Lipoedema is a chronic condition that is often misunderstood and misdiagnosed. It primarily affects women and is characterized by an abnormal accumulation of fat, most commonly in the legs, buttocks, and sometimes the arms. This condition not only causes physical discomfort but can also lead to significant emotional and psychological distress.
Here’s everything you need to know about this condition and lipoedema treatment options in London.
What is Lipoedema?
Lipoedema also spelled lipedema, is a painful and progressive condition in which there is an abnormal and disproportionate accumulation of fat beneath the skin. Unlike ordinary obesity, the fat in lipoedema is resistant to diet and exercise. It typically starts around puberty, during pregnancy, or at menopause, suggesting a hormonal influence. The condition is more common in women and rarely affects men.
Lipoedema fat tends to build up symmetrically, meaning both legs or both arms are equally affected. It is important to note that this condition is distinct from lymphoedema, though the two can co-exist. While lymphoedema involves fluid retention due to a malfunctioning lymphatic system, lipoedema involves an abnormal deposit of fat.
Symptoms of Lipoedema
The symptoms of lipoedema can vary depending on the stage and severity of the condition. Common symptoms include:
1. Symmetrical Fat Distribution: Fat accumulation in lipoedema is usually symmetrical, affecting both sides of the body equally, particularly in the legs, hips, and sometimes arms.
2. Pain and Tenderness: The affected areas are often painful to touch and may bruise easily. This tenderness is a hallmark symptom of lipoedema.
3. Swelling: The legs and arms may swell due to the abnormal fat deposits. However, unlike lymphoedema, the feet and hands are typically spared.
4. Mobility Issues: As lipoedema progresses, the increased fat can lead to mobility problems, making it difficult to walk or stand for long periods.
5. Emotional and Psychological Impact: Living with lipoedema can lead to feelings of embarrassment, low self-esteem, and depression, particularly if the condition is not well understood by others.
Causes of Lipoedema
The exact cause of lipoedema is still unknown, but several factors are believed to contribute to its development:
1. Hormonal Changes: Lipoedema often begins or worsens during periods of hormonal change, such as puberty, pregnancy, or menopause. This suggests that hormones, particularly oestrogen, play a significant role.
2. Genetic Predisposition: There is evidence to suggest that lipoedema may run in families, indicating a genetic component to the condition.
3. Inflammation: Chronic inflammation is believed to play a role in the development and progression of lipoedema, as the affected tissues often show signs of inflammation.
4. Circulatory Issues: Some studies suggest that lipoedema may be linked to problems with the blood vessels or lymphatic system, though this is still being researched.
Stages of Lipoedema
Lipoedema progresses through several stages, each with distinct characteristics:
- Stage 1: The skin remains smooth, but fat buildup begins, leading to an increase in the size of the legs, hips, and/or arms. There may be slight discomfort and a tendency to bruise easily.
- Stage 2: The skin becomes uneven and lumpy as fat deposits increase. Pain and tenderness intensify, and the affected areas may become more swollen.
- Stage 3: The skin takes on a more irregular texture, with larger lumps of fat and hardened connective tissue. Mobility becomes more restricted, and the emotional impact of the condition often intensifies.
- Stage 4: Lipoedema may progress to lymphoedema (a condition called lipo-lymphoedema), where the lymphatic system becomes compromised, leading to severe swelling and increased risk of infections.
Lipoedema Treatment Options
1. Liposuction: Liposuction is the most effective surgical treatment for lipoedema. Specialized techniques, such as tumescent liposuction and water-assisted liposuction, are used to remove excess fat while minimizing damage to the surrounding tissues. This procedure can significantly reduce pain, improve mobility, and enhance the appearance of the affected areas.
2. Vaser Liposuction: Vaser liposuction is an advanced form of liposuction that uses ultrasound technology to break down fat cells before they are removed. This technique is particularly effective for treating lipoedema as it allows for more precise fat removal with less trauma to the surrounding tissues, resulting in smoother contours and faster recovery.
3. Lymphatic-Sparing Liposuction: This technique focuses on preserving the lymphatic vessels while removing the abnormal fat deposits. It is especially important for patients with advanced lipoedema who are at risk of developing lipo-lymphoedema.
Post-Surgical Care and Recovery
Recovery after lipoedema surgery varies depending on the extent of the procedure and the individual patient. However, some general guidelines include:
- Rest and Recovery: Adequate rest is essential in the first few weeks post-surgery. Patients are advised to avoid strenuous activities and follow their surgeon’s advice on resuming exercise.
- Compression Garments: Wearing compression garments as recommended by your surgeon is crucial for reducing swelling and supporting the healing process.
- Follow-Up Appointments: Regular follow-up appointments with your surgeon are important to monitor your progress and address any concerns during recovery.
- Healthy Lifestyle: Maintaining a healthy lifestyle, including a balanced diet and regular exercise, is important for long-term results and preventing the recurrence of lipoedema.
Considering Treatment for Lipoedema?
If you suspect you have lipoedema or have been diagnosed with this condition, it’s essential to seek lipoedema treatment from experienced specialists. At London Private Hospital, our team of plastic and cosmetic surgeons is dedicated to providing comprehensive care for lipoedema. We offer a range of treatment options, including advanced liposuction techniques like Vaser liposuction, to help you manage your symptoms and improve your quality of life.
We also provide finance options to make your treatment more accessible. Additionally, we offer a free, no-obligation consultation to discuss your individual needs and ensure you feel confident in your treatment plan.
Contact us today to learn more about how we can help you take control of your lipoedema and start living a more comfortable and confident life.
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