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Browse our Lipedema before and after images to see the incredible results you can achieve with Salameh Plastic Surgery Center’s double board certified Plastic Surgeons who are experts in Lipedema surgery. Due to the remarkable effects of customized liposuction treatments, many of our patients have gone on to enjoy reduced swelling and experience more function, less pain, and enhanced aesthetics in their affected limbs.


Lipedema is “swelling of the fat,” a condition that mainly affects the lower extremities but can affect the upper extremities as well. Although it’s a disorder, it can be, and often is, misdiagnosed as obesity.

Lipedema can appear after puberty, during pregnancy, or following the start of hormonal therapy.

The disorder can show up in multiple women in the same family. Liposuction by one of our double board certified plastic surgeons can relieve discomfort and restore natural balance to the body structure. Our plastic surgeons are some of the only plastic surgeons in the United States with the knowledge and skill to treat lipedema and address the specific concerns it presents. Schedule a consultation today to see how lipedema treatment can improve your quality of life.

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Lipedema is a common condition occurring in about 11% of women, which causes painful and irregular accumulation of fat deposits mostly on the thighs, calves, ankles and arms. It is often misdiagnosed as obesity or lymphedema. Hormonal and hereditary factors can cause lipedema. Customized liposuction by one of our double board-certified plastic surgeons can alter the course of the disease and significantly reduce the discomfort associated with it, including mobility issues, bruising, and persistent pain.

• We offer personalized services designed to effectively treat your specific needs.

• We use a lymphatic-sparing technique to preserve lymphatics, veins, arteries, and nerves.

• Procedures are performed in our fully accredited, in-house, AAAASF-certified surgical facility.

• Modified lymphatic drainage massage and compression stockings are provided to minimize swelling and maximize results.

• Our patient-centered approach inspires confidence and ensures an outcome of reduced pain, discomfort, and swelling. 

Our Lipedema Plastic Surgeons and Patient Care Coordinators will work with you closely in the planning phase of your procedure. We will consider the severity of your lipedema, as well as your physical stature, overall look, and desired outcomes to create a personalized lipedema fat removal plan. You can reclaim your comfort, confidence, and overall well-being with the help of our world-renowned team. 



There are four progressive stages of lipedema. The most common symptom of Stage I lipedema is having disproportionately large, column-like, but symmetrical legs that are tender and bruise easily. It’s difficult to differentiate between this and normal weight gain. But if the fat spontaneously hurts, hurts with pressure, and does not pit when you press into it, then you are showing lipedema symptoms.

Stage II has the same symptoms as early stage lipedema, but you may now be forming fist-sized lumps of cellulite. You may also easily feel fatty nodes, and your skin may have become uneven, textured, and/or discolored.

By Stage III, your legs are no longer symmetrical and feature large lumps of fat. Your skin has become thick and hardened with discoloration, and lymphedema has also developed.

Stage IV is the most destructive phase of the disorder, and by now you may be suffering from the development of lipolymphedema. This is a condition in which both lipedema and lymphedema have taken over. Large overhangs of tissue have appeared on the extremities (arms & legs) and extreme discomfort has set in.


Ultimately to get treatment, you need to have lipedema diagnosed by an expert. But if you’re looking for answers and want to go into your doctor’s appointment armed with knowledge, use this 4-step self-diagnosis:

  1. Find out if you have a family history of lipedema.
  2. Feel the fat in your legs and in other parts of your body, looking for textural differences and discomfort.
  3. Write down your symptoms, and note if they’ve changed over time.
  4. Compare your symptoms and timeline to the lipedema symptoms above.


There’s only one real treatment for lipedema, and that’s a lipedema with lymph sparing liposuction procedure. It’s a rare, complex procedure that preserves the lymphatics, veins, arteries, and nerves, and it has to be performed by skilled specialist like Dr. Saba. Qualified lipedema specialists can be exceptionally rare and difficult to locate, which is why we are thrilled to offer it to prospective patients from around the world.

While liposuction is the only cure for this disease, you can manage some lipedema symptoms with lymphatic drainage massage and compression stockings.

If you think you have lipedema, schedule a consultation today. Together, you will discuss your diagnosis, and the best course of treatment for your specific case so you feel comfortable and confident about tackling the condition.

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Salameh Plastic Surgery Center is a plastic surgery center dedicated to effective, natural-looking results for every patient. As a double-board certified plastic surgeon and graduate of both Vanderbilt & Yale, Dr. Bernard Salameh combines both a passion for his field with innovative techniques to benefit his patients. With an integrative approach to every procedure, our plastic surgeons use modern plastic surgery best practices and years of experience to create customized treatment plans made to reach each patient’s goals while giving the most natural, anatomically proportional outcomes.

Dr. Salim (Sam) Saba is double-board certified plastic surgeon, Dr. Saba trained at the top-rated plastic surgery programs at The University of California San Diego and The University of Texas Southwestern. He has previously honed his skills at several major hospitals in New York City, and he put his skills to charitable use working with a non-profit during his five-year tenure at the American University of Beirut. Dr. Saba’s approach to plastic surgery is deeply patient-centered; his philosophy can best be expressed by the statement he’s most known for: “I will regard and treat you in the operating room and thereafter, as I treat my family and closest friends.”

Contact us today to schedule your consultation!


  • How do you know if you have lipedema?

    Lipedema is often misdiagnosed as obesity or lymphedema. You may have lipedema if you experience the following: 

    • Painful fat
    • Easy bruising
    • Heaviness in legs
    • Declining mobility
    • Your legs are larger than your waist
    • You have tree trunk appearance of your legs
    • Inability to lose weight despite diet and exercise
    • Weight gain that progressed over a small period of time, especially during high-stress periods like first ovulation, pregnancy, menopause, or other times of hormonal change
    • Boots are difficult to wear due to the girth of your calves or ankles.
    • Not comfortable wearing shorts.
  • What technique do you use for lipedema fat removal?

    Our favorite technique is TAL, PAL, SAFE. This allows us to take out as much fat as possible without damaging the lymphatics. This technique allows us to minimize contour irregularities and potential skin damage.


  • Is lipedema treatment covered by insurance?

    We do not accept any form of insurance.

  • What packages do you offer for lipedema patients?

    At Salameh Plastic Surgery Center, we tailor our services to fit the needs of our patients. All lipedema procedures come with modified lymphatic drainage massage and compression garments. An assigned caregiver can be added for an additional charge. Your Patient Care Coordinator will build a package that works for your specific needs. 


  • Do you offer virtual consultation for lipedema patients?

    Yes we do, and at various times throughout the day to accommodate for different time zones.


  • Why Choose Salameh Plastic Surgery Center?

    • Dr. Saba is a top-notch advanced lipedema expert, world-renowned, double-board certified plastic surgeon specializing in lipedema surgery.
    • Our surgeons are highly-rated and sought after for their cutting-edge approach to lipedema treatment.
    • We are committed to providing care that goes above and beyond your expectations and will support you every step of your journey. 
    • Procedures are performed in our in-house, fully-accredited, AAAASF-certified surgical facility.
    • Affordable financing options are available through PatientFi and Care Credit.