The lymphatic system plays a vital role in your immune function and fluid balance. It gets rid of waste and pathogens through a network of vessels and nodes. However, when it falters issues like swelling and weakened immunity arise. In this blog, you can find its functions, common problems, and proven therapies like lymphatic drainage massage to keep it balanced and working well. Let´s have a closer look!

What Is the Lymphatic System?

The lymphatic system is a network of vessels, nodes, and organs that works alongside your blood circulation. It carries a clear fluid called lymph. Key parts include:

• lymph vessels (like thin tubes)
• lymph nodes (small filters, like those in your neck or armpits)
• and organs such as the spleen and thymus

Think of it as a one-way street: lymph starts in tissues, flows through nodes for cleaning, and returns to the blood near your heart.​

How it works?

Unlike blood circulation, which needs the heart’s pump to circulate, the lymphatic system depends on muscle contractions, breathing, gravity and movement to move/transport lymph fluid.

Lymp collects waste, proteins and fats from tissues, then filters it in lymph nodes for pathogens and debris-where immune cells destroy germs, viruces, infected cells, etc., and returns it to the bloodstream to be expelled by urine.

About 80% of lymph comes from the liver and intestines, carrying nutrients like fats into circulation.

Daily, it drains roughly 2-4 liters of fluid to prevent swelling and illnesses.​

Lymphatic System:What are its main functions?

• Fluid balance and waste removal: Prevents edema by draining 3 liters of fluid daily from tissues.
• Enhance immunity: Lymph nodes house immune cells like lymphocytes that detect and destroy bacteria, viruces and even cancer cells, and produce antibodies.
• Nutrient transportation: It delivers fats and fat-soluble vitamins absorbed in the gut via lacteals.
• Without it, tissues would swell, and infections could run wild.​

To keep in mind: Optimal function requires hydration, exercise, and nutrition. Take into acount that low physical activity reduces flow by up to 50%, so, don´t stop moving!

Swollen Lymph Nodes: Causes and What They Mean

Swollen lymph nodes (lymphadenopathy) signal immune activation, often from infection, injury, or malignancy. Nodes enlarge as they filter harmful cells, becoming tender due to inflammation. Some reasons why might be:

• Infections: Viral (colds) or bacterial (strep throat) cause localised swelling besides other symptoms like fever and pain; ear pain and neck nodes suggest otitis.
• Cancer red flags: swollen armpit nodes with breast lumps indicate possible breast cancer.
• Other causes of inflammation: Autoimmune diseases, surgery (part of the lymphatic system removal), severe trauma (damage on the system), etc.

What affects the lymphatic system? why it fails?

Lymphatic stagnation leads to toxin buildup, reduced oxygenation, and edema, impairing cell regeneration. Risk factors include:

• Sedentary lifestyle: Reduces pumping action, it is like a clogged drain.
• Chronic inflammation or poor diet: Excess starch/sugar promotes protein accumulation in tissues.
• Stress: Elevate cortisol, slowing flow.
• Other factors: Tight clothing, emotional trauma, or primary/secondary lymphoedema from surgery/radiation.
• Surgery: (e.g., cancer removal) or injury can damage vessels, causing lymphoedema (persistent swelling)
• Dehydration: reduces lymph movement.

Lymphatic System and MLD:Benefits of Lymphatic Drainage Massage

Manual lymphatic drainage (MLD) uses light, rhythmic movement/strokes to stimulate flow toward nodes, reducing congestion.  Proven benefits include:

• Reduces swelling: Clears puffy ankles/eyes.
• Aids healing: Speeds scar tissue recovery and post-op swelling.
• Boosts immunity: Increases lymphocyte trafficking by 15-30% .
• Help manage chronic conditions: Improves lymphoedema, sinusitis, autoimmune conditions acne, and cellulite via better detoxification.
• Bonus track: Relieves stress (lowers cortisol), balances fluids, and clears mastitis ducts.
• improves blood flow

To keep in mind: Combine MLD with exercise, anti-inflammatory nutrition, and hydration for best results.

Take action for your Lymphatic Health

Support your lymphatic system daily with movement, a nutrient-rich diet, and professional therapies like MLD. Consult a certified therapist who treats you better for personalised lymphoedema, lipoedema or other swelling related conditions management.

