excessive amounts of long-chain fatty acids found in ultra-processed foods, deep-fried items, and fast food. Given the chemical structure of those fats, which are made from a chain of 16 carbon atoms (therefore long-chain), they can be absorbed directly by the capillary of the bloodstream, due to the narrow passage at the capillary end. Indeed, those fats would get absorbed by the lymphatic system, which capillaries have a wider aperture. That said, once the fat is travelling along the lymphatic system, it would be recognised as an external element and attacked by immune cells such as macrophages, and this is an inflammatory response. Now, when the lymphatic system becomes overburdened with inflammatory fats, it can lead to chronic inflammation. This is also why some people feel bloated, puffy, or in pain even without any injury. This also explains why, when seeing people with Lymphoedema, we refer them to a GP to discuss an anti-inflammatory diet. Given the excess load of the lymphatic system along this presentation, it is better not aggravating it. And to loop back on the topic of this blog, even when you hurt yourself badly with a major injury, or you may be suffering from chronic pain, a balanced diet rich in veggies and fruit, grain and fresh food, is recommended over junk food and inflammatory meals. Top Pro-Inflammatory Foods to Watch Out For: Highly refined vegetable oils Fried foods High-sugar snacks and drinks Ultra-Processed meats How Massage Therapy Helps (and Why Sometimes Hurts) Many forms of massage, especially those where you may experience discomfort and pain, like Remedial Massage or Thai Massage, or even technique like Dry Needling, aim to reproduce microinflammatory response, and that’s why they are effective in helping you with recovery. Indeed, that pain response, is an alarm for your nervous system, which is pushed to send nutrience to the area affected by the pain. Now, what is important is to understand the time frame of healing, the subjective history of the patient we are working with and the level of injury they are presenting with. Massage helps by: […]
Jun
Cosmetic surgeries have become increasingly common, with procedures such as liposuction, tummy tucks, facelifts, and breast augmentations helping people achieve their desired aesthetic goals. However, while the surgical aspect gets most of the attention, what often goes under-discussed is the importance of post-operative care, especially Manual Lymphatic Drainage (MLD) in promoting faster, smoother recovery and reducing the risk of ending with fibrosis tissue build up underneath the skin. What Is Manual Lymphatic Drainage (MLD)? MLD is a gentle, rhythmic massage technique designed to stimulate the lymphatic system and encourage the natural drainage of lymph fluid. The lymphatic system plays a crucial role in immune function and fluid balance. After cosmetic surgery, lymphatic flow can become disrupted due to inflammation, surgical trauma, or temporary damage to lymph vessels. While the first few days post-surgery are dedicated to acute recovery and the taking of Antibiotic to reduce the risk of infection post-surgery, as soon as this risk is passed, that’s when you want to start your MLD journey. Why Is MLD Important After Cosmetic Procedures? Cosmetic surgeries often cause swelling, bruising, and fluid accumulation (known as seroma or edema). This is due to the body reacting to an invasive procedure and removing tissue beneath the skin. MLD helps: ✅ Reduce post-surgical swelling ✅ Accelerate the removal of metabolic waste and excess fluid ✅ Improve skin texture and reduce fibrosis (hardened tissue) ✅ Speed up visible results by enhancing contour definition ✅ Decrease discomfort by reducing pressure from trapped fluids As with any surgery, when lymphatic drainage massage is applied, no pain is to be experienced. While I treat someone with MLD I always pass this information up front, to ensure that if they experience any type of pain, I get told about it, so that I can go lighter with pressure. Which Procedures Benefit Most from Lymphatic Drainage? MLD is commonly recommended after: Liposuction (including 360 lipo or Brazilian Butt Lift – BBL) Tummy tucks (abdominoplasty) Facial surgeries (rhinoplasty, facelifts, blepharoplasty) Breast augmentation or reduction Body contouring procedures As a Lymphoedema therapist, I do get surgeons referring me patients to assist them with post-op management, especially when swelling or fibrosis is a concern. When Should You Start Lymphatic