Many women struggle with stubborn fat in their legs and arms that refuses to budge despite their best efforts with diet and exercise — but what they don’t realize is they may be dealing with lipedema, a chronic condition that requires specialized treatment. At Hakimi Plastic Surgery in Beverly Hills, Dr. Hakimi offers advanced liposuction techniques that provide real relief from this often-misunderstood condition, helping patients reclaim their comfort, mobility and confidence.

Lipedema Liposuction Overview

01 // What It Is

A minimally invasive procedure that removes stubborn lipedema fat.

02 // How We Do It

Lipedema liposuction is typically performed as an awake procedure with no general anesthesia and just two days of downtime.

03 // Why You Want It

Lipedema fat doesn’t respond to diet or exercise — liposuction provides effective results and restores more proportionate, balanced body contours.

04 // Recovery Time

With Dr. Hakimi’s precision and expertise in awake liposuction, you can expect to resume light activities within 48 hours.

What Is Lipedema?

Lipedema is a chronic condition that causes an abnormal build-up of fat, particularly in the hips, legs and sometimes the arms, but sparing the hands and feet. Often mistaken for obesity, lipedema fat deposits are symmetrical and accumulate bilaterally, creating a disproportionate appearance between the upper and lower body. Other hallmarks of lipedema include:

  • Unlike ordinary body fat, lipedema is often painful
  • Areas with lipedema tend to bruise easily
  • Inflammation and swelling in the affected limbs
  • Skin texture changes (bumps, dimples and a rubbery feeling)
  • A feeling of heaviness or aching in the legs
  • Lipedema fat doesn’t respond to diet and exercise

While the exact cause of lipedema is unknown, it almost exclusively affects women and usually appears (or worsens) during puberty, pregnancy or menopause, so female hormones are thought to play a role. Having a family history also increases the risk of developing lipedema. 

Lipedema is often mistaken for obesity or lymphedema (swelling due excess lymph fluid), so those with the condition don’t always get proper treatment. However, celebrities like Kelly Clarkson who have publicly disclosed a lipedema diagnosis have helped raise awareness and shed light on how this condition can impact your mental health, body image and quality of life.

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Stages of Lipedema

Lipedema progresses through distinct stages, each presenting unique challenges and symptoms that affect patients differently.

Stage 1 (Early)

  • Smooth skin surface with minimal texture changes
  • Fat deposits primarily in the hips, thighs and buttocks
  • Mild tenderness and sensitivity to touch
  • Symmetrical distribution becomes noticeable
  • Legs may feel heavy, especially at the end of the day

Stage 2 (Moderate)

  • Skin develops an uneven, dimpled texture (similar to cellulite)
  • Fat deposits become more pronounced and lobular
  • Increased pain and tenderness in affected areas
  • Mobility may begin to be affected
  • Swelling becomes more persistent throughout the day

Stage 3 (Advanced)

  • Large, bulky fat deposits
  • Skin develops deep folds and overhangs
  • Severe pain and limited mobility
  • Secondary lymphedema may develop
  • Daily activities become increasingly challenging

Stage 4 (Severe)

  • Lymphedema is present alongside lipedema (lipolymphedema)
  • Significant functional impairment and disability
  • Higher risk of complications and infections
  • Requires a comprehensive, multidisciplinary treatment approach

Left untreated, lipedema often worsens over time, but specialized treatment and liposuction techniques can provide significant relief and prevent your symptoms from progressing.

Lipedema Treatments

01 // Conservative Treatments

Conservative treatments offer some relief from lipedema symptoms like pain and swelling but do not directly address the abnormal build-up of fat. These treatments might include: 

02 // Lipedema Liposuction

Liposuction is an effective way to eliminate stubborn deposits of lipedema fat. Dr. Hakimi’s advanced awake liposuction technique removes unwanted fat safely and precisely while minimizing damage to the surrounding tissues. It provides significant and long-lasting relief with just two days of downtime. This approach stands out because it is:

  • Minimally invasive with a quick recovery (two days of downtime)
  • Performed under local anesthesia (avoids the risks of general anesthesia)
  • Highly targeted (precision techniques protect the lymphatic system)

Experience Life-Changing Results at Hakimi Plastic Surgery

If you’re ready to stop struggling with lipedema and start living comfortably again, Dr. Hakimi can help. His specialized approach to lipedema treatment has transformed the lives of patients who thought they were out of options. Call Hakimi Plastic Surgery today at 424-239-5201 or request a consultation online and discover how lipedema liposuction can change your life.

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FAQ

What’s the difference between lipedema and lymphedema?

Lipedema involves an abnormal accumulation of fat, typically affecting legs and arms while sparing the hands and feet. Lymphedema is fluid retention due to compromised lymphatic drainage and often includes swelling in the hands and feet. Both conditions can occur together.

How can I tell if I have lipedema?

Common signs include symmetrical fat deposits in legs/arms that don’t respond to diet or exercise, pain in affected areas, easy bruising and unbalanced lower body proportions compared to your torso. A proper medical evaluation is essential for accurate diagnosis.

Can I lose lipedema fat naturally?

Unfortunately, lipedema fat doesn’t respond to traditional weight loss methods like diet and exercise. While maintaining a healthy lifestyle is important for overall health, surgical intervention is typically the only effective way to remove lipedema fat deposits permanently.

Do GLP-1 weight loss injections help with lipedema?

GLP-1 medications may help with overall weight management but won’t specifically target lipedema fat. However, losing excess weight can reduce the pressure on affected areas and may improve your symptoms. After liposuction, they may also help you maintain your results. Dr. Hakimi can discuss whether these medications fit into your long-term treatment plan.

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