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Welcome to Dr. Thomas Wright's insightful presentation at the first International Lipedema World Congress in Potsdam, Germany, in October 2023. Dr. Wright is a distinguished expert in venous and lymphatic medicine, with over 15 years of dedicated experience in advancing the treatment of #lipedema. As the medical director of Laser, Lipo, and Vein Center, he's earned diplomat status with the American Board of Venous and Lymphatic Medicine and is a Fellow of the American Venous and Lymphatic Society. In this video, Dr. Wright will take you through his meticulous approach to treating lipedema using Tumescent Local Anesthesia (TLA). He'll explain his preoperative ultrasound mapping technique, which uses high-frequency ultrasound to map saphenous compartments and identify lymph collecting ducts, thereby minimizing the risk of duct injury during liposuction. Dr. Wright will also discuss the use of Power Assisted Liposuction (PAL) for the treatment of lipedema, often performed as a large-volume liposuction. He will demonstrate his manual extraction technique for hard fibrous nodules that may not have been adequately reduced after liposuction. Additionally, he utilizes the Renuvion Helium plasma device to achieve tissue contraction and skin tightening, enhancing the overall results of his procedures. For a comprehensive understanding of Dr. Wright's technique, including preoperative preparations and postoperative care, he will be available on-site to respond to your inquiries. Before surgery, Dr. Wright employs high-frequency ultrasound to locate and map the great and small saphenous fascia sheaths, sometimes identifying principal lymphatic collecting ducts. He then infiltrates dilute Lidocaine tumescent anesthesia, waits for it to take effect, and utilizes the Micro Air PAL Liposculptor with multi-hole cannulas to remove adipose and fibrous tissue while avoiding major lymphatic collecting ducts. Dr. Wright's technique includes gentle massage or incisions for fibrous nodules that may still remain after liposuction. For the full procedure, watch Dr. Jamie Schwartz's technique of manual extraction by following the provided link to Total Lipedema care. Post-surgery, Dr. Wright advises the use of Renuvion Helium plasma for tissue contraction and skin tightening on the arms. Patients are instructed to wear compression pantyhose with a strength of 20 to 30 mm Hg, 24/7 for the first month, and then during the day for an additional month. Stay tuned to gain valuable insights from a leading expert in the field of lipedema treatment. If you have any questions or want to learn more, feel free to reach out to Dr. Wright for further information. lipedema.net