Considered a chronic disease, lipedema affects over 10% of women

• May 18, 2022
• By Fernando Amato

A chronic disease of adipose tissue, it can be associated with vascular compromise; in more than 60% of cases, it can be related to genetic mutations. Lipedema affects over 10% of women and is primarily characterized by the accumulation of fat in the arms, thighs, and legs. In addition to fat, it is common for ecchymosis (bruises) to appear in the affected areas, along with sensitivity and pain to the touch, a feeling of heaviness and fatigue in the legs, and it can even compromise mobility.

Lipedema has no cure, but it is possible to treat it and have a good quality of life. However, it is a disease often confused with obesity, which can occur simultaneously and even worsen the condition, but they are not always associated.

When not diagnosed and treated, lipedema can affect mental health and even lead to depression. Since these women are often initially only diagnosed with obesity, even if they lose weight, they continue to have body disproportion and suffer physically and emotionally. Therefore, these patients need support.

Diagnosis – The diagnosis of lipedema is clinical, and depends on a good anamnesis (conversation with the patient) and physical examination. Complementary exams such as ultrasound and magnetic resonance imaging can supplement the physical examination, aiding in diagnosis and treatment.

Surgery is the last option – Surgical treatment should be the last option, but it often ends up being the first resource sought. Only after attempting clinical treatment, and preferably showing some improvement, even if partial, should liposuction be indicated for the treatment of lipedema, respecting the limits of fat to be removed during surgery, which should be between 5% and 7% of the patient's body weight.

For cases of lipedema, I work with a team consisting of a vascular doctor and an endocrinologist. Endocrine treatment involves hormonal investigation, lifestyle changes and improvements, mainly with balanced eating and physical activity, with aquatic exercises such as swimming and hydrogymnastics being most recommended in these cases.

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