5 Years Post LVA: What Surgery Did (and Didn’t) Do
- rachaelboggiano
- Jun 3, 2024
- 2 min read
Updated: May 20
5 Years Post LVA: What Surgery Did (and Didn’t) Do
Following the surgery, my leg’s swelling rapidly reduced to just 2–3cm excess and 14% volume difference when I was next measured for compression garments. Initially, I was amazed by the results. However, being completely honest, the swelling has gradually rebounded over time. One year post-surgery, my excess measured around 20%. Two years after, it increased to 24–27%. Now, at the five-year mark, it has returned to approximately 30%.
Pros of the surgery:
The scarring is minimal, barely visible, and healed with little pain
My leg drains swelling much quicker and more effectively—usually overnight—than before
The initial reduction eased a lot of pressure and weight on my joints and skin
The surgery was straightforward and relatively stress-free
Without the surgery, my leg might have worsened beyond the 30% excess I experience now
Having the surgery gave me a sense of agency—actively addressing my lymphoedema rather than wondering “what if”
87% reduction of cellulitis after LVA has taken place
Cons of the surgery:
I still need to wear Class 3 compression stockings daily, alongside other self-management strategies
Treatments like SLD/MLD remain less effective post-surgery
Many pre-existing symptoms (tight skin, heaviness, swelling, heat sensitivity) persist
Due to the COVID-19 pandemic, follow-up care was limited, which may have impacted outcomes
An expensive surgery which is not available on the NHS, as it is in Wales