In this video, we show a patient that has both lymphatic swelling alone in one extremity (right side of the image; left leg) and chronic venous insufficiency with Lipodermatosclerosis in the right leg (left side of the image) with secondary lymphatic swelling of the calf. The image below is h from our practice. Dr. Hratch Karamanoukian is board certified in surgery (American Board of Surgery), thoracic surgery (American Board of Thoracic Surgery) and Certified by the American Board of Venous and