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.
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.
LINKS: PRESENTATION MANAGEMENT WAL SURGERY RESOURCES ONLINE COURSE
Resources
Lipoedema Australia
For more information on conservative treatments and lifestyle see lipoedemaaustralia.com.au, lipedema.org., fatdisorders.org.
Information for GPs: https://praxhub.com/education/a-gps-guide-to-lipoedema-and-how-to-differentiate-from-lymphoedema/
Lipoedema Australia Downloads
Lipoedema Australia Medical Professionals Info
Lipoedema Australia - Symptoms to discuss with your doctor
Lipoedema Australia - Living with Lipoedema
Lipoedema Autralia - Im over being told
Lipoedema Australia - No matter what I do
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
Endermologie Therapists
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
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)
Nutrition
Dr Agnes Warchalowski https://www.bioaesthetics.com.au/pages/telehealth-consultations
Exercise physiologist Sydney
Marcus Cassaniti - fitnessclinic.com.au/new-patients/
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.
Investment
What is is included in our fees?
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).
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).
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.
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.
Lipoedema Podcasts
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P 02 9387 2110
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CONTACT
Bondi Junction
Westfield Tower 2,
Suite 1305, 101 Grafton St,
Bondi Junction NSW 2022
info@naveensomia.com.au
02 9387 2110 I 0438 939 962
CONTACT
Bella Vista
Suite 212, Level 2, 10 Norbrik Dr
Bella Vista NSW 2153
info@naveensomia.com.au
02 9387 2110 I 0438 939 962