Liposuction for Lymphoedema
What does the surgery involve?
Suction-assisted liposuction involves the use of a cannula (a thin, hollow tube) to manually loosen and remove fat to create a nicer shape. The cannula is inserted through tiny incisions in the skin and suction is applied to remove fat from the body.
It takes between two to three hours to perform liposuction depending on the size of the treatment area. The tiny incisions are closed with a small dissolvable stitch and a waterproof plaster applied. You will need regular review by a lymphoedema nurse to ensure that the compression is maintained as the size of your limb reduces.
Liposuction procedures for lymphoedema are generally carried out under general anaesthetic where you are fully asleep.
The area where the fat is removed is tender and aching. You will be able to mobilise the next day and will be given regular painkillers. An overnight – 2 nights stay is often necessary with lymphoedema nurse review to adjust your compression as necessary.
What are the risks and side effects of surgery?
There will be some discomfort for the first day. Occasionally bruising may occur, but this should resolve rapidly.
Scars
Scars are very small and hidden in a skin crease. They should be barely perceptible. However some people heal with thick scars and this can make them more noticeable.
Bruising and swelling
This is very common and bruising may take a couple of weeks to settle.
Infection
Is not common but may require a course of antibiotics. You will be given a course of prophylactic antibiotics to cover you during the healing process.
Contour Irregularities
It is possible to have indentations or loose skin following this procedure. Massaging should resolve this but occasional further surgery may be required to correct this.
DVT/PE/fat Embolus
Following any surgical procedure it is possible to develop a blood clot in your legs, which could potentially break off and move to your lungs. If the blood clot is large enough it could prove fatal. In order to reduce any risks of this we give you special stockings to wear in bed and a blood thinning injection if you are not mobile.
Further Liposuction
this may be necessary to give the desired result, as only a certain amount of fat can be removed at one operation. Most patients will only need one session. However, if you require more liposuction then a second procedure gives the flexibility to add this.
All the risks will be discussed in detail at your consultation. However, if you have further questions or concerns, do not hesitate to discuss these with your surgeon.
What is the estimated time for recovery, absence from work and return to usual activities?
Recovery times vary from person to person but most patients take 1-2 weeks off work. You can drive after 1-2 weeks and can return to normal activities by 4 weeks. If you have any concerns during this period, do contact the hospital team for advice.
