POST OP CARE plastic surgery group

Lymph drainage massage
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Karen Botha MAR reflexologist at Essential Feeling Gidea Park, Romford who specialises in fertility

 Dr Dan Marsh and Dr Mo Akhavani at the Plastic Surgery Group recommend post-op lymph drainage massage.

Lymph drainage massage is an important part of any plastic surgery procedure because it aids healing and improves the results of your cosmetic procedure. Dr Dan Marsh and Doctor Mo Akhavani started the Plastic Surgery Group in order to ensure that their patients received an excellent standard of service and care when they visited their Harley Street Clinic. And so they make it mandatory for their patients to have ten lymph drainage sessions post surgery with them.

Karen & Charlie Botha

Your post surgery specialists

Lymph drainage massage

Questions & Answers


What are the benefits of Lymph Drainage Massage and why do the Plastic Surgery Group insist on it?

When you have an operation of any kind, it doesn’t have to be a cosmetic procedure, you swell up (lymphoedema). It’s this fluid that your body uses to transfer waste out of your body, And to transport the good, healing properties to the site of surgery to help healing.


Why do you swell?

However, because this is tissue damage is acute, your body hasn’t expected that it is going to have to heal. And so whilst it sends the fluid to heal as best it can, this comes as an influx of fluid which leads to a buildup of the excess.

Essentially, think about a rainfall and the river levels rising.

At the same time, it’s important to understand how the lymphatic system works. If you look at it, you’ll see a network of lymphatic vessels and nodes that connect together. They look a bit like your veins which transfer your blood. But one major difference is that where your circulatory/ venous system is pumped by your heart, your lymphatic system doesn’t have such a pump. Instead, it uses movement and water.


Movement and water

Post surgery, you don’t move as much as you normally would and the pain and compression garment will naturally prevent you from wanting to go to the toilet so much, hence you typically will drink less.

And so fluid builds even more.

This could be where you’ve had your surgery, but in more chronic cases, you may find that a limb such as arm or arms, but more often your leg or legs will swell. You’ll look down and see that one compared to the other is bigger. And that it feels full and your skin is tight.

There’s several reasons for this, but gravity is a big one. It’s just where waste naturally is drawn to. And this is why it’s so important to treat your whole body.

plastic surgery group

What's the technique you use for treatment of lymphedema?

This is where manual lymph drainage comes in. We use gentle pumping techniques located on the surface of your skin to improve the flow of your lymphatic fluid. The touch is so light that it doesn’t hurt, even just a few days post surgery. All we do is lightly place our hand on your skin and stretch until the skin reaches its limit. We do this in several directions, often upward but sometimes downward, to support the direction that the fluid drains. This isn’t a massage that uses oil as we need to maintain friction with your skin. We also don’t work muscles which is why the touch is so light.

In additon, we will stimulate blocked nodes and glands e.g. axillary, while you’re undergoing your therapy. Both at the start and as we see more water swelling under your skin as we progress with your session. It’s normal for this to develop as we progress because your therapist is pushing the fluid up to six times faster than it would normally dishcharge so each node is under more pressure than normal.

This systematic clearing is why it’s important that you have an experienced therapist who can release these swollen areas during your sessions. Otherwise the effects become cumulative and if you try and do this at home you’ll often find you’ve caused more issues as this all collects with no exit point.

As an aside, lymph drainage can be used in treating conditions such as rheumatoid arthritis and the effects of cancer surgery including mastectomy of your breast. It helps you feel better as you’re not conscious of swelling when the fluid retention pumps away. But, also we can help your body to destroy the bacteria by giving a helping hand to filter it away from the site.

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How can you help yourself get the best possible results.

When you book with us, we’ll send you a list of our aftercare advice in case you have questions. However, it’s so important to understand that these are general guidelines.

Dr Dan Marsh or your other surgeon will always advise you based on your specific conditions and healing rate — he is in control at all times. But we assist. As will we when we see you. For instance, exercise is a big question we’re often asked about. And what is appropriate will depend on where you are on your personal road to recovery.


What will I wear for my session?

You’ll remove everything, including your compression garment, for your treatment and then cover yourself with towels before your therapist comes into the room. This is so we can access the nodes and so that your lymphatic system isn’t compromised with the pressure from the garment. If you have bandages or a sticky plaster protecting an area this will stay in place and we will work around it.


How will I know who to contact, you or my surgeon?

You can contact either of us, but we have enough experience now to know when your medical surgeon’s intervention is required in your treatments. We could either speak to e.g. Dr Dan Marsh on your behalf or advise you on when it is necessary to get in touch with them. This eases your tension about how your healing is progressing. But also lightens the load on the spacilist doctor team.

Woman having legs massaged with manual lymphatic drainage
manual lymphatic drainage romford & Mayfair

How do you perform lymph drainage?

