Lipoedema — Conservative Care in Marylebone, London

Lipoedema is symmetrical, disproportionate (legs and arms heavier than the trunk), painful to firm pressure, easily bruised, and spares the feet. Obesity is more proportionate, generally non-tender, and includes the trunk and feet. Lipoedema fat does not respond to caloric restriction or cardiovascular exercise the way other fat does — diet shrinks the trunk while leaving the legs unchanged, the diagnostic giveaway many women describe.

Lymphoedema is a primary failure of lymphatic transport — usually unilateral, can affect any limb, and includes pitting oedema and skin changes. Lipoedema is bilateral, painful, and primarily fat (not fluid), with normal lymphatic function in early stages. The two can co-exist (lipo-lymphoedema) in advanced disease.

MLD does not reduce the lipoedema fat itself. It reduces day-to-day pain, heaviness, and any superimposed fluid build-up — particularly in advanced lipoedema with a lymphatic component. The combination of compression, MLD, anti-inflammatory nutrition, and graded movement is what slows progression of the disease.

Water-jet liposuction performed by a lipoedema-trained surgeon offers meaningful improvement for many women but is not always indicated and carries risk. Specialist consultation (Lipoedema UK lists trained surgeons) is the right place for that decision. Body Perfected is not a surgical practice; we support both pre- and post-surgical recovery for clients who choose it.