SHB50115 Diploma of Beauty Therapy
WRB20104
WRBCS201B – PROVIDE MANICURE AND PEDICURE SERVICES
SHBBBOS006
Initial Impact P/L
PO Box 301
Balnarring 3926
© 2016
ABN 37
006 210 920
Initial Impact P/L
Provide superficial lymph massage treatments
LEARNING MATERIAL
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Provide superficial lymph massage
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1
UNIT SCOPE
Element 1. Establish client priorities.
1.1 Access and review client treatment plan if available.
1.2 Discuss massage requirements and lifestyle factors with client to identify their treatment priorities.
1.3 Review indications for treatment, contraindications and client feedback and modify treatment plan as required.
1.4 Identify contraindications which prevent treatment and recommend suitable alternative treatments or refer client to appropriate
professional as required.
1.5 Confirm treatment objectives and revised treatment plan with client.
1.6 Obtain written medical approval as required.
2. Prepare for treatment.
2.1 Check readiness of treatment area and availability of equipment.
2.2 Prepare client, equipment and products based on agreed treatment plan.
2.3 Use energy, water and other resources efficiently during preparation and subsequent treatment process.
3. Provide lymphatic massage.
3.1 Position self to minimise fatigue and risk of injury.
3.2 Apply superficial lymph massage routine according to treatment plan.
3.3 Ensure client modesty and comfort throughout treatment.
3.4 Maintain infection control procedures throughout treatment.
3.5 Monitor effects and modify massage appropriately.
3.6 Apply post treatment products according to manufacturer instructions.
4. Review massage and provide body care advice.
4.1 Evaluate lymph massage treatment with client.
4.2 Record outcomes of treatment on client treatment plan.
4.3 Advise client on expected reactions and provide home care and lifestyle advice.
4.4 Discuss next treatment and rebook client as required.
4.5 Complete and store treatment documentation.
5. Clean treatment area.
5.1 Remove used linen and clean surfaces and equipment according to organisational policies and procedures.
5.2 Restock equipment and products in preparation for next treatment.
5.3 Dispose general waste and hazardous substances to minimise negative environmental impacts according to organisational policies and
procedures.
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UNIT SCOPE CONTINUED
Foundation skills – 6 to 11
6. Student demonstrated foundation skills when they used reading skills to interpret and follow manufacturer instructions and safety data
sheets for dilution, handling and disposal of cleaning products, source and interpret credible information from: anatomy and physiology
publications and anatomical charts and models.
7. Student demonstrated foundation skills when they used writing skills to record treatment using basic anatomy and physiology
terminology to describe body areas and anatomical positions.
8. Student demonstrated foundation skills when they used oral communication skills to use open and closed probe questions to clarify
and confirm client requirements, select and use appropriate terminology in consultations with clients protect confidentiality of client
information by ensuring that other clients and colleagues do not overhear discussions or view client records.
9. Student demonstrated foundation skills when they used numeracy skills to calculate treatment price and timing.
10. Student demonstrated foundation skills when they used technology skills to access credible online publications and internet resources
that builds knowledge for providing advice to clients, use client software to update client notes, rebook future treatments, record stock
data and product purchases.
11. Student demonstrated foundation skills when they used self management skills to manage treatment length and recognise scope of
practice issues and refer clients to colleagues or health care professionals.
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Lymph
Lymph is a clear to yellowish watery fluid which is found throughout the body. It circulates through body tissues picking
up fats, bacteria, and other unwanted materials, filtering these substances out through the lymphatic system. This fluid
contains white blood cells, known as lymphocytes, along with a small concentration of red blood cells and proteins.
Because white blood cells are smaller than red blood cells, they can pass easily through membranes which red blood
cells cannot penetrate. The lymph circulates freely through the body, providing cells with nutrients and oxygen while it
collects harmful materials to dispose of. Lymph is about 96% water with the remaining 4% rich in minerals, proteins and
white blood cells. Our bodies are about 50% water by weight with lymph being 30% of this weight.
As lymph circulates, it is pulled into the lymphatic system, an extensive network of vessels and capillaries which is linked
to lymph nodes, small nodules which act as filters to trap unwanted substances in the lymph. Lymph nodes also produce
more white blood cells, refreshing the lymph before it is pumped out of the lymphatic system and back into the body.
