Your well-being is our goal!

Welcome to CG LYMPHA, your specialised clinic for operative lymphology!

With decades of experience in successful diagnosis and therapy of lymphological diseases, the two clinic founders Dr. Matthias Gensior and Prof. Dr. Manuel Cornely bundled their competencies in their own clinic in 2014 and, together with a team of doctors and trained specialists, focused on the surgical treatment of lymphological diseases.
Since then, the focus at CG LYMPHA has been on the two clinical pictures lipedema and lymphedema, which have been successfully treated since 1997 thanks to the development of the particularly effective surgical technique –
Lymphological Liposculpture™ by Prof. Cornely!
In order to optimize the healing results of the operation, our treatment method includes, on the one hand, lymphatic vessel-sparing suction – according to an advanced TLA method – and, in the next step, a specially developed aftercare concept.

Feel free to contact us so that we can help you to start back into a pain-free and carefree life. Thanks to years of experience and research in the field of operative lymphology, we treat you holistically and comprehensively. A well-trained team of experienced doctors, specialists and therapists is at your side throughout the entire treatment period. Your well-being, your safety and your satisfaction are our very personal mission. As a competence center for lymphology based in Cologne, Germany, we treat patients from all over the world.
We look forward to seeing you!


With cordial greetings

Dr. Matthias Gensior & Prof. Dr. Manuel Cornely

Picture of Dr. Matthias Gensior & Prof. Dr. Manuel Cornely


Picture of different female legs with lipedema

What is lipedema?

The lymphological disease Lipohyperplasia dolorosa (lipedema) is a congenital disease that affects almost exclusively women due to the involvement of the hormone estrogen. As the name describes, lipohyperplasia dolorosa, is an increased number of fat cells (lipohyperplasia) in the extremities, which is painful (lat. dolorosa). Lymph formation in the lipoedematous fatty tissue on the arms and legs is disturbed. More lymph fluid is produced than can be removed by the existing healthy lymph vessels. The drainage capacity is increasingly strained, and the drainage becomes less and less successful. If the outflow is clearly overloaded, the fatty tissue is „flooded“ with lymph. The tension in the thickened extremities increases. Even a light touch to the skin leads to unpleasant pressure pain, slight bumping to bruising.

Symptoms with lipedema

The typical symptoms, which usually experience an initial surge from puberty onwards, include slim waist but ample thighs, painful saddlebags, padding in the inner thigh area, columnar legs up to the upper ankle joint. The feet, however, are slender and completely inconspicuous, without swelling or fat deposits. In more than 90 percent of lipedema patients, the arms are also affected by the symptomatic, disproportionate fat deposits.  

Lipedema (lipohyperplasia dolorosa) and the associated pain are as clinically distinct as each woman is different. The intensity of the pain is independent of weight or stage - even slim female patients can suffer from severe symptoms.

What treatment for lipedema?

Once lipedema has been diagnosed by an expert, lifelong conservative or surgical therapy is required to alleviate the discomfort and symptoms. At CG LYMPHA, you will be examined and the optimal therapy options in your case will be discussed and accompanied together with you. Because: no therapy is always the worst option for lipedema.

picture showing lymphological liposculpture

Surgical therapy: lipedema

For the permanent treatment of lipedema, CG LYMPHA offers the gentle liposuction by means of lymphological liposculpture. This treatment technique was developed by Prof. Cornely more than 20 years ago and is particularly gentle on the surrounding vessels.
By removing the fatty tissue (liposuction), the balance between lymph production and lymph drainage is restored. As a result, besides the reduction of the circumference, an excellent lymph flow is reactivated, which leads to your freedom from complaints! Surgical fat removal in lipedema is performed for purely medical reasons. Therefore, the treatment should not be confused with plastic or cosmetic procedures.

Before the suction, you will be injected with a tumescent solution in the operating room. This softens the fatty tissue with a locally anesthetic liquid (TLA – tumescent local anesthesia) and, after a soaking phase, the fat is suctioned with the vibrating cannulas. Special advantages of TLA: low-risk technique, less postoperative pain and most importantly: maximum protection of the fragile lymphatic vessels. Immediately following the procedure, intensive conservative therapy is given for four weeks.


