Severe damage in your knee cartilage and/or bone produces a non-functional and painful joint. When other treatments fail, Knee replacement is a good choice. This type of orthopaedic surgery replaces the entire knee joint with a prosthesis: man-made artificial joint. After surgery you might notice swelling, pain and other temporary side effects, but don´t worry! Manual Lymphatic Drainage MLD can relieve symptoms and speed up the recovery proces. Let’s see the role of MLD in knee replacement post-op…

What is Knee arthroplasty: knee replacement?

It is a type of orthopaedic surgery that replaces your rubbered knee for a new one. In other words, damaged cartilage and bone are removed from the knee joint and replaced for man-made pieces (prosthesis).

According to the specific damage, the prosthesis can be placed in:

• Lower end of the thigh bone (femur). The replacement part is usually made of metal.
• Upper end of the shin bone (Tibia:the large bone in the lower leg). The replacement part is usually made from metal and strong plastic.
• Back side of your kneecap (knee cap= patella). The piece is most of the time made from a strong plastic.

Reasons why knee arthroplasty takes place: Causes

There are many different reasons to perform this type of surgery. Your surgeon may recommend it when:

• Osteoarthritis. Gradual breakdown of the meniscus (cartilage that cushions the knee joint). Symptoms: pain and limited movement as bones begin to rub against each other.
• Rheumatoid arthritis. Autoimmune condition that can also damage the knee joint over time. Symptoms: pain, inflammation and stiffness.
• Previous or current injuries. Severe damage from trauma, like a serious fall causing fracture, car accident,  repetitive sports injuries, etc., can lead to irreversible damage that can only be fixed with a prosthesis.
• Osteonecrosis. Lack or reduced blood supply to the femur, causing the bone death and break, which results in a painful joint. 
• Meniscus tears. A torn meniscus, the C-shaped cartilage that cushions the knee, can lead to pain, inflammation, and limited mobility.
• Ligament injuries that don’t respond to other treatments.
• Deformity due to other conditions like arthritis or genetic factors.
• Overuse that causes severe damage
• No improvement after trying other treatments.

How MLD can help in knee replacement post-op

Lymphatic drainage massage MLD is a gentle manual therapy that boosts the lymphatic system’s ability to clear excess fluid and debris from the surgical site. Your certified and experienced therapist uses rhythmic, light strokes to encourage lymph vessels to contract and move fluid toward lymph nodes (to be expelled through urine), reducing fluid buildup that causes swelling.

Some benefits are:

• Reduced post-op swelling.
• Improved blood and lymph circulation.
• Enhances oxygen and nutrient delivery to healing tissues.
• Boosts your immune function.
• Reduces pain.
• Improves mobility.
• Increases the removal of toxins and waste.
• Speeds elimination of injected fluids during the procedure.
• Eases pressure on nerves, joint and ligaments.
• Reduces stress and anxiety.
• Improves general wellbeing.
• Reduces bruises that can appear after surgery.
• Reduces fibrosis.
• Avoid or reduce seromas.
• Faster recovery: Studies show lymphatic drainage massage can cut recovery, helping patients return to normal faster.

How MLD can help in knee replacement post-op: A final word

Manual lymphatic drainage (MLD) after knee replacement helps by gently stimulating lymph flow to reduce post-operative swelling and inflammation. Also,it promotes faster removal of excess fluid and waste products from tissues around the knee. Reducing pain and stiffness and  improving joint mobility and comfort. In addition, MLD supports better wound healing by enhancing local circulation.Overall, it aids recovery, helping patients regain movement and function quickly.

We hope this information is useful. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like it, please share!

References:

https://medlineplus.gov/ency/article/002974.htm

https://www.nhs.uk/conditions/rheumatoid-arthritis/

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Braquioplasty or Arm lift is a surgical procedure aimed to improve the appearance of the upper arms by removing excess fat and skin, creating a more functional, toned and defined arm contour. Arm lift and MLD are a powerful duo to help people not only with aesthetic issues but also patients with conditions like lymphoedema, lipoedema or arm trauma who after being treated want to improve the appearance of their arm/arms. Let´s have a closer look…

What is arm lift: Brachioplasty?

An arm lift, brachioplasty, is a surgical procedure that reshapes and contours arms by removing excess fat and sagging skin. It targets the area from above the elbow to the underarm (armpit). 

Most common causes for arm lift surgery

Most common causes patients undergo a braquioplaty are:

• Significant weight loss causing saggy skin that no longer retracts.
• Severe cases of lipoedema and lymphoedema, they also need liposuction for best results (function and apereance).
• Skin loss of elasticity and firmness naturally over time.
• Genetic predispositions affecting skin tone and structure.
• Reduced muscle tone in the upper arms, leading to a flabby appearance.
• Sun damage, which degrades collagen and elastin fibers in the skin.

A liposuction plus this procedure can highly benefit patients with lymphoedema and lipoedema (severe stages) where other treatments couldn’t control progression and mobility was almost lost due to inflammation. 

Note: While exercise can help improve muscle tone, it often cannot correct excess loose skin, so sometimes surgery is the best option for restoring the apearance of your arms.

How long does recovery time last?

Recovery from arm lift surgery usually takes several weeks, each case is different. Most patients can resume light activities within one to two weeks and generally return to daily routines, including lifting, after about six weeks. Swelling and bruising are common in the early days post-surgery but gradually improve. Compression garments and Manual Lymphatic Drainage (MLD) are needed to assist in shaping, reducing swelling and fluid retention while speeding up recovery.

