does aetna cover lipedema surgery

Frequently, people with lipedema are misdiagnosed with obesity and told to go on a diet and exercise. There is a dearth of literature examining weight loss outcomes in patients undergoing abdominal lipectomy post-sleeve gastrectomy (SG). Heller JB, Teng E, Knoll BI, Persing J. It's common to need several rounds of liposuction for lipedema treatment; one RealSelf member, lippyleigh, needed seven. If your provider is only using local anesthesia, you'll feel a pinching sensation as the tumescent solution is injected. These investigators also noted that the limited proliferation capacity of ADSC also prevented their widespread clinical use; ADSC lack telomerase and their telomeres are short; thus they can only proliferate in-vitro for a limited period of time. Clin Plast Surg. However, some discomfort and bruising for at least 2-3 weeks is expected. Dermatol Surg. You dont have to pay your surgeon upfront, hoping to get reimbursed or face surprise medical bills later. 1997;23(12):1127-1129. 2018;12(2):e1237-e1250. Lipedema also often has an unusual texture within the fat that can feel like rice, peas, or walnuts beneath the surface of the skin. The authors concluded that liposuction was effective in the treatment of lipedema and led to an improvement in QOL and a decrease in the need for conservative therapy. We work with medical insurance companies every day to get them to cover lymph sparing liposuction for our lipedema patients. When performed by an experienced provider, lipedema surgery risks are low. Lockwood T. Rectus muscle diastasis in males: Primary indication for endoscopically assisted abdominoplasty. Lower urinary tract symptoms (LUTS), such as voiding, and post-voiding problems are the most common presenting complaints; however, bacterial and fungal infections, phimosis, psychological issues, and sexual dysfunction, are also buried penis-related symptoms. The findings have to be interpretated with caution, given that they are from single arm, non-randomized studies based on patients self-assessment data collected using tools that have not been validated for the assessment lipedema-related complaints. The cohort was divided into 2 groups: Language services can be provided by calling the number on your member ID card. Most patients are pleased with the functional and aesthetic outcome following surgery. Treatment of elderly patients with advanced lipedema: A combination of laser-assisted liposuction, medial thigh lift, and lower partial abdominoplasty. Sending too many or the wrong supporting documents. Removing these nodules is what truly allows us to treat lipedema." I managed the pain with occasional acetaminophen, though, and within a week the bruising was fading," says Lipedema Lady, who had similar recoveries after two lipedema surgeries. Ann Chir Plast Esthet. Until recently, they did not approve at all, and considered it a cosmetic procedure. Concomitant abdominoplasty and laparoscopic umbilical hernia repair. Patterson J. Outcomes of abdominoplasty. Ann Plast Surg. If present, morbid obesity should be therapeutically addressed prior to liposuction. Coverage is your right. It can be related to obesity, a laxity in connective tissue, lichen sclerosis (LS), complications from penile/scrotal enlargement surgery, scrotal lymphedema, or hidradenitis suppurativa (HS). Throughout her life, Kristy has been told she was obese and needed to lose weight. patients who underwent abdominal lipectomy after SG (PS-SG), and. Therefore, it is reasonable to perform allografts using the ADSC from younger individuals. Kanjoor JR, Singh AK. Dr. Byrd says, "There are two insurance companies that have been accepting coverage for Lipedema surgery and that is Blue Cross and Aetna. The small surgical incisions are typically left open to encourage further drainage, which can seem excessive. These researchers reported on 3 women aged 55 to 77 years with advanced lipedema of the legs and multiple co-morbidities. It is something new that Dr. Byrd now covers during consultations. Bragg TW, Jose RM, Srivastava S. Patient satisfaction following abdominoplasty: An NHS experience. Smith-Harrison et al (2020) noted that ABP is a urologic condition that has significant morbidity and negative effect on QOL, including but not limited to sexual function, hygiene, micturition, and self-image. Does insurance cover a mommy makeover? The guidelines defined criteria to make a medical diagnosis of lipedema, a minimum data set of (repeated) clinical measurements that should be used to ensure early detection and an individually outlined follow-up plan, pillars on which conservative treatment should be based and recommendations on surgical therapeutic options. ALT's dedicated insurance team, with over 40 years of experience, worked tirelessly