Treatment

Conservative lipedema therapy

The foundation of treatment at every stage. It eases pain, swelling and heaviness before surgery, after it, or instead of it.

Compression
Made-to-measure flat-knit garments
Drainage
Courses, mainly when swelling is present
Exercise
Swimming, aqua aerobics, walking, cycling

Updated: 27 October 2026

What it includes

Flat-knit compression garments are firmer than circular-knit stockings, hold their shape on uneven contours and do not cut into folds. They reduce swelling, pain and heaviness and protect the tissue from bruising.

Manual lymphatic drainage is a gentle hand technique that stimulates lymph flow. It is most useful when swelling is present and after surgery.

Exercise with low joint load — swimming, aqua aerobics, walking, cycling. Water also acts as natural compression.

Weight management matters because excess weight increases the load on the legs and lymphatic system, even though there is no specific “lipedema diet”.

Conservative therapy at our clinic

You can have conservative lipedema treatment with us. At the consultation with ultrasound, the doctor determines the stage, draws up a treatment plan and checks how your symptoms change at follow-up visits. If surgery is needed later, the same team looks after you from preparation to recovery.

When it is not enough

If pain, bruising and limited mobility persist despite compression, exercise and weight management, the surgeon may suggest lymph-sparing liposuction. Conservative therapy continues before and after surgery.

Questions

Will compression reduce the size of my legs?
Compression reduces swelling and pain, so legs may feel lighter and slightly smaller, but it does not remove lipedema fat.

Sources

  1. S2k Guideline Lipedema, AWMF register 037-012, 2024

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