What to expect during the recovery time after braquioplasty

Here, what patients usually notice during the first weeks of recovery, but remember each case and needs are different, so recovery period may vary according to the person and post-op treatment.

• First 1-3 days: Moderate soreness, bruising, and swelling are common; pain can be managed with medication (prescribed by your surgeon). Movement of the arms will be limited, and heavy lifting is prohibited.
• One week to 10 days: Discomfort significantly decreases, and most bruising and swelling begin to resolve (improves faster with MLD). Many patients can return to light work and daily activities during this period.
• 3-6 weeks: Patients usually start daily activities, with full healing and scar maturation continuing over months (recovery should always be followed by your surgeon and post-op therapist).

How Manual Lymphatic Drainage (MLD) Helps Arm Lift Post-Op

Lymphatic drainage massage is a gentle manual therapy that boosts the lymphatic system’s ability to clear excess fluid and debris from the surgical site. Your certified and experienced therapist uses rhythmic, light strokes to encourage lymph vessels to contract and move fluid toward lymph nodes (to be expelled through urine), reducing fluid buildup that causes swelling.

Some benefits are:

• Reduced post-op swelling.
• Improved blood and lymph circulation.
• Enhances oxygen and nutrient delivery to healing tissues.
• Boosts your immune function.
• Reduces pain.
• Improves mobility.
• Increases the removal of toxins and waste.
• Speeds elimination of injected fluids during the procedure.
• Eases pressure on nerves.
• Reduces stress and anxiety.
• Improves general wellbeing.
• Reduces bruises that can appear after a liposuction procedure or other surgical procedures.
• Prevents seroma.
• Reduces fibrosis.
• Helps with shape definition.
• Faster recovery: Studies show lymphatic drainage massage can cut recovery time by 50-70%, helping patients return to normal faster.

A final word

Arm lifting (braquioplasty) is a surgery aims to give arms back  the lost appearance (reduce shaggy skin, improve appearance of muscle tone, reduce fat deposits). Manual lymphatic drainage (MLD) after arm lifting helps to reduce swelling, boost your immune function, speed up recovery and more. For that reason, incorporating lymphatic drainage massage as part of post-operative care is highly recommended for optimal healing and results after an arm lift. Remember your post-op treatment should be performed by a certified therapist who treats you better and tailors your post-op treatment according to your needs. 

We hope this information is useful. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like it, please share! 

References:

https://baaps.org.uk/

https://www.theaestheticsociety.org/

https://pereaclinic.com/benefits-of-manual-lymphatic-drainage-mld

https://pereaclinic.com/surgery-benefits-of-manual-lymphatic-drainage/

The post Arm lift (brachioplasty) post-op and the role of MLD in recovery appeared first on Perea Clinic.

After a C-section, inflammation is part of the natural response for short-term healing and scaring. You may also feel pain and stiffness, however, early hands-on treatment can help you reduce symptoms and heal faster, so you can enjoy more quality time with your newborn. Manual Lymphatic Drainage (MLD) after a C-section benefits recovery by stimulating the lymphatic and circulatory system to enhance lymph flow, boost your immune function, while reducing other symptoms and speeding up the healing process. Let´s have a closer look…

What is a C- section?

A C-section (cesarean section) is a major abdominal surgery where different abdominal layers from skin to uterus are cut in order to deliver a baby. This procedure, often necessary for safe childbirth, but also can be chosen and programmed by mothers; as any other surgery, it needs recovery time to ease pain, swelling, stiffness, scarring, etc., but don¨t worry! there is specialised care (MLD) to support healing.

What is Manual Lymphatic Drainage?

Its a gentle, rythmic and soft massage technique that moves retained fluid by gently pumping it back into the lymph vessels and nodes, reducing the swelling, fluid retention, pain, etc. Without Lymph Massage (MLD)  inflammation can evolve into fibrosis (a permanent hardening of the tissue) or a seroma (pocket of serum). For these and many more reasons, many  obstetric surgeons prescribe MLD as part of your post-op treatment.

Manual Lymphatic Drainage after C-section: How it Benefits Recovery?

Manual Lymphatic Drainage (MLD) after Cesarean section benefits recovery by:

• Stimulate the lymphatic system to enhance lymph flow.
• Reduce post-surgical swelling and fluid retention by moving excess fluid away from the surgical site.
• Decreases discomfort.
• Reduces pain.
• Boost your immune function.
• promotes faster healing.
• Helps improve scar appearance.
• Promotes scar tissue mobility by prevents the formation of adhesions that restrict movement.
• Helps to avoid fibrosis and seromas.
• Improves mood.
• Reduces stress and anxiety.
• Encourages removal of waste, toxins, and excess fluid from tissues.
• Enhance tissue repair.
• Tones the intestine, which helps fight constipation.
• Lowers blood pressure.

Scientific evidence supports these benefits, research showed It supports immune function by helping the lymphatic system clear debris and promotes a faster, more comfortable recovery process. Clinical observations have noted improved scar softness and reduced sensitivity with MLD, along with decreased risk of complications such as seroma formation or excessive scar thickening. Early initiation of MLD, starting a few days to weeks after surgery under healthcare provider guidance, is considered safe and effective in cesarean recovery.

We hope this information is useful. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like it, please share! 

References:

https://openpublichealthjournal.com/VOLUME/16/ELOCATOR/e187494452309192/FULLTEXT/

https://www.sciencedirect.com/science/article/abs/pii/S1744388121001687

The post Manual Lymphatic Drainage (MLD) after C-section: Boosting healing appeared first on Perea Clinic.

