{"id":6393,"date":"2026-07-18T00:34:39","date_gmt":"2026-07-18T00:34:39","guid":{"rendered":"https:\/\/lipedemaac.com\/metodo-advanced-care\/"},"modified":"2026-07-18T23:09:05","modified_gmt":"2026-07-18T23:09:05","slug":"advanced-care-method","status":"publish","type":"page","link":"https:\/\/lipedemaac.com\/en\/advanced-care-method\/","title":{"rendered":"M\u00e9todo Advanced Care"},"content":{"rendered":"\t\t<div data-elementor-type=\"wp-page\" data-elementor-id=\"6393\" class=\"elementor elementor-6393\" data-elementor-settings=\"{&quot;ha_cmc_init_switcher&quot;:&quot;no&quot;}\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-9285faa elementor-section-full_width elementor-section-stretched elementor-section-height-default elementor-section-height-default\" data-id=\"9285faa\" data-element_type=\"section\" data-settings=\"{&quot;stretch_section&quot;:&quot;section-stretched&quot;,&quot;_ha_eqh_enable&quot;:false}\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-no\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-c27e67d\" data-id=\"c27e67d\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-53a1fa1 elementor-widget elementor-widget-html\" data-id=\"53a1fa1\" data-element_type=\"widget\" data-widget_type=\"html.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t<!--\r\n=====================================================================\r\n\/en\/advanced-care-method\/  -  FULL PAGE (ALL IN ONE)  -  EN\r\nPaste into a block that PROCESSES shortcodes (Gutenberg \"Custom HTML\" or Elementor).\r\nIncludes the rich snippet (JSON-LD) at the end and the form as a WPForms shortcode (form 3655). 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class=\"maclac-hero\">\r\n  <div class=\"maclac-hero-inner\">\r\n    <div class=\"maclac-hero-content\">\r\n      <div class=\"maclac-kicker\">Advanced Care Method<\/div>\r\n      <h1>The Advanced Care Method: <span>lipedema, from start to finish<\/span><\/h1>\r\n      <p class=\"maclac-hero-text\">The Advanced Care Method is our integrated protocol for treating lipedema: precise diagnosis, specialised surgery with preservation of the lymphatic system and a supported recovery, coordinated by the same team. Lipedema is a chronic condition; the method aims to reduce the diseased tissue and improve your quality of life, not to cure it.<\/p>\r\n      <div class=\"maclac-hero-links\"><a href=\"\/en\/lipedema-reduction-surgery\/\">Surgery<\/a><a href=\"\/en\/wal-lipedema-liposuction\/\">WAL<\/a><a href=\"\/en\/pal-lipedema-liposuction\/\">PAL<\/a><a href=\"\/en\/renuvion-lipedema\/\">Renuvion\u00ae<\/a><a href=\"\/en\/lipedema-diagnosis\/\">Diagnosis<\/a><a href=\"\/en\/lipedema-surgery-recovery\/\">Recovery<\/a><\/div>\r\n      <div class=\"maclac-actions\">\r\n        <a href=\"#contacto_footer\" class=\"maclac-btn-primary\">Request a concierge assessment<\/a>\r\n        <a href=\"\/en\/lipedema-reduction-surgery\/\" class=\"maclac-btn-secondary\">See the lipedema surgery<\/a>\r\n      <\/div>\r\n    <\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"maclac-section white\"><div class=\"maclac-container\"><div class=\"maclac-grid-2\"><div><div class=\"maclac-eyebrow\">What it is<\/div><h2>A method, not a stand-alone technique<\/h2><p>Most disappointing results in lipedema do not come from a poor technique but from a poor process: an incomplete diagnosis, surgery without a lymphatic-preservation criterion, or a recovery without follow-up. The <strong>Advanced Care Method<\/strong> orders those three phases into a single protocol, with the same team from start to finish.<\/p><p>It is not cosmetic liposuction: it starts from a medical and vascular diagnosis, respects the lymphatic system during extraction and continues with a structured after-care. The goal is <strong>therapeutic and functional<\/strong>.<\/p><\/div><div class=\"maclac-image-card\"><!