The lymphatic system is a subsystem
of the circulatory system with its main
functions being;
•To collect and return lymph to the
blood, thus helping to maintain fluid
balance.
•To absorb fats from the intestine and
transport them to the blood.
•To defend the body against disease.
•To repair damaged tissue.
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Lymph nodes
Lymph nodes are round or kidney shaped organs usually found in
groups distributed throughout the body, both close to the surface
and deep within the body. A person has between 500 and 1,500
lymph nodes that range in size from very tiny to about 2.5 cms in
diameter. They are concentrated in the head and neck, armpits,
chest, abdomen, pelvis and groin and are scattered all along the
lymph vessels. The lymph nodes contain lymphocytes that filter
lymph by recognising and destroying harmful invading microorganisms. After passing through the lymph nodes and returning
through the blood stream, the lymph becomes sterile. At a cellular
level, the lymphatic system is the body’s first line of defence
against diseases because it transports antibodies throughout the
body.
Beauty therapist are not qualified to apply lymph drainage massage
for therapeutic purposes however it is a useful technique for the
general wellness of the client. The massage can be used to enhance
Swedish and aromatherapy massage.
Benefits of body lymphatic drainage massage.
•Can reduce the look of cellulite.
•Assists with the healing process to lessen scarring.
•Stimulates the parasympathetic nervous system, relaxing muscles
allowing for the heart rate to decrease.
•Improves the feeling of general good health.
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Lymph nodes and lymphatic system
The lymph must enter the lymphatic system through specialised lymphatic capillaries. Approximately 70 percent of
these are superficial capillaries that are located near, or just under, the skin. The lymphatic system is a very delicate
structure, one cell thick made up of endothelial cells. These cells are supported within the connective tissue by
filaments that help to anchor the cells in place. When pressure within the interstitial space increases due to a build up
of fluid, or when the skin is slightly stretched, the filaments deform the wall on the initial lymphatic, opening it up.
Then the interstitial fluid flows in and starts to move along the channel. At this point it is called lymph.
The lymphatic vessels are wherever there are blood vessels and they transport excess fluid without the assistance of
any pumping action. The lymph flows in towards the heart and moves more slowly than blood. The wall of the lymph
capillary is constructed of cells that overlap one another. The fluid outside the capillary pushes against the overlapping
cells pushing them slightly inwards. Fluid inside the capillary cannot flow out through these openings. It is the internal
valve that allows the lymph to flow in one direction only and prevents backflow. The movement of the lymph is aided
by breathing motion and contractions of the skeletal muscles that compress the adjacent lymph vessels.
Only 2% to 10% of the interstitial fluid is returned by the lymphatic vessels. Lymph vessels help to remove proteins that
are too large to get back through the capillary wall and into the blood stream. Removal of protein is essential because
proteins draw water to themselves, so protein in the interstitial spaces causes swelling and oedema. Oedema is an
abnormal accumulation of fluid beneath the skin or in one or more cavities of the body.
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Functions of the lymphatic system
The major parts of the lymphatic system are the lymph nodes, tonsils, thymus, spleen and lymphatic vessels. Additional
lymphatic tissue is found in isolated patches in the gastrointestinal tract, lungs and bone marrow.
Whilst maintaining tissue fluid volumes, blood volumes and blood pressure, the lymphatic system collects excess fluid
and returns it to the blood, being approximately 3 litres a day. This fluid is basically plasma and contains lymph cells, red
blood cells and electrolytes. This fluid washes the spaces between tissue cells, picking up micro-organisms and waste
from the cells. About 90% of this fluid is absorbed back into the blood stream through the permeable blood capillaries.
10% re-enters the lymphatic system and is returned to the blood through the subclavian veins.
The lymphatic system transports fats from the small intestines to the blood stream through the thoracic duct. The small
intestine is lined with lacteals that are specialised lymph vessels. Digested fat enters the lacteals and passes through the
lymph vessel into the veins near the heart and then the blood stream. Lymph from the intestines is called chyle and may
appear white because of the fat it contains.
