Large-Volume Liposuction for Lipedema

AESTEA is a long-standing pioneer in the surgical treatment of lipedema — a chronic, painful disorder of subcutaneous fat tissue affecting almost exclusively women that is frequently misdiagnosed as obesity. The clinic specialises in large-volume liposuction, removing up to 10 litres of lipedemic fat in a single operation using the super-wet technique. In the clinic's experience this significantly reduces pain and bruising tendency, restores mobility and improves quality of life, alongside correcting the characteristic disproportionate silhouette. The clinic's reputation in lipedema care draws patients from across Europe, including the UK, with testimonials citing results praised by London lymphoedema specialists. Diagnosis support includes a free online orientation test and professional assessment, and pre-operative consultations are free.

Lipedema is a chronic disease of subcutaneous fat tissue that affects almost exclusively women and is strongly linked to oestrogen and genetic predisposition. It typically presents as symmetrical enlargement of the buttocks, thighs, knees and calves — often with a sharp cut-off at the ankles — and frequently also affects the arms. Unlike ordinary fat, lipedemic tissue is painful and tender, bruises easily, and does not respond to diet or exercise. The condition compresses lymphatic and blood vessels, causing fluid stagnation and swelling, and commonly progresses through three stages from thickened subcutaneous tissue to deforming fat lobules. Despite this, lipedema remains under-recognised — many patients spend years being told they are simply obese. **Why surgery:** Conservative measures — manual lymphatic drainage, compression garments, exercise and nutrition — are a necessary part of lifelong lipedema management, but in AESTEA's experience they cannot substantially reduce the diseased tissue itself. Large-volume liposuction delivers the most significant and immediate improvement: removing the painful fat reduces pressure on nerve endings and vessels, which in most cases reduces pain, improves mobility and markedly lifts quality of life. The clinic is transparent that surgery is a component of holistic management, not an absolute cure, and that complete removal of all lipedemic fat cannot be guaranteed. **Technique and capacity:** AESTEA uses the super-wet technique — infiltrating the area with fluid approximately equal to the fat volume removed — and is equipped to remove up to 10 litres in one operation, among the largest volumes offered in the Czech Republic. Patients weighing over 100 kg are routinely operated on, with a maximum operative weight of 120 kg. Upper and lower limbs are treated in separate operations for safety. The lead surgeon team operates under founder MUDr. Jiří Šolc, a pioneer of lipedema treatment in the Czech Republic, with the liposuction team headed by MUDr. Petr Šíma. **The pathway:** Patients can start with the clinic's free online orientation test for lipedema, followed by a professional diagnosis (available with online options for international patients) and a free pre-operative consultation where staging, operative plan and an individual quote within the 52,000–136,000 Kč range are confirmed. Most surgery dates are available within one month. Recovery follows the standard liposuction course: compression garments, return to desk work in 7–14 days, and a largely normal routine within 2–3 weeks. Many patients require a staged series of operations to treat all affected areas. **International patients:** The clinic's lipedema focus attracts patients from across Europe; consultations and care are available in English and German, and published testimonials include UK patients whose results were praised by a London lymphoedema clinic.