Orthognathic surgery (Jaw surgery) is a specialised surgical procedure to correct irregularities and misalignments of the upper jaw (maxilla), lower jaw (mandible) or chin to improve facial function and/or aesthetics. Lymph-buccal massage is a type of Manual lymphatic drainage (MLD), a gentle massage technique that stimulates the lymphatic system. It helps recovery from orthognathic surgery by reducing postoperative swelling, pain, and discomfort, thus boosting your immune system and promoting healing. Let´s have a closer look…

What is Orthognathic Surgery?

Orthognathic surgery (jaw surgery) is a surgery performe in your jaw or nearest areas. Its main objective is to improve your jaw function or aesthetic (or both if needed). In other words, surgeons perform orthognathic surgery when orthodontic treatment alone cannot resolve jaw misalignments, when there are several functional issues, aesthetics, etc,. Jaw surgery might need repositioning the upper jaw, lower jaw (bilateral sagittal split osteotomy), or chin (genioplasty) to correct skeletal jaw abnormalities.

The surgery addresses functional issues such as difficulty chewing, speaking, breathing, and also improves facial symmetry and aesthetics. The procedure may include moving one or more parts of the jaw and is done through incisions inside the mouth with minimal external scarring.

How do I know if I need Jaw surgery?: Causes for orthognathic surgery

Most common causes are:

• Malocclusion. Misalignment of teeth due to improper bite (overbite, underbite, crossbite, open bite).
• Jaw misalignment. Discrepancies in jaw growth causing speech difficulties, chewing problems
• TMJ conditions (Temporomandibular joint disorders- there are 30 different types) jaw joint or/and the muscles dysfunction. Some symptoms are: jaw pain, soreness, headaches, difficulty opening or closing the mouth, clicking or popping sounds you chew.
• Obstructive sleep apnea. Misalignments can momentarily interrupt breathing while sleeping. So, repositioning the jaw can widen the airway, reducing breathing interruptions during rest.
• Facial trauma and congenital defects. When there are fractures or deformities, surgery is performed for better function and appearance.
• Facial asymmetry and cosmetic concerns. Balancing facial proportions to get closer to the patient’s aesthetic requirements and needs.

Benefits of Lymp-Buccal Massage (MLD) after Jaw Surgery

Our specialised Lymph-Buccal Massage is a gentle type of MLD designed to improve blood and lymph flow. It blends Buccal Massage, Lymphatic Drainage, Jaw Mobilization, and Myofascial Release; in order to reduce pain, swelling, tension in the jaw, face or neck, improve healing, etc,. It can be performed before and after orthognathic surgery.

Clinical studies have explored the benefits of MLD post-orthognathic surgery and some finding are:

• MLD can accelerate the reduction of postoperative swelling, evidenced by 3D facial scans.
• Patients receiving MLD report less pain and improved comfort during the first month after surgery.
• While some studies show no statistically significant differences, MLD is considered safe and helpful in enhancing recovery comfort, reducing facial edema, reducing stress and anxiety before and after surgery, and improving general well-being.
• MLD may also help to speed up postoperative facial swelling and improve patient quality of life during recovery.​

Other benefits of Lymph-buccal massage (MLD)

• Jaw & Tension Relief: Specifically designed for those with jaw tension, TMD (Temporomandibular Disorder), or who are prone to stress-related tension. This treatment alleviates pain and discomfort while improving overall relaxation.
• Aesthetic Enhancement: Sculpted cheeks, a defined jawline, and a lifted, rejuvenated facial appearance.
• Detox & Circulation Boost: Improves lymphatic and blood circulation, reducing puffiness, and promoting a healthier, more vibrant complexion.
• Relaxation & Mood Enhancement: Promotes deep relaxation, reduces stress, and enhances mood through targeted muscle relaxation and facial toning.
• Also, ideal for those with sinus issues (reduces swelling and helps to open airways).

Lymph- Buccal Massage (MLD) after Jaw Surgery: A final word…

Orthognathic surgery is a pivotal procedure for correcting jaw deformities that affect function and appearance. Complementary therapies like Manual Lymphatic Drainage can support and speed up recovery by managing swelling, pain and discomfort; in addition, it relieves stress and axiety before and after surgery. In other words, Lymph-Buccal Massage makes smoother your healing experience. If you have any questions, contact us, we are glad to help!

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always glad to help. If you like this blog, please share!

References:

https://pubmed.ncbi.nlm.nih.gov/32680812/

https://clinicaltrials.gov/study/NCT01983436

https://www.nationwidechildrens.org/specialties/center-for-complex-craniofacial-disorders/treatments-and-procedures/orthognathic-surgery

Lymph-Buccal Massage

The post Lymph-Buccal Massage (MLD) after Orthognathic Surgery: How it promotes healing appeared first on Perea Clinic.

Developing lymphoedema after orthopaedic surgery is not a common side effect, but, in some cases, it does occur and can have a significant emotional impact on recovery and general wellbeing. Patients report that the emotional impact of developing lymphoedema after orthopaedic surgery (or any type of surgery) is profound. Most of them start dealing with mental health challenges such as anxiety, depression, body image issues, social isolation, and feelings of frustration or helplessness, while recovering from the previous surgery and  looking for answers and treatments for  this new-secondary condition. However, with the right and early diagnosis, treatments and support, patients can maintain a positive outlook and improve their quality of life, continue recovering from surgery while managing lymphoedema physical and emotional symptoms. Let´s have a closer look…

Is lymphoedema common after orthopaedic surgery?

