Lipedema is a chronic condition which involves the disproportionate accumulation of fat, especially in the lower extremities.
It was only classified as a disease in 2022 and mainly affects women, and it is estimated that around 10% of the female population suffers from this pathology.
This condition is often underdiagnosed and misunderstood, being confused with obesity and cellulite. It is therefore important to understand its characteristics and the treatment options available.
In this article we explain what lipedema is and how it can be treated.
Understand what lipedema consists of
The lipedema is a chronic and progressive medical condition that mainly affects women.
It is characterised by the accumulation abnormal fat in the legs, thighs and hips, and, in some cases, in the arms, with a disproportionate enlargement of these limbs in relation to the rest of the body.
Its most common features include the bilateral and symmetrical distribution of fat in the aforementioned areas, creating a disproportionate appearance between the torso and extremities.
The feeling of heaviness and pain in the affected limbs, as well as sensitivity to touch, are two other strong indicators of this disease. This pain occurs because the fat in lipedema tends to form subcutaneous nodules - which can be visible - and because of the inflammatory component associated with it. The affected limbs have uneven skin texture, similar to the appearance of cellulite.
The accumulation of fat caused by lipedema is difficult to eliminate, even with a healthy, balanced diet and regular exercise.
Women suffering from this condition usually experience increased fluid retention, the appearance of spontaneous haematomas, reduced mobility and general tiredness.
Causes
The causes of lipedema are still not entirely clear.
However, genetic, hereditary and hormonal factors seem to play a leading role.
In fact, this condition has a strong hereditary component, as it commonly affects several women from the same family.
There is also a correspondence between hormonal disorders and the progression of lipedema. For this reason, puberty, pregnancy and the menopause can trigger the condition or, when it already exists, aggravate it.
The same goes for metabolic factors and unhealthy and inflammatory lifestyle habits, which can influence the progression of symptoms.
Difficulty in diagnosis and delay in treatment
Lipedema was only considered a disease in 2022 and is often confused with lifedema, obesity, cellulite or swelling.
This ambiguity in diagnosis delays the identification of the pathology and, consequently, the start of appropriate treatment - a situation that can last for years.
Early detection is crucial to halt the progression of the severity of lipedema.
The clinical diagnosis takes into account an analysis of the symptoms, the patient's history and physical examinations. It may be necessary to exclude other conditions that manifest with similar symptoms.
If you suspect you are suffering from this condition, you should see a specialised doctor to get a proper diagnosis and start the appropriate treatments as soon as possible in order to alleviate the symptoms.
Lipedema has a significant negative impact on patients' quality of life, with physical and emotional consequences, especially in the more advanced stages, and it is important that the disease is identified as soon as possible.
Raising awareness of lipedema, not normalising this condition, is essential to improve understanding of it and promote rapid access to appropriate therapy.
Types and classification of lipedema
Lipedema can be classified into five types and four levels of severity.
- Type 1 - when it affects the hips and buttocks;
- Type 2 - when it affects the hips, buttocks and thighs;
- Type 3 - when it affects the hips, buttocks, thighs and legs;
- Type 4 - when it affects the arms;
- Type 5 - when it affects the legs.
The four levels of severity of the disease are correlated with the amount of accumulated fat, pain and discomfort and changes in the skin, with level 1 being the least serious and level 4 being the most advanced stage of the disease, with blockage of the lymphatic vessels.
How to treat lipedema?
The treatment plan suitable for each patient is personalised according to your specific situation, the area of the body affected and how far the disease has progressed.
However, the common strategy to combat lipedema includes a combination of surgical and non-surgical techniques.
The main techniques covered in this multifaceted approach are functional nutrition, dermatofunctional physiotherapy and plastic surgery through liposuction.
- Functional NutritionIt is necessary to adopt an anti-inflammatory diet, since lipedema is caused by an inflammatory process. Saturated fats, sugars and sweeteners, processed and red meats should be avoided.
- Dermatofunctional physiotherapyPatients with lipedema should have frequent lymphatic drainage sessions to reduce the oedema.
- Liposuction: Liposuction is the most effective way to combat lipedema, as it is the only treatment that can effectively and permanently remove diseased fat cells. Even cells that are not removed are left without the ability to multiply and form new lipedema. Liposuction works by removing fat from the affected areas. Depending on the level of the disease, it may be necessary to perform the operation more than once, i.e. the surgical procedure may involve several stages. Liposuction should not only be used in the most advanced stages of the condition. On the contrary. It is indicated even at the beginning to prevent progression.
- Psychological support: Depending on the individual, and given the impact of lipedema on body image, it may be important to seek psychological support.
It is also essential for patients suffering from this condition to adopt a balanced diet and keep an active and healthy lifestyle, with low-impact physical exercise to help manage weight and improve circulation. Lipedema sufferers should wear comfortable footwear, compression stockings and avoid tight clothing.
Holistic approach to lipedema
A holistic approach which takes into account physical and emotional aspects and encompasses multidisciplinary therapy is essential for improving the quality of life of patients with lipedema.
Lipedema treatment involves more conservative strategies, with lifestyle changes, and specialised plastic surgery: liposuction.
This is the only way to combat this chronic disease, which can have a significant impact on women's quality of life, particularly in terms of health, mobility, image and self-esteem.
Contact us for more information
THE MRL, plastic surgery clinic in Lisbon, The clinic is equipped with the latest technology and has an experienced, competent, friendly and always available team. If you suffer from lipedema and would like to find out more about treatmentsIf you are interested in having a tummy tuck and would like to find out prices, request other information or book your assessment appointment, fill in the form below. this form. We'll answer briefly.
LMR, a plastic surgery clinic in Lisbon, is equipped with the latest technology and has an experienced, competent, friendly and always available team. If you suffer from lipedema and would like to find out more about treatments, prices, request other information or book your assessment appointment, please fill in this form. We'll get back to you as soon as possible.