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

References:

https://www.nature.com/articles/s41423-023-01042-9

https://www.ncbi.nlm.nih.gov/books/NBK557833/

https://www.genome.gov/genetics-glossary/Lymphocyte

The post The Lymphatic System and Lymphatic Drainage Massage appeared first on Perea Clinic.

What you eat highly impacts scar tissue formation after surgery by providing essential nutrients for collagen formation and synthesis and help reduce inflammation. Key nutrients like protein, vitamins A, C, and E, along with zinc and omega-3, accelerate wound closure while minimising excessive fibrosis. On the other hand, malnutrition, such as high sugar intake and alcohol can worsen scarring through chronic inflammation.​ In this blog all you should know about nutrition for post-surgery scarring. Let´s have a closer look…

What is post-surgery scarring?

Post-surgery scarring is your body’s natural wound healing response, where fibroblasts produce collagen to close incisions. However, excessive or disorganised collagen production, leads to keloids, hypertrophic scars or even fibrosis. A targeted diet accelerates remodeling, reduces fibrosis, and enhances scar pliability, especially when paired with Manual Lymphatic Drainage (MLD).

Risk factors for scar tissue formation

Risk factors for scar tissue irregularities (keloids, hypertrophic scar tissue and fibrosis) are:

• Poor diet (processed, highly sugar, trans fats, fast food, etc.)
• Decreased lymphatic flow
• Prolonged inflammation
• Alcohol intake
• Smoking

What is the role of nutrition in post-surgery scarring?

Recent research showed that nutrition has a pivotal role in proper wound healing (scar tissue formation). In fact, proper preoperative nutritional support is correlated with reduced hospital stays and complications. Here some findings:

• Omega-3 fatty acids and specific amino acids were linked to enhanced wound-healing and immune function. 
• Vitamins A, B, and C and Zinc positively influenced healing stages, vitamin E showed variable results. 
• Polyphenolic compounds showed anti-inflammatory effects beneficial for recovery. 

On the other hand, malnutrition increased postoperative complications and infections.

What should I eat before and after surgery?

Prioritize these daily to optimise healing:​

High-protein

It provides amino acids for collagen building.

• lean meats, chicken, turkey, fish.
• eggs
• tofu
• black beans, lentils, quinoa
• low-fat cottage cheese

Omega-3

Omega-3 accelerates early epithelialization(skin cells migrate and multiply to cover the wound) and curbs proinflammatory cytokines (signals). It lowers risks of infection.

Fish.  Incorporate them to your diet twice a week to shift fatty acid profiles favorably.

• salmon
• mackerel
• sardines 

Seeds and nuts, offer plant-based omega-3, have anti-inflammatory benefits and improve lymphatic recovery.

• chia seeds 
• flaxseeds
• wallnuts

Vitamin C 

Vitamin-C helps to boost immune function, stabilize collagen fibers while reducing weak, widened scars. When consuming vitamin-c foods try to pair them with iron-rich products for best absorption.

• red bell peppers (highest source)
• kale
• guava
• oranges
• broccoli
• citric fruits
• strawberries
• etc.

Zinc 

Zinc helps to enhance tissue regeneration and extracellular matrix formation. Some sources are:

• beef 
• pumpkin seeds 
• chickpeas
• oysters
• eggs

Vitamin A

Vitamin A supports wound healing by promoting epithelialization, collagen synthesis, and fibroblast proliferation, which help form organized scar tissue while countering excessive fibrosis. On the other hand, deficiency impairs re-epithelialization and increases infection risk. Some sources are:

• liver (beef or chicken have the highest retinol content for bioavailability)
• sweet potatoes
• carrots 
• spinach 
• eggs 

Antioxidants

Antioxidants mitigate oxidative stress during wound healing, limiting excessive inflammation and fibrosis that contribute to hypertrophic or keloid scars. They protect collagen from degradation, promote balanced remodeling, and support epithelialization for flatter scars.  You can find them in:

• berries
• green tea
• turmeric (with black pepper for best absorption)
• nuts 
• green leaves

Bromelain 

Bromelain enhances wound healing speed, helps remove necrotic debris, reduces inflammation, and decreases edema. It accelernutrition for post-op scarringates epithelialization, lowers pain, and promotes tissue remodeling, leading to faster recovery and potentially less scarring in surgical sites.​ Source:

