LIPOEDEMA

Management

 

Lipoedema (Painful Fat Syndrome) is a connective tissue disorder. It is a progressive condition that affects many women.  This genetic fat disorder affects 11% of Australian women with various presentations.

 

About Dr Somia  Connect

Successfully treating lipoedema since 2013 using water assisted liposuction.

Management of lipoedema lies in a multi-disciplinary approach of compression, nutrition, movement, skin health, mental health, metabolic health and liposuction surgery.

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Lipoedema Management

 

444  The success of any surgery can only be maintained with consistent long term conservative management of lipoedema. 
 
444  It is not user friendly to rely solely on Liposuction as a form of management.  If you fail to control the growth of the fat depositions you will require more regular liposuction. 
 

444  No day is wasted between diagnosis and surgical treatment - its an opportunity to fully explore conservative management and prepare the body.

 

Conservative Management

 

Eat Well and Hydrate

Reduce inflammation & improve movement. Nutrition is not one size fits all. Trial different eating plans to find the right fit. for you The key is to find a sustainable long term eating plan with a focus on nutrition as well as portion control. You may find a nutritionist helpful.  Certain food groups tend to disagree with lipoedema patients such as: Gluten - Dairy - Meat - Sugar - Alcohol - Carbs - Chemicals - Preservatives. You may not react to all but you may react to more than one.   Avoid food groups that consistently cause inflammation for you.  Stop using nicotine products as soon as possible.  

 

Skin Health

Look after your skin, keeping it well hydrated. Regular moisturising will help skin to stay healthy & lowers the risk of wounds & infections. Avoid pumps and choose tubes or pots.

 

Movement

Keep moving.  Movement is important for lymphatic function and mobility. Low impact activities such as walking, aqua aerobics, yoga & weights are beneficial to reduce fluid buildup, boost mobility & maintain how well your legs work. Finding something  you enjoy will make maintenance easier. You may benefit from using an oscillating vibration plate.

 

Consult a Lipoedema Therapist

A Lipoedema Therapist can help with manual lymphatic drainage, conservative treatments & advice on compression garments.

MLD (manual lymphatic drainage) is a gentle form of massage performed with sweeping or tapping motions to the connective tissues immediately below the skin. It helps to stimulate lymph flow, remove excess fluid, break up fibrosis & reduce pain/swelling. 

 

Wear Compression & Feel Good

Compression garments are important in the maintenance of lipoedema to reduce swelling & encourage the flow of lymphatic fluids. As the skin is involved in lipoedema you can also think of compression garments as a second supportive skin that helps to milk up fluid.

Save time and money by discussing compression with a lipoedema therapist.  Just buying buying compression off the net can be more costly as its hard to get the fit right.  You may wish to ease into wearing compression slowly building up. Perhaps start with Bioflex or Czsalus then moving onto Class 1 and then Class 2 Flat knit compression after.

Please note: When preparing for surgery stronger compression is required (exact requirements for surgical garments will be provided when you are approaching surgery). 

 

Weight management

A weight control strategy is as essential as WAL liposuction for lipoedema patients

Patients with Lipoedema have varying degrees of non lipoedema adipose tissue in addition to Lipoedema fat. Lipoedema fat and non lipoedema fat behave differently with the classic difference being the response to diet and exercise. Non lipoedema fat responds and Lipoedema fat does not.

Obesity is an ongoing trigger for Lipoedema. This effect is mediated through the hormone LEPTIN produced by normal adipose tissue (non lipoedema fat) that worsens lymphatic dysfunction which in turn worsens lipoedema.

Losing non lipoedema fat is beneficial for long term lipoedema management as well as making the lipoedema fat more visible and easier to remove during the liposuction procedure. Recovery is also much better. Another significant benefit is that you will need less sessions of WAL liposuction which in turn helps you to reduce your costs.

A BMI of 30 and above, increases the anaesthetic risk associated with WAL liposuction and hence will limit the liposuction options. Liposuction could be attempted but needs to be discussed with Dr Somia.  Some Lipoedema patients may not be suitable for liposuction on their back as lying on their stomach would be at risk of crushed lungs during surgery.

While 80% of people can control weight by diet and exercise, 20% need medical help. Medical help could be a Metabolic Physician guided management plan escalating to surgical weight loss methods where appropriate. During your consultation, Dr Somia will discuss this at greater length and recommend a metabolic or weight loss specialist if you need assistance in this area.