to secure coverage for lipedema patients, at no cost to . Update from the Ultrasonic Liposuction Task Force of the American Society for Dermatologic Surgery. Fair coverage is not only your right, but is a reality now. Until recently, they did not approve at all, and considered it a cosmetic procedure. This has been a TOUGH fight and BCBS of Texas finally agreed to cover but they still made it very hard. It also leaves behind a smoother, softer skin texture. Malformation - Medicare will cover plastic surgery to repair malformed body parts if deemed medically necessary. abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure) [documentation required], Localized adiposity [abdomen] [documentation required], Erythema intertrigo [chronic, documentation required], Excessive and redundant skin and subcutaneous tissue, Separation of muscle, (non-traumatic) other site [diastasis recti], Other congenital malformations of abdominal wall [congenital diastasis recti], Excision, excessive skin and subcutaneous tissue (includes lipectomy); abdomen, infraumbilical panniculectomy, Excision, excessive skin and subcutaneous tissue (includes lipectomy); thigh, Excision, excessive skin and subcutaneous tissue (includes lipectomy); leg, Excision, excessive skin and subcutaneous tissue (includes lipectomy); hip, Excision, excessive skin and subcutaneous tissue (includes lipectomy); buttock, Excision, excessive skin and subcutaneous tissue (includes lipectomy); arm, Excision, excessive skin and subcutaneous tissue (includes lipectomy); forearm or hand, Excision, excessive skin and subcutaneous tissue (includes lipectomy); submental fat pad, Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area, Excision, excessive skin and subcutaneous tissue (includes lipectomy), abdomen (eg, abdominoplasty) (includes umbilical transposition and fascial plication) (List separately in addition to code for primary procedure), Suction assisted lipectomy; head and neck, Suction assisted lipectomy; upper extremity, Suction assisted lipectomy; lower extremity, Excision, excessive skin and subcutaneous tissue (includes lipectomy); other area [Correction of adult acquired buried penis], Plastic operation of penis for straightening of chordee (eg, hypospadias), with or without mobilization of urethra [Correction of adult acquired buried penis], Meatotomy, cutting of meatus (separate procedure); except infant, Circumcision, using clamp or other device with regional dorsal penile or ring block, Circumcision, surgical excision other than clamp, device, or dorsal slit; neonate (28 days of age or less), Circumcision, surgical excision other than clamp, device, or dorsal slit; older than 28 days of age, A thinning out of the anterior abdominal wall fascia, Dermatitis occurring on opposed surfaces of the skin, skin irritation, infection or chafing. Choose between 1, 2, 3 or 4 columns, set the background color, widget divider color, activate transparency, a top border or fully disable it on desktop and mobile. Even when you meet all the criteria of your insurer, they may only cover part of the cost of the lipedema reduction surgery. Praxis (Bern 1994). Use of ultra-high frequency electrosurgery (radiosurgery) for cosmetic surgical procedures. The information on RealSelf is intended for educational purposes only. Using this step-by-step approach, a short operation time and early mobilization were possible. Wright states, "Many women with lipedema do not need surgery and it is important to validate the effectiveness of nonsurgical treatments for this disease, especially as there is no cure at this time." Lipedema is common but poorly recognized subcutaneous adipose disorder that is commonly mistaken or misdiagnosed as obesity. High definition lipoabdominoplasty. No serious complications (wound infection rate 1.4 %, bleeding rate 0.3 %) were observed following surgery. Panniculushangs below level of pubis (below the distal end of the symphysis pubis), documented by high-quality color frontal-view and side-view photographs; The medical records document that the panniculus causes chronic intertrigo (dermatitis occurring on opposed surfaces of the skin, skin irritation, infection or chafing) that consistently recurs over 3 months while receiving appropriate medical therapy (e.g., oral or topical prescription medication), or remains refractory to appropriate medical therapy over a period of 3 months; Documentation of high-quality color frontal-view and side-view photographs with pannus lifted to document presence of intertrigo. This Sliding Bar can be switched on or off in theme options, and can take any widget you throw at it or even fill it with your custom HTML Code. Sunday:Closed, Copyright 2023 Marcia V. Byrd, MD | 11050 Crabapple Road, Building B, Roswell, Georgia 30075 | Telephone: 