-- CAMBIAR IMAGEN: photo of the medical team (Dr. Carballeira and Dr. Zaplana) in consultation --><img decoding=\"async\" src=\"https:\/\/lipedemaac.com\/wp-content\/uploads\/2026\/07\/intervencion-lipedema-valencia-s.webp\" alt=\"Lipedema Advanced Care medical team in consultation\" loading=\"lazy\" title=\"\"><\/div><\/div><\/div><\/section><section class=\"maclac-section\"><div class=\"maclac-container\"><div class=\"maclac-prose\"><div class=\"maclac-eyebrow\">Starting point<\/div><h2>Lipedema, lymphoedema or obesity:  <span>the differential diagnosis<\/span><\/h2><p>Many women spend years misdiagnosed. Distinguishing lipedema from other causes is the first step to avoid wasting time on the wrong approach.<\/p><div class=\"maclac-tablewrap\"><table class=\"maclac-table\"><thead><tr><th>Sign<\/th><th>Lipedema<\/th><th>Lymphoedema<\/th><th>Obesity \/ cellulite<\/th><\/tr><\/thead><tbody><tr><td>Distribution<\/td><td>Symmetrical in legs and\/or arms<\/td><td>Often asymmetrical<\/td><td>Generalised<\/td><\/tr><tr><td>Pain<\/td><td>Frequent, on pressure<\/td><td>Variable<\/td><td>Usually not<\/td><\/tr><tr><td>Hands and feet<\/td><td>Spared<\/td><td>Usually affected<\/td><td>Not specific<\/td><\/tr><tr><td>Response to diet<\/td><td>Poor in legs\/arms<\/td><td>Not applicable<\/td><td>Responds to calorie deficit<\/td><\/tr><tr><td>Easy bruising<\/td><td>Yes<\/td><td>Not typical<\/td><td>No<\/td><\/tr><\/tbody><\/table><\/div><p class=\"maclac-tnote\">Indicative. The diagnosis is confirmed by an experienced professional. See the <a href=\"\/en\/lipedema-diagnosis\/\">lipedema diagnosis<\/a>.<\/p><\/div><\/div><\/section><section class=\"maclac-section white\"><div class=\"maclac-container\"><div class=\"maclac-prose\"><div class=\"maclac-eyebrow\">Stages<\/div><h2>Lipedema stages and approach<\/h2><p>The stage helps guide the approach, although it is not the only criterion: the impact on quality of life weighs as much as the classification.<\/p><div class=\"maclac-tablewrap\"><table class=\"maclac-table\"><thead><tr><th>Stage<\/th><th>Characteristics<\/th><th>Usual approach<\/th><\/tr><\/thead><tbody><tr><td>Stage 1<\/td><td>Smooth skin with small nodules beneath the surface<\/td><td>Conservative; surgery if there is pain or functional impact<\/td><\/tr><tr><td>Stage 2<\/td><td>Uneven skin and larger nodules<\/td><td>Conservative + surgical assessment<\/td><\/tr><tr><td>Stage 3<\/td><td>Large deformities and lobules of tissue<\/td><td>Surgery + conservative management<\/td><\/tr><\/tbody><\/table><\/div><p class=\"maclac-tnote\">Lipedema has no cure; the goal is to reduce the diseased tissue and control the symptoms.<\/p><\/div><\/div><\/section><section class=\"maclac-section\"><div class=\"maclac-container\"><div class=\"maclac-prose\"><div class=\"maclac-eyebrow\">Phase 1<\/div><h2>Precise diagnosis<\/h2><p>Before operating, you have to see. Our assessment combines a clinical examination with two key tools:<\/p><ul><li><strong>3D body scan (Bodygee):<\/strong> maps the contour to plan and measure progress.<\/li><li><strong>Vascular study with Doppler ultrasound:<\/strong> led by <a class=\"maclac-inline-link\" href=\"\/en\/doctora-marta-zaplana-cordoba\/\">Dr. Marta Zaplana<\/a>, angiologist and vascular surgeon, to map venous and lymphatic status before any intervention.<\/li><\/ul><p>That vascular safeguard is what makes it possible to operate safely and preserve the lymphatics.<\/p><\/div><\/div><\/section><section class=\"maclac-section white\"><div class=\"maclac-container\"><div class=\"maclac-prose\"><div class=\"maclac-eyebrow\">Phase 2<\/div><h2>Lymph-preserving surgery:  <span>three techniques, one criterion<\/span><\/h2><p>We do not use a single technology: we select and combine the most suitable one according to the tissue, the area and the goal, always preserving the lymphatic system.