Do I have lipedema? (Photos)

Question

I am 5'3", 239 lbs,no kids w/smaller top half than bottom & a stubborn belly apron that I've had since puberty.Legs can be sensitive,esp. fatty tissue in my hips when jabbed/poked.Sometimes I experience a swollen feeling after activities.Losing inches on my top half. I workout 3-4x/wk, burning approx. 4000 cals total for those workouts (cardio/strength). I eat sensibly.Scale does not move. PCP had blood work done-stats are good. I have fat on thighs, hips, and upper arms that feels like nodules.

Ajaya Kashyap, MD · Answer

Thank you for your question.
You seem to have a fat deposition on the lower half of the body with a lot of cellulite. This condition can also be there in patients who suffer from Lipedemia. The condition especially affects lower half of the body and is accompanied by increase sensitivity and easy bruising. Eventually the fat can block the lymphatics when it becomes difficult to reverse. It is not clear from your pictures if you have this condition to a minor extent but it certainly has not progressed to a point of being irreversible.  I would strongly recommend seeking an appointment with an experienced Board Certified Plastic Surgeon in your area who can examine you and help you. I think a Liposuction would be of great benefit for your situation. All The Best !

Afshin Farzadmehr, MD · Answer

This is fat and on the thighs fat along with cellulite.  Lipo is solution for abodomen and ususaly costs arounf $2500 and the thighs are more difficult to treat.

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