Q&A: Massage Therapy: Breast Implants

Mizz B. asks: I just got breast implants, please explain to me how to massage them.

Massagewallah answers:

Thanks for asking! This is very important thing to do!

There are a few different methods of massage used to prevent incapsulation (Capsular Contracture) of the implant. First, this type of preventative massage need not be done on texured implants, only smooth (general massage is ok for texured implants, though). Also if the impants are submuscular (rather then subglandular) these exercises dont need to be done.

Massage is generally contraindicated for the first 24-72hrs post op.

The main two techniques, as you mentioned are 1.Pocket Quadrant Exercises (PCE) and 2. Compression work.

PCE involves manual displacement of the impant to the outermost corners of the implant pocket: Up, down, side to side, holding each for a few seconds. To start off with do this every 2-3 hours, for the first couple weeks postop, then 2-3 times a day for a few weeks after that, and then once a day for the life of the implants.

Compression work is using a flat palm pressed with light-to-medium pressure against the implant flattening it and keep the pocket open. This can also be done by laying on the floor. Do this about 30m a day for the first few months and then try to keep it up as you go on.

Another thing to do is to actually squeeze the implants, feeling your fingers meeting in the middle

Aristide M. LaVey, LMT subspecializing in post op breast implant massage therapy.

Q&A: Massage Therapy: Licensing: LA

Ofelia asks: How do I obtain a license for massage therapy in LA?  I need to know how to obtain a license, how much money I need to come up with to get my license and how long it would take before I can receive it?

Massagewallah answers:

 Getting a LA city license is a whole lot of petty work but certainly worth it.

In Cali, cities are regulated seperately. When I was working in the LA area, I was licensed in LA (city), LA (county), West Hollywood and Beverly Hills. Places like Santa Monica and the surrounding areas all have their own licenses, so be sure where you want to work and get the correct license.

First go the the city clerk’s office closest to you. I went to the

West Los Angeles Office
1828 Sawtelle Blvd., Suite 102
Los Angeles, CA
(310) 575-8888

Fill out paper work, take fingerprints, bring two passport photos, pay the fee some 300$+/-, then they will give you a date to take the test down in San Pedro (near Long Beach), which is administered once or twice a month. They will also give you a form that you need to have signed by your employer (who has a spa license), and a form to take to a doctor to get a physical, stating you are free from infectious diseases.

That test will be both a practical (bring a friend) and a multiple choice written exam. Those tests are both really retarded. You will find out if you passed that day, so hang around and bring a book, as well as a snack.

Then they do a police investigation on you, and you wait, you wait, and wait some more. Then they will mail you your license, permit, and tax certificate.

You must maintain 6h CEU per year and pay the annual renewal few of 58$.

Good luck!

Q&A: Skincare: Peroxide

Breelyn asks: I have used peroxide on my face before and it didnt do anything to my face, but today after I washed my face, I applied the peroxide, and where I applied it, my face became red — but it didnt do that last time.  Am I allergic?

Massagewallah answers:

Were you using plain topical peroxide or a benzoyl peroxide (bp) solution? I wouldnt recommend using just plain peroxide for your face, as it is too harsh for the skin, esp if you are under 18yo.

If you were using bp, redness is a common side effect. If you use the gel or the liquid, just apply where ness. If you are using a creme it is possible to use all over, but try to use only on the effected area.

Another prob could be the dosage and the length of time you left it on. If you are under 18 dont leave it on for more then 10sec. If you dont see any results leave on for longer, not to exceed 25-30 seconds.

Remember that perioxide combats acne vulgaris by drying out the oil in the pore. The reddening indicates inflamation of the top layers of the dermis and/or pores.

It is possible that you could be hypersensative (allergic) to peroxide, so you might need to eliminate peroxide therapy or just reduce the concentration.

This could also be a possible negative reaction to other drugs that you might be using e.g. isotretinoin, clindamycin, etc. Check w. yr pharmicist to if you are using other medications.

Also do not use benzoyl peroxide on sunburned, windburned, dry, chapped, or irritated skin or on open wounds, as this could further irriate the skin, perhaps causing this redness that you are refering to.
—Avoid abrasive, harsh, or drying soaps and cleansers while using benzoyl peroxide
—Avoid combining PABA-containing sunscreens and benzoyl peroxide.

Q&A: Skincare: Milia

xopiink523 asks: What is Milia, and how do I get rid of it?  I’ve had it on my arms for the last few years.

Massagewallah answers: 

Milia is really common on the upper arms and shoulders. Primary milia can form due to improperly formed oil ducts that have not fully developed.

Exfoliating the skin, or removing the dead skin cells from your skin with an abrasive product or chemical, is beneficial. But brutally scrubbing your arms with soaps and chemicals too frequently may actually create milia. This gentle exfoliation helps make eventual removal of the milia easier because the skin layer around the milia becomes thinner, with frequent, yet gentle exfoliation. In short, Exfoliate your skin to prevent milia, not to cure them.

The best way to prevent milia is to avoid treating your skin with excessively harsh chemicals and to limit sun exposure.
Use a sunscreen with the least amount of ingredients. Extraneous ingredients like fragrances may irritate your skin. Additionally, purchase sunscreens that offer physical sun blockage that contain active ingredients like titanium oxide or zinc oxide.

The key to getting rid of milia is realizing that they have no escape route, those little bumps are trapped under the skin. So, to get them out, you’ll need to have a professional like a dermatologist or aesthetician extract them.

Q&A: Skin Care: Glycolic Acid

Becky asks: Has any one used glycolic acid on your face?  Did it work? What all did it do for you and what results did you get?

Massagewallah answers:

Glycolic acid is an Alpha Hyrdroxy Acid (AHA) and is a popular method of chemical exfoliation, due to its excellent capability to penetrate deep down in your skin.

Chemical exfoliation (vs mechanical) gives a much more complete removal of dead skin cells, not only removing them from the surface, but also from within the pores, ducts and follicles of the skin. Chemical exfoliants do not cause bruising or tearing of the skin and if used properly and in the correct dossage should not irritate, either.

You can get a low dosage cleanser w. Glycolic in it at a drug store or skin care shop, like Sephora. There are also “at home peels, available as well.

I recommend getting a glycolic peel done by a licensed aesthetician or dermatologist FIRST, before attempting at home care. Plus they will also have higher concentrated dosage at the (med) spa.

There are contraindications to AHA peels such as: use of accutane, oral herpes, pregnancy, sunburn, sun sensativity, etc.

If you are looking for something to assist with acne, Salicylic Acid (BHA) products better.


As for glycolic acid working, yes it does, and I personally use a daily low dose treatment, with alternating peels (AHA/BHA) every other month.

If you are under 16 I wouldnt recommend starting a AHA regimen just yet. But ask your local aesthetician.

Stay hydrated and wear sunscreen (esp when using a AHA product)!