What is Lymphatic Reconstruction?

Lymphatic reconstruction is a complex and highly specialized microsurgical procedure designed to restore normal lymphatic function in patients who have developed lymphedema, often as a result of cancer treatments like lymph node removal. The procedure involves reconnecting or bypassing damaged lymphatic vessels to improve lymphatic drainage and reduce swelling in affected areas, such as the arms or legs. Dr. Cohen performs this complex procedure at the time of lymph node removal.  By addressing the underlying cause of lymphedema, lymphatic reconstruction in Denver with Dr. Cohen can significantly enhance the patient’s quality of life, reducing discomfort and the risk of complications associated with chronic swelling.

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Only the Best Will Do.

Dr. Justin Cohen is one of the most highly skilled plastic surgeons for immediate lymphatic breast reconstruction in Denver. His extensive training in breast reconstruction and microsurgery at Harvard Medical School, along his years of hands-on experience ensure your procedure is in the best hands. Dr. Cohen’s practice is built on a foundation of compassion, integrity, and personalized care, making him the best choice for women seeking relief from lymphedema.

A Personalized Approach

After thoroughly assessing your physical condition and health, Dr. Cohen will establish a personalized surgery plan. There are two primary techniques used in lymphatic reconstruction depending on your unique needs:

  • For early-stage lymphedema: The microsurgical procedure used, called Lymphaticovenous Anastomosis (LVA) or lymphaticovenous bypass (LVB), connects tiny lymphatic vessels to nearby veins, allowing lymphatic fluid to drain directly into the venous system.
  • For advanced lymphedema: A highly specialized microsurgery called Vascularized Lymph Node Transfer (VLNT), is used to transplant healthy lymph nodes from one part of the body to the affected area. The transplanted nodes help re-establish lymphatic drainage, reducing swelling and discomfort.

The procedure itself varies depending on the chosen technique. Preferentially, LVA/B is performed in the immediate setting at the time of lymph node and cancer removal. It can also be performed later on an outpatient basis. This approach is minimally invasive, and may take 2 to 4 hours. VLNT is a more complex surgery that can take 4 to 6 hours and may require a short stay under clinical supervision.

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Relax and Recover

Recovery from lymphatic reconstruction varies depending on the procedure. Most patients receiving surgery for early-stage lymphedema can return to light activities within a week, with a full recovery in about 4 to 6 weeks. Swelling and discomfort are generally mild and can be managed with over-the-counter pain relievers.

Compassionate Post-Operative Care

To recover from advanced lymphedema surgery, you should plan time away from work to relax and heal. Total healing time is typically 4 to 6 weeks. Full recovery and reduced lymphedema symptoms is a gradual process as the tissues and vessels begin to grow and function independently. Dr. Cohen and his team will give you detailed post-operative care instructions, perform any needed follow-up visits, and be available to provide continuous compassionate support as you recover.

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FAQ Lymphatic Reconstruction

Who is a candidate for lymphatic reconstruction?

Women who have developed lymphedema following breast cancer surgery or radiation therapy are candidates for lymphatic reconstruction. Dr. Cohen will assess your specific condition to determine the best treatment approach.

What are the risks associated with lymphatic reconstruction?

Dr. Cohen’s careful planning and expertise minimize the common risks associated with this microsurgery; there is always some risk. He will discuss any potential risks based on your case during your consultation before proceeding with your treatment.

How soon will I see the results?

Many patients experience less lymphedema symptoms within a few months after surgery. Full results may take longer to develop, particularly if you’ve had a full lymph node transplant procedure.

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