Skin care for lymphatic disorders requires diligent care to prevent infections and maintain skin health. Lymphedema, a condition causing swelling due to lymphatic system dysfunction, can lead to skin problems. Lipedema can develop lymphedema in the later stages of the disease.
Skin care focuses on maintaining a healthy moisture barrier and preventing infections. Because these conditions cause compromised circulation and require compression garments, you should wash daily with mild, fragrance-free cleansers, thoroughly pat dry (especially in skin folds), and apply hydrating, barrier-repairing creams. Key strategies include keeping the skin clean and moisturized, protecting it from injury, and promptly treating any signs of infection.
Develop good skin care practices.
Clean. Wash the affected area daily with mild, soap-free, pH-balanced (around 5.5) cleansers or shower oils to avoid stripping the skin. Avoid scrubbing harshly and pay close attention to skin folds and creases.
Dry. Pat skin entirely dry with a clean towel. Thoroughly dry the skin and pay special attention to skin folds, especially between fingers and toes, behind the knees, and between the toes to prevent fungal or bacterial growth.
Moisturize. Use a fragrance-free, hypoallergenic moisturizer to prevent dryness and cracking, which can create entry points for bacteria. Apply emollients or creams that contain ceramides, squalene, shea butter, or jojoba oil to reinforce the skin barrier. If your skin is extremely dry or thickened, products containing urea or ammonium lactate may be recommended by doctors to soften and smooth the skin. Applying a protective lotion or barrier cream before putting on compression garments helps reduce friction and makes donning the garments much more comfortable.
Apply. Apply your moisturizer stroking gently in the direction of lymphatic flow.
Protect. Protect the skin from injury by wearing gloves when gardening or doing housework, using an electric razor for shaving, and wearing sunscreen and insect repellent when outdoors.
Move quickly if infection develops.
Lymphedema and lipedema skin are particularly prone to injury, and small cuts can act as entry points for infections (like cellulitis) due to a compromised lymphatic system. When an infection occurs, the lymphatic vessels are further damaged, which increases fluid buildup (lymphedema) and makes the area highly susceptible to recurrent infections. Ignoring these signs can lead to severe or life-threatening complications.
Avoid extremes. Protect the skin from extreme temperatures, which can exacerbate dryness and increase the risk of infection.
Inspect daily. Inspect your limbs and skin folds daily for redness, rashes, weeping fluids, or warty growths.
Prevent infection. Always disinfect cuts, scratches, or insect bites immediately. Treat any cuts, scratches, or insect bites promptly with antiseptic ointment and a bandage.
Avoid delay. Contact your primary care provider or seek emergency care immediately if you notice any of these symptoms:
— Rapidly spreading redness or red streaks
— Skin that is warm or hot to the touch and very tender
— Swelling which worsens suddenly
— “Weeping” fluid or oozing
— Systemic symptoms like fever, chills, nausea, or flu-like aches
Additional Information
Lipedema and lymphedema: Skin care | Bauerfeind
Lipedema skin care | Jobst USA
Skin Care | Lymph Notes
Skin health and lipedema: Understanding symptoms, prevention, and treatment options | Advanced Lipedema Treatment Center

