We answer the most frequently asked questions about lipedema.

Water-assisted liposuction (ACualipo) is proving to be an effective and safe treatment, following years of experience in countries such as Germany and Finland. The pressure of the water makes it easier to loosen fat cells, meaning that this technique benefits from the action of water to avoid damaging the lymphatic vessels and nodes during fat removal.

 

Lipedema is a disease that has no cure, but surgery improves or eliminates the related symptoms. Although aesthetic improvement is not the main motivation for patients, it is also very significant due to the large volume of fat that is removed, and it is also important because ignorance, misunderstanding, and social rejection affect many patients psychologically.

It is exactly the same thing; it is water-assisted liposuction. WAL stands for Water-Assisted Liposuction, Bodyjet is the best-known technology, and ACualipo is what we call it because its meaning is easier to understand.

No, it can be done with local anesthesia and sedation, or epidural, or general anesthesia depending on the area(s) treated and patient preferences.

Circumferential liposuction of the calves, inner thighs, and saddlebags is a common combination, and in some cases it is possible to perform circumferential liposuction of the calves and thighs, but each case must be assessed individually and priorities established, as the amount of fat removed is very large and this surgery must above all be safe.

If it is a different area, it is advisable to wait about 3 months because that is how long it takes for the body to replenish new blood. If it is the same area, the fat compacts over 5 months and the skin retracts over 8 months, so it is best to wait and see how it evolves.

A maximum of 10% of body weight (in liters) to be safe, but you have to take into account the fat that has settled without the whey.

Greater care must be taken during the procedure, hence the importance of a surgeon who is specialized and experienced in lipedema surgery and in the use of ACualipo.

It is acceptable to complement surgery with non-invasive methods such as carboxytherapy, radiofrequency, and manual lymphatic drainage. After several sessions, the effect is noticeable, but it is moderate, and after a while, it is necessary to assess whether surgery is required to remove the skin.

Yes, it is recommended, and is not usually performed if the body mass index is greater than 32. For a complete, comprehensive treatment of the area, it is sometimes necessary to perform surgery to remove excess skin (dermolipectomies) on the thighs and arms after liposuction has been performed.

It depends above all on the circumstances of each patient, but in general we recommend doing it earlier so that the skin does not suffer so much stretching and there is no greater sagging that has to be corrected with dermolipectomy. Normally, in areas that have undergone deep treatment, it is difficult for the condition to reappear there. However, if you try to cover many areas by treating them superficially, this possibility could arise, as the treatment would have been incomplete.

Any affected area where there is fat accumulation can be treated. Treatment usually begins with the calves and thighs, and after improving these areas, it is also relatively common to treat the arms. The technique and recovery for arm surgery is similar to that for legs.

Lipedema is a common, frequently underdiagnosed, chronic, and progressive disease that causes a significant deterioration in quality of life. It consists of abnormal deposits of subcutaneous adipose tissue, mainly in the lower extremities, affecting almost exclusively women.

Saturated fats: Found in abundance in fried foods, whole dairy products, and fatty meats. They can increase inflammation in fatty tissue. Gluten and dairy products containing lactose: Although they do not affect all people with lipedema, in some cases they can contribute to inflammation.

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If you have any further questions about lipedema, please do not hesitate to contact us.

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