Lipedema Treatment
with City Surgical Care

Vascular and Cosmetic Surgery & Treatments

City Surgical Care specializes in lipedema treatment options in New Jersey and New York.

  • Lipedema surgery options available
  • Non-surgical lipedema treatment available

Lipedema is distinguishable by 5 charactertistics:

  1. It can be inherited.
  2. It occurs almost exclusively in women.
  3. Can occur in women of all sizes, from the seriously underweight to the morbidly obese.
  4. Involves the excess deposit and expansion of fat cells in an unusual and particular pattern. This pattern of abnormal fat is bilateral and symmetrical and usually from the waist to a distinct line just above the ankles.
  5. Lipedemic fat generally cannot be lost through diet and exercise (unlike the typical fat of obesity). Surgery is often a solution.

Contact Us About Lipedema

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About Lipedema

Lipedema Symptoms

Symptoms of lipedema include:

  • Disproportionately large, column-like legs that bruise easily
  • Legs that are unusually large to the knees, and disproportionate hips, stomach or buttocks.
  • As the condition progresses, patients become increasingly heavy in the lower body.
  • Those with lipedema tend to gain weight in lipedemic areas and lose it in non-lipedemic areas. There are, however, cases where weight loss resulted in improvement of the condition.
  • Obese patients who undergo bariatric surgery lose fat primarily from the waist up, while the legs keep the fatty tissue.
  • While the condition presents itself in various ways, diagnosis is possible as early as pre-puberty when inner thigh pads develop.
  • The disease can also present itself at any age when fat gathers and drapes at knees. The additional, expanding fat cells of lipedema interfere with the pathways of lymphatic vessels and patients can develop secondary lymphedema, or lipo-lymphedema.

Lipedema Treatment Options

Non Surgical Lipedema Treatment Options

Non-surgical conservative treatment is largely ineffective. It often includes a course of manual lymphatic drainage and bandaging by a lymphedema therapist, followed by the wearing of custom-fitted compression garments or devices — usually stockings and sometimes biker shorts. Compression prevents recurrence of lymphedema, and in some lipedema patients can reduce the pain of the excess fat. There is currently no known uniform medical procedure to cure lipedema but the condition can be successfully managed. A variety of techniques can improve the health of the legs and prevent the condition from returning in more difficult to manage levels. Some ways to manage the condition include:

  • Reducing salt intake
  • Frequent, gentle exercise to promote circulation in the legs
  • Maintaining a healthy circulation to reduce inflammation

Often because of the higher pressure from the affected areas, vein disease and lymphatic problems occur simultaneously. We can assess your circulation in our non-invasive cutting edge vascular lab as part of your workup to ensure that any issues with blood flow can be addressed, and it is part of your workup at our centers. It should be remembered that lipedema is a genetic disease that progresses throughout adulthood. Early diagnosis and control is the best treatment.

Lipedema Surgery Treatment Options

Current research and clinical practice support surgical intervention with specialized micro cannula liposuction for lipedema. Surgeons have been successfully treating patients with specialized liposuction for over 15 years, mostly in Europe. We are also investigating these results at City Surgical Care to ensure that the findings in our New York and New Jersey lipedema centers match or exceed those abroad. Prior to performing therapeutic water assisted liposuction, your circulation should be assessed by a specialist. Your surgeon must ensure you have a healthy blood supply for appropriate healing and minimize risk to the procedure from abnormal blood vessels that often are present in the diseased areas. No patient has the same anatomy, and in general each patient should have a customized approach specific to their problem. Prior to any surgical intervention, our specialists will discuss the procedure plan and rationale. We will also discuss non-surgical options to get help each patient achieve the best results for their specific needs.

Lipedema Treatment at City Surgical Care

varicose-veinsCity Surgical Care is committed to helping patients receive the best care possible. The first step in the journey of effective care is always a medical consultation.

Medical consultations are important because no two patients are exactly alike. In other words, consultations enable our doctors to understand each patient’s unique case, and determine the best treatment plan.

Prior to booking a lipedema consultation with our surgical practice, our team will collect your insurance information to determine if our providers accept your specific insurance plan. If we do not accept your medical insurance, we will inform you of any out of pocket costs associated with a lipedema consultation and help you weigh your options. Either way, a doctor must see you before we can tell you what treatment for your condition will entail, from both a medical and cost standpoint.

City Surgical Care treats patients in need of lipedema treatment in our New York and New Jersey facilities. Contact us today to learn more about your treatment options for lipedema.

Meet Our Team

dr-rosenberg

Victor I. Rosenberg, MD, FACS

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Glenys Hernandez, PA-C, MPAS​

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Christopher C. Hollingsworth, MD​

Conveniently Located in West Caldwell, NJ & Manhattan, NY