Lymphatic Surgery
What is lymphedema?
Lymphedema is the build-up of lymphatic fluid in an area of the body (most commonly the limb/s), due to a disturbed lymphatic drainage system. Lymphatic tissue fluid normally drains through peripheral lymphatic channels, to lymph nodes (where the fluid is ‘filtered’) and then into a larger channel work, which ultimately drains centrally and is passed back into the bodies venous system.
Lymphedema (caused by impaired lymphatic drainage) can occur from congenital abnormal systems, but most commonly occurs from a direct assault to the system. The most common causes are infective or iatrogenic – a deliberate removal or injury of lymph nodes for cancer treatment. The degree of lymphedema a patient may develop varies greatly. Lymphedema can be uncomfortable/ painful, restrict movement (if affecting a limb) and make the tissues more susceptible to infection (cellulitis). These factors can significantly affect a patient’s quality of life.
Why would you need Lymphatic Surgery?
Lymphatic surgery is used in the treatment and attempted prevention of lymphedema. Lymphatic surgery in our practice, in principally used as a treatment modality for lymphedema caused by lymph node removal or injury in a patient’s cancer treatment.
Procedures such as liposuction, free lymph node transfer and lymphaticovenous bypass surgery can be used individually or in combination to help improve lymphatic tissue build up and thus alleviate some symptoms, with the aim to improve quality of life.
What are my treatment options for lymphedema?
Treatment for lymphedema is unfortunately not curative, though can assist with some prevention and improvement of symptoms. Treatment includes surgical and non-surgical options.
Non-Surgical Treatments:
Non-surgical treatments are often referred to as ‘manual decompressive therapies. These treatments are given by a specialised lymphedema therapist, which often involves education, massage/ manual drainage, compression garments, compression pumps, skin care and exercises. Non-surgical therapy is important both before and after surgical options and form an important on-going aspect of lymphedema management.
Surgical Treatments:
Surgical treatments are broadly placed into two categories.
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Mechanical – aimed at the removal of tissue
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Liposuction
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Excisional surgery
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Physiological - aimed at the restoration of the lymphatic
drainage pathway.
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Lymphaticovenous Bypass
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Click here for more information on how Prophylactic Lymphovenous Bypass at the Time of Axillary Lymph Node Dissection Decreases Rates of Lymphedema.​
Dr Taylor is a fully qualified specialist plastic and reconstructive surgeon who provides expert, holistic care.
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Dr Taylor is board-certified in both Australia and England.
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Dr Taylor has extensive specialist training and experience in Microsurgery.
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Dr Taylor and his team care deeply about the quality of their work and the well-being of their patients. They are committed to ensuring you are informed and supported throughout your journey.
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When looking for the right surgeon for your Lymphatic Surgery in Perth, it's important to ensure they are board-certified and specialise in the procedures you desire. We advise that you schedule consultations with multiple surgeons to compare their approaches, personalities, and professionalism.
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Choose a surgeon who communicates effectively and makes you feel comfortable. Trust and understanding are crucial for a successful outcome.
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We also advise that you discuss costs to avoid unexpected expenses, ask about post-operative care and follow-up visits to ensure proper recovery, and address any concerns after the surgery.
Risks Associated with Lymphatic Surgery
All plastic surgeries carry general risks that vary depending on individual circumstances and specific surgical procedures.
During your consultation, Dr Duncan Taylor will discuss your unique surgical procedure's risks and potential complications.
We have created information sheets outlining the general risks involved in each procedure.
You can find the procedure-specific information sheet on the relevant procedure page on this website, or contact us for a copy.