Puffy, Poofy, Swollen,
Those are terms that describe an area that has localized inflammation. Does it matter what kind of engorgement has happened or why your ankles are as large as your thigh or whether that swollen bump is poison oak, psoriasis, a mosquito bite or a pimple.
A good massage therapist knows not to spread around infectious materials on or under the skin. They also know that eruptions on the skin are an indication that something is going on under the skin.