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Lymphedema is normally treated conservatively, but surgery may be recommended in some circumstances. If you have chronic nonpitting edoema, suction assisted lipectomy (SAL), also referred as lymphedema liposuction, might aid. The operation involves the removal of fat and protein, as well as ongoing compression therapy. Although there is some proof to substantiate vascularized lymph node transfers (VLNT) and lymphovenous bypass, they are linked to a variety of problems.