Post-Op FAQs

How soon should I start massages after the surgery?

Lymphatic drainage massage typically commences the day after surgery. However, it is essential that patients first obtain approval from the plastic surgeon who performed the procedure. This approval ensures the therapist is informed of the patient's specific surgical details and can modify the massage techniques to best suit their recovery needs.

How many massages do I need?

Each body is different, and each individual's recovery response differs. However, a planned post-op protocol or therapeutic plan is the best way to achieve consistent progress in each session. When massages are done with the appropriate technique and consistency, typically, between 10 and 15 sessions are enough to achieve great results. Our “Very Own” therapeutic plan consists of 10 sessions strategically scheduled for a successful result!

When should I book my massages?

As soon as you have a surgery date, please make sure you have a planned post-op treatment in place. Do not wait until you have had your surgery to schedule your post-op; you can face scheduling conflicts and lack of availability, and ultimately, your recovery depends on your good planning.

How long should each massage be?

Appropriate lymphatic drainage after cosmetic surgery should take a minimum of 45 minutes for a lipo 360 with or without BBL. To ensure all zones are properly worked, an additional 15 minutes must be added for each additional area surgically treated.

What happens if I get shorter sessions?

When you book shorter sessions than needed, the therapist does not have enough time to complete the protocol. This has a negative impact on your recovery, as the fluid will continue building up, with not enough stimulation to drain it. Similar to when you apply hair color, if you remove it sooner, the effect won’t be the same.

Are all massages the same?

No. Each massage is different and has its technique and effect. Regular massages mainly target muscles and joints, while relaxation massages target stress-affected areas. Lymphatic drainage is considered a specialized modality, the same as post-op massages; they need additional training and certification.

When you use a therapist who does not perform the correct modality, you will not have the expected result. Your recovery time is too short to waste on incorrect techniques.

For how long should I continue with massages?

We always emphasize that the recovery period is limited and lasts between 2 and 3 weeks. Most of your recovery should have been completed within this period. Nothing else should be needed if the post-op was done consistently and with the correct techniques.

How do I assess my progress?

You will notice improvement as you progress through each session of your post-operative massages. With every session, you will experience relief and feel better. The stimulation from the massages will help your body eliminate excess fluids through urination. Please remember that lymphatic massages are not performed on incisions.

Can the massages be scheduled as needed?

They can, but it is not the best option. Having a planned therapeutic plan will be the best ally in your recovery. This way, your therapist will adapt as you progress instead of having to start from scratch with each session.

Post Surgery Drainage® FAQ’s

  • The number sessions will depend on many factors:

    • When was your surgery done?

    • Have you had massages already?

    • If so, how many?

  • Lumps are common, but not normal and the faster they get addressed, the better.
    Our patented technique for fibrosis prevention will be the most appropriate approach for that.

  • Our typical post-op protocol consists on 10 sessions. We assume that if you had already 10 massages, you have two options:

    1. You are fine, therefore you don’t need any more massages.

    2. You have noticed some red flags. In this case one massage will not make a difference.

    If you already have some concerns, you are before the third week post-op, it is important to understand that those concerns can only be addressed with a treatment, not with an individual session.
    Please read our article about the importance of a planned treatment.

  • Our fibrosis preventative technique will help new fibrosis from forming, however will not remove the previous fibrosis. Liposuction does not remove fibrosis.

    Liposuction removes fat. Although fibrosis has volume, the tissue is not the same and typically not only is not removed with a liposuction, but will serve as a base for new fibrosis tissue.

  • We will be glad to help you before the third week post-op. Be advised fibrosis prevention is a treatment and just a couple of sessions might not yield the results you expect. Our fibrosis prevention packages are 5 sessions min.

  • Sure, we can. We can do a lymphatic drainage. Just so you know a lymphatic drainage massage does not address hardness or stiffness.  

  • Schedule a consultation would be my recommendation.
    Lymphatic drainage massage after liposuction is a great approach, but it becomes not effective after a few sessions.

    With a consultation we will make sure you have the treatment that your body needs.

  • Any hardness should be addressed properly. Compression only keeps the lumps less noticeable, hence they pop when you remove the faja.

    To remove the lumps is recommended to have an evaluation done first.

  • We deliver effective treatments backed by proven results. If you're curious about our qualifications, take a moment to explore our Instagram page, where you'll find a stunning collection of over a thousand "Before & After" photos demonstrating our success. Additionally, our YouTube channel features more than 150 testimonials from satisfied patients, showcasing our extensive expertise in the field.

    Our reputation is a testament to our work; we have successfully completed over ten thousand fibrosis sessions, establishing ourselves as leaders in this area.

    Read the next question if you still consider one session over a planned treatment.

  • We offer individual sessions for fibrosis, but there are several factors to consider when choosing this option. It's important to remember that imperfections after liposuction or cosmetic surgery often result from multiple unsuccessful treatments. Expecting one session to correct all these imperfections is unrealistic, primarily because we lack background information and a structured protocol.

