This patient came to us after having surgery with another surgeon, yet still experienced the symptoms and pain associated with lipedema. Her lipedema caused her to develop isolated fat symmetrically on her upper buttock (also known as the buttock shelf) that has a large, abnormal, and disproportionate shape. These very noticeable pockets of fat caused her buttock to be very sensitive to touch with poor circulation, and excessive bruising. In advanced stages of lipedema, this type of fat is very resistant to diet, exercise, and nonsurgical treatment. It can be frustrating to not understand why you are gaining weight in targeted spots without the rest of your body following suit— but early diagnosis is key when treating this disorder. Contact us today if you think you may have lipedema.