Lipedema-associated complaints and the need for CDT were assessed for the pre-operative period and during 2 separate post-operative follow-ups using a VAS and a composite CDT score. 17. The incidence of recurrence was not systematically reported and ranged from 5.2 % to 13 %. including failure of the limb adipose hypertrophy to respond to recommended bariatric surgery or other medically supervised weight loss modalities Relevant surgical history, including dates . women get over 40 million dollars of lipedema surgery fully covered. Ann Chir Plast Esthet. Lipedema, aka painful fat syndrome, is a progressive condition: if it's not diagnosed at an early stage, people often become increasingly heavy in the lower body and their level of pain, tenderness, and swelling increases. The surgical management is individualized and based on not only the extent of the problem but also whether an associated condition, such as urethral stricture, is present. Sunday:Closed, Copyright 2023 Marcia V. Byrd, MD | 11050 Crabapple Road, Building B, Roswell, Georgia 30075 | Telephone: 770.587.1711. Last Review02/10/2023. Even when multiple surgeries are required, lipedema surgery is usually considered to be well worth it. Minor adverse effects were temporary methemoglobinemia after tumescent anesthesia and post-surgical pain. Liposuction for Lipedema is considered reconstructive and medically necessary to treat . Examination of the patient, both standing and supine with an attempt to demonstrate the penis using digital compression of the surrounding skin and fat, should be performed to determine the extent of the problem and whether co-morbid conditions such as infection and LS are present. While they're not pretty, I never expected a bikini body, and Im happy to look a lot better in clothes. Aesthet Surg J. Getting coverage for lipedema surgery is complicated. There is no way I could have managed this on my own. Coverage Rationale . Unlike traditional liposuction, which creates a smoother contour, lipedema surgery doesn't always produce an aesthetically perfect result. This can be surgically removed via a, Though surgery often relieves the symptoms of lipedema, it's not a cure. 1998;24(3):397-400. Panniculushangs below level of pubis (below the distal end of the symphysis pubis), documented by high-quality color frontal-view and side-view photographs; The medical records document that the panniculus causes chronic intertrigo (dermatitis occurring on opposed surfaces of the skin, skin irritation, infection or chafing) that consistently recurs over 3 months while receiving appropriate medical therapy (e.g., oral or topical prescription medication), or remains refractory to appropriate medical therapy over a period of 3 months; Documentation of high-quality color frontal-view and side-view photographs with pannus lifted to document presence of intertrigo. Lockwood T. Rectus muscle diastasis in males: Primary indication for endoscopically assisted abdominoplasty. Functional and therapeutic indications of liposuction: Personal experience and review of the literature. Clinical Policy Bulletins are developed by Aetna to assist in administering plan benefits and constitute neither offers of coverage nor medical advice. The recommendations were based on a systematic literature search and the consensus of 8 medical societies and working groups. Photographs must be submitted along with the findings. Aetna considers repair of a true incisional or ventral hernia medically necessary. Wright states, "Many women with lipedema do not need surgery and it is important to validate the effectiveness of nonsurgical treatments for this disease, especially as there is no cure at this time." Lipedema is common but poorly recognized subcutaneous adipose disorder that is commonly mistaken or misdiagnosed as obesity. A systematic review of literature published up to June 2013 was conducted. Treating providers are solely responsible for medical advice and treatment of members. 19STCV17131. Disposable "puppy" pads can help absorb this fluid. But because they're so thick and hard, they can't be removed by suction," says Dr. Schwartz. Wednesday: 8:30 am 5:30 pm Promotion of a healthy lifestyle with individually adjusted weight control measures, graded activity training programs, edema reduction, and other supportive measures are pillars of conservative therapy. The authors concluded that surgical management of AABP had a high incidence of complications but resulted in satisfactory outcomes, with significant improvement in patients' QOL. 2005;29(8):1080-1085. van Schalkwyk CP, Dusseldorp JR, Liang DG, et al. Grabin S, Antes G, Bjorn Stark G, et al. Lari A, Curings P, Person H, et al. World J Surg. According to the Cleveland Clinic, lymphedema treatments wont help someone with lipedema, which almost always gets worse without treatment. "We tend to see our patients' pain, swelling, and fatigue resolve, and their mobility and activity level increase," says Dr. Jaime Schwartz, a plastic surgeon in Beverly Hills, California. Aetna has also started pushing back on out-of-network surgeon requests. The guidelines contain recommendations with respect to diagnosis and management of lipedema. You should never have to borrow money or crowdsource to pay for your surgery. Coleman WP 3rd, Lawrence N. Liposuction. Copyright 2020-22 Coverlipedemaco, Inc. All Rights Reserved. Incisional hernia repair: abdominoplasty, tissue expansion, and methods of augmentation. 