<\/p><div class=\"maclac-tablewrap\"><table class=\"maclac-table\"><thead><tr><th>Technique<\/th><th>What it does<\/th><th>When it is used<\/th><th>More information<\/th><\/tr><\/thead><tbody><tr><td>WAL<\/td><td>Water-assisted, lymph-preserving extraction<\/td><td>The basis of extraction in most cases<\/td><td><a href=\"\/en\/wal-lipedema-liposuction\/\">WAL liposuction<\/a><\/td><\/tr><tr><td>PAL<\/td><td>Power-assisted vibration for fibrous tissue<\/td><td>Fibrous areas and large volumes<\/td><td><a href=\"\/en\/pal-lipedema-liposuction\/\">PAL liposuction<\/a><\/td><\/tr><tr><td>Renuvion\u00ae<\/td><td>Helium plasma for skin retraction<\/td><td>When there is laxity or risk after extraction<\/td><td><a href=\"\/en\/renuvion-lipedema\/\">Renuvion\u00ae<\/a><\/td><\/tr><\/tbody><\/table><\/div><p class=\"maclac-tnote\">The sequence and combination are decided individually. See the <a href=\"\/en\/lipedema-reduction-surgery\/\">lipedema surgery<\/a> step by step.<\/p><\/div><\/div><\/section><section class=\"maclac-section\"><div class=\"maclac-container\"><div class=\"maclac-prose\"><div class=\"maclac-eyebrow\">Phase 3<\/div><h2>Supported recovery<\/h2><p>Recovery is part of the result: compression, lymphatic drainage and medical follow-up until the tissues adapt over several months. We break it down by phases, with its care and timings, in <a class=\"maclac-inline-link\" href=\"\/en\/lipedema-surgery-recovery\/\">lipedema surgery recovery<\/a>.<\/p><\/div><\/div><\/section><section class=\"maclac-section dark\"><div class=\"maclac-container\"><div class=\"maclac-prose\"><div class=\"maclac-eyebrow\">Why it matters<\/div><h2>A specialised team,  <span>not a generalist surgeon<\/span><\/h2><p>Lipedema is not treated like cosmetic liposuction. Safety and results depend on the team's specific experience: a rigorous vascular diagnosis, a lymph-preserving technique and real medical follow-up. Meet <a class=\"maclac-inline-link\" href=\"\/en\/doctor-alexo-carballeira-brana\/\">Dr. Alexo Carballeira<\/a> and the <a class=\"maclac-inline-link\" href=\"\/en\/medical-team\/\">medical team<\/a>.<\/p><\/div><\/div><\/section>\r\n\r\n<!-- ============================= FAQ ============================= -->\r\n<section class=\"maclac-section white\">\r\n  <div class=\"maclac-container\">\r\n    <div class=\"maclac-lead\"><div class=\"maclac-eyebrow\">Frequently asked questions<\/div><h2>Questions about the Advanced Care Method<\/h2><\/div>\r\n    <div class=\"maclac-faq\"><div class=\"maclac-faq-item\"><h3>How do I know if I have lipedema?<\/h3><p>By signs such as symmetrical disproportion in the legs or arms, pain on pressure and easy bruising, with hands and feet spared. It is confirmed by a medical assessment; see the <a href=\"\/en\/lipedema-diagnosis\/\">diagnosis<\/a>.<\/p><\/div><div class=\"maclac-faq-item\"><h3>What is the difference between lipedema and lymphoedema?<\/h3><p>Lipedema is a symmetrical, painful fat build-up that spares hands and feet; lymphoedema is a build-up of lymph that usually also affects the feet. Advanced lipedema can involve lymphoedema (lipo-lymphoedema).<\/p><\/div><div class=\"maclac-faq-item\"><h3>Can lipedema be removed without surgery?<\/h3><p>Conservative treatment (compression, drainage, habits) controls symptoms but does not remove the diseased tissue. Surgery is today the most effective way to reduce it when indicated.<\/p><\/div><div class=\"maclac-faq-item\"><h3>Does surgery cure lipedema?<\/h3><p>No. Lipedema is chronic and has no cure. Surgery reduces the diseased tissue and improves symptoms and quality of life, but management continues.<\/p><\/div><div class=\"maclac-faq-item\"><h3>How many surgeries do I need?<\/h3><p>It depends on the volume and areas. It is often planned in several stages for safety; it is defined individually.<\/p><\/div><div class=\"maclac-faq-item\"><h3>Does the fat come back afterwards?<\/h3><p>The removed lipedema fat does not return, but as it is a chronic disease, maintenance and follow-up are recommended.<\/p><\/div><div class=\"maclac-faq-item\"><h3>Which technique do you use and why do you combine several?