Plastic surgery, although widely recognized for its aesthetic results, involves a recovery process that can be significantly influenced by the development of edema and the accumulation of lymphatic fluid. Lymphatic massage, a manual therapy technique aimed at promoting the flow of lymphatic fluid, has emerged as an essential therapeutic complement in the postoperative period of aesthetic procedures. This article reviews the scientific and clinical evidence that supports the use of lymphatic massage in post-surgical recovery from plastic surgery, highlighting its benefits, mechanisms of action, and practical recommendations for its implementation.

Plastic surgery seeks not only to improve aesthetic appearance but also to minimize recovery time and post-operative complications. Edema, characterized by fluid retention in the tissues, is a common consequence that can prolong recovery and affect the final aesthetic result. The lymphatic system, responsible for removing fluids and wastes from the interstitial space, plays a crucial role in reducing edema. Herein lies the importance of lymphatic massage, a technique that manually stimulates lymphatic drainage, facilitating the reduction of edema and speeding up the recovery process.

Lymphatic massage acts on the superficial lymphatic system, which is made up of an extensive network of vessels and lymph nodes. Using smooth, rhythmic, and precise movements, this technique helps mobilize lymphatic fluid to regional lymph nodes, where it can be filtered and returned to the systemic circulation. This process not only reduces the volume of fluid in the tissues but also promotes the elimination of metabolic waste, enhancing tissue recovery.

The scientific literature supports the use of lymphatic massage in the postoperative context of plastic surgery. Studies have shown that patients who receive lymphatic massage experience a significant reduction in the severity of edema, pain, and fibrosis compared to those who do not receive this therapy. In addition, an improvement in skin quality and a decrease in the appearance of superficial irregularities have been observed. These benefits contribute not only to a faster recovery but also to increased patient satisfaction with aesthetic results.

To maximize the benefits of lymphatic massage in post-surgical recovery, it is recommended to start therapy within the first few days following the procedure, continuing according to the patient’s evolution. The frequency and duration of the sessions should be personalized, considering the extent of the edema and the particularities of the surgical procedure performed. It is crucial that massage is performed by therapists who specialize in lymphatic drainage who possess a deep understanding of the anatomy and physiology of the lymphatic system.

Lymphatic massage emerges as a valuable therapeutic strategy in the management of post-surgical edema in patients undergoing plastic surgery. Its ability to promote the drainage of fluids and debris from the interstitial space not only accelerates recovery but also improves aesthetic outcomes and patient satisfaction. The inclusion of lymphatic massage as an integral part of the post-surgical recovery protocol represents an evidence-based approach that enriches patient care in plastic surgery.