How is Lymphatic Massage done?

Lymphatic massage (also known as lymphatic drainage) is a gentle, rhythmic massage technique that focuses on stimulating the lymphatic system. With targeted, light movements, the therapist moves excess lymphatic fluid away from the tissues toward active lymph nodes, so that toxins and excess fluids can be eliminated. If you’re wondering “How is Lymphatic Massage done?”, below you’ll find a practical step-by-step guide, what to expect during a session, and when it’s indicated.

What is it?

Lymphatic massage is a specialized therapeutic technique that improves lymph flow. The lymphatic system removes toxins, excess fluids, and useless cellular byproducts. Since it does not have its own “pump”, lymph flow depends on muscle movement and breathing. When this slows down (sedentary lifestyle, post-surgery, injuries), fluid retention, local swelling, and a feeling of heaviness in the limbs appear. Lymphatic massage reactivates this flow and relieves tissue congestion.

How is it Done?

Lymphatic massage is performed with very gentle and rhythmic movements on the surface of the skin, not with deep pressure on the muscles. More specifically, it is done with:

• Gentle movements: The therapist “glides” over the skin with a slow, steady rhythm on the arms, legs, abdomen, and chest.
• Direction toward the heart: The movements follow the natural path of the lymph, pushing it toward the lymph nodes and the heart.
• Circular pumping: Small circular/upward movements that create a sensation of “pumping” the lymph.
• Focus on the superficial lymph vessels: Work is done just beneath the skin, not on the muscles.
• Compression & decompression: On the limbs, gentle pulsating pressures help with drainage.
• Use of oils: Light oil or cream for smooth movement flow (optional).

Step-by-step (typical session flow)

1. Preparation: Breathing, comfortable position, clean skin.
2. Activation of central lymph nodes: Neck and chest to “open” the pathways.
3. Torso: Gentle circular movements toward the center.
4. Upper limbs: From fingers → forearm → upper arm → armpit.
5. Lower limbs: From toes → calf → thigh → groin.
6. Closing: Light repetitions on central lymph nodes, gentle breathing.

Key points

• No strong pressure is applied: If it hurts, it is not proper lymphatic massage.
• Target is the lymphatic system: Not muscle relaxation, but activation of lymph vessels/lymph nodes.
• Professional application: A certified therapist with training in lymphatic drainage is required.

Benefits

• Reduction of fluid retention and swelling.
• Detoxification through faster removal of waste substances.
• Immune system boost (better lymph flow through the lymph nodes).
• Improvement of microcirculation and skin appearance, support in cellulite.
• Relief in post-surgical/post-traumatic swelling.

See our in depth article: What is lymphatic massage & 10 important benefits.

Duration & frequency

• 60΄ the classic
• Frequency by goal: initially 1–2/week, then maintenance (every 2 weeks and/or monthly).
• The therapist adjusts the plan based on history/goals.

See in detail the best frequency for each type of massage in our article: When should have a massage?.

When to avoid it

It is avoided or requires medical approval in:

• Acute infections/fever
• Thrombosis ή σοβαρές αγγειακές παθήσεις
• Heart or kidney failure
• Active malignancy (in the affected area)
• Skin infections/open wounds
  Always consult a doctor if there is a serious condition.

See in detail: On which areas we do not perform massage and when it is prohibited.

What you will feel & what to do afterward

• Sensation of light, rhythmic pressure without pain.
• After: possible lightness, increased thirst/urination (normal).
• Aftercare: Drink plenty of water, prefer light walking, avoid very tight clothing on the same day.