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

Essential Feeling are affiliated with Dr Mike Comins at Hans Place.

Helping patients of Dr Mike Comins at Hans Place Clinic in Knightsbridge.

When you’ve had a vaser liposuction treatment, whether that be with Dr Mike Comins at his Hans Place practice, or elsewhere, you need post surgery aftercare treatments. These not only secure you the most amazing results possible (as you’d expect from the team at Hans Place Clinic) but also your ongoing wellness as you recover. We’ll discuss more about this later.

The post lipo aftercare procedure comes as MLD (manual lymphatic drainage massage). And this is what we’re specialists in at Essential Feeling.

Operating out of our treatment rooms in Romford and in Mayfair, we’re easily accessible to Dr Mike Comins’ patients, both in Central London and those on the borders of East London and Essex.

Karen & Charlie Botha

Your post lipo aftercare specialists

post lipo after care

Questions & Answers


What is Manual Lymphatic Drainage?

When you’ve had an invasive medical surgery such as (but not limited to) liposuction, no matter how professional, how experienced and how highly trained your surgeon is, your body undergoes trauma. Its natural response to this is to send fluid to the area. This acts as an extremely effective cushion to protect your damaged tissue. But it also is the fluid that the body uses for all the good, helpful, providers of healing to swim to the site that needs repair.

The problem is, that whilst this is all great, your body has undergone such sudden trauma. And of impressive effect. So, whilst you need this initial influx of fluid which we know as swelling, it also can be counter-productive if left alone.

Movement and water

Our lymphatic system predominantly operates through movement. And we’re not doing much post surgery. And water, which if we’re honest, very few of us drink enough of. Ao, you may have had surgery performed by an advanced doctor who has listened to your needs and used his wonderful specialist technique to contour your body. But he will have recommended MLD massage as part of your after care for absolutely the best results.

MLD moves fluid, stops stagnation and improves the clinical results. It keeps you healthy by preventing infection, which incidentally, if left alone, will also cause additional scarring. And it also gives you the smoothest finish without lumps and hardening of the fat cells under the skin.

Yep, you got it.

Surgeons agree. The process you follow in the weeks and months after you walk out of the liposuction clinic following surgical procedures is critical to your positive outcome.


Why do you work with Dr Mike Comins at Hans Place?

We have seen horror stories over the ten years we’ve been helping our clients recover from surgery. These range from clients going in for lipo on their thighs or flanks and having the fat injected into their arms. And then in fact getting out of surgery to find the reverse had been done, down to acute infection with no after care advice provided.

Dr Mike Comins, one of the best, in 10 years!

There is none of that with the work we have seen from Dr Mike Comins at Hans Place Practice, Knightsbridge. We have worked on several patients over time and his expertise has stood out as one of the best we have seen. His work is excellent, with very limited swelling considering the level of invasion involved in the aesthetic procedures. And the service that he gives to his patients is not only welcoming but also standout in this medicine field.

We also know from what our clients tell us that his consultation is effective. He will listen to what his patients aim to achieve from their aesthetic surgery and he will use his 20+ years experience to help them select the best services for them.

Follow up care

Once you have decided to have your plastic surgery, and the day has come and gone, he won’t leave you. His follow up care is second to none, with regular meets to focus on your healing. He will continue to answer your questions.

Be in no doubt, he will recommend MLD and if you don’t have it, he will make no bones about explaining to you why your outcomes are not aligned with your expectations.

The same with wearing your compression garment. But, don’t we want this honesty from someone we have trusted with our appearance and the first impression we create with every stranger we pass? For us, this is a sign of someone who really cares about his results, his patients and his reputation.