What is lymphedema?

Lymphedema is a chronic condition that can occur congenitally (primary) or as a result of surgery, infection or injury (secondary). When the lymphatic system is disturbed, the lymph fluid can no longer drain properly and collects in the tissues, where it causes a kind of congestion and thus swelling. In contrast to congenital primary lymphedema, secondary lymphedema is swelling due to destruction of the lymphatic channels - whether by removal of the lymph nodes (surgery) or by direct influence on the lymphatic channels (injuries or similar) or by infections.

Symptoms with lymphedema

The symptom is a swelling of the affected body region: if you press on the swollen tissue, a dent forms. Affected persons often first become aware of a swelling because clothing, jewelry or shoes are suddenly tight and uncomfortable. The swelling usually still feels relatively soft. It does not necessarily occur on the same side; in breast cancer patients, for example, only the arm on the treated side is affected. Feeling of heaviness, pressure and tension: The skin on the affected areas of the body is firm and tense. Arms or legs in particular often feel heavy.

What treatment for lymphedema?

In the case of lymphedema, there are various options for surgical therapy aimed at improving lymphatic reflux and reducing the circumference of the affected extremity.

Surgical therapy: lymphedema

In the case of lymphedema, there are various options for surgical therapy aimed at improving lymphatic reflux and reducing the circumference of the affected extremity. These surgical procedures are available to lymphedema patients:

•    Lymphological Liposculpture by Prof. Cornely™
•    Lymphovenous Anastomosis (LVA)
•    Vascularized Lymph Node Transfer (VLNT)
•    Lymphatic Vessel Transplantation (LLT)
•    Lympholymphatic Bypass (LLB)

Which of these surgical methods is suitable for your lymphedema, either individually or in combination, must be decided on an individual basis. Therefore, a precise diagnosis is crucial before any therapy consultation – because every lymphedema is different.

As a competence center for Operative Lymphology, we not only perform Lymphological Liposculpture by Prof. Cornely™, we also advise you on all diagnostic and surgical procedures.


graphic lipedema and lymphedema conservative therapy
picture showing lymphatic drainage performed on lower leg
picture showing lymphatic drainage performed on upper leg

Manual lymphatic drainage improves lymph flow – it is part of lifelong holistic therapy

If lipedema or lymphedema is correctly diagnosed, conservative therapy helps to improve lymph flow. For this purpose, manual lymphatic drainage (MLD) is used, in which the hands of the physiotherapist direct the flow of lymph from the body tissues into the lymphatic channels. This therapy always begins in the region of the collarbones, is continued with a central decongestion on the body stem and ends at the extremities.

The aim of drainage treatment in lipedema patients is to remove the pressure pain from the fatty tissue of the lipedematous arms and legs. However, circumferential improvement or even fat reduction is not possible. Manual lymphatic drainage for lipedema can be performed with a duration of 60 minutes up to 3 times a week.

Manual lymphatic drainage is also important for lymphedema to alleviate symptoms with a duration of 60 minutes up to 3 times a week. In addition, temporary inpatient treatment with intensive conservative therapy can be helpful for patients with lymphedema.

Latest research and news

Persistent lipedema pain in patients after bariatric surgery: a case series of 13 patients: klick here!

Manuel E. Cornely, M.D.a,*, Till Hasenberg, M.D.b, Oliver A. Cornely, M.D.c,d,e,
Christian Ure, M.D.f, Christian Hettenhausen, Ph.D.a, Jeremias Schmidt, M.D.g

The lymphatic awareness ribbon

Graphic lymphatic awareness ribbon

Your sign of solidarity!

The turquoise band represents lymphological diseases in general, the white dots symbolize the diseases lipedema and lymphedema.

Wear the lymph ribbon as a sign to create more awareness about lymphatic diseases and those affected by them.

Feel free to request yours from us and share your personal photo with us on facebook or Instagram #lymphschleife.


>>> Order your free lymph ribbon simply via our contact form!

We are here for you!


You can use the contact form to request information material and/or an awareness ribbon, make an examination appointment or register for our special information event "LYMPHA".



Of course, we are also available by telephone during opening hours by calling 0221.16 80 22-0.



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