We use a mixture of motions, in the direction that the lymphatic system naturally runs to speed up its circulation. Whilst these may seem simple, in that it’s a really light and gentle motion, the skill is in feeling what is going on under the surface of your skin. We often get clients calling us who have had lymphatic drainage massages elsewhere, saying that they have received no benefit.

Patients are referred to us from several reputable Harley Street clinics, such as Dr Dan Marsh at the Plastic Surgery Group, because our massages are effective at minimising infections and bacteria, as well as gently stimulating your immune system such that your body heals as fast as possible.

This is because we are experienced and can sense what is happening under your skin. Our clients often comment on how they feel a release as nodes clear. It’s like a rush. This is a tremendous relief and especially so when we combine it with diagrammatic breathing to help empty your lungs to improve the amount of fluid expelled from your cisterna chyli. MLD isn’t just about your lymphatic system, it’s about how it interacts with your organs, too.

manual lymphatic drainage massage



What is a seroma?

A seroma is a pocket under the skin that fills with fluid. It often happens in a space that is new, ie where you’ve had tissue removed. So you could find that if you’ve had a lumpectomy or mastectomy you run the risk of these. But also, they happen with cosmetic procedures.

Typically, in the incidence of liposuction or a tummy tuck, then because your surgeon, such as Dr Dan Marsh or Dr Mo Akhavani removes a large amount of tissue, then you could get a seroma. You’ll notice a pressure, or your skin may raise slightly in a way which seems unnatural.


Reduce swelling

In addition, the slight movements that we use in addition to a stimulation of your nodes e.g. in your abdomen, knee and groin will not only improve and protect your health, but they will reduce the symptoms of lymphedema.

This has the benefit of making you more comfortable as your swelling reduces faster, and also as we’ve said there is a massive improvement in your chances of avoiding infection. But also, our clients typically need to only wear their post liposuction compression garments for four out of the recommended six weeks to 2 months.

Now to be clear, it isn’t us that decides this, it will only ever be your surgeons decision in your post op checkup review. But by reducing swelling to a level that is manageable by your body, this helps everything that was separated during your surgery reset faster, because it’s not being disrupted by the physical volume of lymphatic fluids



If you’ve had a largish site of incision, people often find a localised collection of fluid at the dissection site. If this pocket doesn’t move, it can easily lead to presumed infection.

To put this into context, lymph fluid removes toxins from your tissues. If this remains stagnant, think about what happens to a stagnant pond. The disease that arises in your body are similar and this is why we can avoid infection when you have a properly performed lymph drainage massage by a professional therapist. We assist your body to drain this efficiently. And this is how we avoid developing a seroma.

This is why reputable cosmetic surgeons such as Dr Dan Marsh always insist on follow up care.


Reduce hard fatty spots

Sometimes you get hard fatty spots under the surface of your skin. If you think about when youcook a fatty meat in a pan, the fat melts, but then when it cools, it congeals together. This kind of thing happens to your body, particularly post vaser liposuction.

These hard fatty spots are often unavoidable, even with regular MLD (called manual lymphatic drainage). Although they are less likely to be as bad.

That’s why at Essential Feeling we’re prepared for every eventuality. We have two specialist machines that will help to break this down effeiciently — and painlessly!

Radiofrequency skin cavitation for fat reduction body contouring

What are the specialist machines included within my treatments?

The first is a deep oscillation machine which uses high-speed sound to run at 6mm under the surface and disrupt the source of these fatty lumps. We then combine lymph drainage to smooth this through your lymphatic system and encourage your body to remain healthy and looking good.

The second machine is an NHS grade cavitation machine, which also uses sound. But this uses a low frequency to disrupt the membrane of the fat cells so that your body naturally excretes it.

Both work and we will use whichever we think is the most appropriate to give you the best results. Based on our experience of being trusted to treat patients from Harley Street and Knightsbridge, clinics over the past ten years.

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Want an appointment today?

If you would like to book a last-minute appointment, please text us on 07757 946023 and we’ll try our best to sort something out within 24 hours.

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We’ll send over everything you need including consultation form and directions.

We have free off street parking directly outside our treatment rooms.