• pineapple stem and fruit contain the highest concentrations

Nutrition for post-surgery scarring: Tips

• Divide meals into balanced plates: half veggies, quarter protein (amount of gr as advised by your nutritionist), quarter complex carbs. 
• Avoid  fried foods and alcohol, which impair angiogenesis and extend inflammation.
• Nutrition is just part of your treatment, combine diet with Manual Lymphatic Massage MLD and specialised equipment for a holistic treatment.​
• Your diet plan requires a nutritionist´s design and follow up in order to fulfill your specific needs.
• Keep in mind your surgeons and post-op therapist advice.
• Stay hydrated to support collagen hydration and scar pliability.
• Stop smoking at least 1 month before surgery, it causes tissue necrosis.
• Avoid processed food, sugars, trans fats, and excess sodium, which delay healing and promote inflammation. 
• Combine with Manual Lymphatic Drainage for lymphatic health as nutrient delivery enhances outcomes in post-surgical recovery, reduces inflammation, boosts immune function and blood flow. 
• Be surrounded and treated for those who treat you better.
• For lymphoedema-prone patients, anti-inflammatory foods enhance lymphatic flow, reduce edema and decreases scar tension. 

Disclaimer:Consult a dietitian for advice to fulfill your specific needs.

We hope this information is useful for you. Book your consultation now!  If you need advice or have any questions about our treatments, please contact us. You can find us in Mil 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/PMC11243481/

https://pubmed.ncbi.nlm.nih.gov/31389093/

https://pmc.ncbi.nlm.nih.gov/articles/PMC2967211/

https://pubmed.ncbi.nlm.nih.gov/38370002/

The post Post surgery scarring:Can nutrition influence scar tissue healing after surgery? appeared first on Perea Clinic.

Cosmetic and reconstructive surgeries have become increasingly common in the UK over the past decade. While these procedures can enhance confidence and improve physical appearance, they also come with postoperative risks—one of the most frequent being seroma formation. Understanding what seromas are, why they occur, and how to prevent and manage them can significantly improve your recovery experience.

What Is a Seroma?

A seroma is a  pocket of fluid that can build up under the skin after surgery or an injury. It happens when tiny lymph vessels are disturbed during the procedure, causing clear fluid (called lymph) to collect in the area instead of draining naturally.

Sometimes the fluid isn’t completely clear, it may be mixed with a little blood or waste from the healing tissues, which can make it look yellow, pink, or even slightly red.

Seromas usually appear a week or two after surgery, often once any drainage tubes have been removed. They can feel like a soft or firm lump under the skin. Small seromas often go away on their own as the body reabsorbs the fluid, but larger ones may need to be checked or drained to prevent infection or slow healing.

Why Do Seromas Occur? 

Seromas typically develop after extensive surgical procedures involving tissue removal, dissection, or disruption of lymphatic channels. Cosmetic and reconstructive surgeries with a higher risk include:

• Abdominoplasty (Tummy Tuck)
  
• Liposuction or Body Contouring Procedures
  
• Brazilian Butt Lift (BBL)
  
• Breast Augmentation or Reduction
  
• Mastectomy or Breast Reconstruction
  

Risk factors include:

• obesity, 
• large surgical areas, 
• inadequate compression,
• early vigorous movement after surgery.
• flights 

How to Prevent Seromas

Preventing seromas begins in the operating room and continues throughout your recovery:

1. Surgical Drains:
   Your surgeon may place small drainage tubes near the incision site to prevent fluid buildup. These are typically kept in place for several days post-surgery.
   
   
2. Compression Garments:
   Wearing a properly fitted compression garment helps minimize space where fluid can accumulate and supports lymphatic return.
   
   
3. Manual Lymphatic Drainage (MLD):
   Early initiation of Manual Lymphatic Drainage, performed by a certified therapist who treats you better, can greatly assist in preventing seroma formation. MLD uses gentle, rhythmic movements to stimulate lymph flow, reduce swelling, and support tissue healing.
   
   Recent evidence (2023–2024) supports MLD as an effective adjunct therapy in postoperative recovery, particularly for patients undergoing abdominoplasty and liposuction (Leduc et al., J Clin Med, 2023).
   
   
4. Avoiding Strain:
   Follow your surgeon’s activity recommendations. Overexertion can increase fluid production and delay healing.

Treating Seromas Naturally and Medically

Small seromas often resolve spontaneously within a few weeks as the body reabsorbs the fluid. To aid natural healing:

• Continue MLD sessions as advised by your therapist.
  