If there is injury to tissue, chemicals from the damaged cells cause inflammation. Blood circulation in the area increases
and capillaries become more permeable. More fluid is released to the damaged area, bringing with it immune cells and
organisms that start to wall off the area and destroy any harmful micro-organisms. The pressure difference between the
fluid filled tissue and the lymphatic vessels creates a slight vacuum that pulls the debris from the injury into the
lymphatic system where it is destroyed. This helps in the healing process.
The lymph system has the ability to regenerate itself after injury. New lymph capillaries sprout in areas where lymph
flow has been disrupted. When normal lymph nodes are damaged, new lymph nodes have been observed growing
along deep lymph vessels. Knowledge and understanding of the lymph system has increased with the use of magnetic
resonance imaging known as MRI.
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Lymphatic ducts
There are two lymphatic ducts;
1. The right lymphatic duct.
2. The thoracic duct.
Lymph vessels from the right arm and the right half of the head, neck and chest converge in the right lymphatic duct
which drains into the right subclavian vein. This is not the same for everyone. Some people have the large lymph
vessels of the right upper quadrant merge and join the blood vessels in the venous angle without forming a specific
right lymphatic duct.
Lymph vessels from the left arm and the left side of the head, neck and chest empty into the thoracic duct located in
the thoracic cavity. This duct arises from the cisterna chyli which collects and receives a fluid called chyle from the
intestines. The thoracic duct empties into the left subclavian vein. Lymph vessels from both legs and the abdominal
cavity also empty into the thoracic ducts after passing through the lymph nodes.
Lymphatic tissue.
This is a specialised fibrous tissue containing lymphocytes – the white blood cells that fight infections and disease.
Lymphatic tissue is contained in the lymph nodes, the tonsils, the spleen, the thymus and lymph nodes in the
respiratory and digestive tracts.
Deep nodes are located deep in the abdomen, liver, near the lumbar vertebrae and connected to the small intestines.
Superficial nodes are mainly concentrated in the inguinal, cervical and armpit regions. There are smaller groups near
the elbows and behind the knees. Superficial lymph drainage massage is applied to superficial nodes.
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Lymphatic massage techniques
A smooth rhythm involving 6 – 8 repetitions, alternating active pressure then passive state is the general technique
used in a lymphatic body massage. Lymphatic massage requires no application of essential or aroma oils or lotions on
the body. The massage is administered in strokes towards the direction of the heart. Lymph nodes must be drained
first, then the trunk, gradually working to the extremities. Massaging the lymph nodes first makes room for more
lymph which is drained from adjacent areas. Lymph must always be pushed towards the targeted node and as you
move further away from the node, the fluid should be pushed back in the direction of the node. Using this sequence
creates a path for the lymph to move as well as a suctioning effect being created that draws the lymph to the node.
A therapist is likely to use a combination of the four lymphatic massage techniques.
•Stationary circles – use fingertips in stationary circles in a clockwise and anti clockwise fashion in a continuous
manner on the lymphatic nodes.
•The pump - place both the palms down on the skin and using fingers and thumbs together, massage in the same
direction moving the skin in an oval pattern. Use on arms and legs.
•The rotary - used on broad areas such as the back. Palms and fingers lie flat on the skin and wrists move up and
down while increasing and decreasing the pressure.
•The scoop - used on legs and arms, it involves the thumb on the upper part of the body while the fingers are
outstretched below swinging inwards with pressure and outwards with no pressure.
Contraindications for lymphatic massage.
•Malignant tumours or people undergoing chemotherapy.
•Thrombosis and thyroid conditions.
•Hard, swollen or painful lymph nodes or glands.
•Cellulitis and acute oedema of the body.
•Major heart problems and kidney problems.
•Asthma, bronchitis and influenza.
•Contagious skin condition, cuts, abrasions, recent scar tissue and lack of skin sensitivity.
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Common contraindications for superficial lymph massage
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Facial oedema.
Pre and post surgery.
Relaxation.
Scar tissue.
Acne.
Rosacea
Telangiectstasis. This is a condition where there is dilatation of the capillaries causing them to appear as small red or
purple clusters, often spidery in appearance, on the skin or the surface of an organ.
