“Many states have no legislative body to regulate who claims to do MLD, and often, untrained or undertrained individuals claim to practice this work. Some advertise a dangerous practice known as “incisional drainage” where the “therapist” illegally picks open the incisions of cosmetic surgery clients several days in a row, often starting the first day after surgery. They squeeze the client’s body roughly and painfully, pushing bloody fluid out through the incisions. Other “therapists” illegally pull out plastic drain tubes from inside the person’s body and/or perform needle aspirations of seromas. Many show these graphic procedures on YouTube and Instagram and never get caught.
Clients are bombarded with misinformation on social media channels and in patient support groups. What they need are top-trained, certified professionals assisting with their aftercare. There are only a couple of places in the US where you can receive cosmetic surgery-specific training in MLD. Cosmetic surgery-specific training is not required before working with these clients, but as an ethical practitioner, you will want the most training possible from an authorized source.”