[Lipedema: up-to-date of a long forgotten disease]

Wien Med Wochenschr. 2017 Oct;167(13-14):343-348. doi: 10.1007/s10354-017-0566-2. Epub 2017 May 10.
[Article in German]


Lipedema is a chronic disorder of subcutaneous adipose tissue of unknown etiology not uncommon among post-puberty women. The disease has a negative impact on self-esteem, mobility, and quality of life. Lipedema is characterized by symmetrical, disfiguring hyperplastic adipose tissue combined with bruising and pain. Untreated lipedema fosters osteoarthritis, secondary lymphedema, limited mobility, and psychosocial stigmatization. Treatment consists of conservative complex decongestive therapy and surgery by microcannular tumescent liposuction. Liposuction is the only available treatment capable to reduce the pathological adipose tissue durable and to prevent complications.

Keywords: Adipose tissue; Complex decongestive therapy; Lipedema; Liposuction; Tumescent anesthesia.

Publication types

  • Review

MeSH terms

  • Combined Modality Therapy
  • Diagnosis, Differential
  • Female
  • Humans
  • Lipectomy
  • Lipedema / classification
  • Lipedema / complications
  • Lipedema / diagnosis*
  • Lipedema / therapy
  • Lymphedema / classification
  • Lymphedema / diagnosis
  • Lymphedema / etiology
  • Lymphedema / therapy
  • Quality of Life / psychology
  • Rare Diseases
  • Self Concept
  • Social Stigma