Question 1

How is lipedema diagnosed?

Accepted Answer

It is a clinical diagnosis, based on genetic and hormonal factors. Generally, it runs in families and affects about 11% of the female population.

Question 2

I also have varicose veins. Should I have them treated before or after liposuction?

Accepted Answer

If the veins are large, then you need to treat them beforehand. If they are smaller spider veins then no need to treat them ahead of time.

Question 3

What packages do you offer for lipedema patients?

Accepted Answer

At Salameh Plastic Surgery, we tailor our services to fit the needs of our patients. All lipedema procedures come with MLD and compression garments. For those traveling alone, all packages include a 2 night hotel stay and an assigned caregiver can be added for an additional charge. Your Patient Care Coordinator will help you decide which package is best for you.

Question 4

How much does lipedema treatment at Salameh Plastic Surgery cost?

Accepted Answer

Each patient has individual needs. To be able to provide the most excellent results and outstanding customized patient experience, costs will vary from patient to patient. However, our prices are competitive and include two pairs of compression and two sessions of MLD.

Question 5

What type of anesthesia do you use?

Accepted Answer

We provide all types of anesthesia, from general to local. Our AAAASF certified surgical suite and nurse anesthetist allow us to create the most comfortable experience possible.

Question 6

What technique do you use?

Accepted Answer

Dr. Salameh’s favorite technique is TAL, PAL, SAFE. This allows him to take out as much fat as possible without damaging the lymphatics, with minimum irregularities and no skin damage while also providing skin retraction.

Question 7

Do you perform skin resection or skin tightening in your office?

Accepted Answer

Yes, we perform skin retightening, thigh lifts, arm lifts, and tummy tucks.

Question 8

Is there an age limit for this procedure?

Accepted Answer

The patient must be above the age of 18.

Question 9

Is lipedema treatment covered by insurance?

Accepted Answer

Depending on the carrier. Most insurances do not cover Lipedema but we will be happy to provide you with a personalized treatment plan, chart notes, and procedure notes for you to submit to insurance.

Question 10

What lifestyle changes do you recommend after surgery?

Accepted Answer

We strongly recommend a low carb diet, minimal alcohol and salt intake, continuous MLD, and low impact exercises like water activity, yoga, etc.

Question 11

Are there any other effective treatment options for lipedema besides liposuction?

Accepted Answer

Generally, the answer to this question is no. However, we do recommend MLD (lymphatic drainage massage) and compression.

Question 12

Should liposuction be performed before pregnancy or should I wait?

Accepted Answer

If you are planning on getting pregnant in the next few months, you should wait. Otherwise, it’s best to remove as much as possible beforehand in case the disease flares post-pregnancy.

Question 13

Does compression need to be worn after lipedema surgery for at least a year during the healing process?

Accepted Answer

The more compression you wear, the less swelling you will have and potentially less fibrosis and scarring you will have. It is not a requirement, but it can potentially improve your outcome.

Question 14

Do you offer virtual consultations?

Accepted Answer

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

Question 15

What happens if I need more than one procedure?

Accepted Answer

When our patients require more than one procedure for proper removal, we typically schedule them 8 weeks apart to ensure proper healing.

Question 16

How do I prepare for more than one procedure?

Accepted Answer

We recommend taking iron, folate, and B12 supplements between procedures. You should also ensure that you are properly hydrated, exercising regularly, and are maintaining a healthy diet.

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