Manual Lymphatic Drainage Explained by Miss Fernanda Ferreira

A gentle, clinical guide to Manual Lymphatic Drainage (MLD) from Miss Fernanda Ferreira. Learn what MLD is, when to start after surgery, how many sessions to book, and the safety tips that make recovery smoother at Manchester Private Hospital.

Mrs Carla M Babicki  |  Registered General Nurse (RGN)

Last Updated On: October 14, 2025 | Published On: October 14, 2025

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Medically reviewed by Mr Shivram Singh MBBS, FRCSI, FRCS (Plast), Medical Director & Lead,
Medical Advisory Committee for Manchester Private Hospital
Last Reviewed October 14th 2025

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Manual Lymphatic Drainage (MLD) is a gentle, clinical massage that supports your body’s fluid-clearing system after surgery. It isn’t a “deep tissue” treatment—MLD uses feather-light, directional strokes to help reduce swelling, ease tightness and improve comfort so you can move more freely during recovery.

At Manchester Private Hospital, Miss Fernanda Ferreira delivers MLD in line with your surgeon’s plan, focusing on safety, comfort and consistent results.

Need help now? Book an MLD session, WhatsApp our nurses, or call the clinic—our team will guide you.

Results After 6 MLD Massages, Post op from Liposuction on Abdomen and Flanks

Results After 6 MLD Massages, Post op from Liposuction on Abdomen and Flanks

Video: What is MLD? (2-minute explainer)

Watch: What is Lymphatic Drainage Massage? Explained by Our Lovely Practitioner

What Is Manual Lymphatic Drainage?

Think of lymph as your body’s “clean-up crew.” After procedures like liposuction or a tummy tuck, the clean-up can lag behind; fluid collects, tissues feel tight and movement is stiff. MLD uses slow, rhythmic strokes that nudge fluid along natural drainage routes. It’s calm, precise and purpose-built for post-operative care—no deep pressure, no bruising.

Benefits patients tend to notice

  • Less swelling and “pressure”
  • Softer, more mobile tissues over time
  • Easier garment wear and day-to-day movement
  • A smoother path back to normal activity

MLD complements (not replaces) your surgical aftercare. Always follow your surgeon’s instructions first.

When is MLD Useful After Cosmetic Surgery?

MLD is commonly recommended after:

Typical timing (surgeon-guided)

  • Lipo/360: start day 3–7 if cleared; 2–3 sessions/week initially.
  • Tummy tuck/face/rhino/breast: start week 1–2 once approved; frequency tapered as swelling settles.
  • BBL/fat transfer: avoid grafted areas; extra attention to positioning and comfort.

Always follow your personalised MPH plan. If unsure, ask before booking.

Video: MLD for an Easier Recovery (practical tips)

Watch: Post-Surgery Recovery Made Easy with MLD Massage | Fernanda’s MLD Massage Tips

Miss Fernanda Ferreira’s Technique & Philosophy

  • Proximal-to-distal sequencing: she opens key lymph nodes first, then treats the swollen area, so fluid has a clear “exit.”
  • Feather-light rhythm: slow, comfortable strokes—no aggressive pushing.
  • Team care: session notes are shared with your MPH surgeon/nurse so everyone stays aligned.

“Gentle and consistent beats are deep and painful. The goal is comfort, drainage and better function—not bruising.” — Miss Ferreira

What to Expect in Your First Session (Step-by-step)

1. Brief assessment & consent (we’ll check your aftercare plan)
2. Garment & incision check (access while keeping support)
3. Breathing priming (diaphragmatic breaths help the lymph “pump”)
4. Open key nodes (collarbone/axilla/groin as appropriate)
5. Area-specific drainage (tailored to your procedure)
Post-session advice (hydration, positioning, garment tips, when to return)

Session length: typically 30–45 minutes depending on areas.

Suggested MLD Timelines (Typical; we’ll personalise yours)

  • Lipo / 360 lipo: start day 3–7 (if cleared) • 2–3×/week for 1–2 weeks • then taper
  • Tummy tuck: start week 1–2 • weekly for 3–4 weeks • then as needed
  • BBL / fat transfer: ultra-gentle • avoid grafted zones • focus on comfort/positioning
  • Face/neck/rhino: very light facial MLD after clearance • shorter, slightly more frequent sessions early on
  • Breast surgery: targeted MLD around approved areas to ease tightness/garment pressure

Video: How MLD Transforms Your Look (realistic expectations)

Watch: Manual Lymphatic Drainage After Vaser Liposuction | Before & After Recovery Results

Watch: Unveiling the Magic: How MLD Massage Transforms Your Look | Lymphatic Drainage Massage

Safety First: Contraindications & Red Flags

Don’t book MLD (or seek clearance) if you have:

  • Active infection or fever
  • DVT, uncontrolled heart/kidney failure
  • Unhealed open wounds not cleared by your surgeon
  • Recent cancer treatment without oncologist approval

Stop and contact MPH/seek urgent care if you notice:

  • Sudden one-sided swelling or tense, painful firmness
  • Fever ≥ 38 °C, spreading redness, foul discharge
  • Shortness of breath/chest pain
  • Wound opening or uncontrolled bleeding

Video: Why Slow Movements Matter (the science in 60 seconds)

Watch: Why do we use slow movements during your MLD massage? | #mldmassage

Preparing for Your Appointment (Quick checklist)

  • Drink water; have a light meal
  • Wear front-opening, easy clothing; bring your compression garment
  • Take prescribed pain relief (if due) before the session
  • Avoid heavy lotions on skin beforehand
  • Bring your MPH aftercare plan and any questions

At-Home Support Between Sessions

  • Short walks little and often
  • Diaphragmatic breathing (we’ll show you how)
  • Garment compliance exactly as instructed
  • Sleep positioning (slightly elevated or as advised)
  • Salt moderation + good hydration
  • Only practise self-drainage if taught by Fernanda

Pricing, Packages & Booking

We offer single sessions and multi-session packages that match typical recovery paths (lipo/360, tummy tuck, facial procedures, breast surgery). To confirm today’s rates and availability, contact us.

About Miss Fernanda Ferreira

Miss Fernanda Ferreira is a Manchester-based Massage Therapist specialising in post-operative MLD for body and facial procedures. Her approach is gentle, evidence-led and patient-first, with a particular interest in liposuction and abdominoplasty recovery. She works closely with MPH consultants to keep your MLD fully aligned with medical aftercare.

FAQs

When should I start MLD?

When your surgeon clears you—often within the first week, depending on the procedure.

How many sessions do I need?

Most patients begin with a short block (e.g., 3–6 sessions), then taper as swelling settles.

Does MLD hurt?

No—MLD should feel light and comfortable. Many patients find it relaxing.

Can I keep my garment on?

We’ll adjust or remove it briefly for access, then refit correctly.

Is MLD safe after fat transfer/BBL?

Yes, with graft-safe technique and positioning. We avoid direct work on grafted areas and follow your surgeon’s timeline.

Ready to feel more comfortable?

Your protocol will be tailored to you—always follow your MPH plan. If you’re unsure when to start, message our nurses for quick guidance.

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