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Lipedema surgery Frankfurt

Treat painful fat distribution disorder – lipoedema liposuction at Dr. Nichlos

Around one in ten women in Germany suffers from lipoedema. This chronic fat distribution disorder is often characterized by stubborn fat deposits on the legs, hips or arms, which do not disappear despite a healthy diet and sufficient exercise, but actually increase continuously. Over time, other symptoms such as pain, a strong sensitivity to pressure and a tendency to bruising are added, which often severely restrict the quality of life of those affected. The psyche also suffers, as the body appears increasingly deformed due to the lumps, dents and sagging skin flaps.

Conservative procedures such as compression therapy or lymphatic drainage can bring relief, but cannot cure the disease. This is only possible with liposuction, which permanently removes the diseased fat cells. Dr. Nichlos offers this lipoedema treatment in his practice in Frankfurt am Main and will be happy to use his many years of experience and expertise as a specialist in plastic and aesthetic surgery to help you achieve a new body image and a better quality of life. Make an appointment now for a non-binding consultation!

What is lipedema?

Lipoedema is a progressive fat distribution disorder that is characterized by symmetrical and usually painful fat deposits on the legs and arms. The abnormally altered fat cells multiply uncontrollably in this disease, which occurs mainly in women, and lead to palpable lumps under the skin, between which water is deposited (edema formation). A characteristic feature of lipoedema is that the fat deposits do not affect the ankles and joints and do not respond to traditional weight loss measures such as dieting or exercise.

Lipoedema is divided into several stages to classify its severity:

  • Stage I: Mild manifestation with still flat skin and fine-knotted fat structure. Pain and swelling may or may not occur.
  • Stage II: Medium severity with clearly uneven and nodular fatty tissue, often accompanied by swelling and pressure pain.
  • Stage III: Severe manifestation with large deformities, hanging fat flaps, severe swelling and great pain.

In many stage III patients, secondary lymphoedema develops.

Lipedema treatment in Frankfurt

Advantages of lipedema treatment in Frankfurt

Reduction of pathologically increased fatty tissue in the affected areas of the body

Relief for feelings of tension and pressure sensitivity

Improving the contours of the legs and arms

Facilitation of everyday movements

Long-term change in tissue changes typical of lipedema

Lipoedema:
At a glance

  • Duration

    1.5 to 3 hours

  • Typ of anesthesia

    General anesthesia, if necessary tumescent anesthesia with twilight sleep

  • Hospitalization

    Outpatient for small suction volumes, 1 overnight stay if necessary

  • Aftercare

    Suture removal after 1 week, compression garment for 4-6 weeks, regular check-ups by arrangement

  • Socially acceptable

    After 7-10 days

  • Sport

    after 4-6 weeks

  • Costs

    From 4,000 euros plus anesthesia, clinic

Financing
Dr. Nichlos Facharzt für Plastische & Ästhetische Chirurgie

Specialist in Lipedema Surgery in Frankfurt

Dr. Emmanouil Nichlos has specialized in the surgical treatment of lipedema for over 17 years and has extensive experience in aesthetic and functional body surgery.

Through targeted liposuction, Dr. Nichlos can alleviate symptoms and significantly improve body proportions. During the recovery phase, patients who have recently undergone surgery receive personalized care, and Dr. Nichlos is available at any time, even around the clock, if needed.

What treatment methods are available for lipedema?

Lipoedema can be treated both conservatively and surgically, whereby the conservative therapy options are not aimed at curing the fat distribution disorder, but primarily at alleviating the symptoms and delaying progression.

What are the causes of lipedema?

The exact cause of lipoedema is not known, as research in this area is still relatively new. However, it is suspected that both genetic predisposition and hormonal causes such as hormonal fluctuations during puberty are relevant to its development. Other factors such as stress, a high-fat or high-calorie diet or lack of exercise are not considered to be direct causes, but can certainly exacerbate the symptoms of lipoedema and should therefore also be taken into account in successful treatment.

Lipedema Frankfurt - Dr. Nichlos

What happens before lipedema treatment?

If you suffer from a pathological proliferation of fat cells and would like to be permanently free of symptoms, we would like to invite you to a personal consultation at our practice in Frankfurt. Here, Dr. Nichlos will take the time to talk to you in a relaxed atmosphere about your condition and the associated symptoms and listen to your wishes regarding lipoedema treatment. As the severity and symptoms of lipoedema vary from person to person, an examination of your body is necessary.

Once Dr. Nichlos has gained an accurate picture, he will present the treatment options to you, explain the procedure and inform you about the possible risks. Of course, you will have the opportunity to ask your own questions at any time during the consultation.

The topic of costs is also discussed during the consultation. As each treatment is different, it is not possible to give a general estimate. After the examination, Dr. Nichlos will be able to tell you more about the costs and will also be happy to prepare a cost estimate for you in parallel with your treatment plan.

How does lipedema surgery work?

On the day of your lipoedema treatment, we will be waiting for you at the Berger Klinik in Frankfurt. Here, Dr. Nichlos uses the high-quality medical equipment and modern operating theatres to guarantee you the highest possible quality of treatment.

Before your procedure begins, Dr. Nichlos will mark out the areas to be treated. You will then lie down on the operating table. Liposuction is usually performed under general anesthesia and an inpatient stay with an overnight stay. However, the exact length of stay may vary depending on the extent of the liposuction.

