Lymphedema Surgeon, Dr. Granzow

Dr. Granzow is a Board Certified Plastic Surgeon who is a premier specialist in the diagnosis and treatment of lymphedema and lipedema.  He developed the FLOSM lymphedema treatment system which successfully treats lymphedema by incorporating lymphedema therapy with Vascularized Lymph Node Transfer (VLNT), Lymphaticovenous Anastomosis (LVA), and Suction-Assisted Protein Lipectomy (SAPL) surgeries. His unique lymphatic-sparing LipisuctionSM technique provides safe and effective treatment for lipedema patients as part of an integrated lipedema treatment system. He is an internationally known expert in this field and performs the three types of lymphedema surgeries, which include Vascularized Lymph Node Transfer (VLNT), Lymphaticovenous Anastomosis (LVA), and Suction-Assisted Protein Lipectomy (SAPL).

Dr. Granzow was the first to successfully integrate these procedures into a comprehensive system known as the Functional Lymphatic Operations (FLO)SM System.  This system integrates and combines these procedures with non-surgical lymphedema treatments to address specifically the fluid and solid stages of lymphedema and match each patient with the best procedure for their individual condition.  Dr. Granzow has published his results in the leading medical journals.

VLNT, LVA and SAPL procedures each are most effective in treating specific lymphedema presentations, and no single procedure is best for all patients.  Dr. Granzow carefully selects and matches each patient with the optimum therapy and surgical regimen to treat their lymphedema.

Best Career Investigator Award Winner.

“2016 Best Career Investigator Award Winner”

Presented to recognize established researchers making substantial contributions to the field of lymphedema. Awarded by the National Lymphedema Network & Lymphology Association of North America.

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This website is dedicated to providing information regarding surgical and other treatment options as a long-term solution for patients.  Dr. Granzow personally performs lymphedema surgeries in private hospitals in the Los Angeles area of California.

Dr. Granzow reviewed current surgical approaches at the September 2014 National Lymphedema Network (NLN) Conference in Washington, D.C. There was tremendous interest in this topic and we have included answers to some of the more commonly asked questions on our Frequently Asked Questions page.

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This condition has different presentations that require different types of surgical and non-surgical treatment. There is no single method of treatment or surgery that is best for all varieties.

During your consultation, Dr. Granzow will evaluate your condition carefully to determine which type of procedure best matches your specific circumstance. We work closely with lymphedema therapists both at our center and with you at home to optimize your long-term results.

It is important to note that Dr. Granzow has dedicated significant amounts of time to research and investigation of surgical treatment techniques. He actively maintains memberships in organizations and societies that promote safe and effective treatment. He not only routinely corresponds with recognized leaders in the field in the United States and throughout the world but also has spent time with them in their institutions learning the latest techniques and therapies.

It is critical that any surgeon you choose to perform surgery keeps up with the latest research and developments achieved by multiple authorities. You must specifically ask your surgeon about their knowledge and affiliations to confirm that they have trained with all of the different leaders in the field.


The FLO SystemTM; of Functional Lymphedema Operations was created by Dr. Granzow to incorporate the different modern types of surgeries to provide a consistent and unified treatment regimen of procedures to best treat each patient. The choice of technique for each patient is critical, and no one type of technique will fit each individual’s condition. Fluid-predominant lymphedema is best treated with lymphedema therapy, Vascularized Lymph Nodes Transfer (VLNT), or Lymphaticovenous Anastomosis (LVA). Suction-Assisted Protein Lipectomy (SAPL), which is very different from standard cosmetic liposuction, may be required for solid-predominant lymphedema when significant amount of fat and protein are present in an affected arm or leg.

Dr. Granzow optimized multiple surgical techniques and will recommend the best course of therapy and/or surgery to maximize your benefit while minimizing the risk. He works closely with trained lymphedema therapists to optimize the overall outcome. He was the first to combine different surgical treatments specifically to address both the solid and fluid components of swelling, dramatically decreasing both arm size and the amount of compression and therapy required.

These techniques are performed only by a small handful of highly specialized surgeons worldwide. Dr. Granzow is a pioneer in this area and works with colleagues from around the world continually to further refine these procedures. As a faculty member in the prestigious UCLA Division of Plastic Surgery, he is a highly sought-after researcher and speaker in the field of lymphedema surgery.


Dr. Granzow practices only the most modern surgical techniques that are completely different from the previously disfiguring procedures performed in the past. He has gone to great lengths to incorporate the highest levels of safety into his modern techniques to prevent the condition from worsening from the surgery or developing at a lymph node donor site.