Doctors & Clinics
Altughan Cahit Vural, MD
Plastic, Reconstructive and Aesthetic Surgery
Soner Tezcan, MD
Plastic, Reconstructive and Aesthetic Surgery
Aylin Bilgin Karabulut, MD
Plastic, Reconstructive and Aesthetic Surgery
Yener Demirtas, MD
Plastic, Reconstructive and Aesthetic Surgery
Ahmet Akgul, MD
Kalp ve Damar Cerrahisi
Oztekin Oto, MD
Kalp ve Damar Cerrahisi
Sukru Yazar, MD
Plastic, Reconstructive and Aesthetic Surgery
Reviews

What is Lipedema?

Lipedema, also called painful fatty syndrome, is a disease that mostly occurs in women. It can be overcome with a controlled treatment applied by experts experienced in this field. It usually manifests with abnormal swelling symmetrically in the hip and leg, and sometimes in the arms. It occurs when the capillaries just under the skin do not work properly. There are fat cells around these capillaries, the calories taken and cannot be burned accumulate here. While the stored fat cells can be removed with exercise and diet in individuals who do not have the disease, the process does not work like this in patients with lipoedema. Because the capillaries do not recognize the fat cells and there is a defect in back suction, all the calories taken are accumulated in the hips and legs.

Everything You Need to Know About Lipedema

The price issue in the treatment of lipoedema is generally subjective and varies according to each patient. Many items such as the age of the patient, the stage of lipoedema, the treatments to be applied, the size of the operation to be performed, the necessary materials, the hospital and location are essential in determining the budget.
On average, lipoedema treatment prices are charged between 25,000 TL and 60,000 TL.
  • Excessive fat in the legs and hips,
  • Unresponsiveness of the region to exercise and diet,
  • Swelling that increases day by day,
  • Orange peel appearance on the skin,
  • Pain felt when pressure is applied to swollen areas,
  • Unnoticed bruises.

As we have mentioned before, the disease is seen in women, but there are male patients who are rarely mentioned in the literature. Studies show that 10% and more of women have this disease. It is a genetic disease and mostly seen in the distant or close relatives of women diagnosed with lipoedema. It can even be found in more than one woman in the same nuclear family. By working at the highest level of female hormones, it begins to emerge in periods when certain changes are experienced. These periods are; With the onset of menstruation, adolescence, pregnancy and birth, miscarriage, intense stress and menopause can be listed.
Not everyone suffers from this condition to the same extent because it has different stages. In the first stage, there are no symptoms other than the oily appearance on the legs. In the second stage, swelling increases and roughness begins to occur on the skin. The reason for the pain that occurs in this process is the pressure of the vessels under the skin on the nerves. In the third stage, nodular fat accumulations around the knee and legs and deformity increases. In the fourth stage, problems begin in lymph vessels and the disease turns into lipolymphoedema.
Lipedema is often confused with obesity, cellulite, natural weight gain due to aging, and lymphedema. Moreover, this misunderstanding is not only among the public and diagnostic awareness of this disease is low. Diet and exercise are generally recommended for misdiagnosis. Even if it alleviates the patient's weight loss, it is not a valid remedy and the swollen appearance of the lower part of the body cannot be prevented. Thus, the disease begins to progress and disturb the individual to a greater extent. If you have the aforementioned symptoms, you should definitely consult a specialist doctor experienced in this field.
Specialists can usually make the diagnosis by performing physical and history examinations, with the agreement of the symptoms described by the patient. However, some doctors also use the "doppler ultrasound" method.
These two diseases, which have very close characteristics, are seen in similar parts of the body and some of their physical effects are the same. For this reason, it is very confused. Moreover, some patients may have both and this is called "lipolymphoedema" in the literature. General causes of lymphedema are lymph nodes not working properly or damage to these glands after an operation.
Different characteristics of lymphedema from lipoedema can be examined in order to understand which disease is present. The most obvious distinction is as follows;

  • The feet of the patient are also affected and swelling is observed.
  • In advanced stages, the color of the skin may change and become darker.
  • The disease is not symmetrical and, unlike lipoedema, can affect only one arm or leg.
There are two main methods in the treatment of lipoedema, either surgical or conservative. The method is decided according to the stage of the disease, symptoms, complaints and expectations of the patient. During the treatment process; Physiotherapeutic methods such as manual lymphatic drainage, exercise, weight control, complete decongestive therapies and surgery can be used. From a surgical point of view, there are two different ways that can be followed. One is liposuction, the other is tissue removal surgery.