 It’s not as common as swelling from normal post-surgical inflammation (which almost all patients experience). However, persistent secondary lymphoedema can develop if lymphatic vessels or nodes are damaged, blocked, or overwhelmed during surgery or due to scar tissue formation.

What are risk factors for developing lymphoedema after orthopaedic surgery?

Most common causes are:

• Joint replacement (hip, knee, shoulder because they might affect/remove part of the nearest lymphatic system-vessels or nodes- overwhelming limb’s lymphatic system).
• Trauma surgery with extensive soft tissue involvement.
• Previous history of venous disease, obesity, or pre-existing lymphatic insufficiency.
• Infection, fibrosis, or immobility after surgery

Studies suggest that chronic lymphoedema occurs in a minority of patients (estimates vary from 5–20% depending on type of surgery and comorbidities (previous/coexistent conditions).

How do I know swelling turned into lymphoedema?

• Normal swelling: Post-operative oedema usually improves within 2–3 weeks.
• Subacute swelling: In some cases, swelling can persist for 2–3 months, especially after joint replacement.
• Secondary lymphoedema: If lymphatic pathways are damaged, swelling may become chronic and progressive without proper management. For that reason early diagnosis and treatment plan are pivotal for the condition prognosis.

If swelling after surgery lasts more than expected, you feel pain, tenderness or any other symptoms,  ask your surgeon, GP or a lymphoedema therapist. Early diagnosis and treatment (manual lymphatic drainage, compression therapy, exercise, skin care) greatly improve prognosis and may prevent permanent changes.

Emotional impact of developing lymphoedema after orthopaedic surgery

Lymphoedema after orthopaedic surgery doesn’t only affect only the body, but also the emotional well-being of patients, they feel:

• Frustration and disappointment because expected recovery is delayed by persistent swelling and now they have to worry about a new condition.
  
• Anxiety about whether the surgery was successful and what will happen with their affected limb.
  
• Loss of independence. If swelling impairs mobility, daily tasks, or return to work makes them dependent on other people to do these tasks.
  
• Body image concerns due to visible swelling, asymmetry, skin changes and lack of empathy- comments from other people about their appearance or condition.
  
• Depression can develop in cases where pain, reduced function, self-image, social rejection or lack of support produce high Emotional and Mental Health Challenges of patients. 
• Misdiagnosis and lack of awareness among healthcare providers can delay proper care and heighten stress on patients.
• Social stigma and misunderstanding of lymphoedema exacerbate feelings of isolation and emotional pain.

Emotional impact of developing lymphoedema after orthopaedic: what you can do to improve your general wellbeing

1.Seek support groups and create your network. Connecting with peers and sharing experiences (might be similar) can reduce feelings of isolation. There are support groups, both virtual and in-person, that offer safe environments to share challenges and coping strategies. Such communities boost emotional and general well-being and provide practical advice.

2.Professional advice. Visit your psychologist or psychiatrist, professional. Therapies like: cognitive-behavioral therapy (CBT), Acceptance and Commitment Therapy (ACT), and mindfulness-based stress reduction (MBSR) have shown to effectively decrease anxiety and depression in lymphoedema patients. These therapies enhance psychological flexibility, emotional comfort, and adherence to self-care practices like compression therapy and exercise.

3.Exercise. Gentle exercises (link) tailored for lymphoedema management improves lymphatic flow and also supports mental health by reducing stress and enhancing mood (you release endorphins). You can start with walks in nature, swimming or lymphoedema focused exercises recommended by your lymphoedema therapist (if you don’t have one yet, choose the specialist who treats you better).

4.Relaxation techniques. Practice meditation, yoga, or mindfulness techniques such as: art therapy, music therapy, etc., can alleviate emotional discomfort, foster self-expression, and improve self-esteem. They provide enjoyable distractions and promote relaxation, which are crucial in coping with chronic conditions.

5.Positive affirmations. Building a positive self-image through mindful practices and reframing perceptions of your body and condition can mitigate social anxiety and enhance confidence. 

6.Spending time with those who care about you. Empathy and understanding from family, friends, and healthcare providers play an important role in nurturing your own acceptance. Don´t waste your time with people who criticize, laugh or have no empathy about your condition.

7.Eat well to feel well. What you eat matters, nutritious food helps you manage lymphoedema while improving your mood and general wellbeing.

A final word

Developing lymphoedema after orthopaedic surgery is uncommon, but possible, especially after major joint or trauma procedures. Early diagnosis is pivotal for proper treatment and emotional support. If you are dealing with the emotional impact of  lymphoedema diagnosis, don´t be afraid to seek help, we can help you. We know the emotional impact of lymphoedema might come with many physical and psychological challenges, but we are here for you.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pereaclinic.com/emotional-impact-of-lymphedema-coping-with-psychological-effects/

https://www.nature.com/articles/s41598-024-63145-1

https://pmc.ncbi.nlm.nih.gov/articles/PMC4153404/

https://www.lymphapress.com/blog/maintaining-body-positivity-while-living-with-lymphedema/

The post The Emotional Impact of Developing Lymphoedema After Orthopaedic Surgery appeared first on Perea Clinic.