Medical contraindications to superficial lymph massage.
• Raised temperature.
• Diseases of the heart, kidney, liver and skin.
• Acute asthma.
• Acute allergies.
• Cancer.
• Organ transplant.
• Hyperthyreosis is an underactive thyroid.
• Lymphedema is swelling that generally occurs in one arm or one leg.
A hypertrophic scar looks similar to a keloid scar. Hypertrophic scars are more common. They don't get a big as keloids,
and may fade with time. A hypertrophic scar is a cutaneous condition characterised by deposits of excessive amounts of
collagen which gives rise to a raised scar, but not to the degree observed with keloids. Like keloids, they form most often
at the sites of pimples, body piercings, cuts and burns.
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Considerations for lymphatic drainage massage
Generally lymph nodes are small and cannot be examined by touch. Enlarged lymph glands can be caused by
underlying health problems. Repeated infections sometimes scar lymph nodes which will remain enlarged.
If a client has enlarged lymph nodes you need to ask the client;
•How long have they been enlarged?
•Are they tender or sore?
•Is the infection still present?
•Have they contacted a medical doctor?
Do not proceed with a massage if they have not consulted with a doctor about their enlarged lymph nodes. Certain
skin types are unsuitable for a superficial lymph drainage massage as they may become further damaged or irritated by
the movements and pressure applied during the treatment.
Do not conduct a lymph drainage massage on;
•Very thin, delicate mature skin.
•Highly vascular skins with capillary damage.
•Skin which has lost sensation through nerve damage, often because of diabetes.
•Bruised skin which is sore to touch.
•Sunburn or wind burnt skin which is painful.
•Delicate, sensitive areas of fine skin texture as they may be stretched.
Client comfort and safety.
•Be highly sensitive to changes in the client’s condition and especially the movement of tissue fluid.
•Notice the client’s skin if it is cool or warm, pale or red, taut or flaccid.
•Notice any scars or markings in the massage area.
•Notice the client’s breathing pattern. Are they tense or relaxed?
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Wounds on the skin
Wounds such as abrasions, swelling, bruising or cuts can be contraindications to massage treatments.
Wound and skin infections represent the invasion of tissues by one or more species of microorganisms. This infection
triggers the body’s immune system, causes inflammation and tissue damage and slows the healing process. Many
infections remain confined to a small area, such as an infected scratch or hair follicle and usually resolve on their
own. Others may persist and, if untreated, increase in severity and spread further and deeper into the body. Some
infections spread to other organs or cause septicaemia.
Skin is the body’s largest organ and its first line of defence. Even when it is clean, the surface of the skin is not sterile. It
is populated with a mixture of microorganisms called normal flora. This normal flora forms a dynamic barrier that helps
to keep other more harmful microorganisms, known as pathogens away. Most of the time normal flora and colonising
pathogens do not cause illness and do not stimulate the immune system. If there is a break in the skin or if the immune
system becomes compromised, then any of the microorganisms present can cause a wound or skin infection.
Wounds are breaks in the integrity of the skin and tissues. They may be superficial cuts, scrapes or scratches but also
include punctures, burns or may be the result of surgical or dental procedures. The microorganisms likely to infect them
depend on the wound’s extent and depth, the environment in which the wound occurs and the microorganisms present
on the person’s skin. Below the three layers of the skin are membranes that protect connective tissue, muscle and bone.
Wounds can penetrate any of these layers and skin infections can spread into them. Wound healing is a complex process
that involves many related systems, chemicals and cells working together to clean the wound, seal its edges and
produce new tissues and blood vessels.
Skin and wound infections interfere with the healing process and can create additional tissue damage. They can affect
anyone, but those with slowed wound healing due to underlying conditions such as poor circulation or a suppressed
immune system are at greater risk. When infections penetrate deep into the body into tissues such as bone, or when
they occur in tissue that has inadequate circulation, they can become difficult to treat and may become chronic
infections.
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Consulting with the client
A visit to a massage clinic should be a beneficial experience for a client. The presentation and hygienic standards of the
clinic are extremely important. Your own attitude when you first greet the client is also vitally important.
1.
2.
Ensure your personal presentation is appropriate.
