Every proven treatment for lymphedema — CDT, LVA, VLNT and debulking — what each does, who it helps, and how to choose the right one for your stage.
Read Guide"Writing at the intersection of surgery, identity, and the quiet transformation that happens when you decide who you truly are."
In-depth, medically accurate guides to lymphedema treatment — LVA, VLNT and CDT — written by Dr. Pranav Thusay, Pune's only dedicated lymphedema surgeon.
Every proven treatment for lymphedema — CDT, LVA, VLNT and debulking — what each does, who it helps, and how to choose the right one for your stage.
Read GuideA step-by-step look at the supermicrosurgical bypass that reroutes lymph fluid into the veins — ICG mapping, technique, recovery and results.
Read ArticleHow transplanting living lymph nodes can restart drainage in a lymphedematous limb — donor sites, the operation, recovery and outcomes.
Read ArticleWhy swelling happens after breast, gynaecological or prostate cancer treatment, the early warning signs, and the modern treatments that can change the outcome.
Read ArticleTwo very different roads to the same swollen limb — causes, onset, diagnosis and how treatment differs between the two types.
Read ArticleVisit our main treatment page for the full lymphedema care pathway at PeriFORMÉ — evaluation, therapy, surgery and long-term follow-up.
View TreatmentsThoughtful writing on plastic surgery, lymphedema, reconstruction and the philosophy of transformation — by Dr. Pranav Thusay.
The skin is not merely a boundary. It is a record — of injury, of healing, of choices made and paths taken. Exploring why what lies on the surface runs far deeper than we allow ourselves to believe.
Read EssayEvery operative plan is a theory about what is possible. Every incision is a commitment. Surgery and identity share the same architecture — both require you to decide, with precision, what you are willing to change.
Read EssayA scar is the body's signature on a story it survived. It is not an imperfection — it is evidence of repair. How we read our scars shapes how we read ourselves.
Read EssayPatients with lymphedema are told to manage. To cope. To compress. But microsurgery offers something rarer — the possibility of reversal. The possibility of a different story.
Read EssayPrecision is not coldness. It is the deepest form of care — the willingness to be exact when exactness is the only thing that matters. What surgical training reveals about the nature of mastery.
Read EssayWhen a tumour is removed, it takes tissue, function and sometimes identity with it. Microsurgery doesn't just close a wound — it reconstructs the possibility of a life lived forward.
Read EssayBeyond Surface is a personal journal by Dr. Pranav Thusay — Consultant Plastic, Reconstructive & Aesthetic Surgeon and Head of PeriFORMÉ Centre, Pune. Here he writes at length about surgery, identity, the philosophy of the body, and the deeper questions that arise when medicine meets what it means to be human. If you've ever wondered what a surgeon thinks about at 2 AM between operations — this is it.