Lymphatic drainage face massages are trending on TikTok–yielding some curiously dramatic before-and-afters–and popping up on spa menus from coast to coast. Like most wellness trends, their purported benefits sound great on paper (or screen). These fresh-faced effects are real or exaggerated. Is the TikToker video real? Or is it a result of massage? Is there a difference between a lymphatic facial massage from a regular one?

Three experts were tapped to give their opinions. Here are their thoughts on facial lymphatic drainage massage and how to try it yourself if you feel inclined.

Let’s start with the lymphatic system.

Before we get to the “drainage massaging” part, it is essential to understand the anatomy and function of the lymphatic system. The Mayo Clinic explains that the lymphatic system is a network of tissues, organs, and lymph nodes. Lymph–excess fluid in bodily tissue–moves through these channels and ultimately drains into the bloodstream, which helps maintain balanced fluid levels in the body, Jennifer Levine, MD, a double-board-certified facial plastic surgeon in New York City, tells SELF.

The lymphatic system also influences your immune system. Dr. Levine explains that lymph nodes are bean-shaped glands in the armpits and groin. They also can be found in the abdomen, groin, and face. These molecular intruders can be trapped, and they can become enlarged. This is why swelling of the lymph nodes may sometimes be a sign of infection. Lymph nodes also produce white blood cells that fight disease. These lymphatic channels then transport them throughout the body.

What is lymphatic drainage massage?

Although there are many methods, lymphatic drainage massages aim to improve lymph flow. This can be done using either hands or a tool. Kseniya, MD, is a board-certified dermatologist who also serves as director of cosmetic dermatology at Montefiore Einstein Advanced Care, New York City. The argument is that the lymphatic system needs encouragement sometimes because, unlike the circulatory systems, which are driven by the heart, it doesn’t have any organs to pump or move fluid.

Dr. Levine says your lymphatic system works well independently without manual assistance. A lymphatic drainage massage won’t make your lymphatic system do anything it wouldn’t otherwise. She explains that it can help the lymphatic system work faster. ….

What are the benefits of facial lymphatic drainage massages?

Experts who spoke with us agreed that the main benefit is removing excess fluid from the face, which results in a de-puffing effect. Although it is usually immediate, Dr. Levine points out that any reduction in swelling or puffiness is temporary. She says, “There is some evidence that this massage can move the fluid. However, that doesn’t mean that it won’t come back.” This is why lymphatic drainage massages can be recommended after plastic surgery. Dr. Levine states that she does not recommend it to patients as she doesn’t believe it’s necessary. However, she points out that it is indeed safe as long as you are careful around healing areas.

Many people believe this massage can also remove toxins from the skin, reducing dullness and giving you a healthier, more radiant complexion. Although lymph can carry cellular waste, it’s not what affects the skin’s appearance. It’s the excess fluid that causes swelling and puffiness. Dr. Kobets says any skin tone improvement is due to physical manipulation. This increases blood flow and creates a rosy, glowing complexion. It also combats dullness.

What makes a lymphatic drain massage different from regular massages?

This is where things can get confusing. Although they are often confused, the two are quite distinct. The lymph nodes in the neck and face are most easily stimulated by gentle pressure. Joanna Vargas, a celebrity esthetician and founder of Joanna Vargas salons and a line of skin products, explains that lymphatic drainage massage is a delicate process. She adds that there are many lymphatic drainage techniques. They all follow the natural flow of your lymphatic system.

Dr. Kobets says traditional massage, whether facial or not, is more profound and requires more pressure. This type of classic facial massage, FaceGym, is also reviving thanks to these spots’ increasing popularity. Scientific evidence supports traditional facial massage, which is not the case with its lymphatic counterpart. Dr. Kobets mentions one study that showed it affected both the muscles and the subcutaneous fat, resulting in a more lifted appearance. A small 2022 pilot research also showed similar raising results.