<\/h3><p>WAL as the lymph-preserving base, PAL for fibrous tissue and Renuvion\u00ae for skin retraction. They are combined according to the case to optimise safety and result.<\/p><\/div><div class=\"maclac-faq-item\"><h3>How is the AC Method different from ordinary cosmetic liposuction?<\/h3><p>It starts from a medical and vascular diagnosis, respects the lymphatic system and continues with a structured after-care. The goal is therapeutic, not cosmetic.<\/p><\/div><div class=\"maclac-faq-item\"><h3>How long is full recovery?<\/h3><p>Light activity resumes within a few weeks and the result settles over several months. See <a href=\"\/en\/lipedema-surgery-recovery\/\">recovery<\/a>.<\/p><\/div><\/div>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section class=\"maclac-section white\" style=\"padding-top:0;\"><div class=\"maclac-refs\"><h3>Sources and references<\/h3><ol><li><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK573066\/\" target=\"_blank\" rel=\"noopener\">Lipedema - StatPearls (NCBI)<\/a><\/li><li><a href=\"https:\/\/lymphaticnetwork.org\/\" target=\"_blank\" rel=\"noopener\">Lymphatic Education & Research Network (LE&RN)<\/a><\/li><\/ol><\/div><\/section>\r\n\r\n<!-- ============================= DISCLAIMER \/ AUTORIA ============================= -->\r\n<section class=\"maclac-section white\" style=\"padding-top:0;\">\r\n  <div class=\"maclac-authorbox\">\r\n    <p><strong>Medically reviewed content.<\/strong> Content produced by the medical team at Lipedema Advanced Care and reviewed by <strong>Dr. Alexo Carballeira Bra\u00f1a<\/strong>, plastic surgeon (SECPRE-recertified) specialised in the treatment of lipedema, registered with the ICOMV. Meet <a href=\"\/en\/doctor-alexo-carballeira-brana\/\">Dr. Alexo Carballeira<\/a> and the rest of our <a href=\"\/en\/medical-team\/\">medical team<\/a>.<\/p>\r\n    <p>This information is for educational purposes and does not replace a medical consultation or diagnosis. Lipedema is a chronic condition; it has no cure, but its symptoms can be treated. Every case requires an individualised assessment. Last updated: July 2026.<\/p>\r\n  <\/div>\r\n<\/section>\r\n\r\n<section id=\"lac-prefooter-contacto-unico\" class=\"lpf-main-section\">\r\n    <div class=\"lpf-container\">\r\n        <div class=\"lpf-flex-wrapper\">\r\n\r\n            <div class=\"lpf-doctor-side\">\r\n                <div class=\"lpf-doctor-sticky-box\">\r\n                    <img decoding=\"async\" src=\"https:\/\/lipedemaac.com\/wp-content\/uploads\/2026\/03\/dr-alexo-carballeira-consulta-lipedema-marques-del-turia.jpg\" alt=\"Dr. Alexo Carballeira\" class=\"lpf-doctor-img\" title=\"\">\r\n\r\n                    <div class=\"lpf-text-overlay\">\r\n                        <p class=\"lpf-tagline\">PERSONALISED CARE<\/p>\r\n                        <h2 class=\"lpf-hero-title\">\r\n                            Begin your journey to <br>\r\n                            <span class=\"lpf-gold-text\">freedom from lipedema<\/span>\r\n                        <\/h2>\r\n\r\n                        <div class=\"lpf-quote-container\">\r\n                            <p>\"My commitment is to offer you a precise diagnosis and complete support throughout the process.\"<\/p>\r\n                            <span class=\"lpf-signature\">Dr. Alexo Carballeira<\/span>\r\n                        <\/div>\r\n                    <\/div>\r\n                <\/div>\r\n            <\/div>\r\n\r\n            <div class=\"lpf-form-side\" id=\"contacto_footer\">\r\n                <div class=\"lpf-form-box\">\r\n                    <div class=\"lpf-form-header\">\r\n                        <h3 class=\"lpf-form-main-title\">Request an Assessment<\/h3>\r\n                        <p class=\"lpf-form-subtitle\">SPECIALISED PRELIMINARY ANALYSIS<\/p>\r\n                    <\/div>\r\n\r\n                    <div class=\"lpf-form-engine\">\r\n                        <div class=\"wpforms-container wpforms-container-full\" id=\"wpforms-3655\"><form id=\"wpforms-form-3655\" class=\"wpforms-validate wpforms-form\" 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It is confirmed by a medical assessment; see the diagnosis.