As soon as the anaesthetic has taken effect and you are asleep, Dr. Nichlos makes several small incisions (approx. 5 mm long) in the areas to be treated, through which he first introduces a special tumescent solution into the fatty tissue. The purpose of this is to locally anaesthetize the suction area and to soften the fatty tissue so that it can be removed more easily afterwards.

After a short application time, Dr. Nichlos carefully inserts the suction cannula into the tissue and begins to suction out the abnormal fatty tissue. If necessary, the specialist can then additionally tighten the suctioned areas to prevent sagging skin.

Finally, Dr. Nichlos closes the small wounds with staple plasters and puts compression garments on you, which you will have to wear day and night for the next 4 to 6 weeks. If you are fit at the end of the operation and no inpatient stay is planned, you can leave the clinic accompanied by a relative or friend.

What happens after lipedema surgery?

You should take it easy physically for a few days after the operation. Slight pain or a feeling of pressure in the suctioned area as well as swelling are completely normal in the initial period and will subside a little more with each day. You can take commercially available painkillers for mild pain. Swelling is reduced by wearing compression.

You should also have post-operative lymphatic drainage performed by a physiotherapist. This stimulates the lymph vessels to remove the wound fluid that has accumulated in the legs or arms. The treatment also helps to prevent tissue hardening.

The small wounds from lipoedema treatment usually heal quickly so that we can remove the plasters after around 10 to 14 days. After around 3 weeks, your arms and/or legs should have lost a significant amount of circumference so that tighter compression can be applied. After 4 to 6 weeks, you can carefully start exercising again.

The final result can be seen after around 6 to 12 months, when the swelling from the procedure has completely subsided and your skin has adapted to the reduced fatty tissue.

What risks are associated with lipedema surgery?

As liposuction is the most frequently performed plastic and aesthetic surgery procedure in the world, the risks are relatively low. However, as with any operation, general surgical and anesthetic risks such as infections, bleeding and wound healing disorders can occur. Particularly with liposuction, numbness and, in very rare cases, embolisms and thromboses can also occur. However, thanks to Dr. Nichlos’ experience and the high hygiene and safety standards in our practice, these risks can be kept to a minimum.

More about lipoedema & health insurance benefits

You can also read our article on the assumption of costs for lipoedema surgery by health insurance companies and find out everything about the current G-BA decisions, the requirements for liposuction and the treatment options in our practice in Frankfurt.

Lipedema Treatment in Frankfurt: Costs & Financing

How much does lipedema treatment cost?

The cost of lipedema treatment depends on the severity of the condition and the number of affected body areas. Since multiple areas—such as the legs, thighs, or arms—often need to be treated, the extent of the surgical procedure can vary from person to person.

At our practice, the cost of lipedema treatment generally starts at:

  • Lipedema surgery (liposuction for lipedema): starting at €4,000

The final price depends, among other factors, on the stage of the lipedema, the number of body areas to be treated, and the duration of the procedure. Following a detailed examination, Dr. Nichlos will create a personalized treatment and cost plan that transparently lists all services.

What services are included in the price?

The total cost of lipedema treatment consists of various medical services. These typically include:

  • detailed consultation (€100 – fully credited toward subsequent treatment)
  • Examination of the affected body areas and individualized treatment planning
  • Surgical liposuction of the affected fatty tissue
  • Medical care during the operation
  • Follow-up care and check-up appointments

In addition, the following costs may arise during lipedema surgery:

  • Anesthesia (general anesthesia)
  • Hospital fees
  • Medical compression garments
  • Inpatient stay at the hospital

For procedures performed at our partner hospitals, these services are billed directly by the respective hospital.

Can lipedema treatment be financed?

Since lipedema treatment is usually planned on an individual basis and the scope of the surgery can vary, there is generally also the option of financing through monthly installments.

Financing is provided by an external financing partner and can be structured flexibly, depending on your creditworthiness. This allows the costs of treatment to be conveniently spread out over monthly installments.

We would be happy to provide you with detailed information about financing options during a personal consultation.

Frequently asked questions
about lipedema treatment:

Autor Dr. Nichlos

About the Author

Dr. Emmanouil Nichlos, MD, is a board-certified specialist in plastic and aesthetic surgery in Frankfurt and has specialized in lipedema surgery and body contouring procedures for over 17 years.

The content of this page has been personally reviewed by him and is in line with current medical knowledge and the professional standards of plastic and aesthetic surgery.

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Schedule a consultation now

Do you suffer from bulky arms or legs due to lipoedema, have frequent pain and bruising, no longer want to wear compression garments around the clock or generally feel uncomfortable in short or tight clothing? With lipoedema treatment, Dr. Nichlos can help you improve your life with the chronic condition by relieving your symptoms and slimming your silhouette through liposuction of the affected fat cells. Call us now for an appointment or use our online form to request an appointment!

Please note that we are a private practice without health insurance accreditation: we treat self-paying patients regardless of the indication, as well as privately insured patients with a medical indication.

Flexible financing of your desired treatment

You have the option of paying your treatment costs conveniently in monthly installments – individually adapted to your financial framework. The application process is straightforward and is handled by our financing partner.

Your advantages at a glance:

  • Flexible monthly installments for medical and cosmetic services
  • Terms of up to 72 months can be selected
  • Financing also possible for smaller amounts
  • Individual desired amount and installment amount freely definable
  • Attractive conditions with an APR of 10.90% and a fixed borrowing rate of 10.39%
  • Submit your application conveniently online or submit the form as a PDF
  • Financing exclusively with participating partners – subject to creditworthiness
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