Related Experiment Video
Updated: Jan 14, 2026

09:49
Isolation of Adipose Derived Regenerative Cells for the Treatment of Erectile Dysfunction Following Radical Prostatectomy
Published on: December 28, 2021
3.9K
Large-Volume Liposuction and Manual Extraction in Lipedema: A Hybrid approach
Giw Mostofizadeh-Haghighi1,2, Adrian Zaharie3, Mojtaba Ghods4,3,5
1Department of Plastic, Aesthetic and Reconstructive Microsurgery / Handsurgery, Hospital Ernst von Bergmann, Charlottenstraße 72, 14467, Potsdam, Germany. giw.mostofizadeh2@klinikevb.de.
Aesthetic Plastic Surgery
|October 28, 2025
Summary
The hybrid liposuction technique shows promising results for lipedema symptom relief and safety compared to power-assisted liposuction alone. Further research is needed to confirm these findings in larger studies.
Area of Science:
- Plastic Surgery
- Dermatology
- Medical Devices
Background:
- Lipedema is a chronic, progressive fat disorder causing pain and discomfort.
- Surgical intervention may be necessary when conservative treatments fail.
- Megaliposuctions for lipedema are functional, distinct from cosmetic procedures.
Purpose of the Study:
- To evaluate a novel hybrid liposuction technique (power-assisted liposuction with manual extraction) for advanced lipedema.
- To compare the hybrid technique against power-assisted liposuction (PAL) alone in treating fibrotic nodules, especially in the lower legs.
Main Methods:
- A matched cohort analysis of 24 advanced lipedema patients (12 hybrid, 12 PAL alone).
- Patients were matched for age and BMI.
- Outcomes assessed included pain/heaviness (VAS), lipedema symptom score, blood loss, complications, and aspirate volume.
Main Results:
- The hybrid group showed a trend toward greater symptom relief (pain, heaviness, composite score) compared to PAL alone.
- The hybrid technique resulted in fewer postoperative complications.
- Larger total aspirate volumes were removed with the hybrid technique without increased risk.
Conclusions:
- The hybrid liposuction approach demonstrates promising clinical outcomes and safety trends compared to PAL alone for lipedema.
- Consistent directional improvements and reduced complications suggest further evaluation in larger studies.
- The hybrid technique may offer advantages in treating fibrotic lipedema nodules, particularly in the lower legs.

