LIPOEDEMA

Resources

 

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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LINKS:  PRESENTATION  MANAGEMENT    WAL SURGERY   RESOURCES   ONLINE COURSE

 

Resources

 

  • Lipoedema Australia
  • MLD Therapists
  • Endermologie
  • Metabolic Health
  • Compression Garments
  • Biocompression pumps
  • Nutrition
  • Exercise physiologist
  • Psychologist
  • Investment (medicare/funds/super)
  • Surgery Process/Recovery
  • Before and after photos
  • Risks for surgery
  • Lipoedema Podcasts

 

444 Lipoedema Australia

 

For more information on conservative treatments and lifestyle see lipoedemaaustralia.com.au, lipedema.org., fatdisorders.org.   

Manual Lymphatic Drainage Massage (MLD) is a specific technique used across the body to encourage the lymphatic fluid to return to the normal circulation pathways instead of storing in the tissues.

 

Kylie Hendy 0402 736 662 (Hills District)

Katrina Blackett (02) 4573 0740 (Windsor/Haweskbury)

Tamryn Rieman  0423 548 795 (Glenorie) www.lymphbalance.com.au/bookings

Olivia Cimadevilla 0415 864 448 (Eastern Suburbs) 

Lisa Higgins 0410 363 720 (Northern Beaches) lisahiggins.com.au

Mish Kent 0448 099 455 (Northern Beaches)

Martina Link 0423 464 491 (Terry Hills)

Carol Morris 02 9911 7200 (North Sydney)

Grace Lowther 0455 110 888 (Westmead)

Josephine Tamara 0402 223 328 (Liverpool)

Axel Hellwinkel 0494045389 (Surry Hills)

Sally Petrassi 0438 487 799 Belmont (Newcastle/Lake Macquarie) lymphandmuscle.com.au

Medimassage 0402 110 526 (Edgecliff)

Rebecca Shaw 0404 742 958 (Narellan Vale)

Karen Hyams 0414 945 649 (Ashfield/Croydon)

Gwen Davies 02 9719 2229 (Leichhardt)

Deep Verma 0410 490 936 (Bella Vista)

Samantha Thomas 'A-Lahay Wellness' 0400 339 722 (Glen Alpine) 

Michael Alcott 02 9267 3476 (Sydney city)

Cecilia Mauricio 0450 462 458 (Macarthur)

Orsi Kokai 02 8018 8240 (Woollahra)

Laura Atterton 02 98181004 (Balmain)

 

Find an MLD Therapist Near You

lymphoedema.org.au/the-register-updated/find-an-ala-accredited-practitioner/

*check they treat lipoedema first

 

 

444 Endermologie  Therapists

 

Endermologie is a lipomassage technique to improve  areas with accumulated fat by stimulating the circulation and softening the adipose tissue.   If you find an alternate Endermologie provider please check if they are happy to treat Lipoedema patients and let us know about them
  • Joanna - 0421036868 - Bella Vista NSW

 

444 Metabolic Health

Investigate with an Endocrinology specialist if there are any underlying endocrine/hormonal concerns contributing to your symptoms.   

 

Dr Monika Fazekas-Lavu CHATSWOOD NSW  Ph:  02 9159 9158

Dr Katharine Gupta PORT MACQUARIE NSW Ph:  02 6581 4608

Dr Monica Wagenaar CHERMSIDE QLD  Ph: 0438 122 544

Dr David Carey SPRING HILL QLD Ph:  07 3839 1777

Dr Ken Thong MURDOCH WA Ph:  08 9313 8830

Dr Gowri Somarajah CHELTENHAM VIC Ph: 1300 000 180

Dr Kevin Lee MELBOURNE VIC Ph:  03 9088 6525

 

 

444 Compression Garments

 

Starter compression garments:  Save time/money by discussing compression with a lipoedema therapist. You may wish to ease into wearing compression slowly building up. ie bioflex (very beginning only) then moving onto class 1 compression, layering compression or off the shelf products. 

