Frequently Asked Questions

The questions I’m asked most often — about MLD and Scar Therapy, what to expect, and whether treatment might be right for you.

Manual Lymphatic Drainage (MLD)

Does MLD hurt?

Not at all. MLD is one of the gentlest treatments there is — light to firm (depending on what type), rhythmic and surprisingly relaxing. Most people drift off during the session.

Is MLD (Brazilian or Dr Vodder) the same as a regular massage?

No — it’s much lighter. Brazilian techniques are a lot firmer but not as deep as a regular massage. Dr Vodder is much lighter in touch.

Regular massage works on muscles; Traditional MLD works on the lymphatic system, which sits just beneath the skin. Brazilian MLD works slightly deeper. The pressure is very gentle, almost feather-light, and the movements follow specific pathways around the body for Traditional but a little bit firmer for Brazilian MLD.

How many sessions will I need?

It depends on why you’re coming and what your goals are.

For a one-off treat or a pre-event top-up, a single session is perfect. For post-surgical swelling or managing lymphoedema, a short course tends to work better. We’ll talk it through at your first appointment — there’s no pressure to commit to anything upfront.

Thought for the day: Lymphatic Drainage works alongside lifestyle changes (for example; increasing movement, drinking more…) it is not the full solution but part of it!

How soon after surgery can I start MLD?

It depends what surgery you are having and your consultants advice. In a lot of cases I have been known to be given the green light to start a few days after – as long as you are well. Always talk to your consultant about this prior to booking.

Top Tip: Create a post recovery plan before your surgery!

What should I wear?

Whatever is comfortable. For most treatments you’ll partially undress to the area being worked — I’ll use blankets, towels or couch roll to keep you warm and covered throughout.

If you’re coming for a foot or ankle session, loose trousers or shorts are ideal.

What might I feel during or after the session?

During the treatment, most people feel deeply relaxed. Afterwards you might feel a little sleepy, and you may notice an increased need to go to the loo — that’s the system doing exactly what it should. Some people feel lighter or notice changes in their swelling within a few hours.

Everyone is different – and experiences changes at different rates and times.

Is there anyone who can’t have MLD?

A small number of conditions mean MLD isn’t appropriate — for example, an active infection with a fever, acute DVT, or untreated heart or kidney failure. There’s a full list on the When I Should Not Have MLD page. If you’re ever unsure, just ask.


Scar Therapy

Does scar therapy hurt?

It shouldn’t. We always start very gently, especially over more sensitive areas, and work within what feels comfortable for you. If anything feels too much, just say so and I’ll adjust.

Is my scar too old to treat?

Almost certainly not. Scars can respond to treatment for many years — sometimes decades — after they formed. The tissue never fully stops remodelling. Whether your scar is a few months old or from surgery twenty years ago, it’s worth exploring.

When can I start after surgery?

Once the wound is fully closed and healed — generally around 12 weeks after surgery, though it varies. You don’t need to wait until the scar is fully mature (which can take up to two years). Early treatment, once it’s safe, often gives the best results.

What does a session actually involve?

We’ll start with a chat about your scar, your history and what you’re hoping for. Then I’ll use gentle hands-on techniques — specific massage movements, myofascial release and desensitisation work — to encourage the tissue to soften and move. Sessions are calm and unhurried.

Will my scar disappear?

Scar therapy won’t remove a scar, but it can change how it looks, feels and moves significantly. Raised or hard scars often soften and flatten. Numb or oversensitive areas can become more settled. Many people find they simply feel more comfortable in that part of their body.

My scar doesn’t really bother me — is it still worth coming?

Absolutely. You don’t have to be in significant discomfort to benefit. If a scar feels tight, numb, a little “not quite yours”, or just different to the surrounding skin, that’s reason enough. Early treatment can also prevent problems from developing further down the line.

Can you treat C-section scars?

Yes — this is one of the most common reasons for people having scar therapy. C-section scars can cause numbness, oversensitivity, a pulling sensation or that “shelf” of tissue above the scar, and scar therapy addresses all of these. I’d generally wait at least 12 weeks after the birth before starting. If in doubt ask your GP or any other relevant healthcare professional who has you under their care.


Still have a question?

Get in touch — there’s no such thing as a silly question, and I’m always happy to chat things through before you book.