Lipoedema is a fat disorder ,mainly affecting women, which leads to abnormal accumulation of fat in certain parts of the body making it look out of shape or proportion. It mainly affects the lower limbs causing disproportionately large lower body in comparison to upper body.

A lot is still unknown about lipoedema esp what causes it? What we do know so far is that it is a slowly progressive condition and pace of progression varies from one patient to another. Genetics is known to play a significant role in combination with a hormonal imbalances inside the body which can mainly happen around puberty,pregnancy,menopause etc and most women can notice an obvious trigger of their condition around those events in their life. It can affect several generations of a family.

Women with lipoedema in the UK face significant challenges. Many are not recognised by healthcare professionals as having the condition or are misdiagnosed. Awareness of lipoedema among medical practitioners is poor, and little clinical research is focused on the condition. To date, no good quality guidelines for the management of the disease have been published, resulting in inconsistent and frequently inappropriate care for people with lipoedema.

Most commonly encountered symptoms by lipoedema patients are- disproportionate fatty distribution unresponsive to any form of diet & exercise, easy bruising to slightest trauma and feeling of heaviness and pain.

In lipoedema, fat cells, capillaries and venules are involved. Increase in size of fat cells causes area to look bigger, capillaries are very permeable leading to oedema in the area which causes pain and venules are very fragile which leads to easy bruising.

Progressive lipoedema can be classified into a number of different stages:

Stage I: skin surface remains normal, but with palpation the small nodular fatty tissue structure can be felt

Stage II: skin surface is uneven with a nodular fat structure

Stage III: there is a lobular deformation due to increased fatty tissue, often with tissue ‘sacks’ on the inner side of the legs

As it is described as a progressive condition hence there is no permanent cure for it. However, there are conservative and surgical treatment options available to contain and slow down the progression of disease in order to improve the quality of life of the patient.

Conservative therapy in the form of manual lymphatic drainage (MLD) can help to reduce oedema but it has no effect on fat volume.

Fat removal or liposuction remains the only method to reduce the bulk of fatty deposits. It is very important to choose the correct form of liposuction when treating lipoedema. Most lipoedema experts are of the opinion that chronic lipoedema can lead to lymphoedema later in life so it is imperative to use a technique which avoids use of any external form energy i.e. laser,ultrasound,radiofrequency etc to minimise the localised tissue damage and to use the smallest possible instruments with a view to spare the lymphatics as much as possible and that is where microcannular liposuction seems to be safest and least invasive option for lipoedema sufferers for a better long term prognosis.

With a cutting-edge technique, microcannular liposuction, Dr Gupta has helped many people with lipoedema. Dr Gupta was trained in the technique by the creator of the surgery, Dr Jeffrey Klein, and is one of the only surgeons in Europe to practice it.

While there is currently no known cure for lipoedema, microlipo is a widely recognised, appropriate method for managing and ease the strain of the symptoms.

Dr Gupta uses tumescent local anaesthesia instead of general anaesthesia, and the surgery is performed with very small instruments (cannulas) to remove fat, guaranteeing smooth and natural results.

The procedures are done step-by-step, usually starting with the outer thighs, and split over a timeframe of up to about six weeks.

Book a consultation here with Dr Puneet Gupta to ensure this procedure is right for you.

*Patients experiences will vary dependent on age, lifestyle and medical history

Liposuction is not a cosmetic operation but a treatment that reduces tissue bulk, pain and bruising, and improves mobility, functioning and quality of life. Treatment of chronic lipoedema by liposuction is also currently being reviewed by NICE( National Institute for Health and Care Excellence).This may help liposuction to be recognised as an effective surgical treatment for patients with lipoedema as currently access to liposuction within the NHS is often limited and where available may be classified as a cosmetic procedure for which patients with lipoedema do not qualify.

Liposuction can be performed, step by step, on all areas of the body, with an interval of 4-6 weeks in between treatments. Following the initial series of operations, the effects of liposuction can last for years. It might take decades before a patient’s fat volume increases again.

If performed properly, liposuction achieves excellent results: patients have less fat, less oedema, less pain, resulting in an improved body image and quality of life.

Microlipo performed mainly under local anaesthesia as a day case procedure offers the safest option for lipoedema suffers to slowly but more importantly, safely reduce the fatty bulk. As it uses tiny instruments or cannulas about 1-1.8mm thick and without any form of heating makes it a lymphatics sparing procedure with very little tissue trauma and quick recovery times. There is no blood loss involved and there is never a need for hospital stay after the procedure.

The procedures are done step-by-step, usually starting with the outer thighs, and split over a timeframe of up to about six weeks.

Book a consultation here with Dr Puneet Gupta to ensure this procedure is right for you.

*Patients experiences will vary dependent on age, lifestyle and medical history

After the procedure, all patients are required to wear compression garments to expedite their recover and minimise postoperative bruising. Inner thighs and lower legs are particularly difficult areas from recovery point of view and such patients are advised to wear their compression garments for at least 2 weeks and to rest as much as possible with legs elevated.

All patients should return for a follow up at 6-8 weeks . Help is only a phone call away during the recovery phase so we encourage all our patients to get in touch with us no matter how trivial their query is!

A compression garment is applied after the procedure and the patient is briefed on how to ensure to keep compressing the area for up to two weeks after the procedure.

The specialist nature of the operation and the postoperative drainage mean there is little to no bruising.

Checks will continue to be carried out for several weeks as our friendly team helps the patients to readjust as the rapid improvement can transform their lives.

Whilst the cost of liposuction surgery for lipoedema is of course an important factor when considering a procedure, it should by no means be the most important factor.

There are a number of factors that determine the cost of a procedure, the most important being the amount of time and effort required on the surgeon’s part.

When agreeing a cost for the procedure, Dr. Gupta will consider the number of areas being treated & whether they can all be treated in “one sitting”. He will also consider the size of the patient, the size of the area being treated, and the anticipated degree of difficulty of the particular procedure.

Certain areas require more time and attention than other areas and this will affect the overall cost.

Dr. Gupta only works with clients who he feels will benefit from a liposuction procedure.

No client is the same and it is only after the consultation that Dr. Gupta can gauge suitability and then suggest a cost for the procedure.

Will I have scars?

Will all the fat be removed in one go?