POSTED UNDER Lipedema Surgery REVIEWS
Long Vertical Thigh Lift - San Antonio, TX
ORIGINAL POST
Finally after so many years of wanting this and...
AZDeeApril 22, 2016
WORTH IT$7,500
Finally after so many years of wanting this and thinking I was going to be having it done, I finally am! Many things have happened since I first began planning this procedure. I have wanted it since I first began my post weight loss skin removal surgeries. I had full leg liposuction in Dec. to help prepare for this surgery and now my legs are very wrinkly and ready to have the leftover skin removed. My legs have always been my problem area, since due to the Lipedema that I have, I have always had a disproportion body style caring the majority of all my excess weight in my lower half. So looking forward to finally getting this done and healing and moving on with life. I feel like I have been in a holding pattern ever since I found out my previous surgeon was not giving me the long thigh lift two years ago, but rather an inner lift, that was of no use, what so ever...So now to be having this done is so worth the time and money of doing it again....
UPDATED FROM AZDee
2 months pre
What is LIpedema
AZDeeApril 24, 2016
Lipoedema is a long-term (chronic) condition typically involving an abnormal build-up of fat cells in the legs, thighs and buttocks.
The condition occurs almost exclusively in women, although there have been rare cases reported in men.
Signs and symptoms
In lipoedema, the legs become enlarged from the ankles up to the hips. Both legs are usually enlarged at the same time and to the same extent.
The feet are not affected and this creates a ‘bracelet’ effect or ‘band-like’ appearance just above the ankles.
The hands are not usually affected either, although the arms occasionally can be.
The degree of enlargement caused by lipoedema differs between individuals with the condition and it can gradually worsen over time.
As well as becoming enlarged, affected areas of the body may:
feel soft, 'doughy' and cold
be tender to touch
bruise easily
ache or feel painful
have small broken veins under the skin
The condition can progress to cause fluid retention (lymphoedema) in the affected legs.
The combination of these symptoms can lead to reduced mobility and psychological issues, such as low self-esteem.
What causes lipoedema?
The cause of lipoedema is not known, but there is a family history of the condition in some cases and it seems likely that the genes you inherit from your parents play a role.
Lipoedema tends to start at puberty or at times of hormonal change, such as pregnancy or the menopause, which suggests hormones may also have an influence.
Although the accumulation of fat tends to be worse in people who are obese, the condition is not caused by obesity and can affect people who are a normal weight. It should not be mistaken for obesity, as dieting often makes little difference to the condition (see below).
Seeking medical advice
You should see your GP if you have symptoms of lipoedema so they can try to identify the cause.
This will usually involve examining the affected areas of your body to help determine whether you have lipoedema or lymphoedema.
Lymphoedema has similar symptoms to lipoedema, and can sometimes develop as a result of lipoedema, but it is caused by a build-up of fluid from the lymphatic system (a network of channels and glands distributed throughout the body) rather than a build-up of fat cells.
The skin of someone with lymphoedema will pit or indent when you press it, but this will not happen with lipoedema.
Treating lipoedema
As there has been little research into lipoedema, there is some uncertainty about the best way to treat the condition.
Generally, the main treatment options are non-surgical treatments and liposuction.
Non-surgical treatments
Non-surgical treatments can sometimes be helpful in improving pain and tenderness, preventing or reducing lymphoedema and improving the shape of affected limbs – although they often have little effect on the fatty tissue.
Several different treatments are designed to improve the flow and drainage of fluid in your tissues, such as:
compression therapy – bandages or garments that squeeze the affected limbs
exercise – usually low-impact exercises, such as swimming
massage – techniques that help encourage the flow of fluid through your body
These treatments are similar to the treatments for lymphoedema.
Liposuction
The only treatment that appears to be effective in reducing the build-up of fatty tissue associated with lipoedema is a procedure called tumescent liposuction.
Tumescent liposuction involves injecting a liquid solution into the legs to help numb the area and reduce blood loss, before the unwanted fat is sucked out through a tube.
This procedure can be an effective treatment with good results, but several separate operations may be necessary to remove the fat from the different parts of your body.