2006;30(1):1-8. Indian J Plast Surg. Si vous souhaitez personnaliser vos choix, cliquez sur Grer les paramtres de confidentialit. LeBlanc KA. In our experience, Aetna has been one of the best for lipedema surgery coverage. Peled AW, Slavin SA, Brorson H. Long-term outcome after surgical treatment of lipedema. No serious complications (wound infection rate 1.4 %, bleeding rate 0.3 %) were observed following surgery. Schmeller W, Hueppe M, Meier-Vollrath I. Tumescent liposuction in lipoedema yields good long-term results. Aesthet Surg J. STEER: Succint and Timely Evaluated Evidence Reviews. Patients with central fullness and sufficient tissue surplus on the abdomen, thighs and flanks who received LPARSP and rectus plication were identified (LPARSP group) and matched for age and BMI with patients who underwent conventional abdominoplasty (CA group). Papers were individually reviewed for their utility and applicability to the management of adult ABP. Assessment of risk of bias demonstrated a high-risk of bias across all studies. Aetna considers breast reduction surgery cosmetic unless breast hypertrophy is causing significant pain, paresthesias, or ulceration (see selection criteria below). These researchers described the clinical characteristics of 3 obese men with AABP and the associated features of the buried penis. Characteristically, there is a localized, symmetrical increase in subcutaneous adipose tissue in arms and legs that is in marked disproportion to the trunk. With insurance coverage, the cost can be as low as your maximum out of pocket cost, which could be less than $5,000. Metabolism. The mean amount of lipoaspirate in the LPARSP group was 1,054 613.5 ml. Aesthet Surg J. 2016;40(2):309-318. Aetna plans exclude coverage of cosmetic surgery and procedures that are not medically necessary, but generally provide coverage when the surgery or procedure is needed to improve the functioning of a body part or otherwise medically necessary even if the surgery or procedure also improves or changes the appearance of a portion of the body. It is characterized by increased fat stores in the buttocks and legs. Aetna considers surgical correction of adult acquired buried penis medically necessary when the following selection criteria are met: The buried penisengulfs the entire penis, documented by high-quality color frontal-view and side-view photographs; The medical records document that the buried penis causes. Adult acquired buried penis: A hidden problem in obese men. Ann Plast Surg. It can also provide a huge boost in confidence and help patients lead a more active lifestyle. Bragg TW, Jose RM, Srivastava S. Patient satisfaction following abdominoplasty: An NHS experience. Survey Outcomes of Lipedema Reduction Surgery, Liposuction Prevents Lipedema Progression, LIO Lipedema Updates for Lipedema Awareness, Misdiagnosis of Lipedema and Malnutrition, New Developments in Biomarkers of Lymphatic Malfunction, Manual Lymph Drainage and Complete Decongestive Therapy. Exp Ther Med. Fax: 770.518.8810, Hours Am I Overweight, Or Do I Have Lipedema Fat? Liposuction in the treatment of lipedema: A longitudinal study. Abbed TM, Gonzalez-Heredia R, Sanchez-Johnsen L, et al. ", Lipedema fat also doesn't respond to weight loss, Dr. Wright explains. Endoscopic abdominoplasty with repair of diastasis recti and abdominal wall hernia. Praxis (Bern 1994). I thank my lucky stars thatCoverlipedema.comgot involved. Though the names sound the same, lipedema and lymphedema are two very different conditions. There are several different lymphatic-sparing liposuction techniques used to treat lipedema. Over the past three years, we have helped almost 400 women get over 40 million dollars of lipedema surgery fully covered. Nous, Yahoo, faisons partie de la famille de marques Yahoo. Medial thigh lift and partial lower abdominoplasty with minimal undermining were used to correct skin laxity and prevent intertrigo (intertriginous dermatitis). Plast Reconstr Surg. This systematic review was carried out according to the PRISMA guidelines. Level of Evidence = IV. Apronectomy in combination with major gynaecological procedures. Chen B, Wang X, Long X, et al. ALT's dedicated insurance team, with over 40 years of experience, worked tirelessly to secure coverage for lipedema patients, at no cost to . The Lipedema Surgery Center in Roswell GA partners with Prosper Healthcare Lending to provide patients with low, negotiated, financing fees. Participating providers are