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For over 25 years, Dr. David Amron has earned an international reputation as a leading lipedema, liposculpture, and revision liposuction surgery specialist. Dr. David Amron is the founder and medical director of The Roxbury Institute with locations in Beverly Hills, CA and Salt Lake City, UT. The Roxbury Institute is home to the Advanced Lipedema Treatment Program (ALT) which comprehensively treats Lipedema. He has refined his technique and artistry over close to three decades and has performed over 5,000 lipedema surgeries and 12,000 liposuction procedures—a depth of experience that has made him one of the most in-demand liposuction surgeons in the United States. Dr. Amron’s guiding philosophy is about bringing balance to each patient’s proportions and creating a refined silhouette. He takes an all-encompassing approach in assessing a patient’s unique anatomy, needs, and goals. During a consultation, Dr. Amron evaluates the entire body with three factors in mind: weight, disproportion, and laxity. Looking at the body in its entirety and developing a customized treatment plan results in more natural-looking outcomes. After graduating from the University of California San Diego with a degree in Biology, Dr. Amron attended the Albert Einstein College of Medicine in New York, where he obtained his medical degree. He then returned to UCSD to complete his residency. A research fellowship at UCLA followed. Dr. Amron is board-certified by the American Board of Dermatology and a member of numerous medical societies including the American Academy of Cosmetic Surgery, the American Society for Liposuction Surgery, and the American Society for Dermatologic Surgery. Dr. Amron is a well-known national and international speaker and surgical advisor on the subject of Lipedema and liposculpture. He trains other select surgeons from around the globe on his unique surgical techniques and his work has been featured extensively in the media including national and international television, radio, and print. Dr. Amron is the creator and host of Lippy Logic™, the first comprehensive educational YouTube series about Lipedema, and he is an outspoken advocate for Lipedema awareness, education and insurance reform for Lipedema patients. In 2015 he founded the Lipedema Society™ to increase awareness and knowledge for Lipedema.
113 The Roxbury Institute Reviews
The pain from having lipedema is gone and my legs look beautiful
!00%, I am a very HAPPY 65 year old Lippy lady!! I had my ankles, calves and upper arms surgically treated in Jan. My thighs were done at the end of Feb. I went into the surgery with more of a concern about the pain I had been experiencing and not so much about the cosmetic appearance. It was so much more than what I expected. The pain from having Lipedema is gone and my legs look beautiful....
Dr. Amron is Outstanding—highly Recommend!
Dr. Amron is outstanding. In addition to his many years of experience, research and expertise with Lipedema, he is very compassionate and thinks of his patients first. I would highly recommend Dr. Amron and his team at Advanced Lipedema Treatment (ALT) at The Roxbury Institute in Beverly Hills.
Consultation Review: Incredibly Skilled And Informed Physician
Dr. David Amron is a highly skilled, experienced Deematoligist who is not just there to help make your cosmetic dreams come true, but he is extremely committed to the dermatological health of his patients. I saw him recently and was so very impressed by his skill at knowing my situation upon examination. I highly recommend him!
20 Years of Lipedema Pain Gone
I’ve had lipedema pain since I was a teenager. Very thankful to have days without pain thanks to Dr Amron. I had almost 20L of lipedema tissue removed and each time I woke up from surgery with pain gone.“As an incentive for posting a review, this reviewer received an entry into RealSelf’s monthly $500 gift card giveaway.”
I am looking forward to my next 2 surgeries to get some relief from the pain that I have been in!
I want to publicly thank Dr Amron and his team for the quality care that they gave to my on my 1st surgery for lipedema. I truly felt that they wanted the best for me and had empathy and understanding as to how lipedema has effected my life. I am looking forward to my next 2 surgeries to get some relief from the pain that I have been in! Thank you so much!!!
243 Before & After Photos
83 Q&A
A: To begin with, lipedema surgery is very particular and should ideally be done by a surgeon with extensive experience in lipedema for numerous reasons. These are complicated areas, there is a lot of fibrotic scar tissue that must be understood in terms of completely decongesting and releasing properly. The treatment of the calf and ankle area in particular needs to be done in a completely circumferential manner, covering every millimeter to not only get the best treatment off the disease itself but to truly optimize cosmetic results especially in Stage 1 patents where it has to be done perfectly cosmetically. For years I have emphasized the importance of trusting the surgeon rather than trusting a tool or modality. That is by far the most important thing. In regard to that, there are so many important considerations in how the area is designed, where axis points are strategically placed to not only create the smallest scar but to perfectly sculpt the area staying in what I call the “safe plane” and finally the ability to position the patient by ideally avoiding general anesthesia which is very important. Airsculpt is simply a tool that is another type of cannula. All those other things that I previously mentioned are what is truly important to getting the best result. Personally, I find a very systematic multistep approach the best in terms of insuring optimal cosmetic results. Even though I said that tools are of less importance, I do use a variety in my way of sculpting. Step 1, I properly prepare the tissue completely with tumescent anesthesia. Step 2, especially with lipedema, I remove the deeper layer of fat and mechanically release the fibrosis tissue. Step 3, I use Vaser to further emulsify fat and further release fibrosis to create a smooth skin undersurface. Step 4, is fine sculpting in certain areas. Step 5, I use a final skin tightening step of either Renuvion or bodytite radio frequency.
