We listen first
A 60 to 90 minute first session with the time to be properly heard: history, medications, sleep, digestion, energy, mood, and cycle. Pulse and tongue diagnosis follow, and you leave with a TCM working diagnosis you understand.
Conservative Care
Lipoedema Management
Conservative lipoedema management in Marylebone: manual lymphatic drainage, anti-inflammatory nutrition, herbal medicine, and graded movement coaching, designed for the long term and delivered alongside your specialist medical care.
The short answer
What this treatment is
Lipoedema is a chronic, progressive condition affecting almost exclusively women: symmetrical, painful fat accumulation in the legs, hips, and sometimes arms, with a striking sparing of the feet. Diet and exercise reduce upper-body weight without changing the lipoedema-affected areas, which is often where years of misdiagnosis begin. You can read more about the condition itself on our lipoedema page.
Conservative management combines several strands, aimed at day-to-day pain and heaviness rather than a cure:
- Manual lymphatic drainage to ease heaviness and swelling.
- Anti-inflammatory nutrition, addressing the inflammatory load.
- Graded, low-impact movement and, with a specialist, compression.
Body Perfected delivers the manual lymphatic drainage, nutritional, and herbal pillars, and coordinates with vascular or lymphology specialists for compression-garment fitting and any consideration of surgery. Some clinicians and patients report slower progression with consistent care, though that is not yet established in the evidence. The work is long-term: lipoedema is managed across years, not weeks, and integrative care is also central to recovery after any lipoedema surgery.
At your first appointment there is time to be properly heard
Your history, your cycle, your energy, and what matters to you. The first session runs 60 to 90 minutes depending on the service: medical history, current medications, sleep, digestion, energy, mood, and your menstrual cycle where relevant. Pulse and tongue diagnosis follow, and from this we arrive at a TCM working diagnosis you understand.
You leave with a written summary of what was done, why, and the plan for your next session.
Claudia provides the best lymphatic drainage massage in London. She can scan your body like no one else. I almost fell asleep during my 90-minute session — the time flew by. Thank you Claudia!
Read on Google
Claudia is a true healer! I arrived very tense after a long flight and she was able to help calm and reset my nervous system. I highly recommend the 1-hour lymphatic massage.
Read on Google
I had a great lymphatic drainage session with Claudia. After having sinus surgery to remove polyps and dealing with congestion, I felt so much better after the session. Highly recommend!
Read on Google
Claudia is wonderful. Her treatments are incredibly relaxing. She is attentive and asks questions ahead of time to be more targeted during the sessions. Her treatment rooms promote a sense of calm. I would highly recommend her!
Read on Google
Fees and booking
Book by WhatsApp or phone on +44 7455 005 334. We agree a clear plan at your first session and reassess it at every visit, so you always know what your care involves and why.
- First consultations run 60 to 90 minutes depending on the service; follow-ups are 60 to 75 minutes
- Fertility acupuncture from £125 for the initial 90-minute consultation, with follow-ups at £85
- Lymphatic drainage from £130 for 60 minutes, or £160 for 90 minutes
- Programme, herbal, and block fees are confirmed at your first consultation
Your journey
with Body Perfected
Every plan starts with being properly heard. We find what is driving your picture, treat it with the right combination of pillars, and evolve the plan with you as your body responds.
Treatment, tailored to you
Acupuncture, moxibustion, cupping, tuina, manual lymphatic drainage, herbal formula: chosen for your TCM diagnosis, not by default. Sessions run 60 to 75 minutes, and you leave each one with a written summary of what was done and why.
We evolve with you
Pulse, tongue, and current symptoms are reassessed at every visit, and the toolkit and herbal formula adjust as the picture shifts. Plans are agreed in 6-week or 12-week blocks, so you always know where you are in the arc.
Care that lasts
As things settle, treatment moves to a maintenance frequency: keeping your cycle, energy, and recovery steady. Where you have a GP, fertility clinic, or surgeon involved, we coordinate with them throughout.
