Lymphedema Liposuction and Debulking

We offer suction-assisted protein lipectomy (SAPL) including Ultrasound-assisted lipectomy and Power-assisted lipectomy. These procedures are different from cosmetic liposuction and are more rigorous, focuseng on the fibroadipose lymphedema deposits in the affected area. Liposuction procedures are most effective in areas with non-pitting edema, indicative of the fibroadipose deposits.

This is commonly performed as an outpatient surgery, but in some cases benefits from an overnight stay. It is not uncommon to have surgical drains for the first 1-2 weeks to prevent fluid collection.

It is important to note that compression regiments must continue indefinitely and are essential after the procedure to prevent return of fibroadipose deposits.

There is no consensus currently whether physiologic lymphatic reconstruction, such as lymphovenous bypass anastomosis (LVA, LVB) or vascularized lymph node transplant (VLNT), should be performed before or after reductive procedures.

It may be advantageous to assess improvement after lymphatic reconstruction prior to determining whether reductive surgery is even necessary. Furthermore, lymphatic reconstruction may provide protection against recurrence of fibrofatty lymphedema deposits. On the other hand, some research suggests that debulking procedures may help to improve the function of remaining lymphatic channels.

We work with each patient to formulate an individualized plan that is tailored to each individual’s circumstances, goals, and timeline.

Please schedule an appointment for more information and to determine whether you are a candidate