One of the characteristics of lipedema are firm, sometimes tender nodules.
These can be small and referred to as “lipedema pearls”.
After Dr Schwartz performs Lymphatic Sparing Liposuction, these nodules become even more apparent. This beaded fat is gently massaged similar to a deep Manual Lymphatic Drainage (MLD) which expresses and dislodges them through incision sites to make sure as much lipedema fat is removed as possible during surgery. This technique leaves behind a smoother, softer, skin texture.