A: I am so happy to hear that other physicians are becoming aware of lipedema and correctly diagnosing patients. Your vascular surgeon correctly diagnosed you with lipedema as I can appreciate simply based on the characteristic shape and distribution of fat and swelling of your legs, both upper and lower. Your legs are forming more of a column like shape with distribution of fat and swelling. Your torso which was previously done with liposuction created a lot of the irregularities in my opinion and should not have been done first. Not only because it is creating irregularities but because it is not properly treating balance and proportion in your body and is creating more disproportion. Your legs should have been considered as part of the overall approach to creating balance and proportion with liposuction surgery. I strongly feel that it is important to have the lipedema in your legs properly treated by an experience lipedema surgeon. As time goes on, this will only continue to get worse and can begin to affect your lymphatic circulation potentially leading to lipolymphedema. In addition to that, the skin elasticity will also begin to decrease, becoming more difficult for well-done liposuction to achieve uniform and even skin retraction. It does look as though from the photographs that what might be necessary to improve the irregularities in your abdomen is a well done abdominoplasty procedure but personally I would not make this a priority right now but rather focus on your legs. It could be possible under further evaluation that I would maybe consider revision liposuction surgery to your abdomen involving a multistep approach with emulsification, release of fibrosis and scarring from the previous liposuction surgery and using a modality such as Renuvion J-plasma to get skin tightening but I would have to make that determination when seeing you in person.
A: While each surgeon is different in terms of their approach to surgery and pre-operative preparation, Lipedema surgery itself is even more particular. I can only comment about what I do in my practice with lipedema patients. It is my protocol to have every patient have medical clearance. Especially any patient over the age of 55 or with ongoing medical problems. In your case, you are younger at 40 years of age and it is not unreasonable that your surgeon may not want a medical clearance. I do have every patient undergo preoperative blood tests including CBC as well as what is called a PT/PTT to evaluate any propensity for bleeding. Urinalysis is not generally needed unless a patient has a particular medical problem. This gets into a longer and different discussion but personally I prefer to avoid general anesthesia in my approach to lipedema patients for a number of reasons, safety being one, faster recovery and primarily optimizing results from both disease treatment and cosmetic improvement.
A: Hi jwee,
I am Dr. David Amron, Founder and Medical Director of The Roxbury Institute. I believe you may be referring to Dr. Stutz, in Germany. While he is an excellent surgeon with his own method of treating lipedema, I was not trained by him or anyone in Germany. For the past 24 years, I’ve spent my entire professional career specializing in liposuction and body contouring procedures. My practice has been specifically focused on treating patients from across the globe who suffer from very complicated cases most surgeons aren’t willing to treat. These cases typically include revision liposuction surgery, liposuction on difficult areas of the body (such as the calves and ankles) and patients with poor skin elasticity and cellulite. Because of this, I have created my own method of treatment (The Amron Method*) and I am the only surgeon in the U.S. using this method. I use a unique “three-dimensional contouring” approach to treat lipedema, and view each body part in a complete, comprehensive three-dimensional fashion. I approach each cosmetic unit one at a time, rather than breaking it up into different procedures and surgeries. This allows me to remove the diseased fat from a particular body part in one single surgery.
I also employ a multi-system and multi-step approach using:
- WAL
- VASER
- Possibly radiofrequency for additional tightening
- PAL for sculpting
To achieve a functional improvement in each patient, liposuction should accomplish three main goals in every surgery.
- Treatment of lipedema (reducing pain and symptoms)
- Prevention of disease progression
- Best cosmetic outcome
That all said, I know you are in Georgia so you may want to consult with Dr. Marcia Byrd, who was trained by Dr. Stutz. Please let me know if there is anything I can help you with as you seek treatment and please know we welcome the opportunity to speak with you again regarding your case. Without knowing your name, I am unable retrieve the details of your case. Please feel free to email me at info@theroxburyinstitute.com if you would like to discuss further.
Sincerely,
David Amron, MD
A: Hello,
It does appear that you have a column-like look to your calves and ankles and if I can see in these photographs, it even looks like you have a little bit of early cuffing of the lateral aspect of the calves and ankles. If you also have symptoms of either pain or swelling, then this is definitely lipedema. Typically, it would not only be expected to occur in the calf and ankle area, but it usually involves the entire leg area that goes up to the groin area in a circumferential pattern. Calf and ankle liposuction itself is a very particular type of liposuction procedure that should be done in a highly specialized fashion. The way I go about doing it is to do the entire calf and ankle area as a unit three-dimensionally, all the way from the knee area down to the ankle to create the right type of three-dimensional shape. I do not believe it should be done in a piece-mail fashion in bits and pieces and corrected later on. That’s only from just a cosmetic standpoint, and from a lipedema treatment standpoint also, it needs to be done in a circumferential pattern, because with lipedema, there is almost always involvement in the anterior area of the calf and ankle too that must be done at the same time in one surgery. My recommendation to you is to find a specialist and a surgeon that has extensive experience with not only calf and ankle liposuction, but with lipedema too. It is important to pay attention to the pre care and post care and the surgery itself and to ensure it is done in a lymphatic sparing way. I wish you the best of luck in your care. Please contact my practice if you feel you have any further questions, thank you.