The only treatment that permanently removes pathological lipedema fat. We work water-jet assisted and vibration assisted, in anatomical units and across planned sessions.
Lipedema tissue is fibrous and rich in lymphatics. The instrument and the direction of work determine both safety and contour.
A fine, fanned water jet loosens fat cells from the surrounding structures before they are aspirated. Lymph vessels, nerves and connective tissue are largely spared.
A vibrating cannula works efficiently through fibrous, nodular tissue – typical of advanced stages and of areas treated before.
We treat in anatomical units so that contours stay balanced: outer and inner thighs, knees, lower legs, arms.
Compression for six weeks after each session, lymphatic drainage where useful, early mobilisation from day one.
Both are possible. The choice follows the volume, the number of regions and your own preference.
| Technique | Tumescent local anaesthesia | General anaesthesia |
|---|---|---|
| Suitable for | small to medium regions | large volumes, several regions in one session |
| Awake during surgery | yes, with light sedation on request | no |
| Stay | day case | day case or one night of monitoring |
| Duration | approx. 1.5–2.5 h | approx. 2–4 h |
| Back to desk work | approx. 3–7 days | approx. 1–2 weeks |
| Sport | approx. 6 weeks | approx. 6 weeks |
Confirmation of diagnosis and stage, definition of regions and sessions, measurement, photographs and the written GOÄ cost estimate.
Anaesthetic review, laboratory tests, no nicotine, review of anticoagulants, compression garment ordered and fitted in advance.
Markings while standing, tumescent infiltration, lymph-sparing aspiration using WAL and VAL, small access incisions left open for drainage.
Compression day and night, walking from the first day, wound checks, lymphatic drainage where indicated. Swelling and bruising are expected.
The contour settles over three to six months. The next region follows after six to twelve weeks.
This page provides information on treatment options and does not replace medical advice. Whether a procedure suits you can only be assessed after a personal examination.
With water-jet assisted technique and cannulas guided along the longitudinal axis, lymphatic injury is very rare. That is precisely why we use WAL and VAL rather than dry aggressive techniques.
Travelling from abroad? We plan each stay so that it covers one session plus the first wound check, and arrange the remaining follow-up with your doctor at home.
If skin retraction lags behind, minimally invasive laser tightening can support it. This is a purely self-pay add-on and runs under our aesthetic brand JugendLiebe, where you find areas, recovery and pricing.
We define regions, sequence and costs in a single planning appointment – with a written estimate before anything is booked.