Ask client for specific areas of concern. What symptoms do they have etc; pain, stiffness? Do they know the causes
of these problem areas?
3. Listen to your client making sure you understand the client’s expected results from the treatment.
4. Explain the procedures carefully so the client understands.
5. Clarify any misunderstandings and confirm treatment processes.
6. Use eye contact.
7. Show a genuine interest in what they are wanting.
8. Know your treatment skills.
9. Speak well, choosing your words carefully.
10. Do not promise what you cannot deliver.
11. Provide information on alternative treatments if appropriate.
Duty of care.
Duty of care always exists between a massage therapist and a client when an agreement is made for an appointment
for a treatment. Duty of care also applies for a massage therapist when a client enters the clinic, when advice is given
either by phone, email, face to face or written. It also applies to the treatment provided and to persons related to the
client as well as to other practitioners within the clinic.
A therapist can breach the duty of care if they fail to provide a reasonable standard of care. This includes failure to
maintain equipment in a safe standard, use an oil client is allergic to as well as failure to maintain safe standards such
as slippery floors or loose rugs. It also includes failure to act on a contraindication to treatment, maintain client’s
privacy and confidentiality and maintain adequate hygiene standards. A client has the right to report any breach of
duty of care to legal representatives.
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Adapting massage techniques to suit
When providing treatments to varying sizes and shapes of clients, a massage practitioner needs to adjust their own
body position, posture and techniques to ensure their own safety and comfort. If a person has a large body size it is
not always correct to think that they can withstand deeper pressure than a standard sized person. Sometimes these
people are very sensitive to pain so a practitioner needs to use firm, rhythmic strokes and apply pressure slowly and
sensitively whilst monitoring the client’s reaction.
A seated massage may be appropriate if;
•The table is too small or narrow for client comfort.
•The client is unable to get onto the table if the table height cannot be adjusted.
•The space is too small to accommodate a massage table.
•The client cannot lie down for medical reasons.
•The client has a lack of mobility or has unacceptable pain on movement.
Ageing.
Typically from the age of 70 the human body begins to slow down. Added to this could be a sense of loss, maybe from
losing a partner or realisation of dreams not achieved.
Diseases commonly associated with ageing are not part of the normal ageing process. They are a secondary process or
symptomatic of ageing. Lessening the effects of ageing requires maintaining good health and fitness both mentally and
physically to enable a person to live and function independently.
Regular massages are proving to be very beneficial to the health and emotional wellbeing of ageing clients.
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Health and Safety considerations and salon policies
The following is a list of safety precautions that you must adhere to before and during a service to protect the client and
yourself.
•Ask client to remove jewellery which may inhibit the massage.
•Remove jewellery from yourself that may cause discomfort to the client.
•Dispose of any dirty tissues as you use them.
•Use a plastic sheeting or a single use paper sheeting on the massage bed.
•Use clean towels for each client.
•Do not apply products on any open, weeping sores or infections.
•If you have a cut on your hand avoid conducting the treatment.
•Keep your fingernails well maintained to avoid scratching the client.
•Your clothing must be loose fitting, clean and in accordance with health and safety requirements. A disposal apron can
be worn to protect your clothing from being stained by the massage product.
•Wash your hand before you begin.
•Make sure your breath is fresh and doesn’t smell of food or smoke. Wear deodorant.
•Furniture must be clean and comfortable for the client.
•Ensure room temperature is comfortable for the client.
•Conserve the use of resources such as energy, water and products to reduce impact on environment.
•Follow salon environmental policies and legislative requirements on the removal and disposal of waste material.
•Follow salon policies and relevant health and safety legislation for sanitising tools and equipment procedures correctly.
Contact your local state health department for specific requirements.
•Adequate insurance cover that includes body massage services.
Scope of practice considerations.
• Refer clients to other practitioners when appropriate.
• The importance of not stating a diagnosis of a contraindication or condition.
• Limitations to passive joint movements.
• Role of nutritionist, dietician, complementary therapist, medical practitioner.
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Organisational requirements
Organisational culture describes the workplace policies and procedures within your clinic.
This may include;
1. Creating a friendly courteous environment.
2. Asking questions of your customers to gain information.
3. Ensuring your client fully understands the causes of their discomfort and clearly explains their specific health care
needs.
