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CALL:  0203 146 6755
04 SPECIALIST CLINIC

Specialist post-surgical and oncology-trained MLD (Manual Lymphatic Drainage)

Gentle, clinical support for swelling, recovery, and healthy circulation.

Manual lymphatic drainage is a gentle, specialist massage technique used to help reduce swelling and support fluid balance across a wide range of clinical situations, from post-surgical recovery and lymphoedema, to pregnancy-related swelling and general fluid retention. Our practitioners have dedicated experience in this technique, using light, rhythmic strokes to support the body's natural drainage pathways and ease discomfort caused by excess fluid. Whether you're recovering from surgery, managing an ongoing condition, or experiencing swelling during pregnancy, treatment is tailored specifically to your circumstances and clinical need
Line drawing of a woman's upper body showing the lymphatic system's pathways and nodes, with arrows indicating lymphatic drainage directions. The words Lymphatic Drainage appear at the bottom.
— WHO THIS CLINIC IS FOR

Patients we see for MLD.

MLD is a specific technique — different from regular massage. The patients we see fall into two main groups:

  • Post-cosmetic surgery: BBL, lipo, abdominoplasty, mommy makeover — typically starting 1-2 weeks post-op.
  • Post-oncology lymphoedema: breast cancer-related arm lymphoedema, post-lymph-node-removal.
  • Chronic lipoedema management.
  • Post-cellulitis swelling management.
  • Pre- and post-surgical optimisation for elective procedures.
  • Lymphatic congestion from sedentary work or travel.

How manual lymphatic drainage may help

01

post-surgery

Supports post-surgical recovery, including after cosmetic procedures such as liposuction, tummy tucks, and other surgeries where swelling is common
02

chronic lymphodema

Helps manage lymphoedema, a chronic condition involving fluid build-up, often following lymph node removal or damage (including after cancer treatment)
03

Pregnancy

Eases pregnancy-related swelling, particularly in the legs, ankles, and feet during later pregnancy
04

Injuries

Supports recovery after injury, helping reduce swelling and bruising around an injured area
05

Fluid-retention

Helps with general fluid retention, including swelling linked to prolonged sitting, standing, or travel
06

immune system

May support the immune system, given the lymphatic system's role in immune function and waste removal
07

venous conditions

Eases discomfort from chronic venous conditions, where circulation and fluid drainage are compromised
08

post-exercise

Supports recovery after intense exercise or training, helping reduce swelling and promote recovery in athletes

How we work

Every session starts with a conversation about your specific reason for treatment — whether that's post-surgical swelling, a diagnosed condition like lymphoedema, or general fluid retention — along with your relevant medical history, so treatment is tailored to your clinical picture. For post-surgical or medical cases, we may also liaise with your surgeon or specialist, particularly where drainage forms part of a wider recovery or treatment plan.

Treatment itself uses very light, rhythmic, and specifically directed strokes, quite different in pressure and technique to deep tissue or sports massage, following the direction of your lymphatic pathways to encourage fluid movement and drainage. Sessions are typically calming, and many patients find the gentle pressure soothing, even when treating a sensitive or swollen area. Depending on your condition, you may be advised on a specific course of sessions, alongside practical guidance such as compression garment use, movement, and self-care techniques between appointments.
— IN THEIR OWN WORDS —

Patient Stories

★★★★★
"Had BBL 10 days before starting MLD with Ralitsa. The difference between my first appointment and my fifth was remarkable. Skilled, methodical, and clearly trained."
EM · POST-BBL
★★★★★
"Breast-cancer-related arm lymphoedema. Ralitsa is one of the very few in London who works with this regularly. Mobility has improved dramatically."
JR · LYMPHOEDEMA
★★★★★
"I had recurrent cellulitis episodes causing leg swelling. Ralitsa's MLD course broke that cycle. No episodes in 18 months."
SK · CELLULITIS
— FREQUENTLY ASKED —

Common Questions — Manual Lymphatic Drainage

Manual lymphatic drainage is used to help reduce swelling and support fluid balance in a range of situations, including post-surgical recovery, lymphoedema, pregnancy-related swelling, and general fluid retention. It's a gentle technique that works with the body's lymphatic system, which plays a key role in draining excess fluid and supporting immune function.

No — lymphatic drainage uses very light, rhythmic strokes specifically directed along lymphatic pathways, quite different from the firmer pressure used in deep tissue or sports massage. The technique is designed to encourage fluid movement rather than work on deeper muscle tissue.

This depends on your specific procedure and your surgeon's guidance — many patients begin within the first couple of weeks after surgery, once cleared to do so. We'd recommend checking your surgeon's post-op protocol and bringing any paperwork to your first appointment, so treatment is aligned with their advice.

Yes, when carried out by a practitioner experienced in treating lymphoedema specifically, and ideally as part of a coordinated approach involving your specialist medical team, alongside measures such as compression garments where advised.

No — lymphatic drainage uses very light pressure and is generally a gentle, relaxing treatment, even over sensitive or swollen areas. It shouldn't be painful, and many patients find it soothing.

This depends entirely on your reason for treatment — post-surgical patients often benefit from a short, structured course in the weeks following their procedure, while lymphoedema is typically a longer-term, ongoing condition requiring regular sessions as part of overall management. Your practitioner will discuss a realistic plan based on your specific circumstances.

Yes — manual lymphatic drainage is a widely recognised, commonly used technique to help manage lymphoedema following lymph node removal or damage, including after cancer treatment. It's important this is delivered by a practitioner experienced in this specific area, and coordinated alongside your oncology or specialist care team.

— Ready to begin?

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● Earls Court
Unit 6, 282 Earls Court Road
London SW5 9AS
Open 7 days · 8am – 9pm
● Wandsworth
Unit 129, First Floor,
The Light Bulb Filament Walk, Wandsworth, SW18 4GQ
Open 7 days · 8am – 9pm
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