Lipedema may affect up to 11% of women world wide. It happens when fat is distributed in an irregular way beneath your skin, usually in the buttocks and legs. Although it begins as a cosmetic concern, it can eventually cause pain and other problems. Lipedema can be mistaken for regular obesity or lymphedema.

Symptoms of Lipedema
The typical symptoms are a large lower half and column-like legs, which are often tender and bruise easily. For example, the top half of your body may be a size 8, but the bottom half may be a size 16.

As the condition progresses, fat continues to build up, and your lower body grows heavier. The lipedemic fat can later collect in the arms.

Over time, fat cells block the vessels of your lymphatic system, which normally helps balance body fluid levels and protect against infection. This blockage prevents the proper drainage of lymph fluid, leading to a buildup of fluid called lymphedema.
If not treated, lymphedema can lead to problems such as infections, delayed wound healing, development of scar-like tissue called fibrosis, and hardened skin in the legs.

Unlike obesity, it targets legs, thighs and sometimes arms. Unlike lymphedema, lipedema doesn’t start in the lower legs (feet and ankles) but the upper legs, and it isn’t related to prior surgery. It usually affects both legs.

Causes of Lipedema
The cause is not known, but doctors suspect female hormones play a role. That’s because the condition affects mostly women, and it often begins or worsens at puberty, during pregnancy, following gynecologic surgery, and around the time of menopause.

Scientists also believe genes are involved, because many women with the condition have family members with the condition.

Lipedema Treatments
Dieting and exercising will not reduce the fat involved in lipedema. But it’s still important to do those things because they can help you lose weight from nonlipedema fat and reduce inflammation.A treatment called complete decongestive therapy can ease painful symptoms. Complete decongestive therapy involves:

Manual lymphatic drainage. A form of massage that uses gentle, rhythmic pumping movements to stimulate the flow of lymph around blocked areas to healthy vessels, where it can drain into the venous system. This helps relieve pain and prevent fibrosis.

Compression. The use of stretch bandages or custom-fitted panty hose, panties, or spandex shorts to increase tissue pressure in the swollen legs and lessen the odds of fluid building up again.