    Correcting these imperfections typically requires a multi-session treatment plan that yields better results when appropriately followed. Since individual sessions have not undergone an expert evaluation, we cannot estimate the required sessions or provide a protocol, as we would in a planned treatment plan.

    Our practice prioritizes treatments that are consistent, effective, and tailored to your specific needs. While we highly encourage patients to adhere to a comprehensive treatment plan, we understand that some may prefer individual sessions.

    A multi-session treatment consists of a planned series of therapy sessions designed to address specific concerns and achieve optimal results over time. Instead of scheduling individual appointments one at a time, a multi-session approach allows for a structured and personalized plan that ensures each session builds on the previous one for maximum effectiveness.

    If you still prefer to choose a single session, please be advised that the therapist will not estimate the number of sessions needed, provide advice, or answer questions during this time, as those discussions are reserved for the consultation.


  • We frequently have visitors from other states and countries. If you fall into this category, please remember that your stay in Orlando should be at least five days. You will receive treatment daily, excluding Sundays and Monday, and you may experience some discomfort since your body will not have enough time to rest and recover.

    Please consider travel times, including flights and traffic, when planning your trip to our location. Keep in mind that there may be potential delays. We are very strict about our scheduling, and any disruption can have a cascading effect on our appointments. Therefore, we recommend that you plan your visit carefully and in advance. If you arrive late, we may not be able to complete your session fully, as we might have another patient scheduled afterward.

  • We do not recommend any other places for treatment. Our technique is patented and unique, and we use protocols tailored to each client's needs. No one outside of our Orlando location employs our method. 

    Please note that once you have arrived at our Center and become a patient, we only provide treatment, not advice.


Fibrosis FAQ’s

  • Fibrosis is a condition that requires professional qualified treatment.

    It is necessary a consultation to assess your particular case and create a personalized treatment plan.

  • Fibrosis is a complex condition that cannot be fully assessed through a photo or video alone. To help manage your expectations, we will need to ask you a series of questions. 

    Since we are addressing a health-related issue with aesthetic implications, we are legally required to obtain your consent before proceeding with any questions or examinations of your areas of concern.

    Please note that the Director and specialized therapists do not review photos, videos, or messages. All communications, including inquiries made through social media, are handled by our support staff.

  • A consultation will cover the following:

    • A review of your surgical history An assessment of your goals and expectations.

    • A determination of your suitability for our technique

    • An estimation of the number of sessions needed to achieve your goals

    • A quotation for the treatment plan


  • Many practices offer complimentary consultations, often conducted by an advisor or surgery coordinator. While these professionals can provide valuable information, their primary focus is typically on selling services.

    Our practice takes a different approach. Marian Sotelo-Paz personally conducts all teleconsultations. As the founder and director, she brings expertise and innovation through her two patented techniques.

    The consultation fee reflects the comprehensive time and attention provided by a specialized therapist who will carefully review your case and create a tailored treatment plan. This fee is non-refundable and cannot be applied to other services, ensuring you receive dedicated and focused care without distractions. 


  • To schedule a consultation, please click on the button on the top right corner of this page or click here. 

  • This is a formal teleconsultation; you must sign a consent form to proceed with the remote session. The consultation will last approximately 40 minutes and will be divided into three sections:

    • Step 1: Marian will ask questions and review your background, treatment goals, and whether those goals are achievable with our technique.

    • Step 2: She will assess the specific areas that require treatment. Please note that no additional zones of your body can be added after this consultation, and quotes will only cover the areas discussed during the evaluation.

    • Step 3: Marian will address your specific therapeutic questions.

    She will not disclose her protocol, as it is a confidential component of her patented technique.

    A report of findings will address questions regarding pricing, availability, scheduling, or other logistics. It will be emailed within 72 business hours after the consultation.


  • In-person consultations are possible. Candidates opting for in-person evaluation should follow the same process before we can assign a date for the visit.

  • We are unlikely to offer that option. However, please note that the evaluation lasts approximately 40 minutes. Due to time constraints, the report may be prepared within 72 business hours. 

    Fibrosis sessions typically last around 90 minutes or more, and we cannot reserve that time slot after a consultation without confirmation that the patient will proceed with the treatment.  This is the main reason we offer remote evaluations. 

    Additionally, because our technique is popular and effective, most patients schedule their fibrosis sessions weeks in advance.


  • The number of sessions needed will be estimated during your evaluation, where we can assess the severity of your condition. Your personal goals also play an essential role in this decision, as wanting to correct fibrosis to move and feel better is different from seeking perfection.

    We will estimate the number of sessions during the evaluation based on various factors, but depending on the severity, the minimum number of sessions is generally between 5 and 8. 

    We will also conduct a follow-up assessment (three weeks after you reach the minimum suggested), but at this point, each patient knows how far they want to push their limits. When they experience the results themselves, they decide to continue with more. 

