Hello, I lost well over 100 lbs many years ago. Dx w/ lipedema stage 2 type 3 to LEs and stage 1 type 4 to arms. Is this excess skin, fat, or both? I believe I’m appropriate for high volume lipo (6-10 liters?) to my entire LEs plus skin excision to my thighs/calves. I’m concerned skin excision to my thighs will not be enough, as my entire leg looks like this. Can it extend to my ankles? Currently 5’1 & 120 lbs. I want to lose more weight naturally before going through with the surgery