4. Always checking that you and the customer have a clear understanding of the treatment procedures.
5. Seeking clarification of client’s condition from other health care professionals if necessary and not proceeding if in
doubt.
6. Making sure the client is in agreement with your treatment plans.
7. Correctly recording client treatment details.
8. Maintaining client confidentiality and privacy by ensuring safe storage of records.
9. Being attentive, responsive and respectful of the client’s requirements.
10. Using good time management skills.
11. Confirming client further appointment times.
12. Offering appropriate services to the customer, making referrals to other practitioners if necessary.
13. Being consistent, reliable and sensitive to the customers perceptions.
14. Sharing knowledge with clients and other practitioners, providing specific training if necessary.
15. Being approachable, making it easy for the clients to talk.
16. Providing follow up service advice if appropriate.
17. Providing clients with special needs any assistance they may require for the best possible care.
18. Being fair at all times to all customers no matter what age, race or ethnic background they have.
19. Incident reporting.
20. Waste and hazardous substance disposal.
21. Work health and safety.
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Superficial muscles
Superficial muscles refer to the location of the muscle in relation to the surface of the skin. They are the muscles you
can feel through the skin.
Some of the major superficial muscles of the body
Tibialis anterior
Biceps femoris
Extensor digitorum longus
Adductor muscle
Fibularis longus
Gluteus maximus
Gastrocneurnius
Gluteus medius
Soleus
Triceps brachii
Adductor muscle (a.k.a. Hamstrings)
Brachialis
Flexor carpi radialis
Trapezius
Deltoid
Extensor digitorum
Latissimus dorsi
Occipitalis
Sternocleidomastoid
Frontalis
Platysma
Temporalis
Orbicularis oris
Orbicularis oculi
Zygomaticus
Pectoralis minor
Pectoralis major
Rectus abdominis
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Superficial lymphatic drainage body massage
Superficial lymph drainage massage is a rhythmic, gentle massage that imitates the movement of the lymphatic
system. Precise pressure is applied to stimulate contraction and reduce the build up of excess fluid which saturates the
tissues and causes them to swell. The slow, gentle repetitive movements are also relaxing for the client. Pressure
should be very light and only cause enough traction so that the superficial surface of the skin moves over the
underlying tissues. Stretching the skin gently lengthwise, horizontally and diagonally, stimulates the lymph capillaries in
the superficial tissues close to the surface of the skin causing them to contract. Where tissue is very soft, the pressure
must be very light while harder tissue requires firmer pressure. Begin lightly and increase, always confirming with your
client if the pressure is acceptable. Reddening of the skin or pain should not occur during the massage.
The lymphatic system and its relationship
to the circulatory system
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Superficial muscles of head, neck, and face
Epicranius - runs over the top of the skull from the eyebrows to the
back of the skull.
Frontalis – part of the Epicranius pulls the eyebrows up.
Occipitalis – part of the Epicranius tightens back of the scalp.
Auricularis posterior - may move the ears.
Auricularis superioris - may move the ears.
Auricularis anterior - may move the ears.
Orbicularis oculi - squints the eyes.
Pyramidalis - lowers the glabella and helps wrinkle the nose.
Zygomatic major - retracts and pulls the lip corners upwards.
Zygomatic minor - retracts and pulls the lip corners upwards.
Levator labii superioris - pulls the upper lip upwards.
Levator labii superioris alaque nasi - wrinkles the nose.
Masseter - a powerful muscle of mastication that closes the jaw.
Orbicularis oris - acts to constrict and deform the lips and mouth opening.
Splenius - a muscle at the back of the neck with two parts, helps position the head.
Levator (anguli) scapulae - a muscle in the back of the neck that helps control head position.
Scalenus posticus - one of three scaleni, deep neck muscles that help position the head.
Sternocleidomastoid - a ribbon-like muscle running along the side of the neck that tilts the head right or left.
Risorius - retracts the lip corners.
Depressor anguli oris (Triangularis) - pulls the corners of the mouth downwards.
Trapezius - a large muscle in the area of the back shoulder, that has some fibres in the neck.
