Phlebologie 2015; 44(03): 121-132
DOI: 10.12687/phleb2265-3-2015
Focus Lymphology – Original article
Schattauer GmbH

Treatment of lipoedema using liposuction

Results of our own surveysArticle in several languages: English | deutsch
S. Rapprich
1  Dermatology Bad Soden, Bad Soden am Taunus/Germany
S. Baum
2  Dematological practiseim Vorderen Westen, Kassel/Germany
I. Kaak
3  General Medicine Westerrönfeld/Germany
T. Kottmann
4  Medical Statistics Hamm/Germany
M. Podda
5  Dermatology Department, Darmstadt Hospital/Germany
› Author Affiliations
Further Information

Publication History

Received: 07 March 2015

Accepted: 05 May 2015

Publication Date:
05 January 2018 (online)


Background: Lipedema is a painful, genetically induced, abnormal deposition of subcutaneous fat in the extremities of women. The pathogenesis is unknown. Also unknown is the number of women affected in Germany. This study presents the epidemiology of the disease. There are currently two treatment options available: Complex physical decongestive therapy and liposuction. Liposuction is the only method that removes fat permanently. An additional study proves its effectiveness and highlights its vital role as part of a comprehensive treatment concept.

Patients and methods: As part of the epidemiological research, all patients of a general practioner were examined for leg problems. The liposuction study included the preand postoperative examination of 85 patients, which was carried out using a questionnaire.

Results: Lipedema were diagnosed in 5 % of all patients of the GP practice. In all 85 patients liposuction significantly reduced pain, bruising and the tendency of swelling in the extremities. It therefore led to a significant improvement in the quality of life of the patients.

Conclusion: Lipedema is a relatively common disorder among women. Liposuction forms part of an effective treatment plan, when it is used in conjunction with pre- and postoperative complex physical decongestive therapy, a sports program, treatment of concomitant obesity, as well as psychological support, if needed. Therefore a comprehensive treatment plan should be aimed at for a succesful result.