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14:47 20 May 22
Had a cluster of Radio Frequency sessions with Charlton. Charlton was amazing, attentive, caring and always smiling 😃I... highly recommend having the radio Frequency sessions my skin feels firm and I am very pleased with the results . Thank you 🤗read more
Yasir Khan
Yasir Khan
12:37 14 May 22
I have had a few ultrasonic deep cavitation with Charlston. He is wonderful. He talks you through the process.... Constantly asks how the temperature is of the ultrasonic and adjusts accordingly. I would recommend this for a more even natural appearance post liposuction. My skin now appears more more
Blakduchess Raynes
Blakduchess Raynes
12:46 18 Apr 22
Visited for the first time and had Charlton give me a deep tissue massage. All I can say is wow!!! My disc bulge feels... completely healed and I have tried so many different treatments for it in the last year. I feel so much better than I have in ages. I will be back next month as this is something that I will incorporate regularly for my health and well being. I will definitely be recommending to all my friends and family. Very professional, relaxing and clean environment and Charlton explained everything. Perfect 10/10 more
Kavita Bhakar
Kavita Bhakar
20:03 25 Feb 22
Karen was amazing right from the start, always knew what she was doing and never rushed a session. She was flexible to... meet me early in the morning before work and always had a smile on her face! Without her my swelling would not have reduced so quickly. Thanks Karen!read more
Belinda Jobs
Belinda Jobs
17:06 25 Feb 22
Charlie gave me an MLD massage after having liposuction on my legs a few weeks ago. Not only is he exceptionally... professional and experienced but he is also super friendly and put me at ease immediately. I will return and see him if further sessions are more
Christine Langan
Christine Langan
17:08 15 Nov 21
I was very apprehensive as had a mastectomy 4 years ago. Charlton was very understanding and instantly put me at ease.... He took the time to explain to me what he was doing and why. The rooms are spotlessly clean. Always respond quickly and will try to accommodate the day/time you more
Matthew Hassell
Matthew Hassell
13:38 27 Oct 21
Superb sports massage and service. Would highly recommend to everyone. My mum gets massages done regularly here and... they’re always well priced and definitely do the job!read more
Maria Martinez
Maria Martinez
18:03 26 Oct 21
Been visiting Essential Feeling for a few years now. Charlton helped to rehab my shoulder post rotater cuff surgery but... in general I have deep tissue massages. I always leave feeling light and brand new. Highly more
Daniel Berkoh-Gyamfi
Daniel Berkoh-Gyamfi
09:14 26 Oct 21
I cancelled my appointment due to illness and I was expecting to receive a refund almost four weeks ago and no refund... issued. Don't waste time calling they don't answer their phone. I understand their services are good. However, very poor customer more
Ellis Evans
Ellis Evans
18:35 28 Aug 21
I came to see Karen after booking in for a double massage for myself and my partner (he's had massages before, I... haven't) and am amazed at how much of difference one session has made already. Karen and Charlton made us feel comfortable immediately and were both so friendly and warm. They were professional throughout and dealt with both our needs separately. We're both keen to visit again.Both obviously very skilled at what they do.Highly more
Adebimpe Bodunrin
Adebimpe Bodunrin
17:27 16 Jul 21
Following my liposuction and tummy tuck surgery, I had lymphatic drainage and deep tissue massages at Essential... Feelings. Charlie was very professional, made me feel relaxed and knowledgeable about what I need to help with healing after surgery. He was very helpful, flexible and a good communicator. I would recommend them for anyone requiring post surgery massages and will go back for other types of massages. Thank you Charlie and more
Dana Caushi
Dana Caushi
19:09 12 Jul 21
I've had a few reflexology sessions with Karen so far this year, and a few sessions in my previous pregnancy. Also a... few massages. Both Karen and Charlton are very friendly and professional. Karen is very knowledgeable and give lots of helpful advice. The place is very cozy/clean and in current situation they are able to meet Covid restrictions. Even my husband went to get a massage. Highly more
Emma Hancock
Emma Hancock
08:29 07 Jul 21
I have always wanted to try reflexology but usually opted for massage instead. However, now I've experienced two... reflexology sessions with Karen, I think I'm a convert! Both sessions have left me feeling calm, restored and well rested. I also had to change the time of my first session and Karen reponded really quickly and was happy to adjust it. I'm really happy with the service and am definitely going to be a new regular more
Manpreet Kaur
Manpreet Kaur
15:23 14 Jun 21
I’ve always been skeptical of massages and whether I’m receiving one that’s beneficial for my body as well as worth the... money. I have to say I wish I could give more than 5 stars because Essential Feeling is hands down one of the best massage treatments I have received as well as worth the money. Being currently pregnant too, I was worried that I would be in more pain after the massage however Charlton ensured that my deep tissue massage was tailored to my needs as well as helped with any stiffness and back pain I was experiencing. Karen was also super helpful during my reflexology massage, ensuring that I was relaxed and bought a lot of the swelling in my feet down. My mother also had a deep tissue massage from Charlton who again tailored it to her needs as she has a bad lower back as well as a lovely reflexology massage from Karen. Me and my mum felt that both massage therapists are very professional and solely cater to the needs of the client. They are both also very knowledgeable in the massages they deliver as well as any issues a person has individually with their body. Absolutely wonderful service and wonderful massages! Will definitely be making a return!read more
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