770.587.1711. Unlike traditional liposuction, which creates a smoother contour, lipedema surgery doesn't always produce an aesthetically perfect result. Petro CC, Zolin S, Krpata D, et al. Wound complications of abdominoplasty in obese patients. Chronic intertrigo (dermatitis occurring on opposed surfaces of the skin, skin irritation, infection or chafing) that consistently recurs over 3 months while receiving appropriate medical therapy (e.g., oral or topical prescription medication), or remains refractory to appropriate medical therapy over a period of 3 months; Lichen sclerosis with or without urethral meatal stenosis. Aboelatta and colleagues (2014) stated that lipoabdominoplasty is nearly a daily aesthetic procedure. Suction-assisted lipectomy fails to improve cardiovascular metabolic markers of disease: A meta-analysis. 2004;45(6):271-275. I just got all my surgeries pre-approved with a Single Case Agreement thanks to the amazing help from coverlipedema.com., Read more of what our members say about us. "Getting used to continually wearing compression garments would be in the best interest of your health," Dr. Schwartz says. Wednesday: 8:30 am 5:30 pm Proximal thickening of subcutaneous fat layer; Distal thickened of subcutaneous fat, accompanied by slender instep (cuff-sign). Lorsque vous utilisez nos sites et applications, nous utilisons des, authentifier les utilisateurs, appliquer des mesures de scurit, empcher les spams et les abus; et. This disease process is characterized by a wide degree of variability and severity that requires a patient-specific approach and significant flexibility on the surgeon's behalf. Less than three months post-op, one RealSelf member, JustformeKYFL, reported that she occasionally still had swelling, "but my legs are a million times better even on my worst days.". All Rights Reserved. Lipedema, aka painful fat syndrome, is a progressive condition: if it's not diagnosed at an early stage, people often become increasingly heavy in the lower body and their level of pain, tenderness, and swelling increases. The authors concluded that a tailored approach may be useful in advanced lipedema and was applicable even in elderly patients with multiple co-morbidities. The post-operative course was similar in both groups. Dont let the insurance process discourage you. 2012;68(3):303-307. And as the condition worsens, people with lipedema become less mobile. We are proud to be a part of helping women regain their function, reduce their pain and live fulfilling lives with their families and friends. Over the past three years, we have helped almost 400 women get over 40 million dollars of lipedema surgery fully covered. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. There is no way I could have managed this on my own. 2018;38(12):NP196-NP204. eMedicine General Surgery Topic 2703. Studies have shown that the ADSC isolated from aged patients have reduced proliferation capacity and stability. Though the names sound the same, lipedema and lymphedema are two very different conditions. The reverse abdominoplasty:A report of seven cases and a review of English-language literature. Lari A, Curings P, Person H, et al. Omaha, NE: eMedicine.com; updated July 9, 2002. Available at: http://www.emedicine.com/med/topic2703.htm. These investigators reported on a tailored combined approach to improve advanced lipedema in elderly women with multiple co-morbidities. The authors concluded that surgical management of AABP had a high incidence of complications but resulted in satisfactory outcomes, with significant improvement in patients' QOL. The condition occurs almost exclusively in women and most often involves the buttocks, thighs, and calves, though the upper arms and torso can also be affected. Vous pouvez modifier vos choix tout moment en cliquant sur le lien Tableau de bord sur la vie prive prsent sur nos sites et dans nos applications. With insurance coverage, the cost can be as low as your maximum out of pocket cost, which could be less than $5,000. Monday: Closed Dermatol Surg. Dr. Wright recommends "a clean diet that contains lots of whole foods, like low-carb vegetables, healthy protein, and healthy fats, and limits or avoids all together highly refined carbohydrates like sugar, white bread, corn,rice, and potatoes.". Cell-assisted lipotransfer: Friend or foe in fat grafting? BuildingB Related: I Got Surgery for Lipedema, and Heres How Its Different Than Regular Liposuction. In other states, you will need to work with us to find the closest surgeon (in or out of network) to your home so Aetna doesnt argue that if you can travel for an out-of-network surgeon, you can travel for a network one. Incisional hernia repair: abdominoplasty, tissue expansion, and methods of augmentation. We have created processes that give