Lipoedema surgery – Surgery treatment for Lipoedema – Vibro microlipo (PAL) microlipo , UAL, VASER and LASER

Lipoedema surgery reduces pain, improves mobility and aesthetic appearance

Lipoedema is a disorder caused by the abnormal accumulation of fat under the skin on the legs, buttocks, knees, lower legs and/or arms. Often, extra water is stored in the affected tissue (edema). Lipoedema occurs almost exclusively in women and is characterized by painful swelling of the legs, thighs and buttocks, and sometimes the arms. It is treated with conservative measures (such as physiotherapy) and surgical interventions.

The connective tissue of lipoedema is different, there are gaps for the formation of fluid, gel and fibrosis.

• Symptoms: symmetrical increase in adipose tissue on the legs (and / or arms), pain in pressure and tension, tendency to bruise
• Therapy: Physiotherapy (eg lymphatic drainage, compression) I Liposuction
• Causes: not clearly clarified; hormonal and genetic reasons are suspected
• Prognosis: with the right therapy, you can alleviate symptoms and stop the disease from progressing

Note: Some clinical pictures can also appear in combination. For example, if someone suffers from lipoedema and obesity at the same time, both symptoms are mixed.

If you have lipoedema, you should exercise regularly. While this may not reduce the number of fat cells, it still makes sense: physical activity keeps you mobile and mobile – many patients avoid any activity due to pain. Movement therapy is especially important when lipoedema is associated with severe obesity.

Tip: Choose a sport with a low risk of injury and smooth movements. Swimming, water aerobics, brisk walking and cycling are suitable.

Water aerobics can help sports with a low risk of injury, and soft movements such as water aerobics or swimming are especially suitable for patients with lipoedema who move their body regularly and gently.

Many people think that lipoedema is simply the result of being overweight and can be eliminated by losing weight. This is not true. Therefore, a strict diet does not help much against lipedema and can be even harmful: if you focus on saving calories, even if lipoedema does not disappear, it can negatively affect the mental and psychological health of the patient. Experts even suggest that a number of patients with lipedema suffer from eating disorders (such as anorexia). There is no special diet with lipoedema that helps prevent symmetrical proliferation (swelling) of adipose tissue in the legs and / or arms. Patients with lipoedema simply need to pay attention to a balanced, healthy diet. This generally affects good health. In addition, if you are overweight, a healthy diet can help reduce excess weight. Patients can get advice from a nutritionist.

It also belongs to the treatment of lipoedema for skin care, prevents inflammation and infections in the affected area of the skin. Therefore, you should always apply the cream well, so that it does not dry out and crack. Minor injuries should be treated immediately so that they do not become inflamed and infected. Psychological support of the patient is an important part of holistic lipoedema therapy. Many patients suffer from depression, anxiety and / or eating disorders.

If adequate treatment is not applied even though the disease has progressed to chronic lipolymphedema, it has a similar prognosis and turns into lymphoedema. Thus, lipoedema can seriously impair the quality of life due to reduced patient mobility and aesthetic problems.

Cellulite and lipedema can look like similar conditions, since both have a cosmetic effect on the skin. However, there are a handful of key differences between the two conditions, including their appearance, symptoms, causes and treatment. Both lipedema and cellulite can cause the skin to look sunken, lumpy or uneven. However, lipedema is a more serious medical condition that requires treatment, while cellulite is a common cosmetic condition that is harmless.

Lipoedema can be treated surgically with liposuction. Diseased subcutaneous adipose tissue is permanently removed. The procedure is performed, for example, if the symptoms continue or even worsen despite conservative lipoedema therapy (such as physiotherapy).

Although subcutaneous adipose tissue multiplies despite consistent conservative treatment, liposuction is indicated.

Attention: liposuction is not a method for removing excess weight in case of overweight! Liposuction can improve the symptoms of most patients over many years. In particular, the pain and bruising can be reduced with the procedure – as well as the extent of the affected extremities.

Note: In severe lipoedema and lipolymphic edema, large tissue sacs may remain after decongestant therapy and weight loss. Then special plastic surgery (Dermolipectomy) may be more useful than liposuction.

