Treatment of lipedema with lipo, abdominoplasty and thigh lift

LONDON - Sept. 3, 2016 - PRLog -- Lipedema is a disfiguring inherited disease that mainly affects women. This disease is characterized by proximal attenuated lipohypertrophy of extremities particularly in upper legs and knees. Patients often complain pain and bruising and minor trauma under this circumstance. However, underlying pathogensis is poorly understood, recruitment of adipose derived stem cells is observed. The severity of this disease is classified into three grades and grade 3 is most advanced and disabling.

Liposuction is shown as most effective treatment for advanced lipedema cases. The pathological adipose tissue on upper legs is typically localized to anterior aspect, mediposterior knees and proximal thigh. However, when surgeons use Microcannular lipo it improves body contour and function and tightening of skin is limited. On the other hand, laser assistant lipo can be the other type, which helps in better treatment. Sometimes, functional outcome of after repeated lipo is good but esthetic outcome may be poor.

Anatomical consideration

In elderly patients with lipedema, there is acute central obesity and laxity of abdominal tissues influence the aesthetic unit in a negative way. In many elderly patients with lipedema thigh laxity is worsened by descent of lower abdominal tissues.

Some surgeons uses vaser hi def in order to treat lipedema. The medical thigh usually has relatively thin dermal compartment separated by lamina profunda from two separate layers of adipose tissue. One the other hand scarpa triangle includes major vascular structure vena fermolis, vena pudenda, fermoral artery and lymphatic vessels. During the surgery, these areas need to be protected for major bleeding.

Procedures

The process begins with removal of excess adipose tissues by micronnular liposuction (https://www.harleybodyclinic.co.uk/) under local anesthesia. A maximum of 5 liters of tumescent solution is used. Lipo is performed in 4 – 5 sessions with laser equipment of 980mm diode laser with bare fiber integrated into cannula.

Thigh lift

Patients with advanced lipedema after vaser hi def usually have vertical tissues excess propagated by loser adherence of skin and adipose layers of medical thigh. This surgery performed under general anesthesia in supine position with leg bent. Skin and adipose tissue are resected en bloc in anterior posterior direction respecting Scarpa triangle. A bottleneck incision performed in vertical direction from upper thigh to medical knee. The vertical incision performed in three layers with absorbable 2-0 and 3-0 PDS. There is no use of drains because there are little undermined tissues. Finally, the surgical leg is tapped and compression garment is worn for 6 months.

Abdominoplasty of lower partial

Major aim of this operation is to remove fat folds from lower abdomen and surgical planning is performed in standing position. The surgery is performed under general anesthesia with patients in supine position. The incision is done in pubic area and is followed by a horizontal incision. This process is combined with correction of pubis ptosis and bulging.

Safety concerns

There is high risk and complications, related with this issue. Patients should not smoke and use any anti. Early mobilization of patients and rehabilitation is important for better outcome.