Drainage? As briefly explained above, the ideal time to begin MLD is as soon as you stop your antibiotic cycle, and is your surgeon or GP call to when you are safe to do so. On the other hand: Typically, MLD is started 3 to 5 days post-surgery, once acute inflammation has settled and the incision sites are closed or protected. A full course may include 6–10 sessions spaced out over a few weeks for optimal results. Always follow the advise of the surgeon about post surgery, but, when you safe to do, the more movement we add to Lymphatic Draiange, the better the recovery would go. Is MLD Safe post-cosmetic surgery? When performed by a qualified lymphatic therapist, lymphatic drainage is non-invasive, safe, and effective. It’s gentle enough for delicate post-op tissue and can significantly improve comfort and healing time. My qualification in Lymphatic Drainage was done with the Vodder Academy whicg holds the gold standards for MLD practice, and is worldwide well known for the quality of their practice. On the other hand, I also hold a qualification in Clinical Myotherapy, which allows me to help people recover from injury and stick to their fitness goals via training and exercises. When Can I Book My Appointment for Post-Cosmetic Surgery Recovery? My studio, Melbourne Massage and Treatment, is located in Fitzroy North, on the corner of St George Rd and Holden St. I work Monday to Saturday, and to book an appointment, you can just head online to the booking page and choose the best time/days that work for you. Given the number of session needed for this type of work, I always suggest to book a series of session in a raw, from to 3 session per week for the first 2 weeks. Session by session we do evaluate together the progress, and chose together what’s the next step. If you have any questions, please do not hesitate to contact me. FAQs – Cosmetic Surgery & Lymphatic Drainage
May
Pregnancy brings many wonderful changes, but it can also bring some discomfort as the body adapts to a growing baby. Swelling, heaviness in the legs, water retention, and aching joints are all common. One treatment that is safe, gentle, and highly effective in reducing these symptoms is Manual Lymphatic Drainage (MLD). At Melbourne Massage and Treatment, Fitzroy North, I provide customised pregnancy lymphatic drainage treatments designed to reduce swelling, support circulation, and help you feel your best during each stage of pregnancy. In this blog, we’ll explore the benefits, safety considerations, positioning, and when lymphatic drainage may or may not be recommended. What Is Manual Lymphatic Drainage for Pregnancy? Lymphatic drainage is a gentle, rhythmic technique designed to stimulate the lymphatic system. This improves the movement of lymph fluid, helping the body eliminate unwanted substances, reduce fluid retention, and improve overall well-being. Manual lymphatic drainage is beneficial for pregnant individuals (Cataldo Oportus et al., 2013), particularly for managing swelling, improving circulation, and supporting relaxation. Benefits of Lymphatic Drainage During Pregnancy 1. Reduction of Swelling (Oedema) Swelling in the legs, ankles, and feet is extremely common in pregnancy due to increased pressure on the lymphatic and circulatory systems. Lymphatic drainage helps move fluid away from congested areas, relieving discomfort and heaviness. 2. Relief from Pregnancy-Related Back Pain During pregnancy, the increasing weight can affect posture and strain the back. Lymphatic drainage, performed in a comfortable side-lying position, helps reduce tension through its profound relaxation effect. 3. Improved Circulation Changes in blood volume and circulation during pregnancy can cause fluid retention and fatigue. Lymphatic drainage promotes healthy blood and lymph flow, improving oxygen and nutrient delivery to both mother and baby. 4. Mental and Emotional Well-being One of the most underestimated benefits of lymphatic drainage is how deeply relaxing it is. Better sleep, reduced stress, and a sense of lightness are very common outcomes. At Melbourne Massage and Treatment, I usually deliver pregnancy lymphatic drainage in a seated or semi-reclined position using a hydraulic table, which allows maximum comfort and safety throughout the treatment. FAQ – Pregnancy Lymphatic Drainage Massage in Melbourne Reference Cataldo Oportus, S., de Paiva Rodrigues, L., Pereira de Godoy, J. M., & Guerreiro Godoy, M. de F. (2013). Lymph Drainage in Pregnant Women. Nursing Research and Practice, 2013, 1–3.
