The best option would be follow up care with Accelerated Lymphatic Drainage Massage. Unfortunately, this is only available in the Houston, Texas area.

Thank you Margo. Do you use special compression bandage techniques?

Actually, given what I understand about lymphatic flow, compression bandages, in my understanding, cut off the flow on the deeper levels. Think about it. They may relieve an area, but they simply pressurize the remainder of the system, making the probability of blockages extremely likely, and causing a forced rerouting, which cannot be good.

Thank you . The compression that my therapists usually use after lymphatic massage is gradual pressure from distal to proximal to avoid "backflow", while encouraging mobility and avoiding positions that are prone to cause lymphedema like sitting and standing. Exercise is encouraged.

Without compression the lymph stasis worsens.

I could not find literature on Pubmed about accelerated lymphatic drainage massage. Do you perhaps have any article references?

The authors below looked at safety of MLD and found it was just as good as active exercise for their patients with breast cancer lymphedema complications.

Oliveira MMF et al. 2018 Long term effects of manual lymphatic drainage and active exercises on physical morbidities, lymphoscintigraphy parameters and lymphedema formation in patients operated due to breast cancer: A clinical trial. PLoS One. 2018;13(1):e0189176. Published 2018 Jan 5. doi:10.1371/journal.pone.0189176

In terms of contra-indications or dangers for MLD one can consider hypertension, DM, paralysis, asthma, congestive heart failure and acute limb infections according to the authors : Godette K, Mondry TE, Johnstone PA. Can manual treatment of lymphedema promote metastasis?. J Soc Integr Oncol. 2006;4(1):8-12.

I am really interested to hear what your experience has been with amniotic band syndrome, post-operatively, after w-plasty?