Introduction: An advanced form of lymphedema is called elephantiasis. It is a clinically difficult impairment that lowers
one's quality of life. There are very few good surgical treatments, and medical care and other conservative therapies
are rarely helpful. We evaluated the clinical effectiveness of reduction surgery in this study using a Charles technique
modification.
Patients and Methods: We present two cases of lower extremity advanced lymphedema that were treated by removing
the affected tissues with deep fascial excision up to the muscles and meshed split-thickness graft resurfacing from the
excised tissue was done immediately. Followed by decongestive lymphatic therapy, which includes skin care, hygiene,
mobilization, and compressive pressure garments.
Results: Primary healing was an eventful process, and the surgical therapy was well accepted. The leg's mobility and
function both significantly improved, yielding extremely pleasing cosmetic outcomes.
Conclusion: Reduction of advanced lymphedema is necessary to lessen the severe handicap and enhance the uncomfortable
circumstances of these individuals. Reduction surgery can significantly enhance the quality of life and lower the condition's
morbidity when combined with proper post-operative care.