Aetna members the best opportunity to be covered with the full benefits of their insurance plan. If youre experiencing a medical issue, please contact a healthcare professional or dial 911 immediately. In our experience, Aetna has been one of the best for lipedema surgery coverage. They called and emailed all the top dogs and legal counsel from the insurance company, my employer and the third party that my employer hires to handle their insurance issues. Learn more about our content standards. Halk AB, Damstra RJ. Am I Overweight, Or Do I Have Lipedema Fat? Toyserkani NM, Quaade ML, Sorensen JA. Weve won over millions of dollars in coverage for patients insured by: And many other individual and employer plans! The authors concluded that ABP is a complex urologic condition with equally complex surgical therapeutic options. Summary. Other possible risks are similar to those with all types of liposuction: Your surgeon should explain all of those risks to you during your consultation, so you can make a fully informed decision. Potential drawbacks in cell-assisted lipotransfer: A systematic review of existing reports (Review). O'Brien JJ, Glasgow A, Lydon P. Endoscopic balloon-assisted abdominoplasty. 2016;40(2):309-318. When Americans are working, they pay into Medicare through their years of employment. Plast Reconstr Surg. Despite the emergence of laser-assisted liposuction, to-date, it has not been clearly evaluated combined with abdominoplasty. 2018;7(4):618-627. The only available technique to correct the abnormal adipose tissue is surgery. North Adelaide, SA: Australian Safety and Efficacy Register of New Interventional Procedures - Surgical (ASERNIP-S); 2004. 2006;30(1):1-8. With the current situation of lipedema surgery coverage, we believe that the best opportunity for you to get your surgeries covered is to . Because lipedema often begins during the time of hormone fluctuations, such as during puberty, pregnancy, or menopause, a hormonal connection is suspected. 1999;42(1):34-39. Systematic review of ultrasound-assisted lipoplasty: Update and reappraisal. Cureus. Certain studies have hypothesized that the robust ectopic adipogenesis of ADSC in-vivo relies on their pre-differentiation induced in-vitro prior to their transplantation. Insurers continue to cover lipedema! Published March 1, 2022 Updated June 13, 2022, Consult with a doctor virtually or in person, your surgeon's credentials and level of expertise, whether you need more than one procedure, to achieve your desired results, the qualifications of your anesthesia provider. Aesthet Surg J. Lately, a few of them, mainly Anthem and Aetna, have been covering in some states. These researchers reported a case of a patient with lipedema who was treated with suction-assisted lipectomy and use of compression garments, with successful treatment of the lipodystrophy and maintenance of improved aesthetic results at 4-year post-operative follow-up. Surgical procedures are indicated if, despite thorough conservative treatment, symptoms persist, or if there is progression of clinical findings and/or symptoms. Elbaz JS, Flageul G, Olivier-Masveyraud F. 'Classical' abdominoplasty. Levesque AY, Daniels MA, Polynice A. Outpatient lipoabdominoplasty: Review of the literature and practical considerations for safe practice. Copyright 2020-22 Coverlipedemaco, Inc. All Rights Reserved. Core GB, Mizgala CL, Bowen JC 3rd, Vasconez LO. Aetna has also started pushing back on out-of-network surgeon requests. Abbed TM, Gonzalez-Heredia R, Sanchez-Johnsen L, et al. It has evolved from being designed primarily for body contouring to becoming essential adjunct to various other aesthetic procedures, greatly enhancing their outcome. Don't be alarmed, though: leakage from incision sites is completely normal. Clinical questions on significant issues in lipedema care were proposed, involving: making the diagnosis of lipedema; clinimetric measurements for early detection and adequate follow-up; and treatment. Prior to surgery, your circulation should be assessed to ensure that your blood supply is healthy enough to allow appropriate healing, as well as to minimize any risk from the procedure from abnormal blood vessels that often are present in the affected areas. Some insurers will not cover lipedema if you have a BMI over a certain number, unless you have had bariatric surgery." According to Dr. Wright, all insurers also require a trial of three to six months of conservative treatment to manage symptoms. Patient-reported outcomes of robotic vs laparoscopic ventral hernia repair with intraperitoneal mesh: The PROVE-IT randomized clinical trial. Hurvitz KA, Olaya WA, Nguyen A, Wells JH. Laparoscopic versus open ventral hernia repair:A randomized controlled trial. Byrd says, "There are two insurance companies that have been accepting coverage for Lipedema surgery and that is Blue Cross and Aetna. No severe adverse effects were observed; and patient satisfaction was high. Join Coverlipedema.com to access the members-only content and learn how you can get your safe and effective surgeries covered by your insurance and the right surgeon. This takes some of the pressure off of your body and enhances the effectiveness of your lymphatic and vascular system. If you have any pre-existing conditions apart from lipedema, discuss them with your surgeon. 