 

PS: We know weight maintenance is very hard!

 

About Dr Naveen Somia  
 
Dr Somia is known for his unyielding dedication to his patients. Dr Somia takes considerable time to discuss options available with his patients before embarking on treatment to address the signs of ageing, restore function and achieve aesthetic balance. 

His unique approach combines personal attention and clinical expertise with warmth, compassion and care.
Dr Somia is a Fellow of the Royal Australasian College of Surgeons (FRACS) and a member of the Australian Society of Plastic Surgeons (ASPS) and Past President of The Australasian Society of Aesthetic Plastic Surgeons (ASAPS).  
 
 
 
View a video about Dr Somia here:

 

OUR PROCESS 

You will generally see Dr Somia 3 times before your surgery.   If you prefer one of these consultations can be held via telehealth.    Two consultations are required by law before a date for surgery is scheduled.   This is to allow you plenty of time to ask questions and feel comfortable about the procedure.   Your third consultation will assist us to prepare you for your surgery (ie paperwork, pre-operative testing). 

 

PROCEDURE DETAILS 

The surgery takes approximately  4 hours and requires an overnight stay in hospital.   Our fees include specialist plastic surgeon, specialist anaesthetist, fully accredited hospital theatre, hospital accommodation and 6 months aftercare.    A formal estimate will be provided after you have discussed your goals and what is possible to achieve them with Dr Somia.  

 

RECOVERY 

Each patient recovers at a different rate and anothers recovery should not be compared with yours.

Generally, initial recovery from swelling and bruising is approximately 4 weeks.   A return to normal activities can usually be expected after 6-12 weeks.   This procedures require a compression garment to be worn for 12 weeks (this is to assist with swelling and to ensure the skin and tissue re-adhere to the skin layers disturbed during the procedure). 

You can return to work when you feel well and if your employer has lighter duties for you and will allow you to take time to rest and move around.    Most patients take at least 4 weeks off work if they work in an office context.   Patients working outdoors or in a physical capacity may need to take up to 8 weeks off work whilst they recover.   Talk to us about your specific occupation and surgery.   

You can drive when the anaesthetic has worn off, your vision is clear, and you are pain free getting in and out of the car and whilst performing an emergency stop.   You should check your vehicle insurance policy for their requirements in this situation.  

 

RISKS 

All surgery carries risks. When travelling overseas on a plane whilst the expectation is a safe journey and arrival, it is understood things could go wrong. The choice of the airline based on safety record and flight path are important elements in determining risk. Similarly, for your surgery, the experience and expertise of your Surgeon, the skill of your anaesthetist and the standard of the hospital will determine the risk. Risks, both general and specific, will be discussed during your consultations and written information will be provided for you to take home.    

General risks include pneumonia, deep venous thrombosis and pulmonary embolism, stroke, heart attack, allergies, awareness, death, bleeding, infection, sensation change, haematoma and seroma, skin contour irregularities, damage to deeper structures, firmness, delayed healing and tissue death, exposed sutures, dog ears or additional skin golds, dressing issues, asymmetry, scars, lymphoedema and unsatisfactory results. 

Risks specific to Lipoedema surgery public distortion, ultrasound assisted liposuction, liposuction wetting solutions.    

 

BEFORE AND AFTER PHOTOGRAPHY

Our practice privacy policy prevents sharing patient before and afters online.    Indicative before and after photos can be viewed during your consultation.     Please note the main objective of lipoedema surgery is management of the disease to improve mobility, aesthetics are secondary as the skin is involved and may affect the end result.

 
 
 
 
DISCLAIMERS:   All surgical procedures are performed by Specialist Plastic Surgeon, Dr Naveen Somia (PhD, FRACS - APHRA Reg:  MED 0001189889).  For full information on Dr Somia's qualifications and risk/recovery information on procedures please visit the procedure page on this website.  From July 1, 2023 all surgical procedures require a GP referral.
 
All surgery carries risks.  information provided is general only.  Outcomes experienced by one person do not necessarily reflect the outcomes of others given factors such as genetics, diet and exercise.  Please seek a 2nd opinion from a qualified Specialist Plastic Surgeon.  

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BELLA VISTA NORWEST

P 02 9387 2110

SMS 0483 939 962

 

fracs

Royal Australasian College of Surgeons

psruol

Plastic Surgery Research University of Louisville

trcosof

Royal College of Surgeons of Edinburgh

paces

PACES Plastic Surgery Atlanta USA