• Maintain adequate hydration and nutrition, as both support tissue repair and lymphatic health.
  
• Use compression garments as directed.

In some cases, your healthcare provider may need to aspirate (drain) the seroma using a sterile needle. Persistent or encapsulated seromas may require minor surgical removal.

Seromas after surgery:When to Seek Medical Help?

While most seromas are benign, medical evaluation is essential if you experience any signs of infection or complications. Contact your surgeon immediately if:

• You develop a fever or feel unwell.
  
• The area becomes red, warm, painful, or tender.
  
• Fluid accumulation increases rather than decreases.
  
• The seroma does not improve after several weeks.
  
• You notice hardening or pressure around the surgical area.
  

If infection occurs, the seroma may evolve into an abscess, requiring medical drainage and antibiotics.

A final word

Seromas are a common but manageable side effect of cosmetic and reconstructive surgeries. With proper surgical care, early manual lymphatic drainage, and vigilant postoperative management, the risk and impact of seromas can be significantly reduced. Always consult your surgeon and a certified lymphatic drainage therapist to ensure your recovery is safe and effective.

If you have questions or would like to book your post-surgery MLD session, contact us today! We’re always happy to help. You can find us in Mill Hill Broadway and Islington.  If you found this article useful, please share it with others who may be starting their recovery journey.

References:

https://pmc.ncbi.nlm.nih.gov/articles/PMC4347361/

Fibrosis After Cosmetic Surgery:Why MLD Isn’t Enough

Benefits of Manual Lymphatic Drainage MLD

The post Seromas after surgery: Prevention and Treatment appeared first on Perea Clinic.

The benefits of Manual Lymphatic Drainage MLD are enormous. In recent years, we have seen an increased number of research related to the benefits of this treatment and the number of patients looking for this treatment increased too. The reason why varie from patient to patient.  Some of them just had surgery and they want to get rid of retained fluid and recover faster; pregnant ladies want to reduce excess fluids, patients with autoimmune diseases want to make their systems work better; lipoedema and liphoedemapatients want to reduce inflammation and boost their immune function; other patients just want to eliminate toxins, and so on.  In this article we share with you how MLD can help naming some of the multiple benefits of this treatment.  So, let’s start with the basis. 

What is Manual Lymphatic Drainage MLD?

Manual lymphatic Drainage MLD is a massage technique that favors the lymphatic, circulatory and immune system. This gentle form of  rycthmic performance improves lymph flow, a colorless fluid that flows through the lymphatic vessels and nodes.

Manual Lymphatic Drainage consists of slow, gentle and circular rythmic movements performed in one direction (flollows the path of through the lymphatic nodes). Your specialised therapists will use her/his fingers or palms throughout your body in the direction of the lymphatic circulation. It is not a painful procedure, on the contrary, it is very relaxing. As it serves to promote the elimination of toxins, it also provides a feeling of well-being during and after the procedure.

What is the lymphatic system?

Your lymphatic system (part of your immune system) is a network of vessels and nodes that moves back a fluid called lymph into your bloodstream. The lymphatic system has many functions, some of them are: 

• Protects your body from invaders like: germs, viruses, infections, etc., which cause illness.
• Maintains body fluid levels.
• Boost immune function.
• Absorbs digestive tract fats. 
• Removes cellular waste and toxins. 

What is the lymph?

The lymph is a clear fluid (similar to blood) that contains nutrients and oxygen. It is deposited around the cells to keep them nourished. The cells are able to discard waste and toxic materials into this fluid. However, it flows slower than blood and is easily saturated by factors such as a sedentary lifestyle and poor diet. For this reason, MLD is so important because it helps to release any obstruction from the lymphatic system.

What are the benefits of MLD? 

Manual lymphatic drainage has significant benefits for different health areas and purposes; for this reason, nowadays more health practitioners recommend it as part of their treatments. Some of these benefits are:

Therapeutic 

• Reduces inflammation in conditions like lipoedema and lymphoedema.
• Complementary therapy for autoimmune conditions and more.
• Stimulates kidney functions.
• It’s useful for the treatment of blood circulation problems (venous insufficiency).
• Helps to reduce 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.
• Reduces stress.

Sports

• Helps to prepare your muscles for physical effort, this allows greater performance and better recovery.
• Reduces pain and inflammation.

