Abstract
Background:
Lipedema is a loose connective tissue disease affecting the limbs of women that is difficult to lose by diet, exercise, or bariatric surgery. Publications from Europe demonstrate that lipedema reduction surgery improves the quality of life for women with lipedema. There are no comparable studies in the United States (USA). This study aimed to collect data from women with lipedema in the USA who have undergone lipedema reduction surgery in the USA to determine if the quality of life, pain, and other measures improved after lipedema reduction surgery. Methods: Subjects were recruited and consented online for a 166-item questionnaire in REDCap. In total, 148 women answered the questionnaire after undergoing lipedema reduction surgery in the USA. The significance set at P < 0.05 was determined by ANOVA, Tukey’s multiple comparison tests, or paired t-test. Results: Quality of life improved in 84%, and pain improved in 86% of patients. Ambulation improved most in lipedema Stage 3 (96%). Weight loss occurred in all stages by three months after surgery. Complications included the growth of loose connective tissue within and outside treated areas, tissue fibrosis, anemia, blood clots, and lymphedema. Conclusions: Women with lipedema noticed significant benefits after lipedema reduction surgery in the USA. Prospective studies are needed to assess the benefits and complications after lipedema reduction surgery in the USA.
Methods:
Subjects were recruited and consented online for a 166-item questionnaire in REDCap. In total, 148 women answered the questionnaire after undergoing lipedema reduction surgery in the USA. Significance set at P < 0.05 was determined by ANOVA, Tukey’s multiple comparison test, or paired t-test.
Results:
Quality of life improved in 84% and pain improved in 86% of patients. Ambulation improved most in lipedema Stage 3 (96%). Weight loss occurred in all stages by 3 months after surgery. Complications included growth of loose connective tissue within and outside treated areas, tissue fibrosis, anemia, blood clots, and lymphedema.
Conclusions:
Women with lipedema noticed significant benefits after lipedema reduction surgery in the USA. Prospective studies are needed to assess benefits and complications after lipedema reduction surgery in the USA.
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Citation: Herbst, Karen & Hansen, Emily & Salinas, Leopoldo & Wright, Thomas & Larson, Ethan & Schwartz, Jaime. (2021). Survey Outcomes of Lipedema Reduction Surgery in the United States. Plastic and reconstructive surgery. Global open. 9. e3553. 10.1097/GOX.0000000000003553.
