Educational Resources

Can’t find what you’re looking for? Have info to add to the site?
Want to add your story or write about a subject related to lipedema to educate others?
Please contact me today. Sharing our collective knowledge greatly benefits our community. There are many ways to get involved.

The site is constantly being updated. Thanks for your patience!

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

Classes

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

Coming soon!

Seroma

Coming soon!

More About Complications

All About Fat Embolisms – Dr. Thomas Wright

Insurance

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:

Anesthetics
propofol (Diprovan)

Antiarrhythmics
amiodarone (Cordarone)
mexiletine (Mexitil)
propafenone (Rythmol)
quinidine (Quinaglute, Quinidex)

Antiasthmatics
zafirlukast (Accolate)
zileuton (Zyflo)

Antibiotics/Antimicrobials/Antiinfectives
ciprofloxacin (Cipro)
clarithromycin (Biaxin)
chloramphenicol (Chloromycetin)
enoxacin (Penetrex)
erythomycin
isoniazid
metronidazole (Flagyl)
norfloxacin (Noroxin)
tetracycline

Anticonvulsants
acetazolamide (Diamox) [also a diuretic]
carbamazepine (Tegretol)
divalproex (Depakote)
stiripeentol
valproic acid (Depakene)

Antidepressants
amitriptyline (Elavil)
clomipramine (Anafranil)
flouxetine (Prozac)
fluvoxamine (Luvox)
nefazodone (Serzone)
paroxetine (Paxil)
sertraline (Zoloft)

Antifungals
fluconazole (Diflucan)
itraconazole (Sporanox)
ketoconazole (Nizoral)
miconazole (Monistat)

Antihistamines
astemizole (Hismanol)

Antineoplastics
letrozole (Femara)
tamoxifen (Nolvadex)

Antipsychotics
clozapine (Clozaril)
pimozide (Orap)
sertiadole (Serdolect, Serlect)

Antisecretory
omeprazole (Losec, Prilosec)

Antivirals/Protease Inhibitors
diethyldithiocarbamate (Imuthiol)
indinavir (Crixivan)
nevirapine (Viramune)
ritonavir (Norvir)
saquinavir (Invirase)

Benzodiazepines
alprazolam (Xanax)
flurazepam (Dalmane)
midazolam (Versed)
triazolam (Halcion)

Beta Blockers
propranolol (Inderol)

Calcium Channel Blockers
diltiazam (Cardiazam)
felodipine (Plendil)
nicardipine (Cardene)
nifedipine (Procardia)
verapamil (Calan)

Corticosteroids
dexamethasone (Decadron)
methylprednisolone

H2 Blockers
cimetidine (Tegretol)

Hormones
danozol (Danocrine)
ethinyl estradiol
thyroxine

Immunosuppresants
cyclosporine (Neoral, Sandimmune)

Miscellaneous
anastrozole (Arimidex)
caffeine
cannabinoids
cortisporin (Cortisol)
methadone
mibefradil dihydrochloride (Posicor)
pentoxifylline (Trental)
ramacemide
tacrine (Cognex)

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:

4-Way Cold

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

Haltran, Halfprin

Ibuprin, ibuprofen, Ibuprohm, Indocin, indometacin, Iscover

Jantoven

ketoprofen, ketorolac

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

Quagesic

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.

Techniques

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

Translate »