Czalaus off the shelf garments available at lymphoedemasc.com.au (not appropriate for surgery)

 

Custom Compression 

You will need Flat knit class 2 for all surgery areas with bathroom ease(excluding arms)

 

  • Medi Australia - Mandy - 0498021039 (can locate a Medi Aus garment fitter close to you)
  • Axel 0494045389 Coloured compression and zippers for bathroom ease also available for medi garments (Surry Hills)
  • OAPL - Oapl.com.au/service/compression-therapy/ Ph: Jenny 02 9319 1955 (Alexandria)
  • Katrina Blackett (fits Haddenham) (02) 4573 0740  (Windsor/Hawkesbury)
  • Custom Medical Stockings - South east QLD and Northern NSW - 0418 415 414 (mobile to your home)
  • Flow Garments - Sarah - 0433 585 143 (Victoria)
  • Note:  Czsalus are not appropriate for surgical compression
 
 
444 Biocompression - LX9 pump
 
Medirent.com.au - custom sizes
 
Chelseyjean.com.au - only one size pump available which may not be suitable for more advanced lipoedema stages. Chelseyjean has other treatment modalities available that you may find useful ie lymphatic gloves.
 
 

444 Nutrition

Dr Agnes Warchalowski https://www.bioaesthetics.com.au/pages/telehealth-consultations

 

444 Exercise physiologist Sydney

Marcus Cassaniti - fitnessclinic.com.au/new-patients/

 

444 Psychologist Sydney

www.purposefulpsychology.com.au

A psychologist who understands & has lipoedema for those struggling with diagnosis or body acceptance. Rebates may be available with GP health care plan.

 

444 Investment

 

What is is included in our fees?

  • Specialist Plastic Surgeon
  • Specialist Anaesthetist
  • Specialist Hospital
  • Comprehensive care from our expert team before and after surgery

 

LEGS/THIGHS: Dr Somia recommends 4 hours to ensure safety. Your primary areas of concern will be addressed during this time.  Investment guide at this time is approximately $25,000.

Additional costs to consider are custom compression garments, mld therapy, extra hospital accommodation if there is a complication, medications etc (as a guide allow $2500-3000)

ARMS:  2.5 hours - 4 hours depending on complexity.   Investment guide at this time is approximately $18,000-25,000. Surgical garments are provided and included for arms.

Additional costs to consider are mld therapy, additional accomodation, medications etc (as a guide allow $2000)

 

What can be done in 4 hours of surgery?

Each patient has a different volume of lipoedema fat to be removed and areas to be treated. You can help make the most of the 4 hours by actively engaging in conservative treatments to pre-soften the fat. The softer the fat, the more fat can be removed. The quality of fat at the time of surgery greatly determines what can be achieved. Dr Somia will ask you to pre-mark the areas that concern you most (ie most painful) to focus on.

 

Will I need additional surgery?

This depends on the degree of treatment required and the areas that you would like treated. There is a limit to the amount of fat that can be removed in one surgery safely. Dr Somia will advise at your initial consultation how many surgeries he believes you will need.

Please note: there is no pressure to undergo more than one surgery. Some patients are happy with the results they achieve from one surgery. Sometimes, following surgery skin doesn't spring back and this may require an additional procedure.

 

Can I claim from medicare and fund or access my superannuation?

Unfortunately, at this time Liposuction treatment for lipoedema is considered by medicare and health funds a cosmetic procedure and cannot be claimed. Please note our area of specialist is lipoedema not lymphoedema and we do not perform skin excision at the same time.

Some patients have had success in accessing their superannuation fund (pain must be symptomatic to apply). Withdrawal of super is considered to be income and taxed accordingly. Consider this option carefully before applying. Only one surgery can be applied for at a time and our practice policy is to complete superannuation applications in the 4 months before your surgery (you must have a surgery date to apply).

 

444 Surgery faqs

 

When will I see results?

Lipoedema patients respond differently to liposuction compared to non lipoedema patients and recovery times vary. It cannot be guaranteed that removal of fat will translate to improved symptoms, improved mobility, a better contour or an aesthetic improvement. Final results may not be visible for 12-18 months.

 

What is the 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.  

Rehab options are available through Lakeview Private Hospital with private health insurance cover.  

 

What is the surgery 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). 

 

 

444 Before and after photos

 

 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.

 

444 Risks for surgery

 

What are the risks of liposuction surgery? 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. A brief overview of risks is below.

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 include public distortion, ultrasound assisted liposuction, liposuction wetting solutions.

 

 

 

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:

 

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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