Feb
Lymphoedema and Lipoedema are chronic conditions characterised by swelling and fat accumulation, respectively, often accompanied by inflammation. Thanks to emerging research, we do not know that dietary choices, particularly the consumption of long-chain fatty acids, can influence the inflammatory processes associated with these conditions. This is why it is important to consider an Anti-Inflammatory Diet when suffering from those presentations. The Role of Long-Chain Fatty Acids in Inflammation Long-chain fatty acids are absorbed into the lymphatic system in structures called chylomicrons. Once these chylomicrons are processed, the released fatty acids can interact with macrophages—immune cells responsible for detecting and responding to pathogens. This interaction can trigger an inflammatory response, contributing to the chronic inflammation observed in both lymphoedema and Lipoedema. Why does the Lymphatic System absorb Long-Chain Fatty Acids? The lymphatic system plays a crucial role in the absorption and transport of dietary fats, particularly long-chain fatty acids. This process is essential for efficient lipid metabolism and overall energy distribution in the body. Absorption of Long-Chain Fatty Acids Long-chain fatty acids are released from dietary fats in the small intestine during digestion. These fatty acids are absorbed by the enterocytes (intestinal cells), where they are reassembled into triglycerides and packaged into lipoprotein particles known as chylomicrons. Due to their size and composition, chylomicrons are too large to enter the blood capillaries directly. Instead, they are absorbed into specialized lymphatic vessels called lacteals, located within the villi of the small intestine. This lymphatic absorption allows the efficient transport of large lipid molecules into the systemic circulation. Transport Through the Lymphatic System Once inside the lacteals, chylomicrons travel through the lymphatic system, merging into larger lymphatic vessels and eventually entering the bloodstream via the thoracic duct, which empties into the left subclavian vein near the heart. This pathway enables the gradual release of lipids into the circulation, allowing tissues to access these essential nutrients for energy production, cell membrane synthesis, and other vital functions. Benefits of an Anti-Inflammatory Diet Adopting an anti-inflammatory diet can help mitigate these effects by reducing the intake of pro-inflammatory long-chain fatty acids and emphasising foods that support lymphatic health. Key components of such a diet include: High Fibre Intake: Consuming fruits and vegetables rich in fibre promotes the production of short-chain fatty acids in the gut, which have anti-inflammatory properties. Omega-3 Fatty Acids: Incorporating sources of omega-3s, such as fatty fish, flaxseeds, and walnuts, can reduce inflammation and edema. Anti-Inflammatory Spices: Spices like turmeric, garlic, and curry leaves possess natural anti-inflammatory effects and can be beneficial additions to the diet. Foods to Limit or Avoid for a Good Anti-Inflammatory Diet To further reduce inflammation, it’s advisable to limit the consumption of: Processed Foods: Often high in trans fats and refined sugars, these can exacerbate inflammatory responses. Excessive Salt and Caffeine: High intake of salt and caffeine may contribute to fluid retention and should be moderated. Alcohol and Sweets: These can increase inflammation and are best consumed in moderation. Personalised Nutritional Guidance As a certified lymphoedema therapist trained by the Vodder Academy, I understand the importance of a holistic approach to managing lymphoedema and Lipoedema. Integrating an anti-inflammatory diet tailored to your individual needs can play a crucial role in reducing inflammation and improving overall health. For personalised advice and support, consider consulting with a healthcare professional or a registered dietitian experienced in managing these conditions. By making informed dietary choices, you can actively contribute to managing inflammation and supporting your lymphatic health. For more insights on managing lymphoedema and Lipoedema through diet, you might find this video informative. Melbourne Massage and Treatment and Lymphoedema/Lipoedema presentation Even though I am not a dietitian or nutritionist, so I can not give any direct recommendations on your diet or food intake, as a Lymphoedema therapist, I can still help you manage your presentation by offering services like Manual Lymphatic Drainage (MLD) and Combined Decongestive Therapy (CDT). So, if you need to improve your Lymphoedema or Lipoedema presentation, book your free 15-minute phone consultation now to understand how Melbourne Massage and Treatment services can benefit you. FAQ about Anti-Inflammatory Diet and Lymphoedema/Lipoedema presentation Q: How do dietary choices influence inflammation in lymphoedema and Lipoedema? A: Dietary choices play a significant