Dr. Joseph Dayan & Dr. Mark L. Smith

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Vascularized Lymph Node Transfer (VLNT)

Vascularized Lymph Node Transfer involves microsurgical transfer of lymph nodes from one part of your body to the limb with lymphedema.  This has been successfully used to reverse swelling and reduce or eliminate infections resulting from lymphedema.

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Reverse Lymphatic Mapping (RLM)

Dr. Dayan and Dr. Smith developed the technique of reverse lymphatic mapping for use in vascularized lymph node transfer.  This allows for the safe and precise transfer of lymph nodes.

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Advanced Lymphatic Imaging

Near infra-red lymphangiography provides real-time video of your lymphatic system in our office. Patients and therapists can view high-definition images of fluid flowing through lymphatic vessels and assess the effect of manual lymphatic drainage on the swollen limb.