Integrative care that treats the cause of your symptoms. Rooted in 2,000 years of Chinese medicine, delivered for modern life, from Marylebone since 2010.
- You see the same practitioner at every visit, so your TCM diagnosis (pulse, tongue, history) carries forward and treatment evolves as the picture shifts.
- Over 20 years of clinical practice across 4 integrative pillars: acupuncture, nutritional therapy, Chinese herbal medicine, and manual lymphatic drainage.
- Rated 4.8 on Google from 68 reviews, at 1 Orchard Street: 3 minutes from Bond Street and Marble Arch tube stations.
- We work alongside conventional medicine: with your consent, treatment notes are shared with your GP, fertility clinic, or surgeon.
Fertility, acupuncture and lymphatic drainage
- Fertility acupuncture, timed to the phase of your cycle
- IVF, ICSI, IUI, and frozen-transfer support, including the Paulus Protocol
- The 12 Weeks Fertility Reset Protocol
- Traditional acupuncture, moxibustion, cupping, and tuina
- Chinese herbal medicine
- Nutritional therapy for fertility and women's health
- Manual lymphatic drainage for post-op recovery, lipoedema, and postpartum swelling
- Miscarriage and postpartum recovery care
Areas treated
What's included
- Long-term care: designed for years of management, not a one-off intervention
- Anti-inflammatory nutritional therapy as the dietary cornerstone
- Trained MLD practitioner with TCM background
- Coordinates with vascular consultant or lymphology specialist
- Includes graded low-impact movement coaching
- Recognises lipoedema is a syndrome, not a weight problem: language matters
- Four modalities that build on each other: MLD clears the pathways, acupuncture reinforces the flow, herbs sustain the change between sessions, and an anti-inflammatory diet addresses the underlying inflammation
Written and medically reviewed byClaudia Ferreira, BSc (Hons) Traditional Chinese Medicine · MBAcC · Postgraduate TCM Gynaecology & Obstetrics · Lipoedema UK and the British Lymphology Society inform UK conservative-management standards. NICE has not yet published a dedicated lipoedema guideline; the conservative-management evidence base draws from British and German lymphology practice..
FAQ
Common
questions
How is lipoedema different from being overweight?
Lipoedema is symmetrical, disproportionate (legs and arms heavier than the trunk), painful to firm pressure, easily bruised, and spares the feet. Obesity is more proportionate and not painful. Lipoedema fat does not respond to caloric restriction or cardiovascular exercise the way other fat does: diet typically shrinks the trunk while leaving the legs unchanged. The diagnostic clarity matters because the management approach is different.
Will MLD reduce the lipoedema fat itself?
No: MLD does not reduce lipoedema fat. It reduces day-to-day pain, heaviness, and any superimposed fluid build-up: particularly in advanced lipoedema with a lymphatic component. The combination of compression, MLD, anti-inflammatory nutrition, and graded movement is how the condition is managed over the years; some clinicians and patients report slower progression with consistent care, though that is not established in trial evidence.
Should I have lipoedema surgery?
Water-jet liposuction performed by a lipoedema-trained surgeon offers meaningful improvement for many women but is not always indicated and carries risk. Lipoedema UK lists trained surgeons; specialist consultation is the right place for that decision. Body Perfected supports both pre-surgical preparation and post-surgical recovery for clients who choose it.
Does pregnancy make lipoedema worse?
Hormonal events are common triggers and progression points for lipoedema: puberty, pregnancy, perimenopause, and hormonal contraception among them. Pregnancy itself is not contraindicated and most women cope well; the post-pregnancy year often needs an intensified care plan. We coordinate with your obstetric team on safe timings.
Will I need this care forever?
Lipoedema is a chronic, progressive condition: there is no cure, only management. Most women find a sustainable cadence of intensive courses (8-12 sessions over 12 weeks) followed by lighter maintenance work. The goal is to reduce pain, protect mobility, and keep the condition well managed for the long term.
Related Services
Get Started
Ready to begin?
Book today.
Body Perfected • 1 Orchard Street, London W1H 6HJ
BookAppointments typically available within 1–2 weeks