Dr. Hakan I see that you do not apply liposuction for hand and fingers. My questions about how is the result after the surgery in hand and fingers for patients who have swelling in hand and do SAPL in their arm only?

IS IT ADVISABLE AND POSSIBLE TO OBTAIN LYMPHEDEMA LIPOSUCTION IN THE HAND AND FINGERS, ESPECIALLY AFTER GOING THROUGH LYMPHEDEMA LIPOSUCTION OF THE ARM? iS THERE SUCH A FIELD FOR LYMPHEDEMA LIPOSUCTION OF THE HAND? THANK YOU. HAPPY HOLIDAYS TO YOU AND YOURS.

1.Dear Dr. .Brorson Do I have to bandage my leg for 3 months after SAPL or is it enough to wear a flat knitted stocking. I noticed this tendency in some patients who were operated on this method. Best regards

 1 .Do I need to wear garment 24/7 for a rest of my life after SAPL I don't have a problem during a day but most of the time I sleep without any compression. 

2.  Did you train any doctor from Poland how to do liposuction of lymphedema leg.

Is it possible to reduce the amount of adipose tissue that is accumulated when lymphedema progresses , by diet and weight loss ? Does it behave like normal fat ?

DEAR Dr.Hakan I am interested in lymphedema surgery. If you allow me to ask you about SAPL technique : 1_Which cannula type you prefer for liposuction ? 2_What is your solution for humping of forefoot (long lasting CDT or liposuction)? 3_what is the max. amount of liposuction per limb? 4_in st.II lymphedema,when you decide to liposuc? Thanks in advance A.Sawaby

Dear sir Treatment of lipoedema is by liposuction followed by garment.For how long does the patient need to wear garment post operative to avoid edema? Thank you A.Sawaby Lecturer of vascular surgery

Dear Dr. Brorson, Questions about BMI: - should the extra weight of the lymphedematous limb be subtracted before calculating BMI? - if yes, is 1 liter volume approximately 1 kilogram weight? Thank you, Regina

I cannot find by reading Dr Brorson (or others) papers on lymphatico-venous bypass as well as liposuction in lipoedema (lymphoedema?), the sort of compression hosiery that he or others have found to be most effective. I mean could this be round knit or is fitted obligatory? As compression is a medical device, I think this should be more clearly recommended or specified in scientific publications. What is your opinion? Thank you,

Hi. I have left foot primary lymphedemia with pitting. I have had it for 6-7 years. Is surgery an option? Regards Kris

Hi Dr. Brorson, I have lymphedema in my right leg and will be having lymphedema liposuction combined with the lymph node transplant procedure. Research shows that you must wear compression garments immediately after the surgery. My question is: are these off the shelf garments or custom made. I trying to figure out how custom garments could me made in a short period of time. Or is a patient measured for garments immediately after surgery? I have always used custom garments. Also, Do you think a patient can have the liposuction more that one time , if the leg swelled back up after liposuction, mainly due to lack of compression after the procedure ? Thanks

I understand that adipose tissue is created and deposited due to long term lymphedema. What type of fat is it? Is it the lipoedema type or the type that could be lost by diet and exercise? I have stage 3+ primary lymphedema and lipoedema. Thank you.

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Hi Dr. H. Brorson. I have left leg lymphedema since 1999 after my cancer surgery and post surgery radiation. Till date I have tried MLD, compression garment, compression machine, Acupressure and few more like Yoga, Pranayam etc. All the above helped me a little. But last 10 years there has been no difference in my leg. I have the compression machine at home that I use every night but it shows no improvement. I read you work and your articles on liposuction for chronic lymphedema. I want to know if I can get it done. What all information do you need from me to be able to help me. I am sure you can help me with my condition. regards Kaumudi

This is a test question for Dr. Brorson.

This is a test question

This is a test question. Let me know if you receive this. Thanks, Phyllis

Being as 'Liposuction and Debulking Operations for Lymphedema' is a part of your expertise, can you elaborate on facts as they pertain to lessening or eliminating altogether the effects of Lymphedema? When I think of liposuction I think of fat removal of the stomach area (at least for men). In doing so, can the removal of fat either through liposuction or natural means control Lymphedema? In other words, is Lymphodema more prevalent in overweight/obese people? I'm referring to those that have had no removal of lymph nodes for whatever reason. I notice that during summer's humidity my legs and feet (in one leg more than the other) swells to the point of not being able to bend my foot. Does humidity in fact play a role in the disease and would it be more beneficial to live in a dry heat climate like the southwest vs Florida where it is humid? What effects do salt and sugar have on Lymphodema? Is it advisable to take a daily water pill/diaretic as an aid? I have been using for the last month a supplement called 'Butcher's Broom' that is to be used for circulation. While there is no scientific or FDA research to support this claim I personally have noticed a lessening in the puffy severity I was experiencing previously. That being said, I can't say for certain that it wasn't do in part to being less humid now than it was before I started taking the supplement. I realize when the claim for 'Butcher's Broom' aiding in circulation that they may be referring to blood and not water / fluid which I have learned from you is a different kind of circulation than with blood. All things considered, in your opinion is there any credence to the circulation claim? Are there any other supplements (natural) that could play a part in Lymphodema? Lastly, what causes 'flare-ups'? I notice that some days my legs might not only be more inflamed than others but at the same time there are (what I term) EXTREME pimples with large white heads on them. They will just pop-up out of nowhere. They are larger and more redened pimples than the typical teenage acne and the white-heads are sore to the touch. After 2-3 days the white heads turn to dark with the red ring around them. I try to think back to what might have caused the flare-ups in terms of what I ate the day. On a side note, I would like to buy stock in companies that are furthering research for Lyphedema as well as the stem cell programs you eluded to previously. Where can I come by a listing of these companies? Thank you for your time, knowledge and good works. Respectfully, Mike Laurie

There are many types of canula used for liposuction e.g.vaser ,simple suction Do you prefer certain type ?

I am a person with lower bilateral le. In one leg it is worse. Calf region and ankle do not respond to (very intensive) conservative treatment after 4 years. I heard that liposuction is only for very severe cases... But I want to know how I can get rid of the hard tissue that is keeping me from doing my job and so paying my le treatment. Is it so that extra tissue in lymphedema limb can go away with liposuction? Does that mean that after surgery a person with le need to wear his stocking 24/7? Is it only for severe cases (and if yes; what to do with very local hard tissue, not severe (yet) but very limiting? ). Thank you very much for your reply

Dr Brorson I have read extensively about how you discovered adipose tissue present in lymphedema limbs and then pioneered liposuction for the removal of this. What I would like to understand is whether in your opinion exercise can remove this adipose tissue and if not how it differs from "fat" in a healthy limb? Kind Regards K

Dr Brorson I have read extensively about how you discovered adipose tissue present in lymphedema limbs and then pioneered liposuction for the removal of this. What I would like to understand is whether in your opinion exercise can remove this adipose tissue and if not how it differs from "fat" in a healthy limb? Kind Regards K

Dr Brorson I have read extensively about how you discovered adipose tissue present in lymphedema limbs and then pioneered liposuction for the removal of this. What I would like to understand is whether in your opinion exercise can remove this adipose tissue and if not how it differs from "fat" in a healthy limb? Kind Regards K

Have any of your patients been able to stop using compression garments after liposuction?

Liposuction removes adipose tissue. Do you think that microsurgical reconstruction can remove the accumulated adipose tissue caused by chronic inflammation?