Liposuction as a Treatment for Lipedema: A Scoping Review

Author:

Bejar-Chapa Maria1,Rossi Nicoló123,King Nicholas14,Hussey Madison R.1,Winograd Jonathan M.1,Guastaldi Fernando P.S.5

Affiliation:

1. Division of Plastic and Reconstructive Surgery, Department of Surgery, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

2. Wellman Center for Photomedicine, Massachusetts General Hospital, Harvard Medical School, Boston, Mass.

3. Residency Program in Orthopedics and Traumatology, University of Milan, Milan, Italy

4. Boston University School of Medicine, Boston, Mass.

5. Division of Oral and Maxillofacial Surgery, Department of Surgery, Massachusetts General Hospital, Harvard School of Dental Medicine, Boston, Mass.

Abstract

Background: Lipedema is the progressive symmetrical deposition of subcutaneous fat and fluid in the lower body, ordinarily sparing the trunk, upper limbs, face, and neck. It may follow an autosomal dominant inheritance pattern. The gold standard treatment for lipedema is complete decongestive therapy, consisting of manual lymphatic drainage and compression garments. This scoping review assessed the existing literature on the effectiveness of liposuction as an alternative treatment for lipedema. Methods: A scoping review of electronically available literature within PubMed, Scopus, and Cochrane focused on liposuction as a treatment for lipedema considering the following inclusion criteria: human studies, case series of 10 or more, controlled trials, randomized controlled trials, patient-reported outcome measurement studies, survey analyses, descriptive studies, retrospective analyses, recurrence included, follow-up of 6 months or more, age 18 years or older, and treatment modality being liposuction. Results: Thirteen studies were selected. Nine studies reported decreased compression therapy use among patients following liposuction. No studies reported a long-term increase in compression therapy following liposuction. Studies found self-reported improvements in pain, mobility, bruising, and overall quality of life for patients following liposuction, many of whom had previously been on compressive therapy. Studies reported low rates of serious adverse events following liposuction, including deep vein thrombosis, pulmonary embolism, and infection. Conclusions: These results suggest that liposuction can be a viable treatment alternative to compression therapy for lipedema in patients whose compression therapy has not been helpful. However, there is not enough evidence to say whether liposuction is as effective as compression for patients first presenting with lipedema.

Publisher

Ovid Technologies (Wolters Kluwer Health)

Reference49 articles.

1. Lipedema-pathogenesis, diagnosis, and treatment options.;Kruppa;Dtsch Arztebl Int,2020

2. Lipedema of the legs; a syndrome characterized by fat legs and edema.;Wold;Ann Intern Med,1951

3. Lipoedema: presentation and management.;Todd;Br J Community Nurs,2010

4. Lipedema: an inherited condition.;Child;Am J Med Genet A,2010

5. Update in the management of lipedema.;Forner-Cordero;Int Angiol,2021

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