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There is a Doctor Karen Herbst who is the world's expert in lipedema and who you should see her for diagnosis. As for liposuction, which is the only permanent treatment, there are only a few training in water assisted liposuction and who do many lipedema patients. I suggest only seeing a physician like myself who has a practice focsued on this. Best, Dr. Emer.
There is no particular specific treatment for lipedema other than liposuction. As such, I would find a local plastic surgeon with the highest accreditation, reputation and online reviews and request a consultation. You should not need to travel for this procedure.Best of luck,Mats Hagstrom, M.D.