Orthopaedic surgery can place significant stress, damage or even remove part of your lymphatic system. Your immune system plays a vital role in maintaining fluid balance and immune defense. However, after orthopaedic or any type of surgery, especially procedures involving lymph node removal or disruption, the lymphatic network may become compromised, leading to fluid accumulation and persistent swelling known as lymphoedema. Among other strategies, proper nutrition is a crucial to reduce lymphoedema risk, yet often overlooked; it is also a key element of post-surgical care that supports lymphatic health, improves and speeds up healing, and reduces the risk of developing other secondary conditions. Let’s see how…

Inflammation is a natural response to surgery, it means you are in a recovery process, but excessive or prolonged inflammation can worsen lymphatic congestion, edema and turn into lymphoedema (also caused by damage in your lymphatic system). After surgery, your  lymphatic system can be more vulnerable to fluid retention leading to lymphoedema. Eating properly to reduce systemic inflammation and oxidative stress is key to avoiding chronic inflammation. Polyphenols, natural antioxidants found in colorful fruits and vegetables, specifically target inflammation and support healthy lymphatic vessel function. Weight management through a balanced, calorie-controlled diet also improves lymphoedema symptoms and reduces limb swelling by lowering pressure on lymphatic ducts. Next a list of some foods you can introduce to your daily diet:

Post-orthopaedic surgery Nutrition:What to Eat to Reduce Lymphoedema Risk

1. Eat Foods to Promote Circulation and Reduce Inflammation

Focus on whole, unprocessed foods that contain anti-inflammatory nutrients, antioxidants, and healthy fats, for example:

• Leafy greens

 Detoxify the body, are full of antioxidants and provide magnesium for circulation and muscle relaxation, allowing lymphatic and vascular flow. Some that you can include are:

      Common Leafy Greens

Spinach, kale, lettuce (romaine, butterhead, iceberg, leaf, etc.), Dandelion,  Swiss chard, collard greens, mustard greens, arugula (rocket), cabbage (green, red, savoy, napa), etc.

 Herbs often used as greens (have same properties)

Parsley, cilantro (coriander leaves), basil, dill, mint.

• Berries

They contain antioxidants and flavonoids that reduce oxidative stress and inflammation that can block lymph flow. Some of them are: raspberry, blueberry, blackberry, cranberry, gooseberry, etc.

• Citrus fruits

Such as oranges, lemons, and grapefruits are rich in vitamin C, which supports immune and lymph vessel function.

• Healthy fats

 Most known and easy to find in stores are: avocados, nuts, seeds, and fatty fish (such as salmon). All of them provide omega-3 fatty acids that decrease chronic inflammation and promote vascular health. Disclaimer: Consume with moderation, healthy, doesn´t mean: eat all you can.

• Lean proteins

Lean proteins like fish, poultry (chicken, turkey, quail, etc.), lean meats (beef, pork) and legumes support tissue repair (especially after surgery), immune cell production, and promote lymphatic health.

• Anti-inflammatory spices

Reduce cellular inflammation and support circulation. Most used in kitchen are:

Turmeric (curcumin is the active compound, activate it with black pepper,  ginger, cinnamon, cloves, cardamom, star anise, chili peppers (capsaicin), cayenne pepper, paprika, garlic, black pepper ( remember piperine enhances curcumin absorption), fennel seeds, mustard seeds, coriander seeds, cumin, etc.

• High in water vegetables and fruits

Help detoxification and fluid balance due to their high water and low fructose and sodium content, like: cucumber, celery and watermelon.

2.Hydrate to flow well

Lymph fluid is primarily water, so maintaining adequate hydration is crucial to keep the lymphatic system moving and prevent fluid stagnation. Aim for 8–10 glasses of water daily, adjusting for activity level and climate.

3.Limit sodium and processed foods to avoid fluid retention

High sodium intake causes water retention, increasing swelling and lymphatic overburden. Avoid processed and fast foods because they tend to be high in salt and additives that exacerbate inflammation and fluid retention.

4.Probiotics and fiber for digestive and immune health

Probiotics (found in yogurt, kefir, fermented food, etc.) and prebiotics: Fiber-rich foods such as whole grains, fruits, and vegetables aid digestion and promote a healthy gut microbiome. The gut microbiota reduce systemic inflammation and regulate mental and immune function while, indirectly, benefiting the lymphatic system’s function.

In short

Post-surgical lymphatic nutrition is a cornerstone of lymphoedema prevention and recovery after orthopaedic surgery. A diet focused on reducing inflammation, supporting immune function, maintaining hydration, and providing necessary nutrients optimises lymphatic healing and reduces swelling risk. Combined with MLD, physical therapy, compression (if needed), and medical follow-up, proper nutrition gives you the power to support your lymphatic and general wellbeing after orthopaedic or any type of surgery.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pereaclinic.com/nutrition-and-lymphedema-foods-that-support-a-healthy-lymphatic-system/

https://pubmed.ncbi.nlm.nih.gov/36252267/

https://www.pagepressjournals.org/index.php/vl/article/view/8220

The post Post-orthopaedical Surgery Nutrition: what to eat to reduce lymphoedema risk appeared first on Perea Clinic.

Reconstructive breast surgery is performed after a mastectomy or lumpectomy (designed to remove breast cancer) to restore the shape and look of the breast. Manual lymphatic drainage (MLD), this unique, full of benefits gentle massage technique, can significantly help recovery after such surgeries by reducing swelling, improving healing and general wellbeing. Let’s see how…

What is mastectomy?

Mastectomy is a surgery to treat breast cancer or lower the risk in people who are more prone to have the disease. It can remove the entire breast or part of it (include lymph nodes if needed). It will depend on the type of diagnosis, your breast size and shape, and your preferences (taking into account risks and what you agree with your surgeon and oncologist).