independent contractors in private practice and are neither employees nor agents of Aetna or its affiliates. Now, many insurance companies may consider it medically necessary when all criteria for a diagnosis of lipedema are met. 2016;4(9):e1043. In our experience, Aetna has been one of the best for lipedema surgery coverage. Conditions or symptoms are present in all of the following: Weight loss efforts do not show any improvement in affected areas. Malformation - Medicare will cover plastic surgery to repair malformed body parts if deemed medically necessary. Halk AB, Damstra RJ. "Studies have shown that most physicians fail to recognize the disease in patients who present to them with symptoms related to lipedema. Ramirez OM. 2014;38(1):49-56. We are here every step of the way to do whatever we can to try to get your procedures covered. Thickened subcutaneous fat in the affected extremities bilaterally and symmetrically (legs, thighs, hips or buttocks, or occasionally arms are affected); Tenderness and nodularity of fat deposits in lipedema affected areas (dimpled or orange peel texture); Stemmer sign negative (Stemmers sign is negativewhen a fold of skin can be pinched and lifted up at the base of the second toe or at the base of the middle finger) (unless the member has comorbid lymphedema); Absence of pitting edema (no pitting when finger or thumb pressure is applied to the area of fat) (unless the member has comorbid lymphedema); Evidence of "cuffing" (tissue enlargement ends abruptly at ankles or wrists, with sparing of hands and feet) (also called "braceleting" or "inverse shouldering"). 2014;7:35-42. The findings have to be interpretated with caution, given that they are from single arm, non-randomized studies based on patients self-assessment data collected using tools that have not been validated for the assessment lipedema-related complaints. When does your liposuction patient require an abdominoplasty? ", As for the longevity of the improvement, authors of a 2021 study that surveyed 60 lipedema patients a dozen years after their surgery found that "the positive effects of liposuction lasted 12 years without relevant worsening. BenefitsProsper Healthcare Lending Provides: Prosper Healthcare Lending is the premier financing company in the healthcare industry with over $4 billion borrowed and over 250,000 people served. 1999;44(4):325-338. Does Lipedema Fat Come Back After Surgery ? ALT's dedicated insurance team, with over 40 years of experience, worked tirelessly to secure coverage for lipedema patients, at no cost to . (Either of these options will increase your cost.). Egea DA, Martinez JA, Cuenca GM, et al. 2008;18(12):1605-1610. A systematic review. Other Policies and Guidelines may apply. The evaluation of a man with AABP begins with a detailed history for condition-related symptoms. The strength of the recommendations in the clinical guidelines and links to supporting evidence were not provided.. To ensure early detection and an individually outlined follow-up, the committee advised the use of a minimum data set of (repeated) measurements of waist circumference, circumference of involved limbs, body mass index (BMI) and scoring of the level of daily practice and psychosocial distress. 2005;29(8):1073-1079. 1997;21(4):285-289. Lipedema also often has an unusual texture within the fat that can feel like rice, peas, or walnuts beneath the surface of the skin. Light walking can help reduce pain, prevent blood clot formation, and boost blow flow, which can help with healing. Available at: http://www.emedicine.com/med/topic2703.htm. Incisional hernia repair: Laparoscopic techniques. Arch Plast Surg. Stanley Rockson co-authored a paper that identified a biomarker for lipedema, a little understood fat disorder that is often confused with obesity. Sex Med Rev. Nahas FX, Augusto SM, Ghelfond C. Should diastasis recti be corrected? Apfelberg DB. Certain studies have hypothesized that the robust ectopic adipogenesis of ADSC in-vivo relies on their pre-differentiation induced in-vitro prior to their transplantation. Treat your lipedema by having your surgeries fairly covered by your insurance without having to pay tens of thousands of dollars out of pocket. Functional Impairment when all . Van Geffen HJ, Simmermacher RK. It's common to need several rounds of liposuction for lipedema treatment; one RealSelf member, lippyleigh, needed seven. Related: I Got Surgery for Lipedema, and Heres How Its Different Than Regular Liposuction. If your provider is only using local anesthesia, you'll feel a pinching sensation as the tumescent solution is injected. Reduction mammoplasty (also spelled as 'mammaplasty') for asymptomatic members is considered cosmetic. Tumescent liposuction. While these procedures are often associated with a high incidence of wound complications, these are often self-limited and patients experienced significant improvement in QOL measures post-operatively. Lipoabdominoplasty: An exponential advantage for a consistently safe and aesthetic outcome. If youve been diagnosed with lipedema and are healthy enough to undergo surgery, youll likely be a good candidate for this procedure. Cochrane Database Syst Rev. Aly AS, Cram AE, Chao M, et al. Wound complications of abdominoplasty in obese patients. 