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During the initial consultation, the surgeon will assess the stage of lipedema, skin quality, and sensitive areas. Together, you will choose the appropriate method (e.g., ultrasound-assisted or water-assisted), the extent of treatment, and possible staged division. You will receive a clear plan, preparation recommendations, and information about the compression regimen.
The procedure is performed under local or general anesthesia depending on the extent. The treated area is infiltrated with a tumescent solution, and the lipedemic tissue is gently suctioned out using a fine cannula. The process is conducted carefully to preserve lymphatic pathways. Compression garments are applied at the end, and you will receive care instructions.
For more extensive cases, the procedure is planned in multiple steps (e.g., thighs, calves, or arms separately) to ensure safety and smooth healing. After surgery, light walking, rest, and regular check-ups are recommended. Compression garments help shape the limbs and reduce swelling.


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A standard consultation takes approximately 30–60 minutes. During the consultation, the doctor will assess your situation, explain possible treatment options, and answer all your questions.
Compression garments should be worn continuously for 6–8 weeks, including during sleep. They help reduce swelling, support the tissues, and promote scar healing. After consulting with your doctor, wearing time can be gradually reduced.
Compression garments should be worn continuously for 6–8 weeks, including during sleep. They help reduce swelling, support the tissues, and promote scar healing. After consulting with your doctor, wearing time can be gradually reduced.