• Water-assisted Liposuction (WAL): After applying Tumszens solution, the fat is dissolved in a fan-shaped water jet and aspirated.
• Vibro micro liposuction: The suction cannula is set by vibration. Because fat cells are slower than blood vessels and nerves, they are released and aspirated.
• UAL, Vaser (Ultrasound) and Laser Liposuction.
• Lipotransfer, autologous transplantation of own fat to places where there are depressions and irregularities.

After the procedure, patients should recover quickly (by mobilization) and receive physical therapy.

This way you can avoid or reduce the swelling that often occurs after liposuction.

Note: in one liposuction operation, a maximum of about five liters of adipose tissue can be removed. Therefore, in severe cases, several sessions are usually required to significantly reduce lipoedema. As with any surgery, also in liposuction, there are serious side effects that are very rare but possible. Among other things, the lymph composition may be injured. As a result, secondary lymphedema may develop.

In the pictures, you can see examples of the patient before lipoedema surgery.
Note: Patient images are for informational purposes only. The final results will vary from patient to patient.

Compressive post-operative garment

Lipoedema occurs when subcutaneous adipose tissue increases locally: Fat cells expand and multiply. In addition, more or less water is stored. This is a progressive process. Thus, the affected area of the body can greatly increase over time. The exact causes of lipoedema are unknown.

Experts have only some assumptions. For example, the hormonal system and genetic predisposition appear to be crucial in the development of lipoedema. At the same time, there is no evidence to suggest that poor diet, lack of exercise, or other “abuse” can cause lipedema.

The importance of (female) hormones in the development of lipoedema suggests that almost exclusively women are affected, especially in the stages of hormonal changes. This would be during and after puberty, during pregnancy and during menopause.

The hormone estrogen in particular plays an important role in the development of lipoedema. Namely, fat cells react to estrogen through special attachment sites (receptors) on their surface. A hormonal disorder can always be proven in a few men with lipoedema. This also indicates that hormones are involved in lipoedema.

For example, some of the affected men have liver disease that interferes with hormone metabolism (for example, cirrhosis of the liver with chronic alcohol use). Others suffer from a lack of testosterone or growth hormone or receive hormone therapy (such as prostate cancer). Hormonal changes and disorders lead to an imbalance in the internal control of weight in the body, nerves in adipose tissue and to inflammatory processes.

Often several family members suffer from lipoedema. This indicates a genetic predisposition. Presumably, genes important for vascular development play a role in the development of lipedema.

In addition to adipose tissue disorders, lipoedema is also suspected of inflammatory vascular dysfunction in the subcutaneous tissue. Vessels in the affected area should have “leaks” that promote the passage of fluid into the tissue. It also makes them more prone to bruising and can contribute to pain.

After the location of lipedema, doctors distinguish between the type of thighs (thighs), the type of knees, the type of buttocks, the type of the whole body, the type of lower leg, the type of upper arm, the type of all arms and lower legs. Many patients also have mixed images (such as thigh and upper arm type). According to the structure and surface of the skin (Morphology), the following three stages of lipoedema are distinguished:

• Stage 1 lipoedema: smooth skin surface, uniformly thickened and homogeneous subcutaneous tissues
• Stage 2 lipoedema: uneven, predominantly wavy skin surface; nodular (nodular) structures in subcutaneous tissue
• Stage 3 lipoedema: marked proliferation in the affected part of the body with elevated body parts (joints)

Lipoedema is a chronic, progressive disease.

Development and flow cannot be predicted. It significantly depends on additional existing diseases such as obesity. If lipoedema is detected, it should be treated in any case. In this way, you can prevent further progress and improve the quality of life of those affected.

According to current knowledge, modern methods of therapy can significantly alleviate the symptoms of the disease, and significantly alleviate the disorder of fat distribution in many patients. Unlike other diseases such as blood vessels or other forms of edema, lipoedema increases but does not increase the risk of chronic wounds (ulcers) or blood clots (thrombosis).

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