TY  - JOUR
A1  - Ghods, Mojtaba
A1  - Georgiou, Iakovos
A1  - Schmidt, Jeremias
A1  - Kruppa, Philipp
T1  - Disease progression and comorbidities in lipedema patients
BT  - a 10-year retrospective analysis
JF  - Dermatologic therapy
N2  - Multiple associated comorbidities have been described for lipedema patients. Disease diagnosis still remains challenging in many cases and is frequently delayed. The purpose of this study was to determine the most common comorbidities in lipedema patients and the impact of surgical treatment onto disease progression. A retrospective assessment of disease-related epidemiologic data was performed for patients who underwent liposuction between July 2009 and July 2019 in a specialized clinic for lipedema surgery. All patients received a standardized questionnaire regarding the clinical history and changes of lipedema-associated symptoms and comorbidities after surgery. 106 patients who underwent a total of 298 liposuction procedures were included in this study after returning the questionnaire fully filled-in. Multiple comorbidities were observed in the assessed collective. The prevalence for obesity, hypothyroidism, migraine, and depression were markedly increased in relation to comparable nonlipedema populations. Despite a median body mass index (BMI) of 31.6 kg/m(2) (IQR 26.4-38.8), unexpected low prevalence of diabetes (5%) and dyslipidemia (7%) was found. Diagnosis and initiation of guideline-appropriate treatment were delayed by years in many patients. After surgical treatment (medium follow-up 20 months, IQR 11-42), a significant reduction of lipedema-associated symptoms was demonstrated. Lipedema occurs with a diversity of associated comorbidities. Therefore, on the basis of available data, the authors suggest the necessity of a multimodal therapy concept for a comprehensive and holistic treatment. Despite a commonly increased BMI, lipedema patients appear to have an advantageous metabolic risk profile.
KW  - comorbidities
KW  - epidemiology
KW  - lipedema
KW  - lipoedema
KW  - subcutaneous adipose tissue
Y1  - 2020
U6  - https://doi.org/10.1111/dth.14534
SN  - 1529-8019
VL  - 33
IS  - 6
PB  - Wiley-Blackwell
CY  - Oxford
ER  - 
TY  - JOUR
A1  - Georgiou, Iakovos
A1  - Kruppa, Philipp
A1  - Schmidt, Jeremias
A1  - Ghods, Mojtaba
T1  - Liposuction for Lipoedema
BT  - functional therapy or aesthetic procedure?
JF  - Aesthetic plastic surgery : official journal of the International Society of Aesthetic Plastic Surgery ; official publication of the Lipoplasty Society of North America
N2  - Liposuction is one of the most common procedures undertaken in plastic surgery with a steadily increasing trend over the years. Although usually performed as an aesthetic procedure for body contouring, it can also be utilized in specific patient groups for disease symptom reduction. One such disease entity is lipedema. The goal of this video to present the authors' technique in the surgical treatment of lipedema, and to offer the viewer a better understanding of the differences between an aesthetic liposuction and a functional liposuction as performed on a lipedema patient. Between July 2009 and July 2019, 106 lipedema patients have been treated in the authors' specialized lipedema clinic, with a total of 298 liposuction procedures and a median follow-up of 20 months. The mean amount of lipoaspirate was 6354.73 ml (+/- 2796.72 ml). The patients reported a significant reduction in lipedema-associated complaints and improvement in quality of life. The need for conservative therapy was significantly reduced. No serious complications were reported. The authors also present before and after photographs of three patients.
KW  - Lipedema
KW  - Lipoedema
KW  - Liposuction
KW  - Megaliposuction
Y1  - 2020
U6  - https://doi.org/10.1007/s00266-020-01910-z
SN  - 0364-216X
SN  - 1432-5241
VL  - 45
SP  - 212
EP  - 213
PB  - Springer
CY  - New York
ER  -