Figure 2.
A 77-year-old woman with lipedema grade 3 according to the Meier-Vollrath and Schmeller classification.3 (A) Asymmetric proximal lipedema of the legs, laxity of the abdominal skin, and ptosis and bulging of the pubic area. (B) After laser-assisted liposuction and correction of thigh laxity by medial thigh lift 6 days after surgery. (C) Medial thigh lift. (D) Lower abdominoplasty with skin and adipose tissue resection. Scarpa’s fascia is exposed. (E) Cross view of resection specimen demonstrating the massive enlarged fat lobules of the deeper layer of adipose tissue. (F) Puboplasty. (G) Result 3 days after surgery. Some minor bruising is still evident but contours has been markedly improved.