The truth about post-op MLD courses (and how to choose a safe therapist)

Not all post-op MLD is created equal. With so many unregulated courses and claims online, it’s vital to know who you’re trusting with your recovery, and why proper training matters.

The rise of “post-op drainage" and the confusion it’s causing

If you’ve had cosmetic surgery, you’ve probably seen ads for “post-op drainage” or “lymphatic massages” all over social media. Unfortunately, many of these services are not what they claim to be.

Some therapists are offering post-operative MLD after completing a one-day (often online!) course, with no formal training in anatomy, lymphatic function, or surgical recovery. Others use overly aggressive techniques, promising to “flush out” swelling or “drain fluids manually.”

It’s easy to understand why patients are confused, and sometimes, harmed.

What real post-op MLD actually is

Manual Lymphatic Drainage (MLD) is a specialist technique designed to support the body’s natural lymphatic flow. It’s slow, rhythmic, and incredibly light, not a massage, and definitely not about pushing or squeezing.

Trained post-op MLD therapists study hundreds of hours of anatomy, physiology, and pathology. They understand how lymph nodes, vessels, and tissue respond after trauma or surgery.

A properly trained MLD therapist knows how to:

• Work with your lymphatic system, not against it

• Adapt treatment for different surgeries (liposuction, abdominoplasty, BBL, etc.)

• Recognise early signs of fibrosis, seroma, or infection

• Work collaboratively with your surgeon and adjust care as healing progresses.

  
  

The problem with “fast-track” or “online-only” courses

Over the last few years, short courses have flooded the industry. They often advertise as “MLD for post-op recovery” or “lymphatic drainage for body contouring”, promising certification in just one weekend.

The issue? Most of these courses don’t teach true MLD for cosmetic surgery procedures. They skip over:

• The structure and physiology of the lymphatic system

• Contraindications (when not to treat)

• Post-surgical complications and red flags

• The difference between cosmetic swelling and lymphatic dysfunction.

Without this knowledge, patients risk being treated too soon, too firmly, or by someone who doesn’t recognise warning signs.

What can go wrong with unsafe “post-op drainage”

Clients have reported:

• Increased swelling due to damaged lymphatic vessels

• Prolonged bruising and discomfort

• Fibrosis (hard, uneven tissue) developing from improper technique

• Poor scarring outcomes - unmanaged swelling places tension on healing incisions, which can widen or distort scars. When swelling lingers, wound healing slows and tissues remain under stress.

• Seroma or infection caused by over-manipulation of healing tissue.

  
  

  

In early recovery, your tissue is fragile and reactive. True MLD never forces movement, it supports natural drainage through precision and patience.

How to find a safe, qualified post-op MLD therapist

If you’re recovering from cosmetic, plastic or reconstructive surgery, you deserve care from someone properly trained.

Here’s what to look for:

• Verified training: accredited schools such as Dr. Vodder School, Földi Clinic, Lymphoedema Training Academy (LTA), Casley-Smith International, or Leduc.

• That they're on the MLDUK register: all members hold qualifications recognised by surgeons, GPs, and health professionals. These are the only schools MLDUK accepts for membership.

• Clinical understanding: your therapist should understand post-operative anatomy and healing.

• Experience with your procedure type: each surgery heals differently.

• Professional communication: a qualified therapist won’t promise instant “detox". They’ll assess before treatment and explain how they work.

What safe, effective MLD feels like

If you’ve only ever seen viral videos of , “lymphatic massages,” safe post-op MLD might surprise you.

It feels slow, light, and soothing, almost meditative. You may notice your swelling reduce gently over hours or days, not immediately.

Good MLD isn’t dramatic. It’s deeply effective in the long term.

The takeaway

Your post-op recovery deserves the same care and expertise as your surgery. If you’re choosing a post-op MLD therapist, take your time, ask questions, check credentials, and listen to your instincts.

Real post-op MLD supports healing. Fast-track “drainage” can undo it.

When in doubt, always choose gentle, safe, and clinically informed care.