2008;(3):CD006438. Dr. Byrd says, There are two insurance companies that have been accepting coverage for Lipedema surgery and that is Blue Cross and Aetna. In general, high-complexity reconstructive procedures (category greater than III) were performed, with split-thickness skin grafts for shaft reconstruction. "The insurer may cover lipedema surgery in the some areas where lipedema tissue collects, but not all of the areas of body where lipedema tissue can occur," he says. Micro-cannular laser-assisted liposuction of the upper legs and knees was performed under tumescent anesthesia. Its easy to apply. Copyright Aetna Inc. All rights reserved. The insurance companies now require that everyone first do a 12 week non-surgical therapy. Links to various non-Aetna sites are provided for your convenience only. Survey Outcomes of Lipedema Reduction Surgery, Liposuction Prevents Lipedema Progression, LIO Lipedema Updates for Lipedema Awareness, Misdiagnosis of Lipedema and Malnutrition, New Developments in Biomarkers of Lymphatic Malfunction, Manual Lymph Drainage and Complete Decongestive Therapy. Despite its hard clear differentiation between an aesthetic and therapeutic indication for some pathologic conditions, liposuction has been increasingly used in various disorders as a therapeutic tool or to improve function. Plast Reconstr Surg. 2014;133(5):1214-1221. Santa Monica, CA: Society of American Gastrointestinal Endoscopic Surgeons (SAGES); 2001. Furthermore, the LPARSP group presented with a decreased bulging rate (p = 0.05), and secondary refinement procedures were less frequently demanded (p = 0.02). Bazian Ltd., eds. Fax: 770.518.8810, Hours There are several different lymphatic-sparing liposuction techniques used to treat lipedema. S1 guidelines: Lipedema. A 2019 study on 111 patients with advanced lipedema treated with liposuction over a 10-year period found that serious adverse events occurred in 1.2% of procedures, the infection rate was 0%, and the bleeding rate was 0.3%. Ho and Gelman (2018) stated that adult acquired buried penis (AABP), a condition where the penis is hidden by abdominal or suprapubic skin or fat, represents the clinical manifestation of a wide spectrum of pathology due to a variety of etiologies. The incidence of graft contracture and partial/total loss was 2.4 % to 14.3 % and 1.5 % to 21 %, respectively. Ho TS, Gelman J. Roswell, Georgia 30075, Telephone: 770.587.1711 2017;32(3):152-159. Pain is usually minimal in the first few weeks, and most patients dont need anything more than nonprescription medication like Tylenol. Lipedema-associated complaints and the need for CDT were assessed for the pre-operative period and during 2 separate post-operative follow-ups using a VAS and a composite CDT score. However, recent advances in surgical techniques for correction of adult ABP focus on the use of skin grafting to cover the shaft, along with lipectomy and/or scrotoplasty to further aid penile exposure. In medical terminology, "edema" means swelling. The above policy is based on the following references: Last Review Medical history - allof the following (A, B, C, D and E): Physical examination - one or more of the following (A, B, C, or D): Extra criteria - either of the following (A or B): Source: Adapted from Halk & Demstra (2016). Wollina U, Heinig B, Nowak A. However, we have encountered a few troubling developments. Ollapallil J, Koong D, Panchacharavel G, et al. ", Such was the experience with RealSelf member Lipedema Lady, who reports that "the difference in my legs is striking, both in appearance and functionality. "Lipedema becomes a chronic inflammatory process that leads to pain and disability, particularly in the extremities," says Dr. Schwartz. Aesthetic Plast Surg. Does Lipedema Fat Come Back After Liposuction Reduction Surgery? Aetna also covers skin excisions along with liposuction, per their policy. Si vous souhaitez personnaliser vos choix, cliquez sur Grer les paramtres de confidentialit. Huang S, Zhao W, Wang Z, et al. Rapprich S, Dingler A, Podda M. Liposuction is an effective treatment for lipedema-results of a study with 25 patients. Getting coverage for lipedema surgery is complicated. What are the benefits and harms of surgical management options for adult-acquired buried penis? Peprah K, MacDougall D. Liposuction for the treatment of lipedema: A review of clinical effectiveness and guidelines. Lymphedema is a fluid transport disorder that affects both men and women and is caused by abnormal or ineffective drainage of fluid (lymph) from the tissues. 