Maximizing Healing and Reducing Swelling after Tummy Tuck with Manual Lymph Drainage

[@karellfernandez7105]

Finally someone doing a correct procedure and real MLD. Thera are a lot of people on youtube doing crazy things but you really know your stuff. Awesome technique and good explanations

[@petraerving1854]

Thanks Karen. I know what you mean about lots of dodgy techniques out there! Quite shocking what some people do 😬

[@kekeanderson9828]

Thank God I ran across your page. I’m relatively new and I was taught the Vodder method but when consulting others, they drain into the tummy tuck scar and I was taught differently. Thank you!

[@Bojangles23Mr]

I agree, finally I can see the Vodder Method correctly applied after surgery, Really good MLD therapist. Congratulations for the video and the comment.

[@hfox1203]

Finally someone who is posting the correct way of MLD

[@petraerving1854]

Thank you 😊

[@nataliescialo5730]

This has been sooo helpful to give me confidence in working with my first tummy tuck client. Thank you!

[@petraerving1854]

Hey 👋 Natalie, you're very welcome. If you're interested I have an online training program especially for MLD therapists working with postop patients who want to expand their knowledge so they can be confident that the treatments they provide are 100% safe for their clients. If you'd like to find our more, let me know and we can arrange a video call 😊

[@December_baby04]

@@petraerving1854can I do the video call!? I’m a LMT in Ohio and have a post op MLD client in a couple of weeks

[@petraerving1854]

@@December_baby04 yes of course, you can book here calendly.com/petraerving/aftercare-academy

[@December_baby04]

@@petraerving1854 thank you so much!

[@felipesaez3804]

Finally i found something right. In the internet there are a lot of videos saying that it is lymphatic drainage when are moving is interstitial fluid.

[@petraerving1854]

Yep, there's a LOT of misinformation and incorrect techniques being shown out there. I'm glad you found this channel.

[@eliara-thevoice8430]

MLD is amazing. Great work.

[@petraerving1854]

Thank you 😊

[@truemassagebodywork]

I just posted about this, so that's awesome this popped up on my feed. Some of these techniques, I learned in a CEU class recently. Thanks for sharing!

[@petraerving1854]

You're welcome 😊

[@user-ng1ly5sk1z]

You so gentle I was in so much pain when I got mines post op day 2

[@o0ashley0o]

I want this done …I just had surgery ! 😍 looks like it would feel good .

[@petraerving1854]

If its done correctly, it'll feel good 👍

[@jiorleny26]

Thank you this learning video

[@petraerving1854]

You're very welcome ☺

[@Ebonyeyez7]

So informative! Thank you

[@petraerving1854]

You're welcome 😊 🙏

[@gigidayz6936]

I had an abdominoplasty 13 days ago and feel that I need this..though my surgeon never mentioned it to me..

[@petraerving1854]

Yep, unfortunately many surgeons are still not recommending MLD to their patients. It's a pity because it is so beneficial. I hope you find it helps you too 😊

[@shatirabell8977]

I had mine 3 months and my RN recommended it as a choice and I went to an RN to get this done and she did it just like in the video. It has helped so much with my swelling and my insurance covered it. I am not sure why these other lymphatic massages are not like this. But I did my research before getting one

[@massagehealthcontour]

Because either they’re not licensed massage therapist OR they never took in person lymphatic training….they just watched videos.. so sad!!!

[@JAK7520]

I’m 100% with you on everything your doing including drainage upward to auxiliary nodes at TT incision. Question: when, if ever, do we resume the normal watershed direction (@belly button)?

[@petraerving1854]

Hi Julie, thanks for your comment. My opinion is that for the first 4 weeks, you direct towards axillary lymph nodes only. This will deal with the superficial swelling that cannot get through the scar tissue. There are of course deeper lymphatics that maybe able to find a route below the scar, through muscle to the inguinal nodes. So, I'd recommend incorporating drainage to both areas from about 4 weeks. Overtime, I've found that you start noticing little channels appear through the scar. However, bear in mind that the tissue that was below the original belly button, containing southwards draining lymphatics has been removed. So the majority of the 'new' tissue between belly button and incision would have originally drained to axilla anyway. I hope that helps.

[@simplyti7851]

Thank you for this

[@petraerving1854]

You're welcome 😊

[@Lifes_lessonss]

Could you please comment with the type of scar tape you recommended for 12 weeks I’m on day 5 post op and would love to order some.

[@darleneakers5037]

need to reposition camera, could not see what you were doing at times.