Platysma - a large muscle that lies under the jaw and down the neck to the upper chest.
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Lymphatic system and lymph nodes in the area of the head, neck, and face
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Superficial lymph drainage massage of the face and neck
Facial drainage helps with sinusitis and dental problems and is excellent
for the skin - even providing a one or two day "face lift." Lymph drainage
hydrates the skin and removes local toxins, softening wrinkles,
rejuvenating the skin and helping to heal acne.
Lymphatic drainage of the face.
Lymph drainage of the face is usually divided into two areas by drawing
lines from the apex of the nose to the angle of the jaw on each side,
creating a triangle. The nose, mouth, chin and jaw line that are inside
the triangle, drain into the submandibular and submental nodes and
then down through the anterior cervical chain located in the neck
towards the lymphatic ducts at the median ends of the clavicle.
The lymph from the area outside the triangle, which includes the
forehead and temples, drain to the anterior auricular and the parotid
nodes and then on through the nodes in the neck towards the lymphatic
duct. Lymph from the top of the head and the back of the head drains to
the occipital nodes and retroauricular nodes then towards the cervical
nodes.
The gentle pulsing of the fingertips while using a slow movement towards
the heart helps to stimulate the drainage of the lymph system. Pressure is
applied with finger or thumb pads creating static circular movements.
These movements gradually work along the nodes, with 6 to 8 circles being completed in each area. All movements
have a light pressure and are slow and rhythmical.
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FACIAL LYMPHATIC DRAINAGE MASSAGE - BASIC TECHNIQUES
Prepare the client’s skin up to and including exfoliation according to salon procedures for a facial treatment
Apply the massage medium most suited to the client’s skin, to their face and throat
Movements 3 to 8 are conducted standing in front of client. Using thumbs, stroke outwards from the sternum,
gradually moving up to the clavicle. Repeat 5 times
Slide up to the anterior cervical chains of nodes with effleurage movement. Work down to the posterior
superficial cervical chain of nodes with the thumb circles. Repeat twice
Light effleurage to the occiput, using the middle fingers stationary circles down to the posterior superficial
cervical node chain. Repeat twice
Light effleurage to mental eminence of mandible, stationary circles down to posterior superficial cervical node
chain, avoiding trachea. Repeat twice
Light effleurage to the outer end of the clavicle, stationary circles along trapezius to the posterior superficial
cervical chain of nodes. Repeat twice
Light effleurage to the outer end of the clavicle, stationary circles along the clavicle to the posterior superficial
cervical node chain. Repeat twice. Without removing hands from client’s face move to the head of the couch to
begin working on the face
Movements 9 to 15 are conducted standing behind the client’s head. Slide fingers to the mental eminence and
onto the origin of the triangularis, making stationary circles from the submental nodes back to the anterior deep
cervical node chain and down to the posterior superficial cervical node chain. Light effleurage back to the point
of the chin. Repeat twice
Drain from the upper lip to the outer jaw and posterior superficial cervical node chain. Light effleurage to the
centre of the top lip, stationary circles outwards to outer corner of mouth, then to beneath the angle of the jaw
and down to the anterior deep cervical node chain
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FACIAL LYMPHATIC DRAINAGE MASSAGE - BASIC TECHNIQUES
Drain from the bridge of the nose, across and beneath the eyes. Light effleurage to the lower nose bridge
stationary circles outwards across beneath the eyes and outwards from the outer corners of the mouth to the
submental nodes. Repeat twice
Drain the eye orbit region. Effleurage to corrugators, using one finger, gently stroke across the top of the brow,
circle the eye with effleurage. Repeat twice
Drain the forehead. Effleurage lightly to the mid brow area, make stationary circles outwards in lines to cover
the brow area. This should take between three and four sets of movements. Repeat twice for each one
Drain from the temples to the posterior superficial cervical node chain and anterior deep cervical node chain.
Light effleurage to the temples, stationary circles to posterior superficial cervical node chain and anterior deep
cervical node chain
Using firm effleurage, glide slowly from inner-brow across to temples, pause, glide down from the temples to
the angle of the jaw to the posterior superficial cervical node chain. Repeat twice
Complete the treatment according to salon procedures for a facial treatment
Discard all disposable materials according to salon environmental and health policies
Replace lids on containers, sanitise items and tidy up the salon replacing items and used linen. Place used linen
in the washing basket and close the lid.
