Lipoedema

Lipoedema is a chronic disorder characterized by the abnormal accumulation of fat cells, primarily affecting women. Despite its prevalence, it remains underdiagnosed and often misunderstood.

What is Lipoedema?

Lipoedema, distinct from obesity and lymphoedema, is a medical condition where there is an abnormal build-up of fatty tissue, usually in the lower body. This condition is progressive and can lead to significant discomfort, impaired mobility, and psychological distress if left untreated.

Get a second opinion from trusted experts and makeconfident, informed decisions.

Get Second Opinion

Types of Lipoedema

Lipoedema is categorized into several types based on the areas of the body affected:

Type I: Affects the buttocks and hips.
Type II: Extends from the buttocks to the knees.
Type III: Involves the buttocks to the ankles.
Type IV: Affects the arms.
Type V: Mixed types involving various combinations of the above areas.

Understanding the specific type is essential for tailoring treatment plans to individual needs.

Symptoms of Lipoedema

The primary symptoms of lipoedema include a symmetrical accumulation of fatty tissue on the hips, thighs, and buttocks, with the arms sometimes affected as well. Patients often experience a disproportionate body shape, where the lower half of the body is significantly larger than the upper half.

Additional Symptoms

Tenderness and Pain: The affected areas can be highly sensitive and painful to touch.
Bruising: Due to the increased fragility of the capillaries, easy bruising is common.
Swelling: Swelling may worsen throughout the day, especially after prolonged standing or sitting.
Fat Nodules: Palpable fat nodules can be felt under the skin, giving it a dimpled appearance.

Causes of Lipoedema

The exact cause of lipoedema is not fully understood, although it is believed to involve genetic and hormonal factors. The condition typically manifests during periods of hormonal change, such as puberty, pregnancy, or menopause, suggesting a link to estrogen levels. Family history also plays a significant role, indicating a genetic predisposition.

Lipoedema and Weight Loss

A common misconception is that lipoedema is simply a result of being overweight or obese. However, unlike general obesity, lipoedema fat is resistant to diet and exercise, making weight loss an ineffective treatment for reducing the affected fat deposits. It is important to recognize that while maintaining a healthy weight can alleviate some symptoms, it does not address the underlying condition.

Lipoedema Diagnosis

Accurate diagnosis of lipoedema is critical for effective treatment. Physicians often use a combination of physical examinations and patient history to distinguish lipoedema from other conditions like obesity or lymphoedema. Diagnostic imaging, such as MRI or ultrasound, may be employed to assess the extent and nature of the fat deposits.

Your health is everything - prioritize your well-being today.

Schedule Your Appointment

Lipoedema Treatment Options

Treatment for lipoedema focuses on managing symptoms, improving quality of life, and preventing progression. While there is no definitive cure, several approaches can help control the condition.

Non-Surgical Treatments

Compression Therapy: Wearing compression garments helps reduce swelling and discomfort by supporting the affected tissues.

Manual Lymphatic Drainage (MLD): A specialized form of massage that encourages lymph fluid movement and reduces swelling.

Exercise: Low-impact activities such as swimming or cycling can improve mobility and overall health without exacerbating symptoms.

Nutritional Guidance: A balanced diet can support overall health, though it will not reduce lipoedema fat.

Surgical Treatments

For advanced cases, surgical intervention may be considered:

Liposuction: Specifically, water-assisted liposuction (WAL) or tumescent liposuction, which is designed to remove fat deposits while minimizing damage to lymphatic vessels.

Lymphatic Sparing Liposuction: A technique that preserves lymphatic structures to prevent further complications like lymphoedema.

Surgery can significantly improve mobility and reduce pain, but patients need to have realistic expectations and understand the potential risks and benefits.

Living with Lipoedema

Managing lipoedema involves a multidisciplinary approach, including regular consultations with healthcare professionals, physiotherapists, and nutritionists. Support groups and counselling can also provide emotional support and practical advice.

Psychological Impact

The psychological effects of lipoedema can be profound, often leading to depression and anxiety due to body image issues and chronic pain. Addressing these mental health concerns is a vital component of comprehensive care.

Find Our Specialists

Book Doctor Appointment