2021;45(4):1431-1440. . Laparoscopic repair of ventral hernia. One clinical practice guideline [citing Dutch guidelines described above] recommends tumescent liposuction, performed by a skilled healthcare professional at a specialized facility, as the treatment of choice for patients with a suitable health profile and/or inadequate response to conservative and supportive measures. 1996;23(4):713-719. The cost of cataract surgery not only depends on the equipment used and the IOL implanted, but on the skill of the surgeon, your overall health, and where you live in the country. Most insurance companies cover lipedema surgery. Evidence-based medicine: Abdominoplasty. Wollina U, Heinig B, Nowak A. Peprah K, MacDougall D. Liposuction for the treatment of lipedema: A review of clinical effectiveness and guidelines. At the three-month mark, most people see about 5060% of their final improvement. Systematic review and meta-analysis. Thats why a correct diagnosis is crucial. Most people will require more than one lipedema surgery, so most providers recommend first treating the body areas with the highest level of severity (that is, the most painful). Does Lipedema Fat Come Back After Liposuction Reduction Surgery? 2019;64(3):237-244. Patient selection optimization following combined abdominal procedures: Analysis of 4925 patients undergoing panniculectomy/abdominoplasty with or without concurrent hernia repair. Lipedema cannot generally be cured by way of antiviral or antibacterial medication, steroids, or other forms of treatment. And as the condition worsens, people with lipedema become less mobile. These investigators reviewed the current evaluation and surgical management of this rare and complex patient population. Coverage is your right. Aetna started covering lipedema in the Fall of 2019. Ollapallil J, Koong D, Panchacharavel G, et al. Most insurance companies cover lipedema surgery. World J Surg. ANZ J Surg. No intra-operative complications were recorded. All Rights Reserved. Laparoscopic versus open ventral hernia repair:A randomized controlled trial. Dealing with the mass: A new approach to facilitate panniculectomy in patients with very large abdominal aprons. Waltham, MA: UpToDate;reviewed January 2016. 2008;78(10):903-906. 2012;166(1):161-168. Peled and co-workers (2012) stated that diagnosis of lipedema is often challenging, and patients frequently undergo a variety of unsuccessful therapies before receiving the proper diagnosis and appropriate management. Graf R, de Araujo LR, Rippel R, et al. Plast Reconstr Surg. Therefore, it is reasonable to perform allografts using the ADSC from younger individuals. Its perfect for grabbing the attention of your viewers. Atiyeh and colleagues (2015) stated that liposuction is the most common cosmetic surgical procedure worldwide. Pain is usually minimal in the first few weeks, and most patients dont need anything more than nonprescription medication like Tylenol. "The insurer may cover lipedema surgery in the some areas where lipedema tissue collects, but not all of the areas of body where lipedema tissue can occur," he says. These researchers reported a case of a patient with lipedema who was treated with suction-assisted lipectomy and use of compression garments, with successful treatment of the lipodystrophy and maintenance of improved aesthetic results at 4-year post-operative follow-up. Although Aetna has been one of the best insurance companies for lipedema coverage, getting covered is still not easy. Pring CM, Tran V, O'Rourke N, Martin IJ. In general, high-complexity reconstructive procedures (category greater than III) were performed, with split-thickness skin grafts for shaft reconstruction. 1998;101(6):1685-1691. However, it is important to know, the patient must go through a protocol prior to surgery so they can meet the requirements of being approved. The most important part is to get pre-qualification from the insurance prior to having surgery. Rey LE, Koch N, Raffoul W. Surgical treatment for lipedema. Kotsougiani-Fischer and colleagues (2021) noted that the aesthetic and functional outcomes of the donor site following abdominal-based free flap breast reconstruction have been suboptimal. Aetna started covering lipedema in the Fall of 2019. Halbesma GJ, van der Lei B. Clin Plast Surg. With the current situation of lipedema surgery coverage, we believe that the best opportunity for you to get your surgeries covered is to . Queried terms included "buried penis", "concealed penis", "hidden penis", "adult buried penis", "cicatricial penis" ,"trapped penis", "inconspicuous penis", "scrotoplasty and obesity", "penile release", "penile skin graft", "penile