The Institute for Lymphatic Surgery and Innovation

Lymphedema is a chronic condition that often manifests as an abnormal buildup of fluid, causing swelling. Most commonly in the arms or legs, this swelling may be present since birth or develop without a known reason. Lymphedema can also occur after radiation or certain cancer-related surgeries.

For many years, the only lymphedema treatment options available were compression, decompressive massage, and wraps. Fortunately, cutting-edge surgical interventions are now available and can provide patients with significant relief. Led by Dr. Joseph Dayan, Director of The Institute for Lymphatic Surgery and Innovation, our center delivers new hope for patients who previously thought they had no options.

Creating a lymphedema treatment plan is a highly individualized process focusing on reducing the swelling and preventing additional complications. The Institute offers specialized procedures for lymphedema, including free lymph node transfer, lymphaticovenous anastomosis (LVA), lymphedema mass excision, and liposuction.

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Call Us Today at 833-598-2417

Our specialists are among the few across the globe to perform all aspects of reconstructive procedures.

Over 50 years of combined experience in the field of Lymphedema.

Recognized as a Lymphatic Disease Surgery Center of Excellence (COE) by the Lymphatic Education and Research Network (LE&RN).

Individualized treatment plans return patients to the best quality of life possible.

Lymphedema Surgery

Lymphedema can be a life-changing condition, but at The Institute, we are dedicated to helping patients regain comfort, mobility, and confidence at every stage of their journey. Our team offers advanced microsurgical procedures, including lymphaticovenous anastomosis (LVA) and free lymph node transfer—innovative techniques that provide real hope for those struggling with swelling and discomfort. As a recognized Lymphatic Disease Surgery Center of Excellence, we combine groundbreaking expertise with a deeply compassionate approach, ensuring every patient receives personalized care tailored to their unique needs.

With decades of experience, we are committed to restoring quality of life and empowering our patients to move forward with renewed strength and optimism.

We treat all kinds of lymphedema with customized, innovative procedures. By assessing each individual patient’s lymphedema diagnosis, we can determine the best course of treatment together.

How to Prevent Lymphedema

If you are at risk for lymphedema—especially following cancer treatment or surgery affecting the lymph nodes—there are steps you can take to help minimize the likelihood of developing the condition:

Maintain a healthy weight
Keep your skin clean and moisturized, and promptly treat any wounds to prevent complications.
Regular movement helps encourage lymphatic flow. Gentle activities like walking, swimming, and stretching can reduce fluid buildup and support circulation.
Be mindful of posture and avoid unnecessary pressure on areas vulnerable to lymphedema.

If you have undergone lymph node removal or radiation therapy, follow your physician’s recommendations for lymphedema prevention.
If you notice persistent swelling, heaviness, or tightness in a limb, consult a specialist.

While not all cases of lymphedema can be prevented, proactive measures can help reduce risk and improve long-term lymphatic health. If you have concerns about lymphedema, The Institute offers expert guidance and treatment options tailored to your needs.

How
We Can
Help

Brachial Plexus Injury Treatment

Our specialists can provide treatment such as physical therapy and medications to help relieve brachial plexus inflammation.

Brachial Plexus Reconstructive Surgery

Our specialists can perform brachial plexus reconstruction surgery to relieve pressure on the affected brachial nerves

Brachial Plexus Transfer

Our specialists can perform nerve transfer surgery for those with massive injuries to the brachial plexus or other types of paralysis.

Our Mission Is to Improve the Quality of Our Patients’ Lives

Our cutting-edge procedures have helped transform the lives of thousands of patients. Hear their stories and more about the procedure here:

Lymphedema Relief: Tina's Experience with Lymph Node Transfer Performed By Dr. Joseph Dayan

Lymphedema Relief: Tina's Experience with Lymph Node Transfer Performed By Dr. Joseph Dayan

Lymphedema: Understanding Symptoms and Treatment - Dr. Russell Ashinoff

Lymphedema: Understanding Symptoms and Treatment - Dr. Russell Ashinoff

With a primary location in Westwood, NJ and multiple clinics located throughout the nation, our expert team can partner with you at any point of your lymphedema journey and coordinate a comprehensive care plan.

