Lipoedema: Removal of abnormal fat buildup in the lower part of your body
Introduction
Lipoedema is a long-standing condition caused by excess accumulation of fat deposits under the skin. This tends to be most pronounced in the lower body, such as the hips, thighs, and buttocks. This condition is often mistaken for obesity or simple weight gain, but is resistant to weight loss or dieting. The exact cause of lipoedema is unknown, but it affects mainly women and often runs in families. Approximately 10% of women are affected. Alongside the increase in the size of the affected areas, lipoedema can cause pain, easy bruising in the affected areas, and limited mobility. This can lead to physical discomfort and emotional distress.
There is currently no cure for lipoedema, but there are several treatment options available to help manage the symptoms. Non-surgical treatments such as compression garments, manual lymphatic drainage, and specialized exercises can help reduce swelling and improve circulation. Weight management and anti-inflammatory diets can also play a role in managing the condition.
In cases where conservative treatments are not effective, surgical intervention may be considered. Liposuction is a common surgical procedure used to remove excess fat cells in the affected areas and provide long-term relief from the symptoms of lipoedema. However, it is important to note that surgery is not a cure for lipoedema and should be combined with ongoing lifestyle changes and management strategies to achieve the best results. Dr Dan Butler offers surgical treatment options for lipoedema but would recommend liaising with your general practitioner about the non-surgical treatment options.
Key details:
- Duration: 1 to 4 hours. Usually 1-3 rounds of surgery required.
- Cost: $12000 to $40000 per surgical round
- Anaesthetic: General anaesthetic
- Length of stay: 1 to 2 nights in hospital.
Frequently asked questions:
How do I know if I am a candidate for Lipoedema surgery?
The surgery is most effective in patients who have stage 2 or 3 lipoedema and have not responded well to other treatments, such as compression therapy, diet, or exercise. Stage 2 and 3 lipoedema are characterised by having excess fat but with rippling of the skin and/or large pouches of fat deposits. It’s important to be in overall good health and not have any other poorly controlled medical conditions.
What are the benefits of Lipoedema surgery?
Lipoedema surgery can help reduce the volume of excess fat, improve mobility, and alleviate pain. Many patients experience better body contour, increased self-esteem, and relief from the discomfort caused by lipoedema, such as heaviness and swelling.
What is the recovery process like after Lipoedema surgery?
Recovery varies from patient to patient, but most can expect some bruising, swelling, and mild discomfort for several days to weeks. Compression garments are typically worn for several weeks to aid in the healing process and reduce swelling. Patients are usually able to resume normal activities after 1 to 2 weeks, though strenuous exercise may be limited for a longer period (6 weeks).
How many Lipoedema surgery sessions will I need?
The number of surgery sessions required depends on the extent of the lipoedema and the areas being treated. Some patients may need multiple sessions, especially if large areas are affected, while others may only need one. Each surgery typically addresses one or two areas, with a recommended time gap of around 4 to 6 months between sessions to allow for healing.
Will the fat come back after surgery?
Lipoedema surgery removes the abnormal fat cells, but it is important to maintain a healthy lifestyle after surgery to prevent additional weight gain.
Can Lipoedema surgery completely cure lipoedema?
Lipoedema surgery does not cure lipoedema. It addresses the symptoms by reducing the visible fat and alleviating some of the discomfort associated with the condition. However, lipoedema is a chronic condition, and ongoing management, such as compression therapy, exercise, and lifestyle changes, is necessary to prevent further progression.
What are the risks of Lipoedema surgery?
Potential risks include infection, scarring, blood clots, complications from the anaesthetic and uneven fat removal. There may also be post-operative issues like delayed healing or changes in skin texture. Dr Butler will discuss all the risks with you in detail at your consultation.