Total Lipedema Care

Manual Lipedema Extraction –
Our Exclusive Technique Explained

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Manual Lipedema Extraction™ (MLE) is a highly specialized surgical technique developed by lipedema expert Dr. Jaime Schwartz of Total Lipedema Care in the long-term treatment of the fat deposition disorder.  Different from traditional liposuction, we break down what the groundbreaking procedure entails and how it can dramatically reverse the debilitating symptoms of lipedema, while drastically improving your overall health and quality of life.

For those whose lipedema has progressed to stages 3 or 4, performing daily activities can be downright painstaking.  With increased physical pain, skin swelling, bruising, and tenderness, decreased mobility, body disfigurement, decline in quality of life, and the potential of developing other health challenges, such as lymphedema, a long-term treatment option to the disease is key to getting your life and body back.  MLE offers a patient-proven, long-term solution to short-term solutions, such as compression garment therapy, regular lymphatic drainage massage sessions, and other lifestyle modifications that may or may not work.  Here’s how MLE works and what it can do for you.  

Are You a Candidate for MLE?
First, an extensive evaluation conducted by Dr. Jamie Schwartz will determine your candidacy for MLE, but usually patients have reached the level where drastic removal of fat is a medical necessity to avoid further health challenges that may arise down the road.  While MLE can be performed at any stage of lipedema, it’s usually in the latter stages that a patient finds the specialized surgical intervention to be their last resort for long-term relief of daily pain, skin swelling, and other unbearable symptoms.  MLE is a long-term solution to a non-cosmetic health issue and will drastically mitigate the disorder’s characteristic progression, while providing immediate physical relief and improving your overall quality of life right away.  

MLE:  What Happens and How It’s Done
Prior to MLE, Dr. Schwartz will perform Lymphatic Sparing Liposuction to prepare the body for his exclusive adipose tissue-removing technique.  Next, Dr. Jamie will gently knead the underlying nodules of fat, similar to the manipulation technique used in Manual Lymphatic Drainage, in order to effectively dislodge the nodules through strategically placed incision sites.  The result is an incredible reduction of lumpy, hard fat and a smoother, softer skin surface.  In some cases, excess skin is removed for a tighter, more aesthetically appealing appearance.  It’s important to keep in mind every patient is different with different needs and body goals.  Be sure to keep nothing off the table during your consultation and physical evaluation with Dr. Schwartz.  

Post-Op Expectations
Incision sites are directly drained of excess fat and fluid while the patient is still under the effects of anesthesia.  Once the patient awakes, they will be fitted for compression garments that must be worn around the clock for two weeks followed by twelve hours a day for an additional two weeks.  Pain medication is prescribed, though most of Dr. Schwartz’s patients report not having to take them and are usually back to light, normal activities that same night.  Expect skin to experience some bruising and tenderness to the touch for a few weeks, while the body’s restructuring and remodeling of the underlying tissue to take up to a year or more to fully resolve.  

MLE is different from traditional liposuction that is used in cosmetic body contouring.  MLE requires physical kneading, manipulation, and removal of fat buildup through incision sites.  This allows Dr. Jamie to target and dislodge as much fat as possible for each patient, while ensuring long-term surgical success with little to no chance of the fat making a comeback.  MLE ensures the maximum amount of fat removal during a single procedure and is the best recourse for those suffering with advanced stages of lipedema.  Due to the fibrous, hardened fat nodules in advanced lipedema patients, traditional liposuction will not prove viable.  MLE is the way to go. 

To learn more, please contact our Beverly Hills, California office to schedule a consultation with any of our highly trained specialists.

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