role in modulating inflammation associated with lymphoedema and Lipoedema. Consuming foods high in long-chain fatty acids can lead to their absorption into the lymphatic system, where they may interact with macrophages—immune cells responsible for detecting and responding to pathogens. This interaction can trigger an inflammatory response, contributing to the chronic inflammation observed in both conditions. Adopting an anti-inflammatory diet can help mitigate these effects by reducing the intake of pro-inflammatory foods and emphasizing those that support lymphatic health. Q: What are long-chain fatty acids, and how do they affect inflammation? A: Long-chain fatty acids are a type of fat molecule commonly found in various foods, including certain oils, meats, and processed products. When consumed, these fatty acids are absorbed into the lymphatic system in structures called chylomicrons. Once processed, the released fatty acids can interact with macrophages, triggering an inflammatory response. This process can exacerbate the chronic inflammation associated with lymphoedema and Lipoedema. Q: Which foods are high in long-chain fatty acids and should be limited? A: Foods rich in long-chain fatty acids that may promote inflammation include: Certain oils Meats Processed products Limiting the intake of these foods can help reduce inflammation. Q: What are the key components of an anti-inflammatory diet that are beneficial for lymphoedema and Lipoedema? A: An anti-inflammatory diet focuses on incorporating foods that help reduce inflammation and support lymphatic health. Key components include: High Fibre Intake: Consuming fruits and vegetables rich in fibre promotes the production of short-chain fatty acids in the gut, which have anti-inflammatory properties. Omega-3 Fatty Acids: Incorporating sources of omega-3s, such as fatty fish, flaxseeds, and walnuts, can reduce inflammation and edema. Anti-Inflammatory Spices: Spices like turmeric, garlic, and curry leaves possess natural anti-inflammatory effects and can be beneficial additions to the diet. Q: Are there specific foods I should […]
Dec
Hello, and welcome! I’m Giovanni, and today I want to share some insight into the available treatment options for lymphoedema. If you or someone you know is dealing with this condition, I understand how overwhelming it can feel to navigate the many different approaches to treatment. As someone specialising in lymphoedema management through Manual Lymphatic Drainage (MLD) and Complex Decongestive Therapy (CDT), I aim to provide a holistic approach to managing and reducing the symptoms of lymphoedema. I’ve studied with the Vodder Academy and am a Clinical Myotherapist, so my work is built on solid, evidence-based practices. But I also believe that looking at all available treatment options for lymphoedema —medical, surgical, and holistic—is key to finding a management strategy that works for you. What is Lymphoedema? Before we dive into treatment options, let me quickly touch on what lymphoedema is. Lymphoedema is a condition that causes fluid retention and swelling, usually in the arms or legs, as a result of damage or blockage to the lymphatic system. This can occur after surgery, radiation treatment, or due to inherited conditions. While lymphoedema may be chronic, the good news is that with the proper treatment, symptoms can often be managed or reduced significantly. Medical Treatment Options for Lymphoedema Medical treatments for lymphoedema typically focus on managing the fluid buildup and improving lymphatic drainage. Here’s a quick overview of what you might expect in a clinical setting: Compression Therapy Compression garments are often a cornerstone of lymphoedema management. They help reduce swelling by applying controlled pressure, which encourages the flow of lymph fluid. These garments come in different forms, including- Stocking – Sleeves – Bandages They can be custom-fitted to provide maximum comfort and effectiveness. Compression stockings are recommended to be purchased from a clinic that takes measurements of your limb and makes the stockings based on the measurements. I often refer my patients to Sigvaris in West Melbourne for these types of services.’ The benefit of this approach is that you will have a compression that is ideal for your limb, with no greater risk of fluid congestion and other side effects. Pharmaceuticals and Diuretics In some cases, medications may be prescribed to address symptoms like inflammation or to reduce fluid retention. However, it’s important to note that diuretics are generally not a primary treatment for lymphoedema, as they don’t directly address the underlying lymphatic issue. Other medications that are prescribed for Lymphoedema are creams to maintain skin moisturised in order to reduce the chance of cracking and skin damage. Manual Lymphatic Drainage (MLD) I specialise in MLD, a gentle, hands-on technique that stimulates the anastomosis of the lymphatic system and