MLD & Deep Oscillation
after cosmetic surgery

I feel that one cannot have enough MLD.
Dr Dennis Wolf, cosmetic surgeon

Dr Wolf has noticed a tremendous improvement in the the recovery process after VASER liposuction in patients who had Manual lymphatic drainage (MLD) post-operatively. I have treated a number of his patients, and can confirm his observation.

This page is about cosmetic surgery, my experience is mainly with post-operative MLD and Deep Oscillation after VASER (Vibration Amplification of Sound Energy at Resonance) liposuction. However, this page applies to all kinds of cosmetic surgery. I think what is underestimated about cosmetic surgery is that there is a huge internal wound, effectively double the area treated (on the inside and under the skin - if you know what I mean), but only a few small incisions. On the other hand, the people who chose to have this kind of precedure are usually young(ish), fit and healthy. The benefits of MLD and Deep Oscillation pre- and post-operatively apply equally, if not more so, to all surgery, as the treatment is very gentle and comforting and so even people with poor general health are likely to benefit.

Manual lymphatic drainage after surgery will

  • increase your comfort levels
  • speed up your recovery
  • minimise swelling
  • minimise bruising
  • soften your tissue
  • decrease in the number of lumps and bumps

Manual Lymphatic Drainage (MLD) "kick-starts" your lymphatic system back into action after the procedure. During VASER surgery a lot of fluid is infiltrated into your tissues for the local anaesthetic; they become a bit overwhelmed with the work load. Once the fat has been taken out, the majority of the fluid has also been aspirated (sucked) out.  However, your tissue soon starts to swell as an attempt by your body to repair itself. Both, the compression and the MLD help with the extra fluid in your tissue thus allowing healing to take place more effectively.

How many sessions?

The number of sessions that are required is variable.  Dr Wolf feels is that one cannot have enough MLD. Obviously finances are a limiting factor, but if you spend a substantial amount of money on your surgery, you can just as well get the best result from it by having MLD.

This is a rough guide to the average number of sessions to be taken within 2-3 weeks of surgery: 

  • arms - ± 5
  • abdomen - minimum 5, ± 10
  • flanks - minimum 7
  • outer & inner thighs - ± 5
  • chin/face - 3-5
  • male chest -minimum 3, ± 5

In High & Mid Definition patients Dr Wolf recommends MLD daily for a week and then 10-15 sessions within the next 2-3 weeks.

For breast reduction the recommendation is 10 sessions of MLD over 2-3 weeks and then weekly for 3-4 months. This is because nodules are more likely to develop post-operatively.

Patients with lipoedema who would like to undergo VASER treatment are advised to have MLD before surgery as well as afterwards. They may also have multi-layer lymphoedema bandaging both pre- and post-operatively. They will have to wear copmpression garments for life - no change there - but fortunately in a smaller size.

The number of sessions is variable from patient to patient, but also depends on your level of activity.  Patients who get back into the gym and exercise usually require fewer sessions.

It has been observed that people who discontinue MLD too soon may experience nodule formation and scarring at the insertion points. This can be resolved with more MLD and a topical application of a silicone based gel cream.

I am a more mature lady who underwent Vaser lipo. to abdomen and flanks in February 2017.

I expected a certain amount of pain/discomfort from the Vaser procedure itself, and was sceptical of the 6 sessions of MLD therapy recommended by my surgeon in case it might inflict more pain or discomfort on top of my post surgical discomfort. I couldn’t have been more wrong!
My treatment with Regina began only 2 days post procedure. It was apparent that she understood exactly how I felt and what was needed. She explained clearly what I should expect from the technique and ensured I understood what was happening to my body, post procedure.

After 1 session the areas were noticeably less swollen; there was NO pain whatsoever from the massage. Noticeable improvements continued at each session and I felt so good after each that I decided to continue beyond the recommended 6 treatments.

The vibrational effect from the Deep Oscillation massage is both soothing and painless. After 6 sessions my result was pronounced to be ‘excellent’ by my surgeon at my follow-up; So excellent in fact, that he asked for Regina’s card in order to recommend her to other patients.

I researched my after care as thoroughly as I did my surgical procedure and truly believe that the former is just as important as the latter. So my advice to anyone in a similar situation – please don’t hesitate to visit Regina for post-surgical (or any massage)therapy.

I am now having massage treatment on other unrelated muscular pain and find Regina’s techniques here to be most beneficial too.

Carol, Nottingham

What is the treatment like?

The treatment is very gentle, almost like stroking. It feels soothing and very relaxing. It should not be uncomfortable - if it is then its being done incorrectly.

"Regina is a wonderful person & made me feel relaxed straight away at my first MLD session.  I came to her after having Vaser Lipo suction. MLD helped me to improve my recovery time. It also helped me to get rid of the hard pockets of fluid that can form as a result of the surgery.
The care she took of me was excellent & the whole experience was extremely relaxing.
I would highly recommend anyone to use Regina. Thank you for all your care."
Lisa, Leicestershire

I am registered with MLD (UK). MLD (UK) have produced a mini guide called: Cosmietic surgery - speeding up recovery. I work together with the surgeon, thus concerns are flagged up early and can be dealt with immediately.

Call me to arrange your post-operative treatment

To book your post-operative Manual Lymph Drainage (MLD), please call me on 0115 845 7113. You can also email me via the contact form.

If you have any questions or would like to discuss something in particular, then please feel free to get in touch.

I look forward to hearing from you,
in the mean time, all the best with your surgery.

Regina

PS: Most of the above information has been taken from Dr Wolf's blog and from guidance for therapists published in The Journal of MLD-UK.


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