Also, non-surgical treatments may still be needed for a long period afterwards. For example, compression garments need to be worn after surgery to prevent complications such as lymphoedema.
Liposuction is not generally available on the NHS, although it may be possible to apply for funding for cases of lipoedema.
Treatments that don't work
Treatments used for some types of tissue swelling are generally unhelpful for lipoedema.
Lipoedema does not respond to:
raising the legs
diuretics (tablets to get rid of excess fluid)
dieting – this tends to result in a loss of fat from areas not affected by the lipoedema, with little effect on the affected areas
The condition occurs almost exclusively in women, although there have been rare cases reported in men.
Signs and symptoms
In lipoedema, the legs become enlarged from the ankles up to the hips. Both legs are usually enlarged at the same time and to the same extent.
The feet are not affected and this creates a ‘bracelet’ effect or ‘band-like’ appearance just above the ankles.
The hands are not usually affected either, although the arms occasionally can be.
The degree of enlargement caused by lipoedema differs between individuals with the condition and it can gradually worsen over time.
As well as becoming enlarged, affected areas of the body may:
feel soft, 'doughy' and cold
be tender to touch
bruise easily
ache or feel painful
have small broken veins under the skin
The condition can progress to cause fluid retention (lymphoedema) in the affected legs.
The combination of these symptoms can lead to reduced mobility and psychological issues, such as low self-esteem.
What causes lipoedema?
The cause of lipoedema is not known, but there is a family history of the condition in some cases and it seems likely that the genes you inherit from your parents play a role.
Lipoedema tends to start at puberty or at times of hormonal change, such as pregnancy or the menopause, which suggests hormones may also have an influence.
Although the accumulation of fat tends to be worse in people who are obese, the condition is not caused by obesity and can affect people who are a normal weight. It should not be mistaken for obesity, as dieting often makes little difference to the condition (see below).
Seeking medical advice
You should see your GP if you have symptoms of lipoedema so they can try to identify the cause.
This will usually involve examining the affected areas of your body to help determine whether you have lipoedema or lymphoedema.
Lymphoedema has similar symptoms to lipoedema, and can sometimes develop as a result of lipoedema, but it is caused by a build-up of fluid from the lymphatic system (a network of channels and glands distributed throughout the body) rather than a build-up of fat cells.
The skin of someone with lymphoedema will pit or indent when you press it, but this will not happen with lipoedema.
Treating lipoedema
As there has been little research into lipoedema, there is some uncertainty about the best way to treat the condition.
Generally, the main treatment options are non-surgical treatments and liposuction.
Non-surgical treatments
Non-surgical treatments can sometimes be helpful in improving pain and tenderness, preventing or reducing lymphoedema and improving the shape of affected limbs – although they often have little effect on the fatty tissue.
Several different treatments are designed to improve the flow and drainage of fluid in your tissues, such as:
compression therapy – bandages or garments that squeeze the affected limbs
exercise – usually low-impact exercises, such as swimming
massage – techniques that help encourage the flow of fluid through your body
These treatments are similar to the treatments for lymphoedema.
Liposuction
The only treatment that appears to be effective in reducing the build-up of fatty tissue associated with lipoedema is a procedure called tumescent liposuction.
Tumescent liposuction involves injecting a liquid solution into the legs to help numb the area and reduce blood loss, before the unwanted fat is sucked out through a tube.
This procedure can be an effective treatment with good results, but several separate operations may be necessary to remove the fat from the different parts of your body.
Also, non-surgical treatments may still be needed for a long period afterwards. For example, compression garments need to be worn after surgery to prevent complications such as lymphoedema.
Liposuction is not generally available on the NHS, although it may be possible to apply for funding for cases of lipoedema.
Treatments that don't work
Treatments used for some types of tissue swelling are generally unhelpful for lipoedema.
Lipoedema does not respond to:
raising the legs
diuretics (tablets to get rid of excess fluid)
dieting – this tends to result in a loss of fat from areas not affected by the lipoedema, with little effect on the affected areas
Replies (17)
April 24, 2016
It took me over 40 years to get the proper diagnoses for Lipedema, leaving me in a advanced stage of 3 out of 4 stages. Just thankful for the liposuction done by Dr. Fisher in Dec. to remove the lipedema fat cells and now for the upcoming thigh skin removal to tighten and remove any additional cells that may still be lingering...

