Does anyone here even know what LIPEDEMA is?

Lipedema is an abnormal accumulation of adipose tissue typically in the legs and sometimes the arms. normal torso + huge legs. Water assisted lymph sparing liposuction can remove it but you need the skill set to do the liposuction or the condition is actually made worse. Each query that is made about lipedema, the Doctor wants to correct the person by calling it LYMPHEDEMA. these are not the same although lipedema can progress to lymphedema is left untreated.

Doctor Answers 2

Lipedema

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lipedema can be a devastating condition, and progress to include lymphedema if liposuction is not employed. treatment requires a well trained physician with excellent skill, especially someone considerate of lippy patients needs. It is not difficult to get a good result, you just need to find the right person who treats a lot of patients with this condition.  most of my patients have pain, swelling, large size that is dramatically improved after liposuction/contouring.  best, Dr. Emer.


Los Angeles Dermatologic Surgeon
4.8 out of 5 stars 207 reviews

What is Lipedema

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Hello Debbi,

Lipedema is a very under-recognized fat storage condition that was identified in the 1940’s at the Mayo Clinic. It is among several fat storage diseases that we do learn about in medical school such as Dercum’s disease and Madlungs disease. Lipedema, however has been unfortunately ignored for many years, although with increased awareness that has started to change. It usually presents in puberty during teenage years and commonly runs in families. It tends to progressively gets worse throughout a person’s lifetime, usually very slowly. Although, many times it increases in activity of the condition itself with hormonal changes such as pregnancy, menopause or OB/GYN surgery. It is not responsive to diet or exercise. Common symptoms are usually pain, swelling, increased bruisability. There is a typical pattern to lipedema, a column like look to the legs from the groin area all the way down to the ankle area. The upper buttocks and hip area are often times involved as well as the upper arms and forearm area. It is non-responsive to diet and exercise and there seems to be an increased activity of it with certain dietary components such as gluten. Typically, gluten-free diets are recommended for lipedema patients along with either ketogenic of paleo diets. Compression therapy helps with the swelling, but doesn’t change the underlying process of the condition. As time goes on, there is an increased inflammation, increased scar tissue we call fibrosis that can eventually lead into later stages of lipedema and cause damage to the lymphatics, lipo-lymphedema. Properly done lymphatic sparing liposuction by someone that is extremely experienced with lipedema is the only real treatment that sets back lipedema. It gives an improvement not only in a cosmetic result, but actually symptom improvement and disease prevention. The current approach of using a form of liposuction is a safer and a better way to approach lipedema, but the proper surgery and technique is much more about the skills and understanding of the surgeon rather than exactly what particular device the surgeon is using. I wish you the best of luck with your care. If you have any questions, please contact my practice.



David Amron, MD
Beverly Hills Dermatologic Surgeon
4.5 out of 5 stars 63 reviews

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