Lipedema Advanced Care

Lipedema Advanced Care, with Dr. Alexo Carballeira as Medical Director, and a multidisciplinary team at the Hospital Fontana, for Lipedema treatment and research.

Our location

Hospital IMSKE C/ de Suīssa, 11, Quatre Carreres, 46024 València, Valencia

+34 665 027 006


Frequently Asked Questions Lipedem.

We answer the most common questions about Lipedema.

faq 1

Water liposuction (ACualipo) is turning out to be an effective and safe treatment, after years of experience in countries such as Germany or Finland. The pressure of the water makes the fat cells loosen more easily, that is, this technique benefits from the action of the water so as not to damage the ducts and lymph nodes during the removal of fat.

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

It is exactly the same, 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 more understandable.

Circumferential liposuction in calves with inner thigh and cartridge belts is a frequent combination, and in some cases it is possible to do circumferential calf and thigh liposuction, but the case must be assessed and work by priority since the amount of fat extracted is very large and this surgery must be above all safe.

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

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 replace new blood. If it is a question of intervening in the same area, the fat is compacted for 5 months and the skin retracts up to 8 months, so it is better to wait until you see the evolution.

A maximum of 10% of the body weight (in liters) to be safe, that is, the decanted fat without the whey must be counted.

Greater care must be taken during the intervention, hence the importance of a specialist surgeon experienced in surgery for Lipedema and in the use of ACualipo.

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

Yes, it is recommended, and it 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 surgeries to remove excess skin (dermolipectomies) on thighs and arms once liposuction is performed.

It depends above all on the circumstances of each patient, perhaps in a generic way we recommended before so that the skin does not suffer so much stretch and then there is no greater flaccidity that has to be corrected with Dermolipectomy. Normally in the intervened areas, if they are done in depth, it is difficult for it to reappear there, but if you try to cover many areas by treating them superficially, this would be possible, since an incomplete treatment would have been carried out.

Any affected area where there is accumulation of fat can be treated, usually starting with the calves and thighs, and after improving these areas it is also relatively frequent in the arms. The operation in terms of technique and recovery in the arms is similar to that of the legs.

alexo carballeira


El Lipedema

Tight Lift

Causes of Lipedema

The origin of this disease is not clear, it has been proven that there is a genetic component, as well as a hormonal component.


Symptoms of Lipedema

Hypersensitivity, pain in soft tissues both at rest and when walking or touching them, among other symptoms.

Arm Lift lipedema

Grades and Types

There is no universally accepted classification of Lipedema. The most common divides it into three grades based on the structure of the tissue and the texture of the skin.

Plastic Surgeon Male

Frequent questions

Frequently asked questions about Lipedema, its symptoms, causes and main treatments currently available.