
Social media influencers promote lymphatic drainage massage for debloating and sculpted abs, but experts warn of limited evidence for healthy individuals and potential harm from unrealistic beauty standards, noting the treatment is medically useful only for conditions like lymphoedema.
AI-generated summary
Lymphatic drainage massage is a medical treatment for conditions like lymphoedema, but has been adapted as a beauty trend on social media platforms like TikTok, promoted by influencers and celebrities for debloating and body sculpting.
If she's ever feeling bloated, Abbey Alexandra has a go-to routine, using body oil and a wooden roller to perform stomach massages.
She shares before-and-after videos on TikTok, saying she feels the process leaves her depuffed and defined: "You definitely feel a lot better after, they are relaxing."
The technique is a form of lymphatic drainage massage, adapted from a medical treatment and shared as a beauty trend. Celebrity fans include Maya Jama, who shares her clinic sessions, and actress Hailey Bieber, who told Time magazine: "I swear by them."
Whether there is a physical change - or any need for one - is debatable, but fans of the massages claim they help "flatten" and "debloat" and give a "snatched waist" and "sculpted abs". But what's actually happening to their bodies?
Many videos on social media promoting lymphatic massage show a woman either standing sideways, facing the front or perhaps lying down with her stomach showing a slight - and very normal - curve outwards.
Then begins the methodical massage in circular motions seemingly draining fluid away. By the end, her stomach appears flatter - if a little red.
But social media body trends should always be viewed with scepticism, says Dr Ella Guest, senior research fellow and health psychologist at the Centre for Appearance Research based at the University of the West of England.
"These images might be altered using photo-editing tools or filters, people standing in particular poses, use of lighting, lots could even be AI-generated," she says.
"I think stopping to reflect on what you see and questioning whether it looks realistic, or if it's very aligned with beauty standards, can be useful. Remember, if something looks too good to be true, it probably is."
The lymphatic system is a network of channels and glands throughout the body that helps fight infection and remove excess fluid, according to the NHS.
Dr Xand van Tulleken tells Morning Live that the lymphatic system helps remove excess fluid from tissues and supports the immune system.
"When it is not working properly, it can contribute to swelling, which can be a condition called lymphoedema."
This commonly affects people who have cancers that involve the lymph system or who've had treatment involving the lymph nodes.
It causes swelling in any part of the body, but usually develops in the arms or legs.
"In simple terms, the lymphatic system helps keep your body's fluid levels balanced, cleans up waste, and supports your defences against illness," says van Tulleken.
Dr Xand says manual lymphatic drainage is one of a range of treatments used by medical professionals "if your lymphatic system isn't working as it should".
He describes it as using "light pressure" and "strategic massage techniques" to "clear" your lymphatic system.
"They'll coax excess lymph fluid from your swollen tissues toward your lymph nodes, where the lymph can reabsorb," he says - adding lymph nodes are found in the armpits, neck and groin.
He adds that these massages can be a "safe way" to relieve symptoms for conditions like lymphoedema but are not suitable for some people with pre-existing medical conditions.
He stresses: "No one should get their health advice from Instagram - far safer to use the NHS website, or consult your GP."
Abbey, who has endometriosis which she says causes her to feel bloated, began doing her own massage routines twice a week after seeing social media posts about lymphatic drainage.
"I started using my hands and then I bought some wooden tools as well."
"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."
Dr Xand says there is "no need" for most people to perform lymphatic drainage treatments at home.
"There is very little high-quality evidence showing they provide meaningful or lasting benefits for healthy individuals, and it does not promote fat loss," he says.
But he does note that lymphatic drainage massages can feel "relaxing" and some people "can notice a temporary reduction in swelling".
"For most healthy people, regular movement, exercise and staying hydrated are all that's needed to support normal lymphatic function," he says.
"Unless someone has a diagnosed lymphatic condition, I don't think anyone needs routine lymphatic drainage treatments, despite the growing popularity of these practices on social media."
For Abbey, it's something she enjoys. "I know the visual difference is temporary... But I do like how I look and feel afterwards so it'll always be a part of my routine."
However, Guest warns striving for a sculpted stomach could "feed into people's insecurities".
"We know that when we compare ourselves online and try to live up to these trends, we tend to scrutinise our appearance more and feel less satisfied with how we look," she says.
"The reality is that healthy bodies come in a wide range of shapes and sizes."
AI outlook — possibilities, not facts
Social media platforms may increase scrutiny or labeling of health-related beauty trends
Possible · Within months

The number of heat-related illnesses this summer was recorded at 4,066, a decrease of 394 from last year, but the estimated number of deaths was 36, an increase of 7 from last year, which is expected to be the second highest figure since the introduction of the surveillance system in 2011. The proportion of people aged 65 or older was high at 34.9%, and the rate of occurrence during outdoor activities was 75.3%.

Nutritionist Xue Xiaojing reminds that high blood pressure often has no obvious symptoms, and you need to measure the blood pressure number to detect the risk. When eating out, you can reduce sodium intake by "drinking less soup, less sauce, and less processed meat." It is also recommended to start with five things to protect your heart: fruits and vegetables, whole grains, reducing sodium, and measuring blood pressure. It is emphasized that dietary adjustment cannot replace drug treatment.

The Ministry of Food and Drug Safety announced that from the 12th to the 30th, together with local governments, it will inspect the sanitary conditions of about 4,300 daycare centers across the country and provide education on preventing norovirus food poisoning and precautions when cooking in large quantities. 상반기 점검에서는 식품위생법을 위반한 어린이집 집단 급식소 7곳이 적발됐다.

Influencer Lito Sousa died as a result of complications from Creutzfeldt-Jakob disease after receiving, in compassionate use, the experimental compound ALN-6457, developed by Regeneron and Alnylam, which aims to reduce the production of prion protein through siRNA conjugated to C16, although preclinical data in mice shows only a 15% reduction in target RNA and there is no evidence of efficacy in humans.

Lito Sousa, pilot, aviation influencer and husband of Mila Seidl, died at the age of 59 in São Paulo after being diagnosed with Creutzfeldt-Jakob disease. He was known for his channel Aviões e Músicas, with more than 3.5 million subscribers on YouTube, and left behind a 7-year-old son.
A Russian doctor announced the registration of a new drug to treat prostate cancer, and explained that treating the enlarged prostate with hot steam maintains sexual function without semen, warning that high doses of testosterone may cause infertility and destroy the cells responsible for sperm production.