encourages the movement of excess fluid from swollen areas. MLD can be incredibly effective in reducing swelling and relieving discomfort. It works by stretching and letting the skin recoil under some really gentle pressure. This way, the lymphatic system is stimulated to work harder, and takes up the fluid to healthier parts of the body where it can be processed more efficiently. Combine Decongestive Therapy (CDT) It is part of the treatment I offer for Lymphoedema patients here at Melbourne Massage and Treatment. It consists of bandages used to compress the affected area. The compression is applied after MLD has been delivered, and it is applied to maintain fluid movement throughout the anastomosis, which is the alternative connection of the lymphatic system through which the liquid moves after the MLD stimulation. The bandages are applied and are recommended to stay on for about 24 hours. After this time, once you remove them, you will wash them, roll them and come back for another treatment. A back-to-back treatment would ensure that the swelling of the lymphoedema can be managed and reduced as quickly as possible. Laser therapy Laser therapy is a non-invasive treatment that can be used in a clinical setting to treat specific lymphoedema presentations. Indeed, Laser therapy is used when the patient already presents with fibrosis, the hardening of the skin. Low-frequency lasers are the ones used most often, and we know there are also portable pen lasers that are efficient enough for this therapy. Pneumatic compression therapy: This therapy consists of using a sleeve pump machine that gets placed over the affected area and inflates sequentially to apply pressure. The rhythmic compression helps stimulate lymphatic flow, reduces swelling, and improves circulation by encouraging the movement of excess fluid toward lymphatic drainage sites. All those therapies are recommended in combination. To start with, for the best results and quick reduction, MLD and CDT would be more effective. Surgical Treatment Options for Lymphoedema While surgery is generally considered a last resort for lymphoedema, there are certain cases where it may be necessary or beneficial: Liposuction for Lymphoedema This technique is sometimes used to remove excess fat tissue that has accumulated as a result of chronic lymphoedema. It’s not a cure, but it can help reduce the volume of swelling and improve the appearance of the affected area. Lymphovenous Anastomosis (LVA)/Bypass It involves connecting the lymphatic vessels and nearby veins, allowing excess lymph fluid to drain into the bloodstream instead of accumulating in tissues. Vascularized lymph node transfer (VLNT) a surgical technique used to treat lymphoedema by transplanting healthy lymph nodes along with their blood supply to the affected area. The transplanted lymph nodes, typically harvested from the patient’s groin or other regions, are reconnected to the recipient’s blood vessels. Lymph Node Transplantation In some specialised cases, surgeons may transplant healthy lymph nodes from one part of the body to another to help restore lymphatic drainage. This option is more complex and is usually reserved for severe, treatment-resistant lymphoedema. Surgery, of course, comes with risks and recovery time, so it is typically considered only after all other treatments have been explored. Lymphoedema Holistic Treatments: Taking a Whole-Body Approach While medical and surgical treatment options for lymphoedema can certainly help with this presentation, I firmly believe that a holistic approach is crucial for long-term success. Here are some natural and complementary therapies […]
Dec
When the lymphatic system stop working, either because for a congential malfunctioning, or because of a an external intervention, which did lead to lymphatic system damage, the individual may start experiencing symptoms of Lymphoedema. At Melbourne Massage and Treatment in Fitzroy North, Giovanni understand how challenging lymphoedema can be, which is why he provide expert care through Manual Lymphatic Drainage (MLD) and Combined Decongestive Therapy (CDT). These non-invasive treatments help manage the symptoms and improve your quality of life. What is Lymphoedema? Lymphoedema occurs when the lymphatic system is blocked or malfunctioning, leading to a buildup of lymphatic fluid. This fluid results in swelling in the affected areas, often in the arms, legs, or other extremities. Lymphoedema can be primary (a hereditary condition) or secondary (often caused by injury, surgery, or infection). The fluid that builds up in the body is a fluid that is naturally produced by the body and is released under the skin and between tissues by the bloodstream. It is reached in protein, bacteria, viruses, dust, and other minor substances that the body is unsure how to handle. Stages of Lymphoedema Lymphoedema progresses in stages, with each stage representing the severity of the condition. Recognizing the symptoms