May 10, 2016
I know what you mean! Mine is 2 weeks and 2 days away! This is your last procedure in your journey, correct?
September 13, 2018
In my case it took me 50+ years to get a diagnosis, i.e. I was 67 years old when I self-diagnosed after yet another totally useless consultation with a so-called specialist for vein diseases (I had quite a few over the years.) Thanks to 'Dr. Google' I found the then newly established Lipoedema Australia Society (LASS) which was able to advise me where to get an official diagnosis.
September 13, 2018
I inadvertently clicked the 'send'! I also wanted to say that since diagnosis 6 years ago I've had liposuction and lipectomy on the upper arm, the ankles, the knees, and the outside of thigh. I've recently lost 24 kg and I now badly need liposuction and lipectomy of the inner thigh. It had been on my agenda for several years but the weight loss has really made this correction a matter of urgency for me. It has to be next year in June as I can only face wearing compression garments during the very mild Sydney, Australia brief winter. I am quite worried about pain levels re the lipectomy. When I had the upper arms done I experienced absolutely abnormally high levels of pain due to my having fibromyalgia...or so I was told. I was put on Lyrica and on strong pain medication (Endone, Tramal) to control this pain. For the proposed inner thigh lipectomy I plan to go on Lyrica before the surgery and hope to avoid a repeat of the excruciating pain. Needless to say, I am following your experience with great interest as I need to reassure myself that my surgery may not be as challenging as I am fearing it may be. I am a lot older than you, of course, and as such I have higher risk factors and slower healing. I must say that my arm lipectomy healed up beautifully and I have only a barely discernible think white line as a scar. Here's hoping that I will heal up just as well with the thigh lipectomy.
April 24, 2016
I wish more plastic surgeons and genral praticiners, took the time to learn about lipedema as I have been going through past thigh lift photos and have come across so many with obvious signs of lipedema. This condition was first recognised in the 1940's by a couple of Mayo Clinic Doctors but nothing ever came of it until recent years when research again started. It is estimated that over 11% of women have this condition

May 24, 2016
Hi Dee. I'm excited for you. I got to finally meet Dr. Fisher yesterday. He is great. My surgery is tomorrow! I can't believe it's finally time. Hey I say if the technology is there, why not use it?! Why not be the best we can be, right?? I had planned to have my thighs done with ThermaTight but Dr. Fisher said it wouldn't work for me. :( So I guess I will figure that out later down the road. :)
May 26, 2016
So happy for you!!! My friend just had her surgery on Tues. with Dr Fisher...He is busy, I am the 9th then my daughter is having a surgery with him on the 14th. And another friend I am meeting up with is the 7th...so he is pretty busy, helping make us the best we can be!
July 3, 2016
What is NHS?
November 16, 2016
I believe it is the National Health Service in Great Britain, their health Insurance, so to speak.
November 6, 2016
thanks for your posting. I also have thick legs, although I also have thick ankles, always have, even at my young and beautiful lighter weight. Now 59 and about 40 pounds overweight. It's difficult to do work which requires being on my feet all day, as mine occasionally does. At the end of the day, all I can do is lay on the couch or bed. My legs finally feel recovered by the next morning. I can't get my wide-calf high boots zipped up anymore. Plan to go on the hcg diet soon.
btw, on another subject... I think you have had a facelift with Dr Q, no? I'll be doing the same with him this week(!)
btw, on another subject... I think you have had a facelift with Dr Q, no? I'll be doing the same with him this week(!)
November 6, 2016
Dr Q, did a great job with my lower face lift, I should have done my eyes back then too. I believe you should google Lipedema as 11% of all women have it. there is a support group for those who believe they may too have it to gather more info on it, it's called Lipedema Sisters, also I run a support group of over 1500 ladies all currently doing the HCG diet, should you want info on that FB group just message me and I will give you the info.
Replies (19)
Stacy