Lipedema reduction surgery with lymphatic preservation
Specialised surgery is one of the most effective options to reduce lipedema fat tissue when it is indicated, without replacing the chronic management of the condition. It is not cosmetic liposuction: it calls for diagnosis, an adapted technique and an approach that respects the lymphatic system, within our AC Method.
A medical surgery, not cosmetic liposuction
Lipedema is a chronic condition: there is no cure, but specialised surgery is today the most effective way to permanently remove lipedema fat tissue, reduce pain and volume and improve quality of life, without replacing the chronic management of the condition.
Unlike liposuction with an aesthetic purpose, it requires specific knowledge of the disease, of lymphatic anatomy and planning by area. It is part of an integrated treatment and our AC Method.
When lipedema surgery is indicated
The decision is always individual and medical. These are the factors we assess to know whether surgery is the best option in your case.
Confirmed diagnosis
Lipedema diagnosed by an experienced professional. If you do not have it yet, start with diagnosis or the test.
Impact on daily life
Pain, heaviness, limited mobility or disproportion that affect your quality of life.
Conservative treatment
Surgery is considered alongside conservative care (compression, drainage, habits), not instead of it.
Realistic expectations
Surgery improves symptoms and contour, but it does not cure lipedema: management continues afterwards.
Specialised surgery with lymphatic preservation
We use liposuction techniques aimed at removing the diseased fat tissue while respecting the lymphatic structures as far as possible. We are not limited to a single technology: we select the most suitable one according to the tissue, the area and the surgical goal.
Personalised technology
We can rely on PAL, WAL, UAL or RFAL. PAL/Microaire is one of the techniques we use most, but the approach adapts to each patient.
FLACS and AC protocols
Our FLACS technique for full legs and the AC lymph-preserving protocols, within the AC Method.
Skin retraction
When there is skin laxity or a risk of it, Renuvion® can be incorporated to support the skin's adaptation.
Results of lipedema surgery
The aim is to reduce the volume of the diseased fat tissue, ease pain and heaviness and improve mobility and body contour. Changes are assessed gradually: swelling and tissue adaptation can continue for months.
Recovery is part of the result. You can see how we support that phase in lipedema surgery recovery, with compression, lymphatic drainage and medical follow-up.
Why specialised lipedema surgery
Lipedema is not treated like cosmetic liposuction. Safety and results depend on the team's experience and a complete medical approach.
Specialised team
Plastic surgery with specific experience in lipedema. Meet the medical team and Dr. Alexo Carballeira.
Planning by area
Each area (legs, arms, abdomen) is planned according to extent and safety. The sequence and detail are covered in the lipedema surgery process.
An integrated process
Assessment, surgery and recovery coordinated within the integrated treatment, not as an isolated procedure.
Common questions about lipedema surgery
Does surgery cure lipedema?
No. Lipedema is a chronic condition and has no cure. Surgery is the most effective way to remove the diseased fat tissue and improve symptoms, volume and quality of life, but management continues afterwards.
How is it different from cosmetic liposuction?
It requires specialised diagnosis, knowledge of lymphatic anatomy, planning by area and a specific post-surgery protocol. The goal is therapeutic and functional, not purely aesthetic.
Which technique is used?
Different technologies (PAL, WAL, UAL, RFAL) depending on the tissue, area and goal. PAL/Microaire is one of the techniques we use most, but we are not limited to a single one.
How much does lipedema surgery cost?
The cost depends on the areas to be treated, the extent and whether treatment is divided into several stages. That is why it is defined after an individualised medical assessment; request one for guidance tailored to your case.
When is surgery considered rather than conservative treatment?
Surgery is considered when lipedema is diagnosed and its symptoms (pain, heaviness, disproportion) affect quality of life, always alongside conservative care and not instead of it. The decision is medical and individualised. The step-by-step process is covered in lipedema surgery.
Medically reviewed content. Content produced by the medical team at Lipedema Advanced Care and reviewed by Dr. Alexo Carballeira Braña, plastic surgeon (SECPRE-recertified) specialised in the treatment of lipedema, registered with the ICOMV (Official College of Physicians of Valencia, Spain). Meet Dr. Alexo Carballeira and the rest of our medical team.
The information on this page is for educational purposes and does not replace a medical consultation or diagnosis. Lipedema is a chronic condition: surgery aims to reduce the diseased fat tissue and improve symptoms, function and body contour, but it does not constitute a cure. Every case calls for an individualised assessment. Last updated: July 2026.
PERSONALISED CARE
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SPECIALISED PRELIMINARY ANALYSIS

