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Lipedema or normal fat distribution? What liposuction can achieve

Not every full hip is lipedema – and not every case of lipedema is recognized. How the two differ and when liposuction helps.

Markierungen zur Planung einer Fettabsaugung

Many women know the feeling: the upper body is slim, while the hips and legs remain full – despite exercise and a conscious diet. Behind this may be a normal, genetically determined fat distribution. Or lipedema.

The differences at a glance

A genetically determined fat distribution is painless and responds, albeit slowly, to changes in weight. Lipedema, on the other hand, is a disease of the fatty tissue with typical accompanying symptoms:

  • pain on pressure and feelings of tension in the affected tissue
  • bruising easily
  • a feeling of heaviness in the legs that increases over the course of the day
  • symmetrical distribution; hands and feet usually remain slim
  • diet and exercise have hardly any effect on the affected regions

Why the diagnosis is so important

Both situations are treated with liposuction – but with different objectives and different rules on coverage of costs. In lipedema, the focus is on relieving symptoms; in aesthetic liposuction, it is on the contour.

What liposuction can achieve

Liposuction is the only effective method for removing diseased fatty tissue in lipedema. In aesthetic liposuction, it serves to improve the body contour over the long term – in neither case is it suitable for weight reduction.

You can find more about the procedure and approach on the lipedema and liposuction pages.

If you are unsure whether you have lipedema, have it assessed by a doctor – ideally before you consider surgery.

Dr. med. Hans-Hermann Wörl

Dr. med. Hans-Hermann Wörl
Specialist in Plastic and Aesthetic Surgery. About me

This article is for general information only and does not replace medical advice. Whether a treatment is right for you – and which one – can only be clarified in a personal consultation.