At La Clinique du Lipœdème, surgical management is based on gentle, targeted circular liposuction techniques, adapted to the nature of the painful, resistant fatty tissues of lipedema. There are three main liposuction methods validated for the treatment of this condition. All are based on the fundamental principle of tumescent liposuction, with variations depending on the energy used to loosen fat cells.

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1. liposuction TAL (Tumescent Associated Liposuction)

This is the original technique, widely tried and tested, and still used successfully today. A tumescent solution is injected into the tissues, providing local anesthesia, softening the fat and limiting bleeding. The surgeon then aspirates the fat cells with precision, respecting nerve and vascular structures.

– Effective, safe and reproducible technique

– Indicated as first-line treatment in many cases of lipedema

– Requires excellent surgical skill for a natural, homogeneous result

2. water-assisted liposuction (WAL)

The WAL is also based on tumescent infiltration, but combines it with a continuously pulsed water jet to facilitate grease removal and suction.

– Gentle, tissue-friendly method

– Use of a continuous pulsed pump to remove fat cells

– Particularly useful for dense tissue or as a second-line treatment

3. liposuction VASER (Vibration Amplification of Sound Energy at Resonance)

VASER is a technological evolution of tumescent liposuction, combining infiltration with ultrasonic sonodissection of fatty tissue. This energy liquefies the fat prior to aspiration, while preserving essential structures.

– Modern, precise technology

– Useful in fibrous or previously operated areas

– Favors fine leg sculpting and sometimes faster recovery

Which technique to choose?

The three main liposuction techniques used in the treatment of lipedema – TAL, WAL and VASER – have all demonstrated their effectiveness. Each has its own specific advantages, depending on the nature of the tissue, the course of the disease and any previous surgical history. So it’s not a question of choosing a method based on a trend or a marketing argument, but rather on a rigorous clinical evaluation.

At the Clinique du Lipœdème, this choice is based above all on a detailed, personalized analysis of the fatty tissue affected. The surgeon examines several criteria:

• Adipose tissue density: some lipedemas have more fibrous, compact fat, requiring a more targeted technique.
• The location and distribution of fatty deposits: knees, thighs, legs, ankles… each area may react differently to a given technique.
• Tissue sensitivity and vascularization, which must be preserved to avoid trauma.
• The patient’s medical history, particularly if liposuction has already been performed.

Only a surgeon trained in the specific management of lipedema can determine the most appropriate surgical strategy, sometimes combining several techniques in a single procedure. This level of personalization is essential not only to optimize aesthetic results, but above all to provide lasting pain relief, improve mobility and reduce the functional impact of the disease.

This precision work, at the frontier between technical skill and clinical sense, reflects the philosophy of the Clinique du Lipœdème: to offer each patient a tailor-made treatment, based on expertise, listening and medical rigor.

At the Lipedema Clinic: exclusive expertise

Under the direction of Dr. Nicolas Zwillinger, a plastic surgeon with expertise in lipedema, our team offers customized care paths, adapted to each clinical case. Patients are accompanied from diagnostic evaluation through to post-operative follow-up, in a reassuring, medicalized environment, using the very latest techniques.

Do you think you might be suffering from lipedema?

Make an appointment with our teams for a specialized assessment and discover the surgical solutions that can bring you relief.

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