After surgical procedures

• Post Surgical Lymphatic Drainage Massage helps to eliminate fluids accumulated during and after the procedure.
• Help to reduce pain caused by the excess of fluids.
• Reduces bruises that can appear after a liposuction procedure or other surgical procedures.
• Prevents seroma.
• Reduces fibrosis.
• Speeds up the recovery process.
• Reduces swelling.

Aesthetic 

• Reduces cellulite. It reduces fat deposits and stimulates circulation, as a result, it improves the condition of orange peel.
• Improves the condition of tired legs.
• Reduces problems associated with fluid retention,  poor circulation, and localized fat.
• Helps reduce varicose veins.
• Hydrates the skin and helps to revitalize it, considerably reducing wrinkles and stretch marks. .
• Helps with shape definition.

Certainly, these effects can be achieved thanks to the movements and gentle pressure that favor cellular rejuvenation and the elimination of waste.

What to expect after the MLD? 

• First, thanks to the stimulation of kidney function your urine could become darker and smelly for one or two days.
• Second, as MLD removes toxins through the urine it’s normal that your urination frequency increases for a few hours after the massage.
• Third, swelling and inflammation will decrease.
• In addition,  you will experience an amazing body relaxation and a feeling of general well-being. However, you could feel very tired and heavy after the drainage as your body is trying to get rid of the toxins.

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.medicalnewstoday.com/articles/324518

https://my.clevelandclinic.org/health/articles/21199-lymphatic-system

https://www.webmd.com/a-to-z-guides/what-is-lymph-drainage-massage

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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.

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.

Lymphoedema is a long-term condition where lymph fluid builds up in the arms, legs or other parts of the body. This causes swelling, heaviness, discomfort, and sometimes infections. While compression garments, lymphatic massage, and exercise can help in the early stages, advanced lymphoedema often requires surgery. Thanks to recent developments, surgical options are now more effective than ever, offering better outcomes and improved quality of life for patients.

Surgical options for lymphoedema

Lymphaticovenous Anastomosis (LVA)

What it is: LVA is a microsurgical procedure where tiny lymphatic vessels are connected directly to nearby veins. This creates a new route for lymph fluid to drain naturally.

Benefits:

• Minimally invasive with very low complication rates.
• Can reduce swelling and lower the risk of infections.

Limitations:

• Works best in early-stage lymphoedema when lymphatic vessels are still healthy.
• Less effective if the swelling has become firm or fatty.

Vascularised Lymph Node Transfer (VLNT)

What it is: VLNT involves moving healthy lymph nodes from one part of the body, such as the groin or abdomen, to the swollen area to help restore proper lymphatic drainage.

Benefits:

• Effective for more advanced lymphoedema.
• Can reduce infections and improve limb size and comfort.
  

Limitations:

• A longer operation with a moderate risk of complications.
• Small chance of swelling at the site where the nodes are taken.

Liposuction (Suction-Assisted Lipectomy – SAL)

What it is: Liposuction removes excess fatty tissue from limbs where swelling has become fat-dominant rather than fluid-based.

Benefits:

• Very effective for long-standing, firm swelling.
  
• Improves appearance, comfort, and mobility.
  

Limitations:

• Does not repair the lymphatic system itself.
  
• Lifelong use of compression garments is necessary to maintain results.
  

Excisional Procedures (e.g., Charles Procedure)

What it is: In severe cases, surgeons remove thickened skin and tissue to reduce limb size and improve function.

Benefits:

• Can save limbs when other treatments are not possible.

Limitations:

• Higher risk of complications and scarring.
  
• Usually considered only as a last resort.

Future Directions in Lymphoedema Surgery

Advanced Imaging Techniques

New imaging methods, such as near-infrared fluorescence and indocyanine green (ICG) lymphography, allow surgeons to see which lymphatic vessels are working. This helps plan surgeries more precisely, improving the success of procedures like LVA and VLNT.

Wearable Compression Devices

Innovative wearable devices provide gentle, dynamic compression and massage to help move lymph fluid. They can be used alongside traditional compression garments to reduce swelling and support long-term results.

Emerging Innovations in Lymphoedema Surgery

Researchers are exploring new techniques, including robotic-assisted microsurgery, to improve precision in lymphoedema treatment. Early results from specialised centres are promising, but these methods are experimental, not widely available, and long-term outcomes are still being studied.

