Lipedema or normal fat? (Photo)

Question

I have a consultation coming up with a lipedema specialist but am hoping to get some answers here prior in case it is not lipedema. Since puberty I've had what appears to be severe cellulite and also larger upper arms. My bone structure is smaller and I have a normal BMI. Even at my lowest weight the lumpy appearance and large upper arms remain. My mother has the same issue even though she is a low weight for her height. Any opinions of whether this is lipedema or normal fat would be apprec

David Hansen, MD · Answer

From your photos, it appears that you just have excess fat which contributes to cellulite.  A couple of good tumescent liposuctions under local would make a big improvement and is so easy to undergo.

Thomas Wright, MD · Answer

Lipedema is a subcutaneous adipose disease of the arms and legs that causes pain and swelling.  From your description and your photos, it is likely lipedema.  It is debated whether lipedema can be diagnosed without symptoms of pain, bruising, and swelling. However, I think it can be present without these symptoms. Lipedema is best treated comprehensively, including a low-refined carbohydrate diet, low-impact exercise, and medical-grade compression. Surgery is an option for those whose symptoms are not controlled with nonsurgical treatments or for those who want to prevent the possible progression of lipedema.   Lipedema Reduction Surgery, LRS, is not the same as liposuction.  LRS goals are different than cosmetic liposuction and extra precautions are taken to reduce the risk of lymphatic injury in lipedema. Patients with lipedema are at increased risk for Lymphatic problems.  
I am glad to hear you are consulting with a lipedema specialist who is likely to have years of experience treating lipedema and has proven functional outcomes for his patients.  The best lipedema surgical specialists will treat the condition comprehensively and will follow their patients long-term to ensure they are delivering the best functional outcomes for their patients. 
I have just published a study on the functional and quality of life improvements we have seen after Lipedema Reduction Surgery in our patients.

Warren Schutte, MD · Answer

After viewing your photos, it does appear that you have normal subcutaneous fat distribution. It is quite normal to carry excess fat on extremities.

Resat Aktas, MD · Answer

Dear Madam, I hope you are well. It is not easy to say that you have lipedema according to your photos. Your legs have physical signs but this signs has to be supported with your medical and family history. You have to be questioned regarding your swelling, pain and bruise history. I hope your dr gives you the best answer.

Ferit Demirkan, MD · Answer

In order to differentiate lip edema from normal fat deposition you may apply the following criteria:- Lipedema has a softer and more jelly like consistency while normal fat is firmer- Lipedema fat has some characteristic locations like inner aspects of upper calves, outer part of the ankles- Lipedema fat may be painful upon palpation and may bruise easily- In more advanced lipedema there may be folds just over the knees and ankles due to excess fat deposition- Usually there is a family history of women with fat calves and ankles in the family.

Robert Oliver Jr., MD · Answer

That's not lipedema, just a variation of normal fat deposits with dimpling. Liposuction can debulk some but won't get rid of the thigh dimpling most of the time

Mats Hagstrom, MD (license on probation) · Answer

There is no test or diagnostic criteria for lipedema. Your body looks normal, and considering that your mother has the same fantasy distribution this is your genetic make up.
It’s very common for women to carry subcutaneous fat on their extremities.
Best,
Mats Hagstrom, MD

Lipedema or normal fat? (Photo)

Answers (7)

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