Lymphedema is swelling that usually affects the arms or legs due to damage to the lymphatic system, often after cancer surgery, radiation, or infection. Early lymphedema causes fluid buildup (pitting edema), but chronic accumulation can lead to fat proliferation, fibrosis, and collapse of lymphatic vessels, resulting in firm, non-pitting, and irreversible swelling.
Fat-dominant lymphedema is resistant to conservative therapy because the swelling is largely due to fat and fibrotic tissue rather than fluid. Clinical signs include firm, non-pitting swelling, thickened skin, heaviness, and difficulty moving the limb, along with increased risk of infections like cellulitis.
Liposuction for lymphedema is a specialized surgical treatment for advanced, fat-dominant cases. It removes excess fatty tissue, reduces limb volume, restores contour and mobility, and is complemented by comprehensive post-operative care to ensure optimal outcomes.