A final word

Surgery for lymphoedema is not a cure, but it can greatly improve comfort, mobility, and quality of life when other treatments are insufficient. The best surgical option depends on the stage of the condition and whether the swelling is mainly fluid or fatty. Choosing an experienced surgical centre is essential for personalised care and long-term success.

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/39806245/
  
•  Lymphovenous Anastomosis https://www.sciencedirect.com/topics/medicine-and-dentistry/lymphovenous-anastomosis
  
• Lymphoedema: https://www.nhs.uk/conditions/lymphoedema/ 

The post Surgical Management of Lymphoedema: Current Treatments and Future Directions appeared first on Perea Clinic.

Post-orthopaedic lymphoedema and compression therapy: After orthopaedic surgery one of the most common complications is lymphoedema, caused by trauma in the lymphatic system during the procedure. Lymphoedema main symptom is persistent swelling due to impaired lymphatic drainage. Managing this condition early and efficiently is crucial for optimal recovery; for that reason, compression therapy and Manual Lymphatic Drainage stand out as one of the most effective non-invasive strategies to treat and manage this condition. Lest´s see how it works…

How do compression garments and wraps reduce swelling?

Compression therapy, e.g., garments (sleeves and socks) and bandaging, plays a pivotal role in treating post-surgical lymphoedema. It should be always advised by your surgeon to avoid circulatory complications and accompanied with MLD for better lymphatic and blood flow. Let´s see how compression therapy can help:

• Reduces fluid accumulation

It applies consistent and controlled pressure to the affected area, helping to prevent the buildup of lymphatic fluid and consequently reducing swelling.

• Improves lymphatic flow and venous return

Compression garments help your lymphatic system in movilising excess fluid away from the surgical area, while increasing venous return; as a result, decreasing the risk of fluid stasis.

• Prevents complications

It limits space available for fluid to collection, so it reduces the chances of developing seromas (fluid pocket) and other complications associated with stocked fluid.

• Tissue healing support

Compression provides structural support to the healing tissues, promoting alignment and reducing strain during movement, which is important for both comfort and the healing process.

• Reduces pain and promotes faster recovery

Patients, in recent studies, showed less swelling. Besides, some cases reported pain reduction, especially in the immediate post-operative period.

Disclaimer

As these kinds of procedures go deep in order to repair tissues, sometimes the nearest area to the surgery can´t be wrapped (even if fluid is retained and is swollen), so compression should always be prescribed by your surgeon and assisted with manual lymphatic drainage to treat the area that cannot be compressed. 

Post-orthopaedic lymphoedema and compression therapy: What are the types of compression garments and wraps?

• Bandages

There are multi-layer and long-stretch bandages; for best results use them right next the post-operative phase, especially when significant edema is present. It is key to wear tailor-graded pressure, which is especially beneficial for severe or diffuse swelling.

• Compression stockings/sleeves

Patients wear them in their limbs (arms or legs) and come in various compression strengths. Stockings are ideal for gradual, sustained compression during daily activities or for periods after the initial acute swelling goes down (but you can continue using bandages if wanted).

• Tailored made garments

Specially confectioned for patients whose limb size or shape does not fit standard sizing.

Choosing the right compression level

Choosing the appropriate compression level, in your garments, maximises treatment efficacy and ensures comfort, always advised by your lymphoedema team. Here, a summary chart of the available compression levels:

Disclaimer: Always consult a healthcare professional (your lymphoedema team) before selecting compression garments to ensure the correct pressure for your condition and anatomy .

To keep in mind: garment’s tips

• Fit Matters

Choose compression garments that fit tight but comfortably; improper fit may reduce efficacy, reduce circulation or cause discomfort.

• Consistency + follow advice

 Wear garments as recommended by your lymphoedema team: surgeon, lymphoedema therapist, etc. Most patients wear them during the day and remove them at night unless advised otherwise.

• Customisation

 Patients who require (unique limb shapes or sizes) custom-fit garments ensure  proper compression.                

A final word

Compression therapy (when properly tailored) is pivotal and offers a lot of benefits to patients when managing post-orthopedic lymphoedema. It helps to reduce swelling and pain; gives support; speeds up the recovery process and prevents complications. Choosing the right compression garment and level guarantees best outcomes. Always work with your lymphoedema team, who treat you better, to create a treatment plan according to your needs.

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!

Post-orthopaedic lymphoedema and compression therapy-References:

https://pubmed.ncbi.nlm.nih.gov/30967135/

https://pubmed.ncbi.nlm.nih.gov/33218497/

The post The Role of Compression Therapy in Managing Post-Orthopaedic Lymphoedema appeared first on Perea Clinic.