Approachable team

His team on reception and admin are friendly, and Shazia is also efficient. This is as important as the surgery.Imagine how you’d feel if you’d paid thousands for a service and when you called up they made you feel insignificant. Or you had to wait for an age for the phone to be answered when you had a concern. These small things ease your path to a better journey. And these are the people and clinics that we want to associate our hard build name with.

manual lymphatic drainage

What happens during an MLD, does it hurt?
MLD has no pain, but is all aout the gain

The potential pain is most offputting to most clients when they book a manual lymphatic drainage massage with us. They hear massage and assume this we use deep pressure.

We don’t.

Your lymphatic system is really delicate. And it sits just under the surface of your skin. So whilst this is to improve your aesthetic finish and smooth out any stubborn areas where fat is hardening into lumps and clumps. We don’t use a hard pressure.

So if we use any kind of actual pressure, then we hinder your healing.

An effective MLD massage should be a light pumping motion. Kind of like stretching your skin with a little more work on the nodes which are the drainage points. This doesn’t hurt, nor is it even really uncomfortable. Even on clients who have been advised to come to us the day after their surgery. It is totally safe. And many’s feedback, even though this is about your health, is that it’s relaxing because it stimulates your parasympathetic nervous system. And what’s better is that once you are laid down, we don’t need to move you around.


Your lymphatic system

Your lymphatic system is the part of your body that acts like a skip for all the junk. It therefore passes around your body from top to toe. We therefore work you from head to toe, regardless of where you’ve had your surgery. Because without doing so, you’ll end up with the junk we moved on from the site of your surgery backed up in another area. So not really helpful.

So, it doesn’t matter if you’ve had work done on your abdomen (tummy), flanks, thighs etc, we’ll still work your face. And if you’ve had your knee done, we’ll still work your underarms and stomach. Sounds crazy, but this is all because the lymphatic system doesn’t have a pump in the same way your heart pumps blood, so this is the manual part of the service we are giving you.

Book online now
Dr Mike Comins Hans Place Practice Knightsbridge
Post Operative Aftercare Manual Lymphatic Drainage

Bespoke service

Don’t be in any doubt though, you can be confident this isn’t a one size fits all service. We will take action on the areas where we can see you need some extra help. These are the parts that we will focus on, and then we’ll move the fluid into the right places to drain effectively out leaving capacity for your body to repair and rebuild.

post lipo aftercare



How often do I need lymphatic drainage?

Speak to Dr Mike Comins about this as he knows how your body has reacted to the surgery better than anyone. Usually though patients start their treatment a day or so after they have had their cosmetic procedure. And we continue every few days slowing down as your swelling subsides.


It’s realistic to expect to come regularly; every 2 or 3 days at first. Then every week towards the end of your healing. This usually continues from three to six weeks. After that, depending on what you’re told in your follow up consultation, you’ll stop wearing your compression garment. A few weeks later you may need some deep tissue, or myofascial work. This frees up any scar tissue at the site of incision and breaks down any stubborn fatty areas. It’s a process, but we’re with you all the way as we understand your needs. And we’re leading the way in the field of post surgery aftercare.

Confidence in our expertise

We are not only qualified and experienced in adapting our sessions, so you get outstanding results. But we’re also expert enough to know what is normal and when you need to consult with Dr Mike Comins.


Contact us to book today.

*Text us on 07757 946023 to book an appointment at our Mayfair location just off Berkley Square.

*Or get booked in directly at our treatment rooms in Essex via our online booking system.

We have tailored packages based on the clinical recommendations of Doctor Comins and his staff. Then lie back and relax; comfortable knowing that you’re caring for your incredible self in the best possible way.

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Want an appointment today?

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

Once you book

We’ll send over everything you need including consultation form and directions to the particular treatment centre you’re booked into.

Mayfair, Central London

3 minute’s walk from Green Park tube station and approx 10 minutes stroll from Bond street Station.

Romford, Essex

We have free off street parking directly outside our treatment rooms in Essex and we’re only one minute’s drive from Gallows Corner which is the junction of the A12 and A127.

Working with Harley Street & Knightsbridge Cosmetic Surgeons

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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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