Can our lower body be disproportionate to the upper body without having lipedema and what's the best solution? (Photos)

Question

Hello, I doubt if I have lipedema, my legs are too big and I have saddle bags too but I don't get bruises easily nor I get swollen legs. but I feel the weight in my lower body. I'm confused.

David Hansen, MD · Answer

You really need liposuction with bodytite to get the bottom  half looking good again.  It is easy and quick with 2 day downtime only.

Jason Emer, MD · Answer

you look as if you DO have lipedema and will need a full evaluation. you do not need to have bruises pain or swelling to have lipdema.  you have many of the clinical signs.  you liekly will need vaser + renuvion 360 lipo but to ensure you do not get worsening cellulite or have a nicer cosmetic outcome you may need a thigh lift. I would suggest you treat your arms as well. please see an expert, as most ofour clients see a lipedema medical specialist and our hormonal physician before surgery (see link attached).  Best, Dr. Emer.

Pavan Murdeshwar, MCh · Answer

Hello, thank you for your question and the picture. As I can see that you are having a lot of excess fat deposited in the lower body, saddle region and the thighs. That's common in few body types. The cellulite are also forming a major part in the thighs, for you. A liposuction will help you get rid of all these and further can maintain the shape with an adequate diet. A certified plastic surgeon will guide you on the same.

Connie Hiers, MD, FACS · Answer

The specific shape of our bodies is strongly related to genetics. Yes, you can have the lower half bigger than the upper half with no lipedema. Liposuction could be helpful for you. I would suggest meeting with a board certified plastic surgeon and discussing your concerns and options.

Arian Mowlavi, MD, FACS (license on probation) · Answer

You are encouraged to have a consultation with a board certified plastic surgeon. You may benefit from high defintion VASER liposuction. The Gold Standard for superior liposuction results requires use of the advanced technology of ultrasound assisted VASER liposuction. As an official trainer of VASER liposuction, I perform full body liposuction cases every week. VASER liposuction has been the only modality that has consistently resulted in outstanding liposuction outcomes. VASER liposuction ensures a smooth contour regardless of degree of excess fat by virtue of being able to remove any and all remaining fat comprehensively and uniformly. If skin redundancy is observed, Renuvion technology can be simultaneously applied to tighten your skin to optimize your overall contour outcome. A Skype or FaceTime consultation with a VASER specialist will help you get an accurate recommendation and pricing.
Respectfully, 
Arian Mowlavi MD, FACS
Realself 100 Hall of Fame Inductee

Mats Hagstrom, MD (license on probation) · Answer

You know as well as everybody else how different body shapes and proportions can be.
Lipedema is a diagnosis of exclusion. There is no test to confirm the diagnosis.
It’s a condition we don’t understand and have no good treatments other than Liposuction and possibly skin removal.
What we do know is that it tends to affect women more than men, affect the lower extremities and sometimes upper extremities. It gets worse with age. It is unforgiving during weight gain and does not respond to weight loss.
The condition can be mild moderate or severe.
You may very well have lipidemia. Knowing what your body looks like as you developed and if you’ve had changes with lower extremity’s becoming larger with time then this would be indicative.  If you do have lipedema it is on the mild side.  Having the condition means that things will progress.
This condition is grossly under diagnosed and affects many more people then we think.
We simply don’t know much about this condition.
It would be incredible to have more understanding and ideally have treatment or a cure.
For now the best we can do is to encourage people to stay slim and be very very careful with binge eating or rapid weight fluctuations. Liposuction can do bulk and make the lower extremities smaller but often they don’t look much better. liposuction candy bulk so that the person affected can fit better into clothing for example.
Aesthetically the legs still don’t have great contour even with well done Liposuction but the procedure can definitely help.
I realize this can be frustrating. It’s simply a condition that we don’t have good answers to.

Best, 
Mats Hagstrom MD

Samir Ahire, MBBS, MS, MCh - Account Suspended · Answer

Thanks for your question.You are a good candidate for lower body contouring with liposuction. You can expect good results with liposuction.

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