The Lipoedema Clinic answers your questions: Does lipoedema recur after 360° liposuction?

17 Feb 2025 | Find out

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Liposuction for lipedema is now recognized as the treatment of choice for providing lasting relief to patients suffering from this condition. One of the questions most frequently asked during consultation is: can the fat removed during the operation return?

The answer is clear: no, fat does not return after liposuction for lipedema, because fat cells do not regenerate once removed. However, to ensure optimal, long-lasting results, it’s essential to understand how this procedure works and why it’s effective over time.

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Lipedema-specific liposuction: the 360° concept

Unlike conventional cosmetic liposuction, liposuction for lipedema is performed in a complete circular fashion around the affected limbs. Whether it’s the legs, thighs, knees, arms, forearms or elbows, the procedure follows a 360° approach, removing excess adipose tissue in an even, balanced manner.

The aim is to reduce the fat accumulation specific to lipoedema almost completely, leaving only a thin layer of about 1 cm of fatty tissue under the skin in certain areas to preserve anatomical harmony. This technique eliminates painful fat located in the hypodermis – the subcutaneous adipose cellular tissue – while protecting deeper structures such as muscles and fascia.

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This deep, circumferential removal of the limb improves :

  1. Pain and hypersensitivity: patients report a reduction or even disappearance of the pain characteristic of lipedema.
  2. Mobility: the reduction in body fat makes it easier to move around and reduces the sensation of heavy legs.
  3. The appearance of the legs and arms: the “pole” effect » of the legs and the disproportion of the arms are corrected, making the silhouette more harmonious.

Why doesn’t the fat return after liposuction for lipedema?

It’s a common misconception that fat can “grow back” after liposuction. However, it has been scientifically proven that fat cells do not regenerate in adulthood.

  1. A fixed number of fat cells

Adipose cells – or adipocytes – appear during childhood and adolescence. In adulthood, their number is fixed and cannot increase spontaneously. When liposuction for lipedema removes these excess cells, they do not grow back.

  1. Effective, permanent liposuction

The lipedema anomaly is based on excessive fat storage, combined with chronic inflammation of adipose tissue. Removing these diseased fat cells removes the very substrate of the disease, preventing its progression and enabling lasting improvement.

The result of liposuction is therefore stable over time, provided that a healthy lifestyle is maintained after the operation.

  1. Lipoedema does not disappear naturally, but it can be stopped by liposuction.

Unlike simple overweight, lipoedema is a chronic condition that does not disappear with diet or sport. Liposuction is currently the only method that can permanently reduce pathological fat and improve symptoms.

After the operation, the disease no longer progresses in the treated areas, because the source of the problem – the abnormal fat cells – has been removed.

Liposuction for lipedema: a long-lasting solution

Operated patients experience immediate and lasting benefits. Thanks to 360° liposuction, which removes fat evenly and completely, the risk of recurrence is extremely low.

However, it is still essential to take care of your body after surgery:


✔ Follow medical recommendations: wear compression garments, lymphatic drainage, etc.


✔ Maintain a healthy lifestyle: balanced diet and appropriate physical activity.


✔ Monitor other non-operated areas: if necessary, a second operation can be considered on other limb segments not initially treated.

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Conclusion: effective, permanent liposuction

360° liposuction for lipedema provides a significant and lasting improvement in symptoms by permanently removing pathological fat. As fat cells do not regenerate in adulthood, results are stable over time and the risk of recurrence is extremely low.

If you suffer from lipedema and would like to find out more about this procedure, the Lipedema Clinic is at your disposal to answer all your questions and guide you through your treatment.

If you have any questions, we invite you to ask us on our social network Instagram to make it the subject of a future article: https: //www.instagram.com/lacliniquedulipoedeme/

📅 Make an appointment now for a specialized consultation!

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