Follow-up Question: Lipedema? Normal fat deposits? Best treatments? (Photos)

Question

I have had saddlebags and lack of definition on my legs since I hit puberty around 12. I can never seem to lose the saddlebags even when I was at my thinnest. I am concerned it is lipedema and when I look at photos of women who have been diagnosed I can relate to the images. I also get a lot of bruising and spider veins on legs. How can I get a professional diagnosis and what are the best treatments out here? I am so uncomfortable that no one I know looks like me. I am very active and eat a paleo diet

David Hansen, MD · Answer

You don't appear to have any lipedema. You would do great with liposuction but be sure to get it done under tumescent local and with the smaller canulas for best results and safety.

Jason Emer, MD · Answer

For best results improving saddlebags, I recommend a hi definition procedure like VASER liposuction. I use VASER HI DEF with ThermiRF and fat grafting to get the most fat removal, skin tightening, contour and definition. This combination will give you the most toned result. I recommend getting a formal evaluation with a hi definition physique expert. Best, Dr. Emer

Nicholas A. Flugstad, MD · Answer

Your fat deposits appear normal and anatomical. Lipidema is very unlikely to be part of the picture for you. Some people lose weight and stubborn areas remain. See an experienced liposuction surgeon in your area.

Neil Sadick, MD · Answer

It is not easy to diagnose what that is from photos, but typically fat deposits in the inner outer thighs and buttocks is consistent with the normal female anatomy. You can reduce the appearance with non-surgical methods like Coolsculpting that has applicators for both the inner and outer thighs.. You can also add shockwave therapy to reduce the dimpling and cellulite in the area. Otherwise surgery such as localized liposuction is the way to go.

Follow-up Question: Lipedema? Normal fat deposits? Best treatments? (Photos)

Answers (4)

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