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Prof. asoc. Dr. Stefan Gress

Professor Gress is one of the
top specialists internationally

Lipedema is a pathological, presumably
hereditary change in adipose tissue
that cannot be treated with diet

When people experience diet-based weight gain, fat cells enlarge and multiply. Lipedema is the term for a pathological, presumably hereditary change in the fatty tissue that cannot be treated by diet.

The painful increase in fatty tissue affects almost exclusively women and occurs mostly on the hips and legs, less frequently on the arms, stomach or neck.

The most effective treatment method is liposuction of the fatty tissue. A lipedema treatment by liposuction with Prof. Gress in Munich will eliminate or substantially reduce your symptoms, making your body slimmer and more attractive in those problem areas. Most of all, you will feel like you have a new start on life.

Fat cells absorb more water from the connective tissue, increase in size and, due to the higher pressure, disrupt the lymph flow; this can increase swelling to the extent that it affects the arterial and venous blood supply to the tissue. This increase in tissue fluid is known as edema (hence: lipedema). It leads to hardening (fibrosis) and internal scarring in the subcutaneous fatty tissue, which can be felt as hardened areas under the skin, and it is also painful.

In addition to increased tenderness, there is often a feeling of cold and heaviness in the affected body region.

By far the most effective therapy is liposuction (please see details under Liposuction)

With liposuction, a large part of the pathologically altered fat cells are suctioned, the painful pressure on the tissue is eliminated; with a new, aesthetically restored figure, you can let go of the substantial emotional stress you experienced because of your body.

After a more extensive liposuction procedure, it is possible that the skin does not shrink back and lie smoothly against the body. There can be an excess of skin on the legs, arms and abdomen. This excess must then be removed; otherwise, like an excessively large piece of clothing, it will sag from the body.

Please see more at:

The goal is to decongest the tissue by improving the lymphatic drainage. This can be achieved by means of classic lymph drainage (twice a week) and by wearing special compression undergarments and bandages. Adequate exercise, especially swimming and cycling, is essential, as is a low-salt, alcohol-free diet. Vegetables and fruit should be part of your daily diet. Do not eat after 7:00 pm. Smoking is prohibited.

Lipedema, Grade I, 6 months after liposuction
Lipedema, Grade II, abdomen and thighs, liposuction …
Results after 12 months

Frequently asked questions about lipedema

 Is a hospital stay necessary?


 Is a health regimen useful?

 Puberty, menopause, hormones?

 Bruises (hematomas)?

 Which type of liposuction?

 How is lipedema diagnosed?

 How long does liposuction for lipedema take and what does it cost?

 Are the costs covered by health insurance?

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Professor for Plastic Surgery

Professor and lecturer
in Plastic Surgery

Experience makes the difference

  • More than 6700 procedures in the female genital area
  • Over 20 years of experience
  • Inventor and developer of the “Composite Reduction Labiaplasty”
  • Internationally recognized top specialist
  • Author of the international textbook “Aesthetic and Functional Labiaplasty” (Springer Publishers)
  • Professor and Lecturer in Plastic Surgery

In the most important national and international specialist societies

American Society of Plastic Surgeons

Deutsche Gesellschaft der Plastischen, Rekonstruktiven und Ästhetischen Chirurgen

International Confederation for Plastic, Reconstructive and Aesthetic Surgery

International Society of Aesthetic Plastic Surgery

The Aston Baker
Cutting Edge
Aesthetic Surgery

2018, New York

Faculty Member
The greatest honor for
a Plastic Surgeon