Conservative Treatment

The basis of conservative treatment is called complex physical therapy, which consists of four main elements: skin care, medical lymphatic drainage, compression therapy, and exercise therapy, depending on individual symptoms.

Skin Care

Keep the skin clean and moisturized.
Although it is sometimes said that applying cream to the skin is unhygienic, if nothing is done, especially in winter and other dry seasons, there is a risk that the skin will become damaged and bacteria will invade the skin, causing cellulitis.

We recommend the use of an absorbent moisturizer after bathing.

Manual Lymphatic Drainage

A massage technique performed by a qualified medical lymphatic drainage therapist to direct lymphatic fluid to healthy lymphatic vessels.

Compression Therapy

Medical compression stockings or bandages are used to reduce the occurrence of edema. Recently, various types of garments are available on the market, and the best method is combined according to the symptoms.

Compression Exercise Therapy

Exercising while compressing the affected limb effectively stimulates the flow of lymphatic fluid through the muscle pump action.


Importance of lymphatic drainage (MLD) in lymphedema

For more information on lymphatic drainage, click here.
To prevent lymphedema from progressing, skin care, medical lymph drainage, compression therapy, and exercise therapy must be performed on a daily basis. If left untreated, lymphedema will progress. Progressive edema can lead to pain, inflammation, and even cellulitis.

Compression is usually done on a daily basis using compression garments such as compression stockings and sleeves.

Regular lymphatic drainage is very difficult.

Lymphedema management requires skin care, medical lymph drainage, compression therapy, and exercise therapy on a daily basis.
First, you will go through regular medical lymph drainage. You must learn how to do it yourself and do it daily. If you cannot do it by yourself, you will need the help of your family.

You will also need to use a compression garment for compression on a daily basis. (Compression garments can be purchased with insurance with a doctor’s note. Please click here for details on the requirements and maximum reimbursement amount).

If the patient has lower extremity lymphedema and cannot wear compression stockings, compression bandages are used for compression.
The entire lymphatic drainage procedure must be performed daily which requires a lot of patience. If the patient is unable to complete the procedure on his/her own, the aide of a family member is essential.

What is “Ginza Repro Lymphatic Drainage”?

The Ginza Repro lymphatic drainage is an easy way to get relief without spending time and money, and without relying on others for help.

Attending medical lymph drainage regularly is time consuming and expensive. In many cases the methods you use on your own do not produce reliable results. That is why Ginza Repro Surgery has developed the “Ginza Repro lymphatic drainage” method.

The “Ginza Repro lymphatic drainage” method can be performed easily and reliably by yourself everyday without the need for regular medical lymph drainage visits.
You can do it while watching TV, listening to music, or even in bed in the morning and at night.

Outline of the procedure

During the initial consultation, an evaluation of lymphedema is performed.
After that, you will experience the “Ginza Repro lymphatic drainage” method.
Then, you will continue the treatment at home.


We will re-evaluate for lymphedema after 10 days to 1 month.
In addition to size measurement and photography, we can also take 3D images for evaluation if required.
For those who have mastered the Ginza Repro Lymphatic Drainage method and have shown positive results, your doctor will consider the indication for surgery.

Testimonials from patients

Patients with lymphedema suffer from pain on a daily basis. That is why they all say with a smile, “It feels so good~~” when they undergo the “Ginza Repro lymphatic drainage” method.

Case Study of a Patient who Received Ginza Repro Lymphatic Drainage Method

Case Study of a Patient who Received Ginza Repro Lymphatic Drainage Method

Patient A: Left lower extremity lymphedema after uterine cancer surgery

Circumference through the distal side of the 1st to 5th metatarsals Ankle circumference 5cm distal to the popliteal join 10 cm central side from the hip joint thigh root
Circumference at first visit (cm)

24.0cm 24.0cm 38.0cm 45.0cm 58.0cm
Circumference after 1 week (cm) 23.0cm 23.0cm 36.5cm 42.5cm 55.0cm


The circumference of the measurement site is based on the cancer treatment guidelines of the Japanese Association for Cancer Therapy.
For details, please refer to the figure below.

Source: Cancer Treatment Guidelines of the Japanese Society of Clinical Oncology

When should I start?

Early detection and early treatment is key in the treatment of lymphedema. Once the disease has developed, it can progress over a lifetime.
Click here to contact us for a consultation.

However, since surgical treatment is physically exhausting, please consult with your doctor immediately after treatment for cancer (malignant tumor).

For more information on lymphedema surgery, please click here.


Medical certificate US$200/page

(tax included)


Frequently Asked Questions

  • Are there certifications required for lymphatic drainage?

    There are several types of certifications. Medical lymph drainage certification is available to doctors, nurses, and other medical professionals.

  • Can I perform lymphatic drainage at home?

    Before performing lymphatic drainage on yourself, it is important to receive guidance from a medical expert first. Incorrect methods can cause lymphedema to worsen. At Ginza Repro Surgery, you will experience the “Ginza Repro lymphatic drainage” method and be trained on how to do the procedure.

  • When is lymphatic drainage contraindicated?

    Lymphatic drainage cannot be performed in cases of acute inflammation due to infection (e.g. cellulitis), cardiac edema, heart failure, or acute venous disease of the lower extremities (deep vein thrombosis, phlebitis, etc.). Lymphatic drainage should only be performed after consultation with a physician or specialist.

  • What is the difference between a massage and lymphatic drainage?

    Lymphatic drainage and lymphatic massages are used almost interchangeably. It is said that when the technique of “drainage” was introduced from overseas, it was described as “massage” for ease of understanding since drainage is a word that is unfamiliar to Japanese people.

  • I would like to know how to effectively perform lymphatic drainage on myself.

    If you suffer from lymphedema, please consult a medical institution with a specialist first. At Ginza Repro Surgery, you can experience and get trained on the “Ginza Repro lymphatic drainage” method to do it on yourself at home. When it is performed consistently for one week in combination with compression therapy, you can expect to see an improvement in subjective symptoms and a reduction in size.

  • What are the precautions for lymphatic drainage?

    It should be done after consultation with a physician and the patient should be made aware of the contraindications.


永尾 光一 先生

永尾 光一 先生

東邦大学 医学部教授(泌尿器科学講座)
東邦大学医療センター大森病院 リプロダクションセンター
東邦大学医療センター大森病院 尿路再建(泌尿器科・形成外科)センター長