Tumescent Liposuction: A New and Successful Therapy for Lipedema

Schmeller, W.; Meier-Vollrath, Ilka

doi:10.1007/7140.2006.00006

Cited by 64 publications

(61 citation statements)

References 16 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…5) Surgery: Liposuction works effectively for lipedema to Herbst KL Acta Pharmacologica Sinica npg reduce SAT and pain [122,163,164] . In patients who have lipolymphedema, it may be prudent to undergo lymphoscintigraphy to confirm the absence of large lymph vessel damage before pursuing liposuction [116] .…”

Section: Lipedema Treatments Recommendationsmentioning

confidence: 99%

Rare adipose disorders (RADs) masquerading as obesity

2012

View full text Add to dashboard Cite

Rare adipose disorders (RADs) including multiple symmetric lipomatosis (MSL), lipedema and Dercum's disease (DD) may be misdiagnosed as obesity. Lifestyle changes, such as reduced caloric intake and increased physical activity are standard care for obesity. Although lifestyle changes and bariatric surgery work effectively for the obesity component of RADs, these treatments do not routinely reduce the abnormal subcutaneous adipose tissue (SAT) of RADs. RAD SAT likely results from the growth of a brown stem cell population with secondary lymphatic dysfunction in MSL, or by primary vascular and lymphatic dysfunction in lipedema and DD. People with RADs do not lose SAT from caloric limitation and increased energy expenditure alone. In order to improve recognition of RADs apart from obesity, the diagnostic criteria, histology and pathophysiology of RADs are presented and contrasted to familial partial lipodystrophies, acquired partial lipodystrophies and obesity with which they may be confused. Treatment recommendations focus on evidencebased data and include lymphatic decongestive therapy, medications and supplements that support loss of RAD SAT. Associated RAD conditions including depression, anxiety and pain will improve as healthcare providers learn to identify and adopt alternative treatment regimens for the abnormal SAT component of RADs. Effective dietary and exercise regimens are needed in RAD populations to improve quality of life and construct advanced treatment regimens for future generations.

show abstract

Section: Lipedema Treatments Recommendationsmentioning

confidence: 99%

Rare adipose disorders (RADs) masquerading as obesity

2012

View full text Add to dashboard Cite

show abstract

“…The maximum reduction in circumference of 10 % could only be achieved under frequently repeated treatment and only improved the symptoms for a short time (2,4,48,61,62). This means a high therapeutic effort, which is difficult to achieve under normal conditions of life.…”

Section: Phleb-oedemamentioning

confidence: 99%

Treatment of lipoedema using liposuction

Rapprich¹,

Baum²,

Kaak³

et al. 2015

Phlebologie

View full text Add to dashboard Cite

SummaryBackground: Lipedema is a painful, genetically induced, abnormal deposition of subcutaneous fat in the extremities of women. The pathogenesis is unknown. Also unknown is the number of women affected in Germany. This study presents the epidemiology of the disease. There are currently two treatment options available: Complex physical decongestive therapy and liposuction. Liposuction is the only method that removes fat permanently. An additional study proves its effectiveness and highlights its vital role as part of a comprehensive treatment concept. Patients and methods: As part of the epidemiological research, all patients of a general practioner were examined for leg problems. The liposuction study included the preand postoperative examination of 85 patients, which was carried out using a questionnaire. Results: Lipedema were diagnosed in 5 % of all patients of the GP practice. In all 85 pa-

show abstract

“…Only some patients actually experience an improvement in symptoms, and then only for a short period of time following each treatment session. The removal of excess fatty tissue using liposuction has been made possible by microcannulae and -in a more advanced form -with vibrating cannula under tumescent local anesthesia ( Figure 13 and 14) (21,22,23,24,25,29,31,32,34) . The procedure of the liposuction in lipedema does not differ from aesthetic indications (26,27,28) .…”

Section: Therapeutic Optionsmentioning

confidence: 99%