For clinicians · Referrals

Referring a patient for lymphedema or lipedema surgery

This page is for physicians, oncologists and lymphedema therapists. Dr. Balázs Mohos, Clinical Lead, Lymphedema Center, Lymphatic Disease Program at Balaton Private Clinic, assesses adults with lymphedema or lipedema for reconstructive and reductive surgery. Start with a short e-mail; our reply explains which records we need and how to share them securely.

At a glance

For

Physicians, oncologists and lymphedema therapists

Typical referral

Swelling that persists after at least 6 months of complete decongestive therapy

Professional contact

Designation

LE&RN Lymphatic Disease Surgery Network of Excellence

Referral criteria

When to refer

Each indication is a professional decision based on the records, imaging and examination.

Lymphedema

Primary or secondary lymphedema of the arms or legs, including swelling after cancer treatment. Surgery is considered after at least 6 months of well-conducted complete decongestive therapy, or when conservative treatment no longer brings further improvement.

Lipedema

Painful, disproportionate fat on the legs or arms that does not respond to diet or exercise, with ongoing conservative therapy. Treatment is lymph-sparing liposuction, often in planned stages.

Stage and procedure

Because lymphedema progresses, reconstructive surgery works best in early stages and should not be delayed once it is indicated. Early referral keeps more options open.

A good referral

Treat locally first

How to refer

Referral and secure document sharing

Referrals follow the same four steps as the patient pathway. Patients can also contact us directly.

STEP 1

Enquiry and records

E-mail info@drmohos.com with a short clinical summary. Please do not attach medical documents to the first e-mail; our reply explains how to share them securely.

STEP 2

Online consultation

Dr. Mohos reviews the records with the patient in a booked online appointment. The patient receives a written professional recommendation and an estimated cost.

STEP 3

In-person assessment and final plan

In Veszprém, a clinical examination and ICG lymphography confirm the findings, and the final treatment plan is agreed with the patient.

STEP 4

Treatment and follow-up

Surgery at Balaton Private Clinic. Aftercare continues with the local therapist, with remote follow-up at scheduled intervals.

Records

Helpful records

Our reply to your e-mail tells you how to share these documents securely.

Working together

Feedback and aftercare with the local team

Surgery adds to conservative therapy; it does not replace it. The local therapist remains central to the result.

What you receive

With your patient’s consent, you receive a copy of the written professional recommendation after the online consultation. If surgery is not the right option, it explains why and which alternatives make sense.

After surgery

Complete decongestive therapy continues with the local lymphedema therapist, and our team reviews progress remotely at scheduled intervals.

Notes for the lymphedema therapist

Expertise

Research, lectures and designation

The Lymphatic Disease Program at Balaton Private Clinic has been awarded LE&RN’s Lymphatic Disease Surgery Network of Excellence designation. Dr. Mohos publishes and lectures on lymphedema imaging and supermicrosurgery, including at the Wiener Lymphologisches Symposium and the International Society of Lymphology.

Questions

Referral questions

Yes. Patients can send a short enquiry through the consultation form. A referral from you is welcome but not required.

No. The first consultation takes place online. The patient travels to Veszprém only for the in-person assessment and treatment, after receiving a written professional recommendation.

ICG lymphography, lymphoscintigraphy, MRI or ultrasound reports, if available. ICG lymphography is also performed in Veszprém as part of the in-person assessment.

The local lymphedema therapist continues compression and decongestive therapy, and our team reviews progress remotely at scheduled intervals.

Discuss a patient with us.

E-mail info@drmohos.com with a short clinical summary. Our reply explains the next steps and how to share records securely.