Can at-home lymphatic drainage be dangerous? We asked the experts

A puffy face and swollen hands? Even with a healthy diet, reduced salt intake, regular exercise, and controlled cortisol levels, it may seem as though your body is unnecessarily retaining fluid. One possible cause is poor lymphatic system function. One solution that can help stimulate its proper operation is a specific type of massage loved by celebrities such as Cher, Jennifer Aniston, and Gwyneth Paltrow. To reduce swelling and support the body’s detoxification process, discover everything you need to know about lymphatic drainage.

What is the purpose of lymphatic drainage?

There are many reasons why people opt for lymphatic drainage, a body or facial massage using specific movements that stimulate lymph circulation. This method is often referred to as the “gold standard” in treating water retention in the body, and even more serious conditions such as lymphedema. “Decompressive therapy is the gold standard approach to treatment aimed at reducing swelling and managing symptoms associated with lymphedema, a condition characterized by the accumulation of lymphatic fluid in body tissues, usually due to a blockage in the lymphatic system,” states Francesca Ramadan in a 2024 paper published in the British Journal of Community Nursing. Although it was originally developed for medical purposes, lymphatic drainage is now increasingly used for aesthetic reasons, including:

• reducing a swollen appearance
• detoxifying the body through improved lymphatic circulation
• relaxation and stress reduction
• assisting with body contouring

Who needs lymphatic drainage?

“Lymphatic drainage is beneficial for anyone who wants to stimulate lymph circulation and support detoxification. It is recommended for people with localized edema, such as swelling of the legs and arms, fluid retention in the body, and those with an increased concentration of toxins caused by an unhealthy diet or stress. It is also effective in treating cellulite and improving skin tone,” emphasizes Dr. Nikola Milojević, owner of the Milojević Polyclinic. Lymphatic drainage is also used as a rehabilitation method. “It is applied in postoperative rehabilitation and is suitable for people who want to reduce body weight or have a slowed metabolism,” Dr. Milojević adds.

Can lymphatic drainage be dangerous?

The popularity of lymphatic drainage has encouraged many people to try different techniques at home, such as dry brushing, but professional massage still has a stronger effect. Since this is a more intensive type of massage, which is not always performed manually but sometimes with special devices or suits that use air pressure to stimulate lymph movement, the question arises: are there any risks?

“Lymphatic drainage is generally safe, but it is not recommended for people who have cancer or have recently undergone oncology treatment, those with acute illnesses, problems with blood vessels and kidneys, uncontrolled edema associated with heart disease, or individuals with serious skin conditions or open wounds,” explains Dr. Milojević. After the treatment, you may experience increased thirst, so it is important to drink enough fluids to support the detoxification process.

Wet brushing for a simpler routine

Alongside the dry brushing technique, there is another very popular option that is somewhat gentler but equally effective: wet brushing. This method is performed during showering, using a silicone brush or a special glove designed for lymphatic drainage. Instead of a classic shower sponge, these tools allow you to incorporate lymphatic stimulation into your daily skincare routine. This practice is especially beneficial if you have a sedentary lifestyle.

With gentle, rhythmic movements toward the heart, lymph flow is stimulated, dead skin cells are removed, and skin tone and texture are improved. Wet brushing is particularly suitable for people with more sensitive skin, as water and lather reduce friction while providing a relaxing, spa-like effect. With regular use, it can help reduce the feeling of heaviness in the legs, alleviate fluid retention, and promote an overall sense of lightness in the body, making it a practical addition to at-home care between professional lymphatic drainage treatments.