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Lipedema liposuction – the process step by step

The treatment of lipedema is often a journey in several stages. This is how it typically proceeds – from diagnosis to aftercare.

Eucalyptus branch
Sessionsoften several
AnesthesiaGeneral anesthesia + tumescence
Compressionseveral weeks
AftercareCompression, lymphatic drainage

Lipedema is not about correcting the figure, but about treating a disease. That is why it starts with the diagnosis – and ends with careful aftercare. The steps show the typical process.

The process at a glance

  1. 01Weeks to months beforehandDiagnosis & planning

    Diagnosis, previous conservative therapy, planning of regions and stages, clarification of costs.

  2. 02one day of surgery per stageSurgery

    Liposuction under general anesthesia with tumescence, performed gently along the direction of the lymphatic vessels.

  3. 03Weeks to monthsAftercare

    Compression, lymphatic drainage, exercise, check-ups.

What happens during surgery

Diagram of lipedema liposuction: diseased fatty tissue on the legs, suction lengthwise parallel to the lymphatic vessels
Schematic illustration. Regions and order are planned individually.

Phase 1: Diagnosis and planning

  1. Diagnosis Symptoms, distribution of the fatty tissue and medical history are assessed by a doctor.
  2. Conservative therapy Compression, lymphatic drainage and exercise – they relieve symptoms but do not remove the tissue.
  3. Stages With pronounced findings, regions (e.g. legs and arms) are often treated in separate sessions.
  4. Question of costs Clarify before starting whether coverage of costs is possible – you submit the application before treatment.
  5. Compression garments fitted in advance.

Phase 2: The day of surgery

  1. Marking The regions to be treated are marked while you are standing.
  2. Anesthesia and tumescence General anesthesia with tumescent local anesthesia.
  3. Suction With vibration techniques and thin cannulas – lengthwise, parallel to the lymphatic vessels, to protect them.
  4. Compression Immediately after the procedure.
  5. Monitoring With larger volumes, careful monitoring after the procedure is particularly important.

Phase 3: Aftercare

  1. Day 1–3Swelling and a feeling of tension; compression day and night
  2. Week 1–2Lymphatic drainage as prescribed; light movement
  3. Week 3–6Continue compression as instructed; gradually increase activity
  4. Month 3–6Check-up; planning of the next stage, if intended
  5. long termCompression can often be reduced depending on the findings; exercise remains important

Contact us immediately in case of fever, severe pain, shortness of breath, a leg severely swollen on one side or redness around an access point.

Your checklist

  • Bring documents on your diagnosis and previous therapy
  • Clarify coverage of costs before starting
  • Have compression garments fitted in advance
  • Schedule lymphatic drainage appointments for the time after surgery
Back to lipedema
Condition, treatment and the question of costs