\"}},{\"@type\":\"Question\",\"name\":\"What is the difference between lipedema and lymphoedema?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Lipedema is a symmetrical, painful fat build-up that spares hands and feet; lymphoedema is a build-up of lymph that usually also affects the feet. Advanced lipedema can involve lymphoedema (lipo-lymphoedema).\"}},{\"@type\":\"Question\",\"name\":\"Can lipedema be removed without surgery?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Conservative treatment (compression, drainage, habits) controls symptoms but does not remove the diseased tissue. Surgery is today the most effective way to reduce it when indicated.\"}},{\"@type\":\"Question\",\"name\":\"Does surgery cure lipedema?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"No. Lipedema is chronic and has no cure. Surgery reduces the diseased tissue and improves symptoms and quality of life, but management continues.\"}},{\"@type\":\"Question\",\"name\":\"How many surgeries do I need?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"It depends on the volume and areas. It is often planned in several stages for safety; it is defined individually.\"}},{\"@type\":\"Question\",\"name\":\"Does the fat come back afterwards?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"The removed lipedema fat does not return, but as it is a chronic disease, maintenance and follow-up are recommended.\"}},{\"@type\":\"Question\",\"name\":\"Which technique do you use and why do you combine several?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"WAL as the lymph-preserving base, PAL for fibrous tissue and Renuvion\u00ae for skin retraction. They are combined according to the case to optimise safety and result.\"}},{\"@type\":\"Question\",\"name\":\"How is the AC Method different from ordinary cosmetic liposuction?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"It starts from a medical and vascular diagnosis, respects the lymphatic system and continues with a structured after-care. The goal is therapeutic, not cosmetic.\"}},{\"@type\":\"Question\",\"name\":\"How long is full recovery?\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Light activity resumes within a few weeks and the result settles over several months. See recovery.\"}}]\r\n    }\r\n  ]\r\n}\r\n<\/script>\r\n\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>\n\t\t","protected":false},"excerpt":{"rendered":"<p>Advanced Care Method The Advanced Care Method: lipedema, from start to finish The Advanced Care Method is our integrated protocol for treating lipedema: precise diagnosis, specialised surgery with preservation of the lymphatic system and a supported recovery, coordinated by the same team. Lipedema is a chronic condition; the method aims to reduce the diseased tissue [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":0,"parent":0,"menu_order":0,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-6393","page","type-page","status-publish","hentry"],"_links":{"self":[{"href":"https:\/\/lipedemaac.com\/en\/wp-json\/wp\/v2\/pages\/6393","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/lipedemaac.com\/en\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/lipedemaac.com\/en\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/lipedemaac.com\/en\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/lipedemaac.com\/en\/wp-json\/wp\/v2\/comments?post=6393"}],"version-history":[{"count":4,"href":"https:\/\/lipedemaac.com\/en\/wp-json\/wp\/v2\/pages\/6393\/revisions"}],"predecessor-version":[{"id":6400,"href":"https:\/\/lipedemaac.com\/en\/wp-json\/wp\/v2\/pages\/6393\/revisions\/6400"}],"wp:attachment":[{"href":"https:\/\/lipedemaac.com\/en\/wp-json\/wp\/v2\/media?parent=6393"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}