Does liposuction for lipedema reduce cellulite or make it worse?

Lipedema affects nearly 25 million women in the US. As a board certified plastic surgeon and a board certified lymphedema expert, I manage complex lip edema cases with a combination of liposuction and skin tightening procedures. 
Most cases of lipedema improve with liposuction and fat lipolysis with laser and Coolsculpting. A combination approach is ideal. 
Best, 
Dr. Karamanoukian
Realself100 Surgeon

Hi and thanks for your question.
Liposuction is widely used for lipedema. It doesn’t effect the cellulites but especially in lipedema patient, skin excess occurs after the liposuction so liposuction should be combined with skin excision.