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Surgery for reduction of lipedema tissue involves suction lipectomy (or liposuction), excision and manual extraction that spares blood and lymphatic vessels. UNDER CONSTRUCTION
See Surgeons – Medical Resources
Guided Meditations for Before and After Plastic Surgery free
Plastic Surgery Recovery Questions free
Plastic Surgery Recovery Shopping List free
Self Massage for Fibrosis After Liposuction or Brazilian Butt Lift
Six Minute Faja Workout
Complications of Surgery
More About Complications
All About Fat Embolisms – Dr. Thomas Wright
Cover Lipedema offers a service to help patients get their liposuction surgery covered by insurance.
Single Case Agreement
Single case agreements are contracts between insurance companies and out-of-network providers for billing in particular cases. They allow out-of-network patients to benefit from in-network benefits and is important for patients who need extended long-term treatment or therapy.
The purpose of an SCA is to address the needs of the patient – the billing cost – rather than an in-network provider. The provider has to advocate for the patient billing their insurance company. The following conditions make a patient’s case eligible:
– The patient has a clinical specialty which is not available for any in-network provider.
– The geographical location of the patient does not have any in-network providers.
– The treatment provided to the patient will reduce the out-of-pocket cost to the patient in some way, such as preventing hospitalization or reducing the cost of medication.
– The patient has recently changed their insurance provider.
Operant Billing Solutions. (n.d.). What is a single case agreement (SCA) for out-of-network providers? Retrieved from https://operantbilling.com/what-is-a-single-case-agreement-sca-for-out-of-network-providers/
Panacea Healthcare Services. (2019, August 19). Single case agreements 101. Retrieved from https://panaceahcs.com/single-case-agreements-101/
More About Insurance
Single Case Agreement – Eastpointe
How to Get Lipedema Surgery Covered by Health Insurance – Lipedema Journal
Supporting ASPS Recommended Insurance Coverage Criteria for Third-Party Payers – American Society of Plastic Surgeons SUPPORTING DOCUMENTATION FOR INSURANCE COMPANIES FOR REMOVAL OF EXCESS SKIN
Talking With Women About Insurance Coverage for Liposuction – Dr. Karen Herbst PRESENTATION
Medications & Foods Which Can Interact With Tumescent Anesthesia
Consult your surgeon if you are taking any of the following:
quinidine (Quinaglute, Quinidex)
acetazolamide (Diamox) [also a diuretic]
valproic acid (Depakene)
sertiadole (Serdolect, Serlect)
omeprazole (Losec, Prilosec)
Calcium Channel Blockers
cyclosporine (Neoral, Sandimmune)
mibefradil dihydrochloride (Posicor)
Monoamine oxidase (MAO) Inhibitors
Medication Precautions for Surgery
Aspirin, ibuprofen, naproxen, and similar antiinflammatory medications promote bleeding and bruising and should be avoided for seven (7) days before and three (3) days after surgery. Check the labels of all medications, even those purchased without a prescription, to ensure you are not taking any aspirin or aspirin-like substances. Consult your physician before discontinuing any prescribed medications. See the medications below which promote bleeding and bruising:
acetylsalicylic acid [abbreviated ASA], Advil, Aleve, alcohol, Alka-Seltzer, Amigesic, Anacin, Anaprox, Anaproxin, Anjeso, Ansaid, Argesic, Arthra G, Arthropan, Ascodeen, Ascriptin, Aspergum, aspirin [abbreviated APC]
BC Powder, baby aspirin, Bayer, Brilinta, Brufen, Bufferin, Butazolidin
cangrelor, Cataflam, Cephalgesic, Cheracol Caps, children’s aspirin, choline salicylate, cilostazol, Clinoril, clopidogrel, Congesprin, Cope, Coricidin, corticosteroids, Coumadin
Darvon, Daypro, Dayrun, Depakote, dexamethasone, Dextenza, diclofenac, diflunisal, Disalcid, divalproex sodium, Duraprox, disalcid, divalproex, dipyridamole, Doan’s Pills, Dolobid, Dristan
Easprin, Ecotrin, Effient, Efient, elinogrel, Empirin, Emprazil-A, Endodan, Excedrin
Feldene, fenoprofen, feverfew, Fiorinal, fish oil, flurbiprofen, Froben
