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Far more important than the technique is the skill and experience of your plastic surgeon. Choose your surgeon rather than the technique and let them explain why one technique may be better than another. See the below link on some suggestions on finding the most qualified Plastic Surgeon for you. Always insist on a board certified plastic surgeon.
I suggest you see an expert and do not compromise your care for cost or distance. Lipedema needs a very specific doctor that knows how to spare lymphatics and do skin removal if necessary. Energy based treatments with internal heating are also needed. Best, Dr. Emer.