reconstruction", and "pubic lift". They also have not done a great job training their staff on lipedema, so often reviewers know little or nothing about the disease. And my legs feel lighter and oddly, my balance is better. Panniculectomy for the treatment of back pain; Abdominal lipectomy and/or correction of buried penis for the treatment of metabolic syndrome, or as an adjunctive procedure to assist with long-term weight loss following bariatric surgery; Adipose derived stem cell-assisted lipotransfer; Correction of buried penis for the treatment of erectile dysfunction. If present, morbid obesity should be therapeutically addressed prior to liposuction. A multi-disciplinary approach including surgeons, primary care physician, registered dietitian nutritionist, and psychiatrist should be considered for a patient with a buried penis. American Society for Dermatologic Surgery. Umeadi UP, Ahmed AS, Murphy J, Slade RJ. Medical history - allof the following (A, B, C, D and E): Physical examination - one or more of the following (A, B, C, or D): Extra criteria - either of the following (A or B): Source: Adapted from Halk & Demstra (2016). Halk and Damstra (2017) noted that in 2011, the Dutch Society of Dermatology and Venereology organized a task force to create guidelines on lipedema, using the International Classification of Functioning, Disability and Health of the World Health Organization (WHO). Pour en savoir plus sur la faon dont nous utilisons vos donnes personnelles, veuillez consulter notre politique relative la vie prive et notre politique en matire de cookies. A total of 28 patients were included; groups were similar in demographics. Plast Reconstr Surg. Immediate decisions without affecting your credit. Wollina and associates (2014) noted that In advanced stages of lipedema, reduction of adipose tissue is the only available effective treatment. Rhinoplasty - Rhinoplasty is a nose job. When performed by an experienced, board-certified plastic or dermatological surgeon who specializes in lipedema surgery, the procedure rarely has complications. Copyright Aetna Inc. All rights reserved. Wounds UK. You'll still see a large difference in your body mass immediately after surgery, but it takes time for the swelling to resolve enough that you can see your true results. Frequently, people with lipedema are misdiagnosed with obesity and told to go on a diet and exercise. UpToDate [online serial]. Aetna also covers skin excisions along with liposuction, per their policy. Reich-Schupke and co-workers (2017) noted that the revised guidelines on lipedema were developed under the auspices of and funded by the German Society of Phlebology (DGP). Post-operative evaluation of functional outcomes showed significant improvements in sexual function, urinary function and cosmesis. 2018;107(20):1081-1084. For larger volume fat removal procedures, some providers prefer a combination of either local and IV sedation or general anesthesia, so you'll be completely unaware of the surgery while it's being performed. Dr. Wright recommends "a clean diet that contains lots of whole foods, like low-carb vegetables, healthy protein, and healthy fats, and limits or avoids all together highly refined carbohydrates like sugar, white bread, corn,rice, and potatoes.". 11050 Crabapple Road Elbaz JS, Flageul G, Olivier-Masveyraud F. 'Classical' abdominoplasty. To adequately debulk, lipedema reduction surgery uses a small blunt cannula to remove larger volumes over larger areas in a procedure thats significantly longer than cosmetic liposuction, explains Dr. Wright. Update from the Ultrasonic Liposuction Task Force of the American Society for Dermatologic Surgery. Ann Chir Plast Esthet. Guiding principles for liposuction. Aesthetic Plast Surg. Now many insurance companies have changed their coverage policies and consider it medically necessary when all criteria are met: The first step is to have an in- person evaluation so we can prepare your documentation for pre certification. Simao TS. Kannan K, Ng C, Ravintharan T. Laparoscopic ventral hernia repair: Local experience. Aetna doesn't offer any individual health plan that covers bariatric surgery. Both buried penis and LS can predispose to the development of penile squamous cell carcinoma (SCC); the diagnosis of this tumor can be delayed in men with AABP since an adequate penile examination is difficult or impossible. The authors concluded that other questions require addressing before CAL being used widely in clinical settings include: Abbed and colleagues (2017) stated that abdominal lipectomy after bariatric surgery is recommended because of residual excess skin resulting in difficulty with maintaining hygiene, recurrent infections, and functional impairment, interfering with daily activities. No severe adverse effects were observed; and patient satisfaction was high. Results of multicenter study of laser-assisted liposuction. In addition to morbid obesity, a buried penis can result from other etiologies, such as HS, iatrogenic causes such as elective surgeries, infections, LS, penoscrotal lymphedema, and traumatic events. Petro CC, Zolin S, Krpata D, et al. "Lipedema fat is different biologically from non-lipedema fat. This has been a TOUGH fight and BCBS of Texas finally agreed to cover but they still made it very hard. The goal of the surgery is to take out as much fat and fibrous tissue as possible without further damaging the lymphatic system. 