General risks are bleeding, infections and thromboses (blood clots in the deep venous system). In general, risks can be reduced through good surgical planning. One should therefore keep the procedure time short, position the patient well, not extend wound surfaces larger than urgently necessary, and mobilize the patient again early after surgery. Through the good compression of the prescribed garments as well as the medicinal thrombosis prophylaxis, risks are further significantly reduced.
For 3 days you already feel quite restricted; you can walk, but you are glad if you do not have too much on your plate. After a week you feel better than is good for you, but take it easy in the first weeks. Only take short walks. After 2 weeks most patients can work again, some even after just one week. Of course this depends on your personal professional situation. In any case, one is presentable in public after 5-7 days.
Compression should be worn permanently for 6 weeks after the operation. In general, for lipedema — even after surgery — the recommendation is to wear compression garments for 12 hours per day. What you as a patient make of this is up to you. After a successful liposuction, many patients do without external compression in the long term.
If one speaks of a cure, then the cause of the problem has been eliminated. But since we currently do not yet have a targeted therapy at the cellular level — that is, there is no medication against lipedema — lipedema currently cannot be cured. Through a liposuction for lipedema, symptoms and appearance can be improved; a cure, however, is unfortunately not yet possible.
One should see liposuction for lipedema as an opportunity to treat one's disease as well as possible.
If a lipedema on the legs has been successfully treated surgically and there was already a tendency toward lipedema on the arms beforehand, it may be that these exhibit more disease activity in the future than the already treated legs.
According to current knowledge, it is known that after approximately 10 years individual fat cell deposits can newly develop in the sense of a lipedema. This may happen, but does not have to. Why is that? In a liposuction for lipedema, the diseased fat cells and also the healthy surrounding fat cells are significantly reduced. However, the fat cells cannot be completely removed. Individual cells can mutate into lipedema cells over the course of life and increase in number as well as grow larger; this is also related above all to metabolic activity and calorie intake.
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