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Adhering to WPATH Standards of Care

0207 487 0910

54 Wimpole St, London W1G 8YJ

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Manual Lymphatic Drainage

Lymphatic drainage is a careful and gentle skin stretching technique, to the untrained eye it looks like a massage. Lymphatic vessels are less than 1mm in diameter on average. As a result, lymphatic drainage must be performed slowly and gently although be strong enough to stretch the skin gently in the desired drainage direction but never compress the lymphatic vessels. In some cases we do not physically need to touch the area to drain the fluid.


We support and endorse the Guidelines for the Standards of Care for transgender, trans-individuals set out by the World Professional Association for Transgender Health (WPATH).

Frequently Asked Questions

  • Am I a suitable candidate for Lymphatic Drainage?
    MLD treatments are suitable for most people, and can be used for relaxation to medical issues with the lymphatic system. We use this therapy at LTS for pre and post surgery recovery. Lymphatic drainage is a highly specialised massage technique which is designed to achieve and maintain proper functioning of the lymph system. There are several different methods of lymphatic drainage – Chikly, Leduc, Casley-smith and the more frequently used and best known, Vodder. Our specialist, Lynsey is qualified in Vodder Manual Lymph Drainage (MLD) techniques.
  • What are the benefits of Lymphatic Drainage?

    Lymphatic drainage can prove beneficial in a number of ways:

    • Immune system stimulation
    • Reduction in oedema (swelling)
    • Regeneration of tissues (e.g., from burns and pre & post surgical scarring)
    • Reduction of symptoms of chronic fatigue syndrome and fibromyalgia
    • Pain relief
    • Deep relaxation to aid insomnia, depression and stress
    • Treatment and control of lymphoedema
    • Removal of toxins and dead cells
    • Concentration of the lymph fluid
    • Filtration and purification of lymph fluid
    • Production of lymphocytes (immune cells)

    Lymphatic drainage for pre and post surgery Lymphatic drainage can encourage tissue regeneration, so reducing the formation and severity of scars which can be unsightly and sometimes painful. Treatment can be as soon as 24 hrs after surgery, with consent from the doctor and no contraindications. After surgery, lymphatic pathways will be distinctly different – studies show that it takes between seven and ten days for natural functioning of the lymphatic vessels to be re-established. Probably the most significant benefit of applying lymphatic drainage after surgery is to prevent or alleviate oedema or swelling. Swelling can cause pain and encourage infection.

  • What equipment do you use?
    The therapist uses just her hands to gentle move the skin, no lotions or creams are used, the treatment should fill relaxing and enjoyable.
  • What are the post treatment instructions?
    Relax and drink plenty of water, you may feel slightly lethargic due to the sedately effect of MLD, due to the removal of toxins, excess fluid and waste products you may have an increase in thirst and find that you urinate more often.
  • How many treatments do I need?

    Pre-surgery: 1-3 treatments recommended. Benefits may include:

    • Preparation of tissue for surgery
    • Reduction in oedema and swelling- may allow surgery sooner
    • Stimulation of immune system
    • Relaxation

    Post-surgery: As soon as 24hrs after surgery. Benefits may include:

    • Reduction in post-surgical oedema
    • Encourages lymphatic ‘re-routes’
    • Reduction in pain
    • Body tissue detoxification to help reverse build-up of toxins that are secondary to effects of medication
    • Fluid circulation stimulation
    • Immune system stimulation and prevention of post-surgical infections
    • Improvement in skin regeneration and wound healing to optimises the scarring process
  • Are there any contraindications?
    You should not have treatments if you have any infections, uncontrolled heart or blood pressure problems, or are under the influence of alcohol.A full medical history is required before proceeding with treatment.


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London Bridge Plastic Surgery & Aesthetic Clinic

54 Wimpole St, London W1G 8YJ.
2 minutes walk from Harley Street.