garlic capsules, Gelpirin, Genpril, Genprin, ginko biloba, Goody’s Pain Relief
Ibuprin, ibuprofen, Ibuprohm, Indocin, indometacin, Iscover
labetalol, Lortab ASA
Magan, magnesium salicylate, meclofenamate sodium, meclofenamic acid, Meclomen, Medipren, mefenamic acid,
meloxicam, Menadob, Midol, Mobidin, Mobic, Monogesic, Motrin, Metacam, Muvera
nabumetone, Nalfon, Naprosyn, naproxen, Neofordex, Norgesic, Norwich Extra Strength, NSAIDs, nabumetone, Nuprin
Ocufen, Orudis, Oruvail, oxybutazone, oxyphenbutazon, oxaprozin, oxaprozinum, ozurdex
Pamprin, pentoxifylline, Pepto Bismol, Percodan, Permole, Persantine, Phenaphen, phenylbutazone, piroxicam, Plavix, Pletal, Ponstel, prasugrel, prednisone
Relafen, Rexolate, Robasissal, Roxiprin, Rufin
Saleto, Salflex, Salsalate, Salsitab, Sine-Aid, Sine-Off, sodium thiosalicylate, Soma Compound, sulindac, Synalgos DC
Tanacetum parthenium, ticagrelor, terutroban, Ticlid, ticlopidine, Tolectin, tolmetin, Toradol, Trandate, Trental, Trigesic, Trilisate, Tusal
valproate, valproic acid, Vanquish, vitamin E, Voltaren
warfarin, willow bark
Zactrin, Zipsor, Zorprin
Aspirin-Type Drugs – Life Source
Common Blood Thinners – About Face Skin Care
Common Blood Thinners to Avoid Prior to Surgery – Plano Dermatology
Drugs That Increase Bleeding – Klein Liposuction
Meadowsweet and Its Connection to Aspirin – Hobby Farms
Medications to Avoid Before and After Liposuction Surgery – Dr. Thomas Wright
Decongestant medications containing pseudoephedrine (Actifed, Afrinol, Sinutab, Sudafed) can raise heart rate and should be avoided for five (5) days before and three (3) days after surgery. Appetite suppressant drug phentermine (Fastin) should be avoided for fourteen (14) days before surgery. Appetite suppressants should not be discontinued abruptly as this can cause side effects. To avoid side effects, it is better to begin decreasing the dose gradually two weeks prior to surgery. Maintain a healthy duet and discontinue aggressive weight loss diets for good healing. Antidepressants, Zoloft or tricyclics should be avoided for fourteen (14) days prior to surgery. Consult your physician before discontinuing any prescribed medications.
Tips for Surgery
Take antibiotics with food to minimize gastric upset.
Vitamin K will theoretically minimize bleeding and postoperative bruising. 5 mg tablet q.d. two weeks prior to surgery.
Acetaminophen 500 mg two tabs t.i.d. to q.i.d. beginning after surgery will help minimize postoperative swelling.
Benedryl 25 mg will reduce postoperative itching but may cause drowsiness.
Risks of Liposuction
Any surgery involves the risk of infection, bleeding, scarring, or serious injury. Patients can minimize the risk of surgical complications by not taking medications or over-the-counter preparations that might adversely affect the surgery. Patient should inform the surgeon of any medications being taken either regularly or occasionally, including herbal remedies and dietary supplements.
Herbst, K., Hansen, E., Salinas, L., Wright, T., Larson, E., & Schwartz, J. (2021, Apr 23). Survey outcomes of lipedema reduction surgery in the United States. Plastic and Reconstructive Surgery. Global Open, 9(4), 1-9.
What to Bring
Arnica cream (for bruising, pain), bottled water, “chux pads” or disposable underpads, crocs or other slip-on shoes (may get soiled), electrolyte drinks, female urinal (disposable paper or silicone pee funnel), flushable wipes, heating pad, mints, old sheets, pillow(s) (bring your own so you’re comfortable), old shower curtain or washable underpads (for mattress leakage), senna pills (for constipation)
Bubble wrap (for packaging) works wonders to pad a toilet seat. It’s readily available and disposable. And it’s a “must have” after liposuction surgery on the thighs.
More About Liposuction
Choosing Your Surgeon – Cover Lipedema
Complications and Risks – Klein Lipo
Lymphatic Injury After Liposuction for Lipedema – Dr. Thomas Wright
Questions for Your Lipedema Surgeon – Cover Lipedema
Why a “Board-Certified Cosmetic Surgeon” Isn’t a Plastic Surgeon, and What That Means for You – American Society of Plastic Surgeons