2021;45(4):1431-1440. . Copyright 2020-22 Coverlipedemaco, Inc. All Rights Reserved. Paying for your surgery up front, hoping to get reimbursed later. Also ask if you'll need to budget for prescription pain medication, compression garments, and other recovery supplies. London, UK: Wessex Institute for Health Research and Development, University of Southampton; 2003; 3(2):1-9. Friday: 8:30 am 5:30 pm Expect significant swelling in the treated areas for the first few weeks after surgery. At present, there appeared to be an enormous potential for the application of liposuction in ablative and reconstructive surgery outside the realm of purely aesthetic procedures. 2005;29(8):1073-1079. Dumanian GA, Denham W. Comparison of repair techniques for major incisional hernias. Wound infection and genital lymphedema were reported in 4.7 % to 33 % and 7.1 % to 60 % of cases, respectively. These conservative trialsinclude diet changes, daily medical-grade compression stocking use and/or compression with special wrapping techniques, andmanual lymphatic drainage, a gentle form of skin stretching and massage. In a retrospective study, these researchers examined whether post-SG patients who received abdominal lipectomy achieved greater percent excess weight loss (% EWL) than post-SG patients who did not receive abdominal lipectomy. Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. Hematoma, a pooling of blood under the skin, Seroma, a pocket of fluid under the skin (a risk that can be reduced with a good compression garment), Thrombophlebitis, when blood clots form in the deep veins, Fat embolism, which occurs when a piece of fat separates and becomes trapped in a blood vessel, I Tried Renuva to Make My Hands Look More YouthfulHeres My Honest Review, 5 Famous Doctors on How Reality TV Affects Real Life, The Best New Clinically Proven Skin-Care Launches of 2023. Sanchez LJ, Bencini L, Moretti R. Recurrences after laparoscopic ventral hernia repair: Results and critical review. Impact of abdominal lipectomy on post-sleeve gastrectomy surgery weight loss. It gives coverage to most of the people who are above the age of 65 and some younger people too. Kotsougiani-Fischer and colleagues (2021) noted that the aesthetic and functional outcomes of the donor site following abdominal-based free flap breast reconstruction have been suboptimal. The patients were divided into 3 equal groups based on the technique used for liposuction: Huang and associates (2016) stated that CAL has been widely used in various clinical applications, including breast augmentation following mammectomy, soft-tissue reconstruction and wound healing. ", Lipedema fat also doesn't respond to weight loss, Dr. Wright explains. The condition tends to run in families, and a gene associated with lipedema, AKR1C1, was recently discovered. 2005;29(8):1080-1085. van Schalkwyk CP, Dusseldorp JR, Liang DG, et al. Metabolism. A healthy diet thats low in refined carbohydrates is an important part of lipedema treatment., This type of diet reduces inflammation, which is thought to play a role in lipedema. 2008;78(10):903-906. Insurance companies now are much better at approving some patients. J Plast Reconstr Aesthet Surg. Pham C, Middleton P, Watkin S, Maddern G. Laparoscopic ventral hernia repair: An accelerated systematic review. Lipedema is a chronic, progressive disorder marked by the individual variability and unpredictability of its clinical course. While we are out of network with insurance, if your claim is approved, we will seek a gap exception for you so that your coverage will be considered at an in- network rate. New method of abdominoplasty for morbidly obese patients. Si vous ne souhaitez pas que nos partenaires et nousmmes utilisions des cookies et vos donnes personnelles pour ces motifs supplmentaires, cliquez sur Refuser tout. Superior functional and aesthetic results paired with improved abdominal wall sensation were achieved compared to CA. If you can pinch and lift the skin, Stemmers test is negative. . Abdominal hernias. Exp Ther Med. While there is some postsurgical discomfort (often described as a sore feeling), many patients consider it mild, especially compared to the severity of pain caused by lipedema. That's because these rogue cells have extra fluid, which distorts the skin and changes its size, shape, color, texture, and sensitivity. Lipoabdominoplasty: Liposuction with reduced undermining and traditional abdominal skin flap resection.

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