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Lipedema is a disorder that is frequently misdiagnosed and almost exclusive to women, it is characterised by painful deposition of fat (adipose) tissue under the skin in the upper and lower extremities. There is often a familial tendency in Lipedema.
The deposition is often symmetric, progressive and spares the ankle and feet and generally spares the hands in the upper limb, the cuff sign is seen when the fat deposits begin abruptly over the ankle region.
The onset of this problem can begin with the menstrual cycle or around pregnancy or menopause. The exact cause of this problem is not known.
As the problem worsens the skin overlying these areas bruises very easily and can go from smooth to bumpy to looking like an orange peel with folds on it. Lipedema is also associated with overloading on the knee and other lower limb joints, discomfort due to rubbing of the inner thigh. The areas of fatty deposit are often painful. It can also have a severe impact on the patients mental wellbeing due to disproportionately large disfiguring enlargement of hips and limbs compared to the rest of the torso.
While commonly confused with obesity, it is very difficult or nearly impossible to lose weight from Lipedema affected limbs by dieting. When associated with Obesity, Lymphedema can develop in the later stages of Lipedema.
Lipedema can often be confused with conditions like Lymphedema, Benign Lipohypertrophy, Dercum’s disease.
We specialise in microcanalicular tumescent liposuction which is known to spare the lymphatics in lipoedematous tissues, this is done under local anaesthesia and oral sedation.
If you need to be put to sleep for the surgery, anaesthetist fees apply.
It is therefore hard to give an exact cost of your surgery without a consultation at the clinic (£50 deposit required).
The costs ranges indicated below can sometimes be less or sometimes more costly depending on anatomical complexity and the surgical time and technique required to give you the optimal outcome.
The quote covers the consultation, the surgical fees, the facility fee, 1 pressure garment, aftercare pack, follow up fees for follow up consultations at 1 week, 6 weeks, 3 months and 6 months.
For most patients having liposuction for lipoedema involving both the thighs and legs,we advise a 3 staged approach. These 3 stages are as follows:
For isolated lipoedema liposuction (using Tumescent Micro-cannular Liposuction) on the hips and buttocks combined, the costs generally range between: £3,950 to £5,500
Disclaimer – Prices mentioned are just indicative of current average price ranges for the treatment depending on degree of severity & surgical time required. You will need an in-clinic consultation (£50) for a quote applicable to you.
Reply with your mobile number so I can arrange your consultation, see you at the clinic soon, best wishes Dr Prashant
What are the different stages of Lipodema / Lipedema?
The disease is classed into stages using the changes in the skin and the feel and visibility of the fat deposits under it. Stage 1 has a general smooth thickening of the skin, Stage 2 shows a wavy walnut like induration of irregularities in the skin like a mattress, Stage 3 the fatty swelling now starts forming lobes and folds that will hang above the knees and mid-thigh. In Stage 4 there is an additional development of lymphedema (blockage of lymph flow) the disease is then called Lipolymphedema, in general the lymphatic component worsens after approximately 10 years of the onset of the Lipodema / Lipedema process.
Another way of classifying the disease is by the distribution of the fat deposition Saddle bags, buttocks to knees, buttocks to ankles, arms or just the lower leg.
What is the treatment of Lipodema / Lipedema?
Treatment can be broadly classed as Conservative and Surgical.
In the Conservative treatments Manual Lymphatic Drainage (MLD) using a compression garment or compression wrapping with or without Complex Decongestive Physiotherapy (CPD). Dry brushing, Deep Breathing Exercises, Intermittent Pneumatic Compression (IPC) can also be used to improve Lymphatic Flow. Keeping the weight steady by regular exercise (low impact) and building muscles will help. Getting emotional support by joining patient groups also is important.
Other conservative measures include a healthy diet that reduces inflammation, In the Surgical treatments, Super-wet Tumescent Liposuction with our without PAL (Power Assisted Liposuction) or VASER (Ultrasound assisted Liposuction) has revolutionised the treatment of Lipoedema / Lipedema and can give permanent long lasting results in reducing the fatty deposits, improving the contours and patient body image.
