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Abbey Alexandra turns to a particular massage routine whenever she feels bloated, using body oil combined with a wooden roller to gently massage her stomach. She frequently shares before-and-after clips on TikTok, explaining that the technique leaves her feeling less puffy and more toned: “You definitely feel a lot better after, they are relaxing.” This method is a version of lymphatic drainage massage, originally a medical treatment but now popularized as a beauty trend. Notable enthusiasts include media personality Maya Jama and actress Hailey Bieber, who told Time magazine, “I swear by them.”
On many social media platforms, videos depict a woman showing her stomach before and after the massage, often standing or lying down with a slight natural stomach curve. The massage involves smooth, circular motions intended to encourage fluid movement. By the end of the routine, the stomach frequently appears flatter and sometimes reddened. However, Dr Ella Guest, a senior research fellow and health psychologist from the Centre for Appearance Research, advises caution when viewing such content. She points out that images may be manipulated through filters or editing, highlighting the importance of critically evaluating whether these portrayals reflect realistic results. “If something looks too good to be true, it probably is,” she notes.
The lymphatic system, as described by the NHS, is an extensive network of channels and glands throughout the body responsible for fighting infection and removing excess fluid. Dr Xand van Tulleken explained on Morning Live that this system helps maintain fluid balance in tissues and supports immunity. When the lymphatic system malfunctions, it can cause swelling known as lymphoedema, a condition frequently seen in individuals treated for cancers affecting lymph nodes. Typically, the swelling affects limbs like arms or legs. Dr van Tulleken summarizes its function by stating, “The lymphatic system helps keep your body’s fluid levels balanced, cleans up waste, and supports your defences against illness.”
Regarding what the massage actually accomplishes, Dr Xand describes manual lymphatic drainage as a treatment used medically when the lymphatic system does not function properly. The massage employs light pressure and specific techniques to encourage excess lymph fluid to move from swollen areas toward lymph nodes located in the armpits, neck, and groin, facilitating reabsorption. While such massages can safely relieve symptoms of conditions like lymphoedema, they are not appropriate for everyone and should not replace professional medical advice. Dr Xand emphasizes, “No one should get their health advice from Instagram – far safer to use the NHS website, or consult your GP.” Abbey, who has endometriosis and experiences bloating, adopted these massages twice a week after being inspired by social media. She shares, “After doing my routine, I personally feel less puffy and bloated, particularly around my stomach. Visually, I notice that my stomach looks a little more defined and I also feel lighter and more comfortable.”
In terms of effectiveness, Dr Xand points out that routine lymphatic drainage massages are unnecessary for most healthy individuals. He adds that there is a lack of strong scientific evidence supporting lasting benefits or fat loss from such treatments. However, some people may find the massages relaxing and notice temporary decreases in swelling. For maintaining proper lymphatic health, he suggests that regular physical activity and hydration are sufficient. “Unless someone has a diagnosed lymphatic condition, I don’t think anyone needs routine lymphatic drainage treatments,” he asserts. Abbey acknowledges that while the visual effects are temporary, she appreciates the way she looks and feels afterward, saying, “it’ll always be a part of my routine.” Meanwhile, Dr Guest warns that the pursuit of a sculpted stomach fueled by online trends can negatively impact self-esteem, reminding viewers that healthy bodies naturally vary widely in shape and size
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