Some surgeons who treat lipedema advertise “lymphatic-sparing liposuction” as a technique that avoids damaging the delicate lymphatic vessels in the extremities. The idea behind the technique is to use the liposuction machine in a direction oriented parallel to the lymphatics, rather than perpendicular so you avoid tearing or damaging the vessels. The experience of our clinic does not support this type of technique and believes it to be a false promise. Dr. Elston has performed numerous lymphatic microsurgeries and can attest that the notion that you can avoid tiny lymphatics by orienting the cannula in a particular direction is not possible. We are happy to further discuss the issue in your consultation, but we perform liposuction for lipedema the same as we would for traditional liposuction. No gimmicks, just results.