6.7 Conclusions
Knowledge of the anatomic direction of the lymphatics of the extremities and the trunk reduces the risk of injury. Longitudinal liposuction in the axes of the extremities and lymphatics seems to have the lowest risk of lymphatic lesions.
Despite the preference of liposuction in the longitudinal direction, the tumescent technique diminishes, at least experimentally, the risk of lymphatic damage even in the transverse direction compared with the dry technique.
Lymph liposuction can serve for minimal invasive resection therapy in a lymphedema adjunct after autogenous lymph-vessel transplantation. Especially in patients with lymphatic diseases, the suction cannula should be directed longitudinally to the lymphatics in any case.
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Frick, A., Baumeister, R.G.H., Hoffmann, J.N. (2006). Liposuction Technique and Lymphatics in Liposuction. In: Liposuction. Springer, Berlin, Heidelberg. https://doi.org/10.1007/3-540-28043-X_6
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