Prevent Lymphedema and Restore Balance with Immediate Lymphatic Reconstruction

Breast cancer treatment is life-changing—and while mastectomy or lymph node removal can be essential steps in recovery, they also carry risks such as lymphedema, a chronic condition that causes swelling and discomfort in the arms or chest. At Coastal Plastic Surgeons, Dr. Chagri (Cagri Cakmakoglu, MD) offers immediate lymphatic reconstruction in San Diego, an innovative microsurgical procedure performed at the same time as cancer surgery. This groundbreaking approach helps preserve lymphatic function, reduce the risk of lymphedema, and promote lasting comfort and confidence during recovery. Contact Coastal Plastic Surgeons today to learn how immediate lymphatic reconstruction can be integrated into your breast cancer treatment plan.

What Is Immediate Lymphatic Reconstruction?

Immediate lymphatic reconstruction (ILR) is an advanced microsurgical technique designed to prevent lymphedema following breast cancer surgery. When lymph nodes are removed during procedures such as axillary lymph node dissection, lymphatic vessels that transport fluid throughout the body can be disrupted.

This can lead to fluid buildup, resulting in swelling, tightness, and discomfort—symptoms of lymphedema. ILR works by reconnecting the tiny lymphatic vessels directly to nearby veins immediately after lymph node removal. This creates new drainage pathways for lymphatic fluid, maintaining proper circulation and preventing the onset of chronic swelling.

At Coastal Plastic Surgeons, Dr. Chagri (Cagri Cakmakoglu, MD) collaborates closely with oncologic surgeons to perform immediate lymphatic reconstruction in San Diego during the same operation as cancer surgery. This proactive, one-step approach not only helps preserve lymphatic function but also spares patients the need for future corrective procedures.

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Benefits of Immediate Lymphatic Reconstruction

Immediate lymphatic reconstruction offers both functional and emotional benefits for patients undergoing breast cancer treatment. By addressing lymphatic flow during surgery, this procedure supports a smoother recovery and long-term wellness.

  • Reduces Risk of Lymphedema: Significantly lowers the chance of developing chronic swelling in the arm or chest following lymph node removal.
  • Restores Lymphatic Drainage: Creates new pathways for lymph fluid to circulate efficiently, preventing buildup.
  • Minimizes Postoperative Discomfort: Reduces tightness, heaviness, and pain often associated with lymphedema.
  • Enhances Long-Term Quality of Life: Promotes mobility, comfort, and confidence after breast cancer treatment.
  • Immediate Integration with Cancer Surgery: Performed at the same time as mastectomy or lymph node dissection, reducing additional procedures or anesthesia.
  • Improves Aesthetic Outcomes: When combined with breast reconstruction, ILR contributes to smoother, more natural results with less swelling or asymmetry.
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Who Is a Good Candidate for Immediate Lymphatic Reconstruction?

Ideal candidates for immediate lymphatic reconstruction in San Diego are breast cancer patients who require lymph node removal as part of their treatment plan. Patients undergoing axillary lymph node dissection or sentinel lymph node biopsy are at increased risk for lymphedema, making them prime candidates for this preventive procedure. Other factors that may make a patient suitable for ILR include:

  • Early-stage or locally advanced breast cancer requiring surgical intervention.
  • Desire to reduce the long-term impact of treatment and preserve physical function.
  • Overall good health and ability to undergo reconstructive surgery under general anesthesia.
  • Collaboration between the oncologic and reconstructive surgical teams to coordinate care.

During your consultation, Dr. Chagri will review your medical history and work alongside your cancer care team to determine if ILR can safely and effectively be incorporated into your treatment.

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Your Consultation

At Coastal Plastic Surgeons, every patient consultation is approached with compassion, education, and collaboration. Dr. Chagri will review your cancer treatment plan, discuss the risk factors for lymphedema, and explain how ILR can protect your long-term health.

You’ll learn about the microsurgical process, expected outcomes, and recovery timeline. Dr. Chagri will also coordinate with your breast or oncologic surgeon to ensure a seamless integration of immediate lymphatic reconstruction in San Diego with your upcoming cancer surgery. His goal is to empower you with knowledge and confidence as you move forward in your treatment journey.

