LIPOEDEMA

Presentation

 

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.

Copy of Untitled Design (3)

 

NEW BOARD CERT IMAGE

LINKS:  PRESENTATION  MANAGEMENT    WAL SURGERY   RESOURCES   ONLINE COURSE

 

Lipoedema Presentation

Physical presentation

  • Enlarged legs and arms bilaterally & symmetrically
  • Waist is small in proportion to the thighs, buttocks & legs
  • NO involvement of the feet and hands
  • A 'cuff' or "bracelet" around the ankle or wrists
  • A round pad of fat just below the knees
  • Legs are painful to touch and/or heavy
  • Skin is cold
  • Evidence of dilated veins & bruising
  • The fat is soft to touch, wobbly & cold
  • Skin is always involved in Lipoedema & has a cellulite appearance

 

History

  • Legs bruise easily
  • Legs feel heavy at the end of the day
  • The first sign of fat deposition in the thighs may occur following the hormonal changes of puberty, pregnancy & menopause (or worsening of symptoms)
  • Exercise or diet have no effect on reducing lipoedema fat
  • Strong family history of Lipoedema mainly affecting females though rare cases in males have been reported (inherited from either side).

 

Testing

There is no simple blood test or scan to diagnose & presentation varies from person to person. Diagnosis is made by history & physical examination. See https://www.lipedema.org/staging for lipoedema staging information.

 

What causes Lipoedema?

Lymphatic dysfunction is inherited. Fat deposition is amplified when you go through hormonal surges such as puberty, pregnancy and menopause. Lipoedema is an inflammatory disease. Inflammation leads to fibrosis if the body cannot resolve it.

 

Risk factors for those who have the lipoedema gene:

  • hormonal surges
  • hormonal imbalances
  • chronic stress

You can only control two of those risk factors: lifestyle and non lipoedema weight management. This in turn assists in modifying the response of the other risk factors. Excess non lipoedema fat contributes towards lymphatic dysfunction causing inflammation and swelling.

 

Newly diagnosed?

A diagnosis of lipoedema can leave you with a multitude of feelings - relieved & reassured it's not your fault, validated that your pain is real - to feeling shocked, worried or overwhelmed by the diagnosis. It's normal to feel many of these emotions.

  • Avoid extremely low calorie diets (and crash dieting).
  • Practice long term healthy eating that nourishes your body and reduces inflammation. Don't try to do this alone. At your consultation we will provide resources for nutrition, metabolic health, exercise physiology and pyschology.
  • Focus on reducing any excess weight around the tummy to relieve the lymphatic system and lipoedema growth.
  • Reduce the systemic inflammation that feeds the viscous lipoedema cycle by improving gut health and reducing exposure to toxins.
  • Reduce chronic stress.
  • Layering lighter compression may help to progress to full compression.

 

Do something everyday for lipoedema, don't attempt all at once.

Treatment is personal - what makes you feel better?

Allow yourself time to come to terms with your new diagnosis, talk to loved ones when you are ready and seek the care of a therapist or counsellor that understands lipoedema (see resources). Conservative treatments can help you to feel better along with speaking to other members of the Lipoedema Australia community.

 

 

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.  

CONNECT

 

BONDI JUNCTION +

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