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Women who suffer from lipedema often have to endure severe discomfort that has a major impact on their daily lives. Treating the condition requires a great deal of experience and a very precise approach by the specialist. Our lipedema specialists at LIPOCURA® are there for you with holistic treatment options – also in cases requiring corrections from previous interventions!
In patients with a predisposition for lipedema, the fat cells swell by absorbing the surrounding lymph fluid. This pathological swelling remains in the fat cell permanently and unfortunately cannot be reduced through diet or exercise. The only advisable way to treat the pathologically changed tissue with lasting effect is liposuction.
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If only partial areas of the affected body parts are suctioned off, a ‘redistribution’ phenomenon is very likely to occur. An example would be only partial liposuction from a more aesthetic point of view, e.g. liposuction of saddlebags, on the inner side of the knee or thigh despite pronounced lipedema on the entire leg. Often the non-suctioned areas deteriorate shortly after the partial procedure.
Everything the fat cells in the body previously absorbed through swelling is distributed among a reduced number of fat cells after the partial liposuction. Thus, these ‘remaining’ fat cells receive proportionally more mass after the procedure. Patients sometimes report afterwards that the non-suctioned areas deteriorate rapidly.
Of course, besides the progression of lipedema, the patient’s lifestyle (excessive eating and lack of physical activity) can contribute to the phenomenon of redistribution.
This is because the excess calories are likewise stored in the now numerically reduced fat cells. In this respect, a deliberate lifestyle change counteracts the redistribution after liposuction. Slender lipedema patients with completely suctioned legs and without broader fat layers on the abdomen, back/upper body and face are less prone to redistribution than patients with already thickened subcutaneous fat layers in these areas. It is always more likely for existing fat layers to increase in size.
Therefore, we consider it indispensable to treat lipedema thoroughly and comprehensively in all affected areas and adjacent zones. For example, we strongly recommend complete circular liposuction of the extremities! This applies to the lower legs and thighs as well as the forearms and upper arms. From the ankle to the groin as well as from the wrist to the armpit.
There are no taboo areas for liposuction.
In recent years, we have observed an increase in the number of patients who have previously had partial or haphazard liposuction. In such cases, the ordeal of those affected is not yet over, and further corrective liposuction becomes necessary. If the lipedematous fat layer was not thinned out thoroughly enough, the remaining fat layer can change again much more rapidly. It is not possible to differentiate between healthy and diseased fat cells during liposuction. Consequently, the more fat cells are left, the greater the potential for regrowth. It is thus essential that the entire fat layer is suctioned off as thoroughly as possible the first time.
Every liposuction leaves noticeable scarring in the tissue. Therefore, the approach of suctioning smaller amounts of fat from the same area in multiple sessions is not effective. The scarring usually makes necessary corrective liposuction much more difficult and costly. Often, corrective liposuction does not achieve the same positive results as liposuction that was performed thoroughly and evenly in the first instance. The same aspect applies with regard to the optical appearance of the skin, i.e. how aesthetically pleasing the body part appears. This aspect should not be disregarded despite medical necessity.
The goal of corrective liposuction is to reduce the still widened fat layer to the optimal level, to even out irregularly suctioned areas or even to correct excessively suctioned areas through fat transfer (lipofilling).
Another option in the correction of partial liposuction is the tightening of the skin using laser or cool plasma. If these minimally invasive tightening methods are not sufficient, surgical skin tightening may be the best solution.
At LIPOCURA® we live by the credo: The more thorough the liposuction, the more lasting the long-term result. Please feel free to contact us for a detailed consultation.
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