What types of lipedema are there?

There are different types of lipedema, which describe the different distribution patterns of the pathologically increased fatty tissue. On the legs there is the thigh type with the so-called “breeches”.Here, only the hips and thighs are affected by the lipedema. In the case of the lower leg type, the lower legs are also affected; the shape is often described as a “waistband pants” type.

There is also the ankle type (“bloomers”, “Turkish pants”, “suave pants”). Here the lower legs up to the ankles are also affected. There you can see a clearly visible step which hangs down over the ankle like a fat collar. If the arms are also affected, which is often the case, the fat distribution here usually corresponds to the pattern of the legs.

Which doctor can confirm the suspected diagnosis?

The diagnosis of lipedema is mainly the responsibility of doctors who work with vessels. Angiologists mainly deal with arteries and veins. Both types of blood vessels.

Arteries lead the blood away from the heart, veins lead it back to the heart. These doctors are usually involved in the treatment of circulatory diseases. Another group of doctors are phlebologists.

These have specialized in veins. Lymphologists can also confirm the suspected diagnosis of lipedema. They deal with the lymph vessels.

Veins bring only about 90% of the fluid back to the heart, which is carried from the arteries to all tissues. The remaining 10% returns to the circulatory system via lymph vessels. The first point of contact for doctors suspected of having lipedema should be the family doctor.

The family doctor is familiar with the previous course of the disease, lifestyle and medication. If necessary, the family doctor can refer the affected person to experts. There are dermatologists with the additional title “phlebologist”, vein medicine.

They can be the right person to contact in the event of corresponding complaints. If one wants to have a medical liposuction after successful drainage of the lipedema, a surgeon can be consulted. The family doctor can recommend appropriate colleagues and issue a referral for a consultation.