Corrective surgery for lipedema patients

Women suffering from lipedema are often confronted with severe symptoms that have a great impact on their everyday life. Treating the condition requires a great deal of experience and a precise approach from the specialist. Our lipedema specialists at LIPOCURA® are there for you with holistic treatment – including corrections from previous procedures!

Liposuction for lipedema

In the predisposition to lipedema, the fat cells swell, among other things, by absorbing the surrounding lymphatic fluid. This abnormal swelling remains permanently in the fat cell and unfortunately cannot be reduced by diet or exercise. According to our clinical observation, this disease process can be found in many different parts of a woman’s body. The only sensible therapy to treat the pathologically altered tissue with permanent effect is liposuction.

When does corrective surgery make sense?

If only partial areas of the affected body parts are suctioned, the phenomenon of “redistribution” is very likely to occur. An example would be “only” partial liposuction under more aesthetic aspects, i.e. liposuction of the breeches, on the inner side of the knee or the inner side of the thigh despite pronounced lipedema on the entire leg. Often the non-suctioned areas deteriorate shortly after the incomplete procedure.

For a pictorial idea of what happens here:

What all fat cells in the body previously absorbed in swelling is distributed among a reduced number of fat cells after incomplete liposuction. Thus, these “remaining” fat cells receive proportionally more after the procedure. Patients report afterwards a possibly rapid deterioration of the non-suctioned areas.

Of course, not only the progression of lipedema, but also lifestyle in terms of excessive diet and lack of physical activity can contribute to the phenomenon of redistribution.

This is because the excess calories are equally stored in the now numerically reduced fat cells. In this respect, a conscious lifestyle counteracts the redistribution after liposuction. Lean lipedema patients with completely suctioned legs and without widened fat layers on the abdomen, back/upper body and face tend to redistribute less frequently than patients with already thickened subcutaneous fat layers in the aforementioned areas. Where something is already present, it is easier for it to become more.

The lipedema treatment at LIPOCURA®

For this reason, we consider it indispensable to treat lipedema thoroughly and holistically on all affected areas and adjacent zones. This concerns, for example, the lower legs, the thighs, as well as the forearms and upper arms. From the ankle to the groin, as well as from the wrist to the armpit – but also on the abdomen, hips and many other areas.

There are no taboo areas where liposuction cannot be performed.

In recent years, we have observed an increase in the number of pre-operated patients who have only had partial or incomplete liposuction. Thus, the suffering 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 quickly. It is not possible to distinguish between healthy and diseased fat cells during liposuction. For this reason, the more fat cells that have been left, the higher the potency of a renewed increase. Therefore, it is essential that the entire fat layer is suctioned off as thoroughly as possible the first time.

The main goal of corrective liposuction for lipedema is to alleviate or eliminate the symptoms. Our years of experience enable us to meet high aesthetic standards at the same time. We would like to point out that circular and thorough liposuction does not mean that after the surgery there will be no more female curves or that every patient will start her new life with the same figure. The result of corrective surgery depends on many factors, all of which are highly individual, such as the preliminary work of the (outside) surgeon, your own anatomy, your wishes, genetics, as well as wound healing, etc. Our competent and experienced doctors can discuss with you during our consultation – after a thorough examination – what result can be expected for you. We look forward to meeting and advising you.

What are the risks of corrective liposuction?

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 good results as if thorough and uniform liposuction had been performed in the first place. The same aspect applies with regard to the visual appearance of the skin, i.e. how aesthetically pleasing the body part appears. This aspect should not be disregarded despite medical necessity.

In the case of corrective liposuction, the aim is to reduce the still widened fat layer to the optimal level, to even out irregularly suctioned areas or even to correct over-suctioned areas by means of fat transfer (lipofilling).

Combined or subsequent skin tightening

Also an option in correcting incomplete liposuction is tightening of the skin mantle using laser or cool plasma. If these minimally invasive tightening methods are not sufficient, surgical skin tightening can be performed.

At LIPOCURA®, we live by the credo: the more thorough the liposuction, the more lasting the long-term results. Please feel free to contact us for a detailed consultation.