Manual Lymphatic Drainage Massage

Manual lymphatic drainage at AKESO Dermatologie uses the Vodder-derived technique of light, rhythmic hand movements applied in precise anatomical sequences to stimulate lymph flow. Unlike traditional massage, the pressure is intentionally gentle — working on the superficial lymphatic capillaries just beneath the skin rather than the muscle layer. Sessions are 30 or 60 minutes, and a 5-session pack provides a cost saving over individual appointments. The technique is indicated for post-surgical swelling, lymphoedema, chronic fluid retention, and as a complement to aesthetic procedures.

Manual lymphatic drainage (MLD) is a specialised therapeutic massage technique developed by Dr. Emil Vodder in the 1930s and refined into the method practised in European medical centres today. Unlike conventional sports or relaxation massage — which applies firm pressure to reach muscle tissue — MLD uses specifically light, rhythmic, skin-stretching movements that open and stimulate the superficial lymphatic capillaries, which lie just 1–2 mm beneath the skin surface. The movements follow precise anatomical sequences: therapists work from proximal lymph node clusters outward, clearing each region before moving distally. This creates a pressure gradient that draws lymph through the vessels toward the drainage points. Sessions at AKESO Dermatologie follow this orthodox protocol, performed by a certified therapist. Pricing and durations: - **30 minutes:** 800 Kč single; 3,800 Kč for 5-session pack (760 Kč/session) - **60 minutes:** 1,600 Kč single (no pack listed at this duration) Manual lymphatic drainage is clinically indicated for post-surgical oedema (particularly after cosmetic procedures such as liposuction, filler injections, rhinoplasty, or orthopaedic surgery), primary and secondary lymphoedema (with physician referral), chronic sinusitis, fibromyalgia, and rheumatoid arthritis. It is widely used as a complement to Lymfastim pneumatic drainage for patients who benefit from both mechanical and manual stimulation. Patients frequently report a deeply relaxing sensation during MLD, with a noticeable reduction in tissue tightness and heaviness in the hours following the session. The technique has a parasympathetic activating effect, lowering heart rate and reducing cortisol levels — a secondary benefit for patients managing stress or sleep disruption. Contraindications include active malignancy (unless under oncology supervision), acute DVT, active systemic infection, and decompensated cardiac or renal failure. A physician's referral is required for patients with diagnosed lymphoedema.