2015;75(2):231-245. In equivocal cases, the extra findings (III) can establish the diagnosis. Facility fee (e.g., ambulatory surgery center) 25% coinsurance Not covered None Physician/surgeon fees 25% coinsurance Not covered None 080700-090020-252257 Page 2 of 6. Core GB, Mizgala CL, Bowen JC 3rd, Vasconez LO. Br J Surg. Benefit coverage for health services is determined by the member specific benefit plan document and applicable laws that may require coverage for a specific service. The authors concluded that lipoabdominoplasty with rectus plication represented a safe approach for donor-site closure in selected patients undergoing abdominal-based free flap breast reconstruction. ASERNIP-S Report No. These investigators also noted that the limited proliferation capacity of ADSC also prevented their widespread clinical use; ADSC lack telomerase and their telomeres are short; thus they can only proliferate in-vitro for a limited period of time. Cell-assisted lipotransfer: Friend or foe in fat grafting? These conservative trialsinclude diet changes, daily medical-grade compression stocking use and/or compression with special wrapping techniques, andmanual lymphatic drainage, a gentle form of skin stretching and massage. Panniculectomy/apronectomy when criteria are not met; Suction lipectomy, for indications other than lipedema and lymphedema. Plast Reconstr Surg. Except for Aetna RX Home Delivery LLC, providers of health care services, including hospitals, institutions, facilities or agencies, are independent contractors There is no reason that you should drain your savings or borrow money to pay for surgery. Bridenstine JB. High definition lipoabdominoplasty. Am I Overweight, Or Do I Have Lipedema Fat? Saturday:Closed BJU Int. Patients who underwent minimally invasive SG at the University of Illinois Hospital and Health Sciences System from March 2008 to June 2015 were included in this study. The patients were divided into 3 equal groups based on the technique used for liposuction: Huang and associates (2016) stated that CAL has been widely used in various clinical applications, including breast augmentation following mammectomy, soft-tissue reconstruction and wound healing. 2018;12(2):e1237-e1250. We know how to overcome the roadblocks to getting your insurance company to pay fairly for your medically necessary treatment. This prospective study aimed to evaluate the safety and effectiveness of laser-assisted liposuction relative to traditional liposuction combined with high-lateral-tension abdominoplasty. "After liposuction, the nodules become even more apparent. 2020;44(6):2147-2157. 2008;61(2):133-137. I thank my lucky stars thatCoverlipedema.comgot involved. 2013;33(7):1021-1029. Vous pouvez modifier vos choix tout moment en cliquant sur le lien Tableau de bord sur la vie prive prsent sur nos sites et dans nos applications. Tenderness and nodularity of fat deposits in lipedema affected areas such as dimpled or orange peel texture. Hernia. "The goal is often to help patients fit better into clothing. An analysis of the different stages of the disease also indicated that better and more sustainable results could be achieved if patients were treated in earlier stages. J Plast Reconstr Aesthet Surg. During your recovery (and ideally beyond), you'll be wearing compression garments, to help reduce swelling and encourage your skin to heal smoothly over your new contours. ", Dr. Wright also cautions that "Some women are diagnosedwith lipedema, even though they actually have another fat disorder, sofinding a clinician who can recognize and expertly diagnose lipedema can be challenging. Links to various non-Aetna sites are provided for your convenience only. We can help you avoid critical mistakes that people often make in the coverage process, such as: Not having the right type of functional evaluation. This study investigated 36 consecutive female patients who underwent high-lateral-tension abdominoplasty combined with liposuction of the upper central abdomen and both flanks. These researchers reported on 3 women aged 55 to 77 years with advanced lipedema of the legs and multiple co-morbidities. The induced differentiation of ADSC in-vitro may be replaced by supplying adipogenic stimuli to transplanted ADSC, in a process referred to as in-situ adipogenesis. Aetna is not a provider of health care services and therefore is not responsible for and does not guarantee any results or outcomes of the covered health care services and supplies you receive.