Chronic stress (long term) highly increases inflammation in Lymphoedema and Lipoedema patients, leading to the exacerbation of symptoms. It is due to the disruption of the immune function, rise of oxidative stress, and disruption between physical and psychological pathways. In this blog, we´ll talk about how chronic stress triggers inflammation in lymphoedema and lipoedema patients. Let’s have a closer look…

How Stress Triggers Inflammation in Lymphoedema and Lipoedema Patients

High levels of Cortisol (stress hormone) suppresses the Immune function

• Long term stress increases cortisol levels. As a result,  lymphocytes (infection fighting white blood cells) are reduced, suppressing the  immune function.
• Low levels of lymphocytes weakens your body ability to combat infections, viruses, etc.
• Lymphoedema patients are already prone to infections, low lymphocytes trigger acute inflammatory flares.
• In other words, low lymphocyte levels increase inflammation in already compromised lymphatic tissues.
• Cortisol has an acidic nature which can break down lymphoid tissue, impairing lymphatic flow and worsening fluid retention-a key factor in lymphoedema  and lipoedema progression.
• Over time, cortisol resistance develops, allowing unchecked release of pro-inflammatory cytokines (intracellular messenger molecules of the immune system). 
• High release of cytokines sustains low-grade inflammation, worsening tissue fibrosis and swelling.

Oxidative Stress (imbalance between high amounts of  free radicals and low levels of antioxidants) generate tissue damage

• Long term stress contributes to oxidative stress. It damages cells and increases inflammation. 
• Studies show elevated oxidative stress biomarkers in lymphedema patients.
• Lymphedema and lipoedema patients show tissue fibrosis and impaired lymphatic drainage.
• Oxidative stress damages lymphatic endothelial cells (cell barriers that surround other tissues like organs and glands, etc.) and surrounding tissues.

Chronic stress triggers prolonged activation of the sympathetic nervous system (SNS)

SNS: it is a sub-system of your peripheral nervous system and is in charge of the “fight or fight response”. In other words, the response to stress factors.

• Reduces long term lymphatic circulation.
• The SNS diverts blood flow away from lymphatic vessels, while muscle tension and shallow breathing-common under stress-impair the muscle contractions and diaphragmatic movements needed for lymph fluid transport. Leading to fluid retention and inflammation.
• Chronic stress increases lymphatic flow (CS sends an induced neural inflammatory signal), but over time, it damages the lymphatic structure.
• Accelerates lymphatic dysfunction.

Psychological Distress and Inflammation

• Lymphedema and lipoedema patients frequently experience depression and anxiety due to chronic discomfort, social isolation, and fears about disease progression.
• This psychological stress perpetuates inflammation by keeping the body in a heightened state of alert, releasing more pro-inflammatory cytokines.

A final word

Chronic stress not only worsens lymphoedema and lipoedema symptoms, but also arises from the condition itself. The physical burden of oedema, frequent medical appointments, underdiagnosis and social stigma create a persistent stress response. This bidirectional relationship underscores the need for holistic treatment plans that integrate mental health support with physical therapies like compression therapy and manual drainage. By prioritising stress management, lymphoedema and lipoedema patients can mitigate inflammation, enhance treatment efficacy, and improve their general wellbeing. In our next blog, We´ll give you some tips to get rid of chronic stress.

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://pmc.ncbi.nlm.nih.gov/articles/PMC4972108/

https://pmc.ncbi.nlm.nih.gov/articles/PMC11011271/

https://pmc.ncbi.nlm.nih.gov/articles/PMC5551541/

https://www.sciencedirect.com/topics/immunology-and-microbiology/cytokine

https://www.webmd.com/brain/sympathetic-nervous-system-what-to-know

The post The Role of Chronic Stress in Inflammation for Lymphoedema and Lipoedema patients appeared first on Perea Clinic.

Chronic oedema, commonly referred to as lymphoedema, is a condition that can develop after orthopaedic surgery, leading to persistent swelling due to fluid accumulation. While post-surgical swelling is normal, in some cases, it can become prolonged and problematic. Understanding the causes, risk factors, and management of chronic oedema can help patients and healthcare providers address the condition effectively.

What is Chronic Oedema (Lymphoedema)?