What is a lumpectomy?

On the other hand, lumpectomy removes the tumor (cancer cells) and the surrounding tissues including lymph nodes if needed.

What is reconstructive breast surgery?

Reconstructive breast surgery is a procedure to rebuild your breast after breast cancer treatment. In some cases, it can be done right at the time of mastectomy/lumpectomy or later. 

How is it performed and types?

Some of the main common ways to rebuild your breast are:

• Implants. First, temporary tissue expanders are placed to stretch skin, then,  silicone or saline implants are placed and your nipples and areola reconstructed or replaced.
• Autologous tissue flaps. Using tissue from a donor site of your body (abdomen, back, thigh, or buttocks) surgeons create a natural breast shape.
• Oncoplastic. It unifies cancer removal with aesthetic surgery techniques during lumpectomy to maintain breast appearance and symmetry.

To keep in mind: The type of reconstructive surgery depends on cancer treatment, body type, and preferences. It may also include surgery on the other breast for symmetry.

How Manual Lymphatic Drainage (MLD) helps after reconstructive breast surgery?

Manual Lymphatic Massage (MLD) is a specialised,  gentle, rhythmic massage technique. It helps to stimulate the movement and drainage of stocked fluid by gently pumping it back into the available lymph vessels, reducing swelling, fluid retention and pain after the surgery. Without Manual Lymphatic Drainage (MLD) the inflammation can evolve into fibrosis (a permanent hardening of the tissue) or a seroma (pocket of serum). For these and many more reasons, many  surgeons prescribe MLD as part of your post-op treatment.

Some of the main benefits of MLD after reconstructive breast surgery are:

• Reduced swelling and bruising
• Helps to speed up healing processes
• Clears waste products and fluid
• Supports tissue repair
• Eases pressure caused by swelling, so reduces pain
• Lowers discomfort levels
• Improves mobility
• Boosts blood circulation
• Prevents complication (side effects like fibrosis or seromas)
• Lowers risk of infection and formation of hard lumps
• Improves skin elasticity and appearance around scars
• Boost your immune function
• Helps to reduce stress and anxiety
• Stimulates kidney function
• It has a calming effect on the autonomic nervous system
• Lowers blood pressure

MLD sessions typically begin a few days to weeks after surgery (unless contraindicated) with a certified trained therapist, who treats you better, and are done under medical supervision.

A final word

In short, reconstructive breast surgery restores breast form after cancer surgery. It gives patients back the appearance of their breast or the most similar possible. In addition, Manual Lymphatic Drainage (MLD) is pivotal to reduce post-surgical swelling, enhance healing, boost your circulation and immune function, and improve comfort during recovery. Together, they help improve both physical outcomes and overall well-being for patients post-mastectomy or lumpectomy.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://www.cancerresearchuk.org/about-cancer/breast-cancer/treatment/surgery/lumpectomy-or-mastectomy

https://www.breastcancer.org/treatment/surgery/mastectomy?gad_source=1&gad_campaignid=443221812&gbraid=0AAAAAD_jk-7oOECN_cjdpeb2TNJHsF0Cs&gclid=Cj0KCQjw8eTFBhCXARIsAIkiuOx8xnALn-BUJMVNnDa-x4JQgLKYVeUyNrgim4pyth-mYu8PqxWaLn8aAmeEEALw_wcB

https://www.cancer.gov/publications/dictionaries/cancer-terms/def/lumpectomy

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In this blog, we explore the benefits of Manual Lymphatic Drainage MLD after orthopaedic surgery. Let´s have a closer look…

What is orthopaedic surgery?

It’s a specialised surgery that focuses on treating and repairing musculoskeletal conditions that involve bones, joints, ligaments, tendons, muscles, and in some cases peripheral nerves, for example:

• Joint replacements (hip, knee, shoulder)
• Arthroscopy (minimally invasive joint repair)
• Fracture fixation 
• Corrective surgeries (for deformities)

What are the most common causes of orthopaedic surgeries?

Orthopaedic surgery is usually indicated when conservative treatments (medications, physiotherapy, injections) fail or due to severe trauma that need surgery. Some common causes are:

1. Trauma/accidents/fails
   Fractures, dislocations, ligament/tendon tears.
2. Degenerative Diseases
   Osteoarthritis, rheumatoid arthritis, degenerative disc disease.
3. Genetic conditions or overtime developed deformities
   Hip dysplasia, scoliosis, limb deformities.
4. Sports Injuries
   Meniscus tears, ligament ruptures, rotator cuff injuries.
5. Overuse
   Tendinitis, bursitis, repetitive strain injuries.
6. Bone and Joint Infections or tumors
   Osteomyelitis, benign or malignant bone tumors.

What causes post-orthopaedic lymphoedema?

Lymphoedema after orthopaedic surgery is produced by damage in the lymphatic system (nodes, vessels) nearest to the treated area, causing obstruction (fluid has no way to drain out) as a result there is painful build up of fluid.

What is Lymphatic drainage massage

Lymphatic drainage massage is a gentle, specialised massage technique designed to stimulate the proper function of your lymphatic system (lymph circulation, drainage and expel), promoting the removal of excess fluids and waste from the body. It has gained recognition for its potential benefits in managing post-orthopaedic lymphoedema which is swelling caused by lymphatic fluid buildup after surgery.

What are the benefits of MLD after orthopaedic surgery and related lymphoedema?

