I do remove both Dercums lipomas and fatty lipomas of any size via either direct excision or liposuction.
BMI limits are hard to apply in lipedema. I evaluate your overall health and decide case by case.
I will not operate on patients with life-threatening health complications, who have an untreated mental illness, or on patients who I do not deem to have realistic expectations from surgery.
I do not advise this. In small areas, I can. In larger areas, this can prove quite painful and dangerous.
This depends on the severity of the lymphedema and the damage to the skin. I will often request other specialist opinions if I am in doubt.
Yes, venous disease, if present, should be evaluated and treated to avoid bleeding complications.
I feel that in most cases, the skin does retract. Even more so than in patients without lipedema. This is best with post-operative compression and the use of other modalities such as Renuvion. It takes up to a year to see the final result, but the bulk of the result can be seen typically in 4-6 months.
I remove excess fluid by manual massage after surgery. Then I close the incision to avoid a very messy post-operative couple of days. Preserving the lymphatics should allow the excess fluid to be naturally resorbed. Occasionally I will place drains.
Walk the day of surgery and every day after. Whatever does not cause excess discomfort, depending on the site of surgery.
At Larson Plastic Surgery, the safety and health of our patients and clients are our top priority.
We are closely monitoring the COVID-19 situation as it evolves and following the best-practice recommendations and guidelines put forth by the CDC.
We will continue to provide necessary care to our patients in the safest manner possible. To that end, virtual consultation and follow-up is available and we encourage you to use this service whenever possible.
We are all in this together! We will have staff available via email or phone to help answer your questions during this difficult time. Stay healthy, stay safe.
We look forward to seeing you in the office again once this has passed.Virtual Consultation