Liposuction Surgery
This surgery, which is generally performed for aesthetic purposes, is frequently used in the treatment of lipoedema depending on the stage of the patient. However, it should be done differently from liposuction applied only to get rid of excess weight. The surgery should definitely be performed in well-equipped centers by surgeons experienced in lipoedema. The most commonly used method of this operation method, which has different types, for lipoedema patients is "vaser liposuction". Large amounts of fat are removed during surgery. Due to the complications that may occur during this time, extra preparations should be made and special liposuction cannulas should be used. When the surgery is applied to unsuitable patients, lymph vessels may be damaged and the disease may evolve into "lipolymphoedema".
Tissue Removal Surgery
It is applied to patients who have reached advanced stages and have serious difficulties in walking. Its basis is to remove the accumulated tissues in the legs where excessive fat is formed. Thus, the patient can perform his daily activities more comfortably. It should be done by experienced teams. If the patient also has lymphedema, the recovery time is prolonged and it may be necessary to stay in hospital for a few weeks.
Capillary Treatment
Although it is not one of the most common methods used, there are specialists and patients who prefer this treatment. If the capillary vessel disorder, which is the cause of the onset of lipoedema, is treated, the fat cells will no longer accumulate disproportionately under the skin and the method is effective in this regard. The procedure takes about 1.5 hours and is performed in sessions, the number of which is determined according to the patient's condition. Four steps are applied in vascular treatment.

1. With micro plus treatment, the tissues are stimulated and activated.
2. Closed and occluded vessels are opened by vacuum method.
3. The electrical system in the vessels is corrected with bioresonance.
4. By making occiplasma, restorative enzymes are taken from the blood and injected into the required areas with a needle.
After this treatment, if the patient wishes, he can lose his weight under control or liposuction surgery can be performed.
For people whose disease was discovered in the early stages, underwater exercises and swimming can also be used as treatment methods. It is often recommended as a supplement, although it will not cure lipoedema completely.
One of the most important steps to be taken in addition to treatment is to support this process with a healthy lifestyle. Treatment alone does not create a solution, and the patient should definitely do diet and exercises regularly with the control of a doctor. Although it varies according to factors such as the person's metabolism, disease degree and weight; In particular, diets with low carbohydrate, adequate protein and high fat mentality are suitable. After liposuction surgery, compression garments should be worn for the period recommended by the doctor. The manual massage techniques learned can also be repeated at home at regular intervals. Exercises and sports that will enable the problematic area to work together with regular walking are also very helpful items. However, it should be kept in mind that relatively challenging activities and exercises with high energy expenditure may cause pain and low motivation.
Most patients experience a noticeable physical change after treatment. This difference may be more or less depending on the stage of the disease and regional swelling. After the change, patients usually experience an increase in self-confidence and they begin to feel better in both psychological and physiological terms. The sentences in one of the patient experiences on our site prove this.

“I can look in the mirror without fear, I see my friends… I wouldn't want to leave the house when I was sick. Successful surgery is important in this disease, I feel good, I am happy, my health, my weight, my psychology have improved, my wife and children are happy. I feel like I'm reborn. "

Click for the details of the experience .

Written on 08/10/2019

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Last Update: 22/04/2021

Doctors & Clinics
Altughan Cahit Vural, MD
Plastic, Reconstructive and Aesthetic Surgery
Soner Tezcan, MD
Plastic, Reconstructive and Aesthetic Surgery
Aylin Bilgin Karabulut, MD
Plastic, Reconstructive and Aesthetic Surgery
Yener Demirtas, MD
Plastic, Reconstructive and Aesthetic Surgery
Ahmet Akgul, MD
Kalp ve Damar Cerrahisi
Oztekin Oto, MD
Kalp ve Damar Cerrahisi
Sukru Yazar, MD
Plastic, Reconstructive and Aesthetic Surgery

Reviews

3 Review

Hello, I want to share my disease story with you. I think that the disease story is as important as the photo in lipoedema...

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I went to have fat removal because I have lipoedema. My fat would be removed with the laser method, but it was revealed that...

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Doctors

19 Lipoedema Doctor
İstanbul / Zincirlikuyu
Aylin Bilgin Karabulut, MD
Plastic, Reconstructive and Aesthetic Surgery
İstanbul / Nişantaşı
Altughan Cahit Vural, MD
Plastic, Reconstructive and Aesthetic Surgery
5 (6)
İstanbul
Soner Tezcan, MD
Plastic, Reconstructive and Aesthetic Surgery
5 (13)
İzmir
İstanbul
İstanbul
Yener Demirtas, MD
Plastic, Reconstructive and Aesthetic Surgery
5 (1)
İzmir
Anil Ozpak, MD
Plastic, Reconstructive and Aesthetic Surgery

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