    While we generally suggest one session per week, patients traveling from other states often choose to schedule back-to-back sessions. However, no more than one session should be done in a single day, as your body needs time to rest. If you are considering back-to-back sessions, we recommend allowing one or two extra days in your travel schedule to provide a break between sessions.

  • Yes, depending on the number of sessions you are willing to do, we could divide it into two or three trips.  Your report of findings will have options for this. 

    We understand that taking several days off your regular schedule can be challenging, so we try to be as flexible as possible, within reason.    

    The entire treatment should be completed in six months; exceptions will be considered one-on-one.


  • We frequently have visitors from other states and countries. If you fall into this category, please remember that your stay in Orlando should be at least five days. You will receive treatment daily, excluding Sundays and Monday, and you may experience some discomfort since your body will not have enough time to rest and recover.

    Please consider travel times, including flights and traffic, when planning your trip to our location. Keep in mind that there may be potential delays. We are very strict about our scheduling, and any disruption can have a cascading effect on our appointments. Therefore, we recommend that you plan your visit carefully and in advance. If you arrive late, we may not be able to complete your session fully, as we might have another patient scheduled afterward.

  • We do not recommend any other places for treatment. Our technique is patented and unique, and we use protocols tailored to each client's needs. No one outside of our Orlando location employs our method. 

    Please note that once you have arrived at our Center and become a patient, we only provide treatment, not advice.


  • The vast majority of our patients see significant improvement with five sessions. Occasionally, depending on the severity of your case, more sessions may be recommended during your consultation. If more sessions have been suggested and you have scheduled them, you will either need to stay in the area if traveling from out of town, or you may return within 90 days to complete your sessions.

    NOTE: We do not offer fewer than five sessions to be performed. We are very accommodating in trying to fit your schedule to complete them within 90 days, provided that you agree that no other treatments will be done on the treated areas as they could impact the results. 

  • We deliver effective treatments backed by proven results. If you're curious about our qualifications, take a moment to explore our Instagram page, where you'll find a stunning collection of over a thousand "Before & After" photos demonstrating our success. Additionally, our YouTube channel features more than 150 testimonials from satisfied patients, showcasing our extensive expertise in the field.

    Our reputation is a testament to our work; we have successfully completed over ten thousand fibrosis sessions, establishing ourselves as leaders in this area.

    Read the next question if you still consider one session over a planned treatment.

  • We offer individual sessions for fibrosis, but there are several factors to consider when choosing this option. It's important to remember that imperfections after liposuction or cosmetic surgery often result from multiple unsuccessful treatments. Expecting one session to correct all these imperfections is unrealistic, primarily because we lack background information and a structured protocol.

    Correcting these imperfections typically requires a multi-session treatment plan that yields better results when appropriately followed. Since individual sessions have not undergone an expert evaluation, we cannot estimate the required sessions or provide a protocol, as we would in a planned treatment plan.

    Our practice prioritizes treatments that are consistent, effective, and tailored to your specific needs. While we highly encourage patients to adhere to a comprehensive treatment plan, we understand that some may prefer individual sessions.

    A multi-session treatment consists of a planned series of therapy sessions designed to address specific concerns and achieve optimal results over time. Instead of scheduling individual appointments one at a time, a multi-session approach allows for a structured and personalized plan that ensures each session builds on the previous one for maximum effectiveness.

    If you still prefer to choose a single session, please be advised that the therapist will not estimate the number of sessions needed, provide advice, or answer questions during this time, as those discussions are reserved for the consultation.


  • Yes, and choosing the right schedule can make a big difference in your comfort and results.

    We recommend one session per week to allow your body time to recover, as swelling naturally subsides between treatments. For patients treating multiple areas, back-to-back sessions can be intense, making it harder to manage post-treatment discomfort.

    However, we understand that scheduling constraints exist, and we can adapt our protocol to accommodate back-to-back sessions when necessary. For the best experience, we strongly recommend leaving at least a day or two between sessions whenever possible. This allows your body to respond better to treatment and ensures a more comfortable recovery.

    Our priority is your results and well-being, so we’ll help you find the best approach based on your individual needs.

  • Yes, results should not vary significantly. However, back-to-back sessions can be more intense, and discomfort levels may require the therapist to work more moderately. We recommend spacing sessions by a day or two whenever possible for a more comfortable experience.

  • Fibrosis itself is a painful condition, and its correction may cause some discomfort depending on individual pain tolerance. However:

    • Pain tolerance varies from person to person.

    • Discomfort typically decreases as the sessions progress.

    • We apply a topical numbing cream to prepare the treatment area and help minimize discomfort.

  • No, there is no downtime. You can resume normal activities immediately after your session. However, mild tenderness or temporary swelling in the treated area may occur, depending on individual response.

  • In medicine and therapeutic treatments, the word “guarantee” is not used because every body reacts differently. While we apply specialized techniques backed by years of experience, individual results vary based on factors such as the severity of fibrosis, skin type, and healing response.

    What we can guarantee is our commitment to excellence. Check our unmatched results online and compare for yourself. Most of our patients come to us after trying everything else first—and that speaks for itself.