By sweeping your fingers along your cheeks and jawline and then down your neck, you can remove excess fluid from your face. Many social media influencers claim this technique, known as lymphatic drainage massage, offers health benefits for your skin, making it tighter and brighter and reducing puffiness. But does it?

The gentle, rhythmic movements of lymphatic drainage massage help disperse a clear fluid called lymph, which circulates through the body's lymphatic system and can pool in your facial tissues, causing swelling. Lymph can build up for several reasons, including sleeping poorly, eating salty foods, drinking alcohol, being dehydrated or sleeping on your back, said Dr Arpana A Shah, a dermatologist at MedStar Health in Maryland.

"All these little things can give you a more bloated appearance," she said.

Lymphatic fluid usually drains naturally throughout the day. But gentle massage can sometimes speed up this dispersion, and it is often recommended to treat lymphoedema — chronic swelling that most commonly occurs in the arms and legs. Though there is limited evidence on the effectiveness of facial lymphatic drainage massage, Dr Shah said it can promote relaxation and increase blood flow to the skin, which may offer some marginal decrease in puffiness or other aesthetic benefits.

What Is Lymphatic Drainage Massage?

The lymphatic system, Dr Shah said, is "like the housekeeper of our body." This network of organs, tissues and vessels moves excess lymph from your tissues to the bloodstream, helping the body maintain its fluid balance. It also transports fluid through the lymph nodes, where immune cells destroy harmful substances like bacteria and viruses.

Several factors can disrupt the lymphatic system and cause fluid to accumulate in your face or elsewhere in the body, including surgery, lymphoedema, a high-salt diet, being overweight or too sedentary, said Dr Roy Kim, a plastic surgeon in San Francisco. He said he often recommends lymphatic drainage massage after some cosmetic surgeries, because it has been shown to improve pain and swelling during recovery.

Gravity and movement will eventually drain the fluid, he said. But you can speed this along through gentle stroking to move excess fluid from your tissues, coaxing it toward the lymph nodes. This can be done by a massage therapist or, Dr Kim said, you can massage yourself, using your fingertips, a facial roller or gua sha, in which you gently scrape a stone along the contours of your face.

Does It Offer Aesthetic Benefits?

Some social media creators claim that performing lymphatic drainage massage on your face or neck can minimise puffiness, address conditions like acne, improve circulation, promote relaxation and remove toxins from the skin. But there is little research to back up the idea that it can improve the health or appearance of your skin.

A 2025 study of 34 women who used facial rollers or gua sha for eight weeks found that they experienced some limited improvements in aspects of facial contour, including skin elasticity and muscle tone. Another study, published in 2018, included 19 men and seven women. It found that using a facial massage roller on one cheek for five weeks increased blood flow to that cheek, but the results lasted for just 10 minutes after each massage.

These studies included a small number of subjects and lasted only a few weeks — not long enough to assess facial lymphatic drainage massage's long-term effects, Dr Shah said. She added that larger, longer-term studies were needed to prove the benefit.

What Benefits Can You Expect?

In general, doctors say lymphatic drainage massage may improve your skin in a few ways.

Because it moves lymphatic fluid around, it can make skin appear less puffy, Dr Shah said.

Rolling or massaging your face also just feels good and can help you relax and reduce stress, she added. Stress can worsen skin conditions like acne and eczema, and stress hormones may deplete collagen and elastin, accelerating wrinkles and other signs of ageing, according to the American Academy of Dermatology.

Facial lymphatic drainage massage can also improve circulation to the skin, said Dr Kenneth Mark, a cosmetic dermatologist in New York City. And because increasing blood flow nourishes the skin and encourages new immune cells to gather there, it can reduce inflammation and stimulate collagen production, he said. But the results, Dr Kim noted, are typically marginal and short-term.

Should You Try It?

Although lymphatic drainage massage may not provide striking results or offer any lasting improvements, "there's not really any downside," Dr Kim said. The massage method is safe and relaxing for most people, and facial rollers and gua sha tools are inexpensive, costing about US$10 to US$20.

If you're curious to try it, he said, wash your face to start, and make sure your hands or massage tools are clean. Some people apply moisturisers, serums or other skincare products with facial rollers or gua sha tools.

Use "light pressure," said Lilli Benck, medical director of massage therapy at University Hospitals in Cleveland. Massage in one direction at a time — not back and forth — "up away from the centre of the face toward the neck," hairline or ears, she said. Then, massage the neck and around the collarbone. Repeat these movements for about five minutes.

Applying too much pressure or massaging too aggressively could cause bruising, irritation or swelling, or you could break blood vessels, which isn't harmful but may look unsightly, the experts said.

If you're unsure about the proper technique, Benck recommended seeing a massage therapist for guidance. And if your face is chronically puffy no matter what you do, Dr Shah suggested seeing a doctor to rule out a medical condition, like an allergy, lymphoedema or hormonal changes.

Final Thoughts

Lymphatic drainage massage is a safe, low-cost way to promote relaxation and potentially reduce temporary facial puffiness. While the aesthetic benefits are modest and short-lived, the practice can be a soothing addition to your self-care routine. However, if you're looking for dramatic or lasting changes to your skin, this technique alone is unlikely to deliver them. For chronic puffiness or other concerns, consult a healthcare professional to identify any underlying causes.