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260 Old Hook Rd
Suite 304
Westwood, New Jersey 07675

Phone: 855-980-6981

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74 Brick Boulevard
Building 4, Suite 205
Brick, New Jersey 08723

Phone: 855-980-6981

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83 Hanover Road
Suite 260
Florham Park, New Jersey 07932

Phone: 855-980-6981

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9230 Katy Fwy
#600
Houston, Texas 77055

Phone: 713-489-5979

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11 Eves Drive
Suite 170
Marlton, New Jersey 08053

Phone: 908-751-1071

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9635 Huebner Rd.
San Antonio, Texas 78240

Phone: 210-692-1181

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540 Madison Oaks
Suite 600
San Antonio, Texas 78258

Phone: 210-558-7012

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535 Sycamore Ave
Shrewsbury, New Jersey 07702

Phone: 855-980-6981

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18354 I-45
Suite 300
Shenandoah, Texas 77384

Phone: 713-965-6344

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Diagnosing Lymphedema

Primary lymphedema is congenital and has no direct cause other than a hereditary genetic mutation that leads to a malfunction of the lymphatic system. Secondary lymphedema most often results from injury or obstruction of the lymphatic system, including cancer, cancer treatments, obesity, infection, and trauma.

Regardless of the type of lymphedema you are experiencing, we are well-equipped to address your condition. We used the most advanced imaging and testing to confirm the diagnosis and develop a treatment plan suited to your specific needs. These tests may include:

MRI Scan
CT Scan
Ultrasound
Lymphoscintigraphy

Have questions, need more information, or would like to find out if our Lymphedema Program is right for you? Get in touch with us today.

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Frequently
Asked
Questions

What has been your general outcome for these surgeries?

Overall patient satisfaction speaks for itself. It is very high. These procedures have been done for at least 15 years. Now, there’s a better understanding of getting the surgeries more consistently successful.

Often, in your practice, you see frustrated patients who have long heard the medical community tell them to “just live with it” about various conditions. Why is it important not to take this as the only option for lymphedema?

No cure for lymphedema currently exists, so people can feel hopeless. It can be very moving for patients to realize there is something they can do about this problem that was once deemed unsolvable. This is revolutionary for them.

Who makes a good candidate for this surgery, and how should a potential candidate go about being evaluated?

Someone has to be a good candidate for surgery in general. Significant medical problems would prevent lymphedema surgery. Otherwise, we carefully review patients on a case-by-case basis.

Essentially, our approach to the patient with lymphedema begins with a highly individualized analysis that combines advanced diagnostics with an array of treatment options. First, we typically spend up to an hour with a patient during their initial consultation, taking a detailed history and performing a physical exam with limb circumference measurements and photographs. The choice of the particular surgical option depends on both the patient’s anatomy and his or her treatment goals. In terms of being evaluated, if someone lives outside the area, initially, we can speak over the phone. Ideally, however, it is best for people to make an appointment so we can see them in person.

What is in the future/on the horizon for lymphedema surgery?

We are actively doing research to look into procedures that may prevent lymphedema for patients who undergo cancer surgery.

Our Surgeons

Dr. Dayan and his team of surgeons at The Institute for Lymphatic Surgery and Innovation are recognized as leaders in the diagnosis and treatment of lymphedema, including free lymph node transfer, lymphaticovenous anastomosis (LVA), lymphedema mass excision, and liposuction.

Physician

Joseph Dayan

MD, MBA

Physician

Russell Ashinoff

MD, FACS

Physician

Eric I. Chang

MD, FACS

I've been a patient of Dr. Dayan for almost two years now, I followed him after he left MSK and I feel blessed for that decision. Dr. Joseph Dayan is an exceptional surgeon. First and foremost, he exhibits authentic care for his patients which creates a foundation of trust and tranquility when one is going through such a difficult time in one's life. I was blessed to have found him when I was diagnosed with breast cancer and he performed a double mastectomy and later DIEP breast reconstruction. I can't say enough about how wonderful and attentive he was during the surgery and recovery process. Also, his entire team at his Westwood office are very caring, attentive and prompt getting back to me anytime I needed them. Thank you Dr. Dayan and his team for everything you've done for me!

Miriam D.