Lymphoedema is a chronic condition caused by a high concentration of fluid due to impaired lymphatic flow and drainage. It often results in tissue swelling, discomfort, and reduced mobility. It can be a side effect of orthopaedic surgeries such as joint replacements, fracture repairs, and ligament reconstructions. Surgical trauma (when lymphatic nodes or vessels are damaged), postoperative immobility, and inflammation can disrupt lymphatic vessels, increasing the risk of fluid accumulation and long-term swelling.

How Does Lymphoedema Develop After Orthopaedic Surgery?

Orthopaedic procedures can directly or indirectly damage the lymphatic system in several ways:

1. Surgical Trauma
   

   • Incisions, tissue manipulation, or repositioning of body parts during surgery may damage lymphatic vessels or nodes. For example, hip or knee replacements often involve deep tissue dissection, raising the risk of lymphatic disruption.

2. Immobility
   

   • Reduced movement post-surgery limits muscle contractions that normally pump lymph fluid. Prolonged bed rest or the use of casts can exacerbate fluid pooling, particularly in the legs or arms.

3. Inflammatory Response

   • Surgical trauma increases local inflammation, elevating interstitial protein levels. This creates a cycle where protein-rich fluid overwhelms compromised lymphatic drainage, worsening oedema.

Early Signs of Lymphoedema After Orthopaedic Surgery

• Excessive Swelling – Persistent post-surgical swelling beyond the normal recovery period.
• Feeling of Heaviness – A sensation of tightness or fullness in the affected limb.
• Pitting Oedema – Pressing on the skin may leave an indentation, a sign of fluid accumulation.
• Pain and Inflammation – Swelling may be accompanied by discomfort and warmth.
• Itching – Skin irritation due to excessive fluid retention.
  

Key Risk Factors for Post-Surgical Lymphoedema

Several factors may increase the the probabilities of developing lymphoedema after orthopaedic surgery:

1. Type of Surgery
   

   • Joint Replacements – Patients undergoing knee or hip arthroplasty are more prone to developing lymphoedema.
     
   • Open Fractures – Severe lower extremity fractures (e.g., tibia/fibula) can damage lymphatic pathways.
     

2. Pre-existing Conditions

   • Obesity, diabetes, or prior radiation therapy can impair lymphatic function.
     
   • A history of infections (e.g., erysipelas – a bacterial skin infection) near the surgical site may trigger chronic lymphatic dysfunction.
     

3. Post-Operative Complications

   • Infections, severe trauma, or hematomas near the surgical site can further stress the lymphatic system.
     
   • Prolonged or tight use of compressive devices (e.g., casts) without intermittent movement may impair proper lymphatic flow.
     

Managing and Preventing Chronic Oedema

While some level of post-surgical swelling is expected, early intervention can help reduce the risk of chronic oedema:

• Manual Lymphatic Drainage (MLD): This specialised massage technique stimulates lymphatic flow, reducing swelling and limb volume.
• Compression Therapy: Proper use of compression garments or bandages can improve lymphoedema management (consult a lymphoedema therapist or surgeon  before use).
• Physical Therapy and Movement: Gentle exercises prescribed by a physiotherapist can improve circulation and prevent fluid buildup.
• Pharmacological Aids: Your surgeon or GP may prescribe nonsteroidal anti-inflammatory drugs (NSAIDs) if needed.
• Hydration and Diet: Staying well-hydrated and maintaining a balanced diet can support overall lymphatic health.
• Elevation of Affected Limb: Keeping the limb elevated while resting can aid in reducing swelling.
• Early Medical Intervention: If swelling persists beyond the normal post-surgical period, consulting a specialist in lymphoedema management is crucial.

A final word

Not all patients develop lymphoedema after orthopaedic surgery, but those undergoing complex procedures or with pre-existing conditions require vigilant monitoring. By integrating lymphatic preservation techniques into surgical planning and post-operative care—such as early mobilisation, MLD, and proper compression—patients can improve outcomes and accelerate recovery.

If you are experiencing persistent swelling following orthopaedic surgery, consult your healthcare provider and lymphoedema therapist for a tailored management plan.

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/26753640/

https://www.sciencedirect.com/science/article/abs/pii/S1360859220301133

https://www.sciencedirect.com/topics/medicine-and-dentistry/interstitial-fluid

https://www.msdmanuals.com/professional/dermatologic-disorders/bacterial-skin-infections/erysipelas

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