MLD is a extremely light treatment although it may feels uncomfortable during the first week or not (according to the type surgery) after the procedure as the area might be very sensitive to touch. It is based on scientific knowledge of the anatomy and physiology of the Lymphatic System. MLD is prescribed as a post-op treatment all over the world because it helps to:

• Treat lymphoedema.
• Reduce swelling, bruising and water retention.
• Avoid or treat seromas and fibrosis (hard lumps).
• Reduce stress and anxiety after surgery.
• Speed up the recovery process.
• Reduce pain.
• Stimulates kidney functions (improving waste flush).
• It’s useful for the treatment of blood circulation problems (venous insufficiency after surgery).
• Reduce or treat  lymphatic problems.
• Stimulates the immune system, increasing the body’s own defenses.
• Helps to protect your body against bacteria and viruses as it works in conjunction with the immune system.
• It has a calming effect on the autonomic nervous system.
• Its direct effect on the parasympathetic system generates a relaxing effect.
• Tones the intestine, which helps fight constipation.
• Regulates the body’s water balance.
• Lowers blood pressure.
• And the list continues, know more benefits click here (link benefits of MLD after surgery)

Findings 

Scientific studies show that Manual Lymphatic Drainage (MLD) may help reduce the incidence and severity of lymphoedema in different types of surgeries like orthopaedic surgeries, but studies have focused on those related to cancer where lymphoedema is more common. However, what can be seen in all lymphoedema patients is that the effectiveness can vary depending on the severity of lymphoedema and whether it is combined with other treatments like complex decongestive therapy (if prescribed). Many patients in and out of the records report significant limb volume reduction, symptom relief and better quality of life. On the other hand, it is clear that to see these and more benefits it is necessary to individualise each treatment plan and further research.

Who performs lymphatic drainage for lymphoedema?

To maximise the benefits and safety of manual lymphatic drainage massage, it is important to work with a certified  lymphoedema therapist who has specialised in the different manual lymphatic drainage techniques. A professional therapist understands you as patient and person, the anatomy and physiology of the lymphatic system; she/he can tailor the treatment to your needs and treats you better. Many licensed therapists are affiliated with recognised organizations, and it is advisable to check credentials and seek referrals or reviews before booking sessions.

Benefits of MLD after orthopaedic surgery and related lymphoedema: A final word

• Lymphoedema after orthopaedic surgery is a common side effect when the lymphatic system is affected by trauma during the procedure.
• MLD has many benefits before and after orthopaedic surgery (and others), and it also is useful to treat and alleviate other conditions.
• For best results book with a certified lymphoedema therapist who treats you better.
• There is scientific evidence of the pivotal role of MLD in treating lymphoedema, but further research in different fields and types of surgeries is needed.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References:

https://pubmed.ncbi.nlm.nih.gov/32803533/

https://pubmed.ncbi.nlm.nih.gov/38300246/

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Nowadays, liposuction is one of the most popular cosmetic procedures. It aims to remove stubborn fat deposits and sculpt the body. While it can create dramatic improvements in contour, many patients notice unwanted skin changes after the liposuction. Understanding why these changes occur can help set realistic expectations and guide post-surgery care.

How does Liposuction affect the skin?

Liposuction removes adipose tissue (fat) from beneath the skin using a cannula, creating a new, slimmer contour. However, the skin that once stretched to accommodate the fat does not always shrink back perfectly to fit the new shape. This can result in several types of skin changes, including:

• looseness
• sagging
• rippling
• surface irregularities

Why my skin has changed after liposuction?: Key Reasons for Unwanted Skin Changes After Liposuction

• Loss of skin elasticity

Skin elasticity is the ability of your skin to stretch and then return to its original shape. It is crucial for optimal results. Patients with good skin elasticity are more likely to see their skin tighten smoothly over the new contours. However, if the skin is less elastic due to age, genetics, or previous weight fluctuations, it may not retract fully, leading to loose or sagging skin.

• The amount of removed fat is important

Removing large volumes of fat can leave a significant gap under the skin. If the skin cannot contract to fill this space, it may appear wrinkled or folded. Overly aggressive fat removal also increases the risk of surface irregularities and injury to underlying tissues.

• Age and Collagen Loss

As we age, our skin naturally loses collagen and elastin, making it less firm and more prone to sagging after fat removal. Older patients are generally at higher risk for post-liposuction skin changes than younger individuals.

• Genetics and Skin Quality

Some people are genetically predisposed to have thinner or less resilient skin, making them more susceptible to irregularities, dimpling, or rippling after liposuction.

• Surgical Technique and Healing

The used technique during liposuction matters. Uneven fat removal or damage to underlying tissues can create lumps, ripples, or depressions in the skin. Additionally, as the body heals, temporary swelling, fluid accumulation, and residual fat deposits can cause lumps and unevenness, most of which resolve over time.

Common Post-Liposuction unwanted Skin Changes

• Loose or Saggy Skin: especially in areas where a lot of fat was removed or the skin was already stretched.
• Rippling or Dimpling: Wavy or uneven skin surface, often due to poor elasticity or uneven fat removal.
• Lumps and Bumps: Temporary swelling, hematomas (blood collections), or residual fat can create lumps under the skin, which usually improve as healing progresses and  good after-care treatment.
• Folds and Wrinkles: Skin may fold or wrinkle if it cannot retract to the new contour, particularly in patients with significant weight loss history or poor skin quality.
• Necrosis: Skin necrosis is the death of skin tissue resulting from a lack of blood flow and oxygen to the treated area. This disruption in circulation can be caused by trauma, injury, infection, exposure to toxins or chemicals, or as a complication of the liposuction.

