What is lipedema?
Lipedema is not a result of being overweight and does not respond well to diet and exercise. The disease often appears or worsens during hormonal changes – puberty, pregnancy, and menopause. Common symptoms include symmetrical fat accumulation on the legs (and/or arms) that spares the feet and hands, tenderness and pain to touch and pressure, a tendency to bruise easily, heaviness and fatigue in the limbs – especially at the end of the day – and disproportion between the upper and lower body.
Lipedema is often misdiagnosed as obesity or lymphedema. Correct diagnosis is important because the treatment is different.
Lipedema is diagnosed through history and a clinical examination by a physician; imaging studies are primarily used to rule out other diseases. In the initial consultation, symptoms, stage of the disease (1–3), and distribution are assessed along with complications such as edema, joint pain, and mobility impairment.
How we can help
A doctor assesses symptoms, disease stage, and extent through history and clinical examination. Imaging studies are used as needed to rule out other diseases, e.g., lymphedema.
Basic treatment: compression garments, joint-friendly exercise (swimming, cycling, walking), anti-inflammatory diet, weight management when applicable, physiotherapy, and lymphatic massage. We collaborate with the Rehabilitation and Metabolic Clinic when appropriate.
When conservative treatment is not sufficient, lymph-sparing liposuction (WAL or tumescent technique) can significantly reduce pain, bruising, and heaviness, and improve mobility. Often, more than one procedure is required, treating one area at a time. The procedures are performed under general anesthesia or sedation with local anesthesia at Klíníkin, with follow-up provided by a plastic surgeon and the nursing outpatient clinic.
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Frequently Asked Questions
Is lipedema the same as obesity?
Does liposuction cure lipedema?
What happens if lipedema is left untreated?
Where can I get more information and support?