FORMATIVE 1. WATCH VIDEO ON FACIAL LYMPHATIC DRAINAGE MASSAGE TECHNIQUES.
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Providing after treatment service
The completion of the massage.
You need to allow them sufficient time to rest after completing the treatment. Having laid there for some time they may
need your assistance to get up from the massage couch. Allow them to get dressed in private.
Once the client is dressed, discuss the massage with them asking for any areas they felt needed to be concentrated on
for the next treatment. Further assistance may be provided with advice on appropriate aftercare products. Review the
treatment plan and make notes on any adjustments required. Rebook the client for the next session.
Lifestyle recommendations for clients.
Nourish the skin by eating the proper foods. A healthy and balanced diet promotes general well-being and allows the
body to function at its best. Eat plenty of fruits that contain seeds and vegetables - organic is better as it contains
additional nutrients.
Drink plenty of water. The recommended eight glasses of water a day is essential in maintaining the elasticity and
suppleness of skin. Water also clears the skin and aids in the proper elimination of waste.
Exercise regularly. Exercise is good for the heart and the body. The skin benefits from exercise since blood circulation is
increased, thus bringing oxygen and nutrients to the rest of the body.
Be smoke free. Smoking tends to destroy Vitamin C in the body and damages the elastic tissues that keeps the skin
tight. Alcohol tends to expand the blood vessels causing red spots and itchiness on the skin.
Cleanse the skin twice a day. Cleaning plays an important part in the overall wellness of your skin. After cleansing the
skin, tone and moisturise it.
Protect the skin. Harsh elements can severely damage the skin and can lead to irritation and infection. Always wear
sunscreen with at least SPF 15+ when out in the sun.
Get plenty of rest. Give the skin time to rejuvenate and heal while sleeping. Stress is extremely bad for the skin and
body. It indirectly creates instability in the hormonal system, which in turn leads to more skin problems like breakouts
and acne.
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Basic nutrition principles
The principles of nutrition is the process of nourishing or being nourished by which a living organism assimilates food
and uses it for growth and for replacement of tissues. You are what you eat! The effects of modern lifestyles, stress,
pollution and over processed food can be seen in poor skin texture and unhealthy body shapes. Clients need to be
advised that a healthy diet and lifestyle should part of their massage treatment plan. This will allow them to gain full
benefit from the treatments you provide.
The facts about overweight and obesity.
Overweight and obesity are serious, chronic medical conditions that are associated with a range of debilitating and lifethreatening conditions. They are also among the most complex and difficult problems to treat.
•Obesity is a complex and multi-factorial disease. It is characterised by the excessive accumulation of adipose tissue to
an extent that health is impaired.
•Health risks associated with obesity include diabetes, heart disease, high blood pressure and some cancers.
•The most significant long-term consequence of childhood obesity is its persistence into adulthood.
•In addition to a high-fat, high-energy diet and a lack of physical activity, there are medical and physical factors that can
give rise to weight gain.
People who are overweight or obese are at increased risk of health problems, ranging from the psychological to the
physical. Immediate problems include;
•Low self-esteem.
•Social isolation and depression.
•Heat intolerance.
•Breathlessness on exertion.
•Tiredness.
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Reactions to massage
Your client may sometimes experience adverse reactions during the massage.
•Temporary soreness, pain, discomfort, bruising or muscular spasms.
•Allergic reaction to massage product used, skin blemishes.
•Temperature discomfort or aggravating existing erythema.
•Dizziness, or low blood sugar.
Massage treatments may;
• Directly cause new injuries or aggravate existing problems.
• Distract patients from more appropriate care.
• Mildly stress the body causing headaches or emotional release.
You need to respond and this may require you to;
•Discuss the reaction with the client.
•Review previous treatment plans.
•Adjust treatment.
•Adhere to clinic policies and procedures for response to accidents or emergencies.
•Use first aid procedures according to St John’s, Australian Red Cross or other appropriate first aid training.
•Access local emergency services.
This completes the learning material for this unit.
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