[@FrejafarahOlesen]

My doctor never mention this to me. Its now 5 weeks since my tummy tuck with liposuction. I had been doing massage by myself everyday. But is it too late doing it in the right Way, with a professionel?

[@massagehealthcontour]

Great info! Now there needs to be regulations in every state on the IG, online “body contouring” people..not medical, who offer post op ‘care’, lymphatic therapy l without being a medically trained nurse, medical aesthetician or licensed massage therapist… please contact your board and the plastic surgeon board to facilitate regulations. Lash techs in Maryland are NOW required due to these online certificates non-medically trained laypeople doing lashes! People were not having eye issues, several went blind! #mandateregulationsforpostopcare

[@petraerving1854]

Agreed! And thank you 😊

[@crystallassiter6137]

What did you mention you were a proponent of?

[@screenname2206]

I’m three weeks post surgery and my legs are swelling. Not sure if it’s normal.

[@petraerving1854]

Yes, swelling is completely normal. But it's important you wear compression and have Manual Lymph Drainage Therapy.

[@emmi0418]

How long should a MLD treatment be on an abdominal liposuction?

[@petraerving1854]

At least 60mins

[@Hannahkeir]

I would like to hear more explanation of what you are doing. I've never been taught the breathing technique in my classes. Are you pressing gently as she releases the breath?

[@petraerving1854]

You cannot learn this technique from a video or written explanation. You'd need to attend in person training. What training have you done?

[@jessicabuchanan2077]

Can you tell me what you said about the tape for the scar ? What kind was it again ??

[@petraerving1854]

Micropore tape

[@Butterfly-444]

How much would a therapist charge for just that section and or is it ok to do entire body? Or just that section for the tummy tuck?

[@petraerving1854]

Setting your fees depends on your experience and qualifications, and what your competitors charge.

[@petraerving1854]

You can do the entire body if you like. However, I tend to work on the areas that need treatment.

[@saallday294]

I am curious. If we’re just 10 days post surgery and we’re expected to wear our garments 24 hours a day except when we shower, would you take the compression garment off of your patient?

[@misspookie84]

Definitely take it off

[@peccimabel]

I noticed in other videos the therapist wears gloves. Do we supposed to wear gloves only when the client has open incisions or the Drainage tube?

[@petraerving1854]

I don't wear gloves because in my opinion you simply cannot do the MLD effectively enough wearing them. There's a barrier between me and the patient's skin. I sanitise my hand before and after touching each patient. So, for me it's a choice and to give a better treatment experience for my patients.

[@pearls58]

Hi Petra,
Would you recommend this for pre and post myomectomy?

[@miriamhernandez9550]

Hi Petra, I know this is an old video but wanted to thank you as it clarified some of my doubts. I would like to ask you if tat is ok, in the case of fleur the lis tummy tuck would you follow same procedure?

[@petraerving1854]

Hi Miriam, yes you'd follow the same protocol.

[@miriamhernandez9550]

@@petraerving1854 Thank you

[@purityogiriga8575]

How do you recommend the movement of fluid for a TT patient who still has drain collector tucked in, to help collect fluid within the first 14days post surgery?

[@petraerving1854]

The fluid that is draining via drains is serous fluid. Its 'free' fluid that is not within the tissues. Whereas the fluid that is mobilised and moved during Manual Lymph Drainage is interstitial fluid - fluid within the tissues. So, if you are a qualified MLD therapist, you will work with the lymphatic system, supporting what it does naturally - encouraging fluid out of the tissues into the lymphatic system. You are NOT pushing fluid into the drains. I hope that helps?

[@utoobizfun]

What are you saying that you are a huge proponent of? Micro something?

[@petraerving1854]

Micropore tape. It's brilliant! Use it after surgical dressings are removed, for 12 weeks, changing approx. every 5 days. It supports the scar, keeps the skin edges together and limits the scar stretching.

[@istyleliz]

What does the tape look like that should stay on while healing?

[@petraerving1854]

Hi, I recommend surgical tape. You can get it in 2.5cm and 5cm widths. However, it's best to go with what your surgeon, doctor or wound care specialist advises.

[@trinalazarek1801]

Is mld recommended prior to the tummy tuck or lipo

[@felipesaez3804]

Both

[@jessicastevens2481]

It’s frustrating to watch when it’s over explaining and less and spotty demonstration. Sorry

[@petraerving1854]

That's OK. You're entitled to your opinion. I don't teach manual techniques online. There is too much opportunity for someone to do it incorrectly.