Water-assisted liposuction (WAL) is a surgical procedure used to treat lipedema, a chronic condition primarily affecting women. Lipedema is characterized by excessive fat accumulation in the lower, and sometimes upper, limbs, resulting in a disproportionate and irregular appearance compared to the trunk.

WAL Liposuction for Lipedema involves the removal of affected fat using a water-assisted technique. During the procedure, a special solution is infiltrated into the fatty tissue to facilitate fat removal. The water helps to loosen and soften the fat cells, making them easier to extract without damaging adjacent structures, particularly the lymphatic vessels.

The aim of WAL Liposuction for Lipedema is to improve aesthetic appearance and to alleviate physical symptoms associated with lipedema, such as pain, tenderness, swelling, and limited movement. The procedure is performed by plastic and vascular surgeons and requires careful pre-operative planning and post-operative follow-up to ensure effective, safe, and satisfactory results for patients.

The WAL Liposuction surgery for lipedema is performed in several stages to ensure a safe and effective procedure. These are the typical steps involved:

1 – Preoperative Evaluation: Before surgery, the patient is evaluated by a plastic or vascular surgeon specializing in lipedema. The doctor reviews the patient’s medical history, performs a physical exam, and discusses concerns and expectations regarding the procedure.

2 – Preparation: On the day of surgery, the patient is prepared for the procedure, which includes administering anesthesia (spinal or general), depending on the surgery’s extent and the patient’s preferences and conditions.

3 – Tumescent Infiltration: A special liquid solution, known as a tumescent solution, is infiltrated into the area affected by lipedema. This solution contains a local anesthetic to reduce discomfort, saline to help soften fat cells and a vasoconstrictor to minimize bleeding.

4 – Water-Assisted Liposuction: The surgeon uses a thin cannula attached to the water-assisted liposuction equipment. The cannula is inserted through small incisions in the skin and gently moved to loosen and aspirate the excess fat cells. The water assists in the process, making fat removal easier.

5 – Contouring and Shaping: During liposuction, the surgeon focuses on sculpting and shaping the treated areas to create a more harmonious and proportional contour. The goal is to remove excess fat while preserving the structure of surrounding tissues.

6 – Surgery Closure: After the liposuction, the incisions are closed with sutures or surgical adhesives. A dressing or compression bands are applied to the treated areas to aid in healing and control swelling.

The specific technique used may vary according to the surgeon’s preference and the case’s complexity. Each patient is unique, and the procedure will be adapted to meet individual needs. It is crucial to discuss all details with the plastic or vascular surgeon before surgery.

After WAL (Water-Assisted Liposuction) liposuction surgery for the treatment of lipedema, it is essential to follow appropriate post-operative care to promote a healthy recovery and obtain satisfactory results. Here are some common precautions that the patient should take:

1 – Use of compressive garments: the surgeon will likely recommend the use of a compressive garment, such as a compression garment, on the treated area. This garment helps control swelling, promote proper healing and shape the new body contour. It is important to follow your doctor’s instructions about when to use and for how long.

2 – Rest and Recovery: Resting and allowing the body to recover is crucial during the post-operative period. Patients should avoid physical activities, heavy lifting, or any strenuous effort during the first few weeks after surgery.

3 – Medications and Dressings: The doctor will prescribe medications to help control pain and discomfort and reduce the risk of infection. Patients must strictly follow dosage and frequency instructions. Additionally, patients should follow the surgeon’s directions on dressings and incision care.

4 – Hygiene and Cleaning: Keeping the incisions clean and dry is essential to prevent infections. Patients should follow the surgeon’s instructions on how to care for incisions, including using specific cleaning products if necessary. Avoid submerging the incisions in hot water (baths, pools, etc.) until approved by the doctor.

5 – Diet and Hydration: Maintaining hydration and a healthy diet aids in healing and recovery. Patients should consume nutritious foods and avoid processed foods high in sodium, as they can contribute to swelling.

6 – Medical Follow-Up: Patients must attend all scheduled follow-up appointments with the surgeon. During these visits, the doctor will assess recovery progress, remove stitches if necessary, and provide additional instructions.

Each case is unique, and post-operative instructions may vary according to individual needs. It is essential to follow the specific instructions provided by the surgeon to ensure a safe recovery and achieve the best possible results.