Incisional Draining (MLD: Open Incision)


Manual lymphatic drainage is the application of light, flowing strokes of massage in specific patterns with the goal of alleviating lymph edema, specifically after surgery. There are different types of manual lymphatic drainage (MLD). They include Vodder, Földi, Casley-Smith and Fluoroscopy guided manual lymphatic drainage (FG-MLD). Taime Out follows the Vodder method.Before applying MLD techniquesYour Taime Out therapist first uses specialised skin movements to clear the area that they want the fluid to drain into.It might seem strange to have skin movements on your chest and neck if you have fluid build up in your lower abdominal area or your legs in your arm. But the build up of fluid has to be processed through lymph nodes. These lymph nodes are located where appendages (head, arms, legs) attach to your torso. By clearing these lateral areas first the body will be able to better process your fluid.While incisions are open.MLD is conducted with proper wound care methods to safely and hygienically move fluid. Clients use the MASSAGE MENU for the MLD massage treatments according to the type of procedure they received. Your specialist will also take into account the amount of swelling you have and help you develop a postop schedule that works best for you.

The massage is conducted

Right after surgery your therapist will assess the best way to administer your treatment. If you had a fat transfer your abdominal area will be addressed with you standing up. If you had procedures on the posterior and anterior (front and back) you have the option of standing for half or all of your treatment.

The pressure applied

For all types of MLD the pressure used is gentle with light pumps and little to no oil. The skin movements are very light so that the small lymph vessels are not flattened. Flattened lymph vessels would prevent the lymph fluid from draining. The movements are slow and rhythmic so that the lymph vessels open up.

During this period, no machines are used. MLD is performed using hands only during the treatment. This type of treatment is recommended from day 1 to week 3 postOp if clients have had surgery.