Plastic Surgeon

Liposuction for lipedema is usually performed in twilight sleep at our clinic in Munich without a hospital stay. Following liposuction, you can rest and recover for a while at the clinic before being picked up. For major liposuction procedures, we recommend one night of inpatient care.

Whether or not an inpatient stay is necessary depends primarily on the expected amount of liposuction: The upper limit of an outpatient liposuction is 4 liters. An inpatient stay is necessary for larger amounts. The upper limit is 6-8 liters per procedure.

There are no medications that help with lipedema. Diuretics, i.e. dehydrating drugs, must be absolutely avoided, as they further enhance circulation.

A health regimen should last for three to four weeks; it can provide slight relief, particularly with regard to tenderness in the tissue. Conservative treatment with a health regimen will not produce a visible change in the shape of the area affected.

Development of lipedema is associated with major hormonal fluctuations, such as during puberty and menopause. Other hormonal diseases, such as hypothyroidism, are not proven to cause lipedema.

Pressure on tissue can increase the permeability of small blood vessels, which makes one more prone to bruising.

There are a number of different methods and devices for liposuction: laser, ultrasound, water jet, etc, and no method has clear advantages over others. Ultimately, it comes down to the skill of the surgeon. What use is a golden chisel to a sculptor if he doesn’t possess the talent to create a beautiful sculpture?

We use a hyperosmolar tumescent infiltration technique. It involves infiltration of the tissue with saline fluid. The slightly higher salt content makes the membranes of the fat cells more permeable, the fat cells lose their structure and are then easier to suction. In addition, the tissue fluid (the edema) reacts to the increased salt concentration (osmosis), which also makes it easier to suction.

Lipedema begins slowly at first, often on the outside of the thighs (saddlebags), later on the upper and lower legs, and then on the upper body, neck, face, neck or arms. The skin is soft and often appears glassy and transparent. It then takes on a wavy structure and becomes tender. In its later stage, tissue hardening becomes palpable (fibrosis). Symptoms often intensify with heat, prolonged standing and later in the day. Saunas are therefore not recommended.

Depending on the volume of the fatty tissue to be suctioned, treatment takes approximately 30 to 90 minutes, plus preparation time (solution injection and exposure time). If liposuction is performed on several regions of the body in one session, surgery times of 2 to 3 hours or longer may be required. Therefore, costs are highly variable and range between 1500 and 8000 euros depending on the time required.

Added to this are costs for the anesthesia and, if applicable, an inpatient stay.

We would be happy to work out an optional financing plan for you with our partner MEDIPAY in Munich.

Because liposuction for lipedema is a medically indicated procedure, your health insurance company should cover the costs. However, you should clarify this in advance. If you request one, we will provide you with a cost estimate during your consultation at our practice, which you can forward to your insurance company. We settle accounts directly with you rather than with health insurance companies. Therefore, you should have advance confirmation that your insurance company will assume the costs. The fee for treatment must be paid before the operation.