What to Expect During the Procedure

ILR is performed during the same operation as your mastectomy or lymph node removal. Once the lymph nodes are excised, Dr. Chagri uses a high-powered surgical microscope to identify and reconnect the disrupted lymphatic channels to nearby veins—typically using lymphaticovenular anastomosis (LVA), a microsurgical technique that reestablishes drainage. These delicate connections allow lymphatic fluid to bypass the removed nodes and flow directly into the venous system, maintaining circulation and preventing fluid buildup. 

The procedure adds only a short amount of time to the overall surgery but provides long-term protection against lymphedema. When performed alongside breast reconstruction, ILR does not interfere with the aesthetic outcome. In fact, it often enhances recovery by minimizing swelling and improving the body’s natural healing response.

Recovery and Results

Recovery from immediate lymphatic reconstruction in San Diego typically follows the same timeline as your primary breast surgery. Most patients remain in the hospital overnight for observation and return home the following day. Some mild swelling and bruising are normal during the initial recovery period, but these symptoms gradually improve as healing progresses.

Dr. Batra and his team will provide detailed aftercare instructions, including how to protect your lymphatic system and maintain optimal drainage. Gentle arm exercises and avoiding heavy lifting in the early weeks are recommended to promote proper healing. Results from ILR are both preventative and long-term.

Studies show that patients who undergo this procedure experience a significant reduction in the development of lymphedema, as well as improved comfort, flexibility, and symmetry post-surgery. By addressing lymphatic health at the source, Dr. Batra helps patients enjoy smoother recoveries and improved overall well-being after cancer treatment.

How Much Does Immediate Lymphatic Reconstruction Cost?

The cost of immediate lymphatic reconstruction in San Diego varies based on factors such as the complexity of the surgery, coordination with oncology procedures, and any accompanying reconstruction techniques. Because ILR is often performed in conjunction with medically necessary cancer surgery, some insurance providers may offer partial or full coverage.

The team at Coastal Plastic Surgeons will help you navigate insurance and financing options, ensuring clarity and accessibility throughout your care. For those seeking flexible payment plans, we also partner with PatientFi, CareCredit, and ALPHAEON Credit.

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Meet Your Provider Dr. Chagri

Dr. Chagri is a trusted plastic and reconstructive surgeon renowned for his expertise in advanced microsurgical techniques and post-cancer reconstruction. With years of experience, Dr. Chagri has helped countless patients restore both function and confidence through innovative procedures like immediate lymphatic reconstruction in San Diego. His collaborative, patient-first approach ensures that every treatment supports not only healing but holistic recovery.

Why Choose Coastal Plastic Surgeons?

At Coastal Plastic Surgeons, compassionate care meets surgical excellence. Led by Dr. Batra, the practice is known for integrating artistry, innovation, and collaboration with leading oncology teams to achieve exceptional outcomes for every patient. From breast reconstruction to lymphatic preservation, your health and comfort are always our top priorities.

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FAQs Immediate Lymphatic Reconstruction

What is the difference between immediate and delayed lymphatic reconstruction?

Immediate lymphatic reconstruction is performed at the same time as cancer surgery, while delayed reconstruction occurs after symptoms of lymphedema have developed. ILR aims to prevent the condition before it starts.

Does immediate lymphatic reconstruction eliminate the risk of lymphedema entirely?

While ILR significantly reduces the likelihood of developing lymphedema, no procedure can eliminate the risk completely. However, most patients experience long-term protection and fewer complications compared to those who do not receive ILR.

Can ILR be performed with breast reconstruction?

Yes. Dr. Chagri often combines ILR with breast reconstruction for comprehensive restoration. The procedures complement each other and do not interfere with aesthetic results.

Is immediate lymphatic reconstruction covered by insurance?

In many cases, yes. Because it is performed as part of medically necessary cancer treatment, some insurance providers offer coverage. The Coastal Plastic Surgeons team will assist in determining your eligibility.

Who performs immediate lymphatic reconstruction at Coastal Plastic Surgeons?

Dr. Chagri (Cagri Cakmakoglu, MD) is a reconstructive surgeon with extensive microsurgical expertise, performs all ILR procedures. He works collaboratively with oncologic surgeons to ensure the best possible outcomes for each patient.

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