Understanding Lipoedema

A Comprehensive Guide to Diagnosis, Management, and Treatment

Dermatology

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Last updated: Mar 24, 2025

What is Lipoedema?

Lipoedema is a chronic condition characterized by the abnormal accumulation of fat tissue, primarily affecting women. The condition typically involves symmetrical fat deposits in the legs, thighs, and sometimes arms, while sparing the feet and hands.

Key Characteristics

  • Symmetrical swelling in limbs
  • Disproportionate body shape
  • Tenderness and pain in affected areas
  • Easy bruising
  • Minimal response to diet and exercise

Stages of Lipoedema

Stage 1

  • Smooth skin surface
  • Soft, pliable tissue

Stage 2

  • Uneven skin texture
  • Nodular fat deposits

Stage 3

  • Large skin folds
  • Hardened tissue
  • Significant volume increase

Diagnosis

Common Signs

  • Family history
  • Onset during hormonal changes
  • Bilateral and symmetrical presentation
  • Non-pitting edema

Treatment Options

Conservative Management

  1. Compression therapy
  2. Manual lymphatic drainage
  3. Exercise programs
  4. Skincare

Surgical Options

  • Liposuction (tumescent or water-assisted)
  • Reconstructive surgery

Living with Lipoedema

Self-Management Strategies

  • Regular physical activity
  • Healthy eating patterns
  • Skin maintenance
  • Support garment use

Support and Resources

  • Patient support groups
  • Professional medical care
  • Lifestyle counseling
  • Mental health support

When to Seek Medical Help

  • Increasing pain
  • Mobility issues
  • Skin changes
  • Psychological distress

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