摘要

Objectives: This study evaluated the outcomes of the lipedema definition technique (LDT) for the treatment of lipedema, focusing on clinical efficacy, quality of life improvement, and patient satisfaction. Introduction: This study evaluated the outcomes of the lipedema definition technique (LDT) for the treatment of lipedema, focusing on clinical efficacy, quality of life improvement, and patient satisfaction. Materials / method: Study Population This retrospective study was conducted from February 9, 2023, to August 20, 2024, and was approved by the local research ethics committee (no. 6.479.834). Study assessments were conducted preoperatively, 90 days after surgery, and completed 2 years later. The medical records of the sample were analyzed, considering women aged between 18 and 65 years who had undergone LDT within the past 2 years, achieved measurable results, and agreed to participate in this study; those who did not provide consent were excluded. Thus, the study included 67 women with a mean age of 40 years. Results: A high satisfaction rate (91.5%) was reported, highlighting positive aspects, such as fast recovery and healing, improved skin appearance, better muscle definition, lighter legs, reduced volume, pain, fatigue, varicose veins, and cellulite. However, pain, postoperative sensitivity, skin laxity, recovery period, marks, high cost, and the need to wear compression garments were mentioned as negative aspects. About 61.7% of patients required complementary treatment. Conclusion: Lipedema definition technique was a safe and effective surgical technique for treating lipedema, particularly in moderate to advanced cases. Findings demonstrated significant improvements in weight, BMI, BFP, and percentage of obesity, as well as a reduction in pain and impact of lipedema on the quality of life of patients. In addition, the high satisfaction levels among patients and the sustained results over time emphasize the relevance of LDT as a clinical intervention. This technique reduced symptoms and also restored the self-esteem and functionality of patients.