Conflicting opinions! PAL & WAL for treating LIPEDEMA - affected areas -- YES or NO? (photos)

Hello there,Thank you for your question. Personally, I strongly prefer to avoid general anesthesia in lipedema surgery for a number of reasons, including safety, recovery and results. I prefer tumescent liposuction in my lipedema surgeries. The WAL can be used to infiltrate water in the tissue and does a great job in removing fat when used with fat transfer. In my experience using WAL alone, personally, I find that it is not the best for removing areas of fibrotic fat. I like to use more systems such as Power Assisted Liposuction (PAL). I use the WAL along with PAL to further emulsify the fat along with a thermal based devise such as Vaser or an ultrasonic device. I do think that WAL is good to use in every patient. Please be sure to seek a board-certified surgeon for a proper diagnosis and medical treatment and surgery. Thank you and best wishes.

The
first thing you should do is check the ASPS website for a list of doctors in
your area. Then look at online reviews. Check the surgeon's
website. Look at their results. Ask around to see if you have any
personal references, these can be very helpful. Once you have screened
the doctor, meet with them. If they are professional and sincere, educated and
experienced, if they listen to your concerns and develop a plan which fits with
your goals, you have found a good match. The plastic surgeon is correct.

What matters most is who is doing the procedure and their techniques. I do a combination approac to get the best results and often do this on lipedema patients.  You may want a hi definition procedure if you are looking for additional contouring but this is a more aggressive approach.  Best, Dr. Emer.