How can I prevent or treat unwanted skin changes?

Prevention

• Choose a skilled, experienced surgeon who uses precise techniques (check her/his profile and previous procedures to be sure is a certified and experienced surgeon).
• Start your post-op treatment as soon as possible (MLD  and post-op care). Do it with a certified therapist. 
• Maintain a healthy lifestyle, including a balanced diet and regular exercise, to support skin health.
• Follow all post-operative instructions, including wearing compression garments and attending follow-up appointments.
• Consider combining liposuction with skin-tightening procedures (like a tummy tuck) if you have significant excess skin.
• Wear the compression garment and the foam to have more skin uniformity and better outcomes.
• Keep clean and dry your skin and clothes.

Treatment

• Most minor lumps, swelling, and unevenness resolve with time and proper post-op care (MLD, compression garments, massage, etc.).
• For persistent loose skin, non-surgical skin tightening treatments or additional surgical procedures may be recommended.
• (In case of necrosis) any changes in skin color, pain or fever ask your surgeon to check your symptoms and treat them as soon as possible.

A final word

Skin changes after liposuction are common and depend on several factors, including skin elasticity, age, genetics, the amount of fat removed, and surgical technique. While some changes are temporary and improve with healing, others may require additional treatments. Understanding these factors and working closely with your surgeon and your post-op therapist can help you achieve the best possible outcome and minimise unwanted skin changes after liposuction.

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find usin Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

References: 

https://pmc.ncbi.nlm.nih.gov/articles/PMC3901919/

https://pmc.ncbi.nlm.nih.gov/articles/PMC10344639/

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What Is Brazilian Lymphatic Drainage?

Brazilian lymphatic drainage is a specialised massage technique that stimulates the lymphatic system, helping the body eliminate toxins, reduce fluid retention, and improve circulation. Unlike traditional lymphatic massage, the Brazilian method is known for its firm, rhythmic strokes and sculpting effects, which not only detoxify but also contour the body.

While many people seek out Brazilian lymphatic drainage for its slimming effects, its benefits go far beyond aesthetics. This treatment supports immune function, enhances post-surgical recovery, and promotes overall wellness.

Top Benefits of Brazilian Lymphatic Drainage

1. Reduces Water Retention and Bloating

One of the most immediate benefits of Brazilian lymphatic drainage is the reduction of water retention. The massage technique encourages excess fluid to move through the lymphatic system, helping to eliminate puffiness and bloating. Many clients notice a more sculpted and toned appearance after just one session.

2. Boosts Circulation and Detoxification

The lymphatic system plays a crucial role in removing toxins from the body. However, unlike the circulatory system, it does not have a pump to keep fluids moving. Brazilian lymphatic drainage stimulates lymph flow, helping the body detox naturally. This process enhances blood circulation, delivering more oxygen and nutrients to the skin and muscles.

3. Speeds Up Post-Surgical Healing

For those recovering from cosmetic procedures like liposuction, Brazilian Butt Lift (BBL), or tummy tucks, Brazilian lymphatic drainage can be a game-changer. It helps reduce swelling, prevents fluid buildup, and minimizes fibrosis (the hardening of tissues). Many plastic surgeons recommend this massage to accelerate healing and enhance surgical results.

4. Strengthens the Immune System

Since the lymphatic system is responsible for filtering out harmful substances, keeping it active is essential for a strong immune response. Regular lymphatic drainage sessions help the body fight off infections and reduce inflammation, making it an excellent preventive health measure.

5. Improves Skin Health and Reduces Cellulite

By stimulating circulation and encouraging the removal of toxins, Brazilian lymphatic drainage improves skin tone, elasticity, and overall texture. This technique also helps break down fat deposits, reducing the appearance of cellulite. Over time, clients notice smoother, firmer skin.

6. Relieves Stress and Promotes Relaxation

The rhythmic, gentle strokes used in Brazilian lymphatic drainage activate the parasympathetic nervous system, which helps lower cortisol levels and reduce stress. Many people report feeling lighter, more energized, and deeply relaxed after a session.

How Often Should You Get Brazilian Lymphatic Drainage?

The ideal frequency depends on your goals:

• Post-surgery recovery: 3-5 times per week for the first few weeks, then as needed.
• Detox and general wellness: Once a month.
• Body sculpting and cellulite reduction: Weekly or bi-weekly for best results.

Who Can Benefit from Brazilian Lymphatic Drainage?

This massage is beneficial for:

• Individuals recovering from cosmetic or medical procedures
• Those struggling with bloating or water retention
• Anyone looking to boost their immune system and detox naturally
• People seeking firmer, more youthful-looking skin
• Individuals dealing with stress or fatigue

Final Thoughts

Brazilian lymphatic drainage is more than just a slimming massage it’s a powerful wellness tool that supports the body’s natural detoxification, circulation, and healing processes. Whether you want to enhance post-surgery recovery, improve skin health, or simply feel lighter and more energized, this treatment offers a wide range of benefits.

For the best results, be sure to book your session with a certified practitioner who specializes in the Brazilian technique. Ready to experience the benefits for yourself? Schedule your appointment today!

We hope this information is useful for you. If you need advice or have any questions about our treatments, please contact us. You can find us in Mill Hill Broadway and Islington. We are always happy to help. If you like this blog, please share!

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