early on can help prevent the condition from advancing, so it’s important to be aware of the subtle changes in your body. Stage 0: Latent or Subclinical Stage In this early stage, there are no visible signs or symptoms of lymphoedema, but the lymphatic system may already be compromised. People in Stage 0 may experience a feeling of heaviness, discomfort, or mild swelling, int the limbs affected by this presentation, but these symptoms typically disappear after resting or with limb elevation. The fluid retention is still minimal and may not be noticed by the individual, but it can be detected through careful assessment. Stage 1: Reversible Stage At this stage, swelling is more noticeable, but the skin is still soft, and the swelling can still decrease with limb elevation and movement. When the swelling is present, the skin will feel puffy or tight, and there may be a sensation of heaviness in the affected area. In this relevant early stage, it i still easy to intervene for prevent further degeneration, and if you are unsure of what you are experiencing, reach out Giovanni for a 15 minutes free consultation, in which, at least thanks to the analysis of your clinical history, we can already evaluate if what you are experiencing is a Stage 1 Lymphoedema. Stage 2: Spontaneously Irreversible Stage In Stage 2, the swelling becomes more persistent and is not fully responsive to movement and limb elevation. The asking of the affected area may begin to feel firmer, and there can be noticeable thickening of the skin. This is the stage where fibrosis (scarring of the tissue) starts to develop, and it’s crucial to stop this from going any worse. While the swelling might fluctuate, it becomes more difficult to manage without intervention. At this point, manual treatments like Manual Lymphatic Drainage (MLD) can significantly help reduce swelling and improve the overall function of the lymphatic system. Stage 3: Lymphostatic Elephantiasis The final stage of lymphoedema is characterized by extreme swelling and thickened, hardened skin. The affected area may look large, disfigured, and become painful to the touch. Tissue fibrosis is advanced, and the skin may develop ulcerations or infections due to poor circulation and immune system function. Indeed, along with the swelling and the fibrosis buildup, the outer layer of the skin is placed further away from the blood capillary, which is responsible for releasing oxygen and other substances essential for skin regeneration.Therefore, as the skin breaks open, due to its poor condition, it is more subject to infections and contamination of pathogens. Stage 3 lymphoedema is debilitating and requires ongoing care and treatment to prevent complications and manage symptoms. At this stage, a combination of therapies such as Combined Decongestive Therapy (CDT) and MLD becomes vital for managing the swelling and restoring lymphatic flow. Common Symptoms of Lymphoedema Lymphoedema symptoms can vary from person to person and depend on the stage of the condition. The common symptoms include: Swelling: The most obvious sign of lymphoedema is swelling in the affected area, typically starting in the arms or legs. The swelling is often gradual and may worsen over the course of the day, especially after prolonged standing or sitting. Tightness or Heaviness: Affected limbs may feel heavy or tight, particularly after physical activity or at the end of the day. This sensation is often worse in the early stages and may become more pronounced as the condition progresses. Pain or Discomfort: Pain, tenderness, or discomfort in the swollen area is common, especially when there is fibrosis (hardening) of the tissues. The pain can range from mild to severe, depending on the stage. Reduced Range of Motion: As the swelling and fibrosis increase, it can lead to a limited range of motion, particularly in the arms and legs. This can impact daily activities and mobility. Skin Changes: In later stages of lymphoedema, the skin may appear thickened or leathery, with a shiny, tight appearance. There may also be visible folds in the skin, particularly around the knees, elbows, or ankles. Frequent Infections: Swollen tissues have a reduced ability to fight off infections, so people with lymphoedema are more susceptible to bacterial and fungal infections, which can further complicate the condition. Numbness or Tingling: As the swelling progresses, the nerves in the affected area may be compressed, leading to sensations of tingling, numbness, or even burning. Increased Skin Sensitivity: The skin in the affected area may become more sensitive, prone to rashes, or develop sores due to the increased swelling and poor circulation. Commonly Affected Areas of the Body Lymphoedema can affect different parts of the body, but the most common areas are: Arms: After surgery, particularly mastectomy (breast cancer surgery) that involves the removal of lymph nodes, the arms are a common site for lymphoedema. The swelling […]