Lipedema….Liped Whaaat?? You’re not the only one who never heard of this disease.  In fact, I’ve seen more than 15 different health care practitioners and misdiagnosed for 20 years! 

“Lipedema also known as “painful fat syndrome,” is a chronic disease occurring primarily in women, characterized by bilateral, symmetrical fatty tissue excess in the hips and upper and lower legs, combined with a tendency for leg swelling that worsens with standing” (Fat Disorders Research Society, 2018).

Literally this is a fat disease. It’s a genetic disease. The classic patient will have a normal size trunk and have excessive fat accumulation in the legs. Hormone changes and inflammatory diets are known to cause disease progression. There are 4 stages of lipedema. Below is a picture of inflammatory lipedema fat vs normal fat. 

When I came across the diagnostic label “lipedema” in early 2017, I was like what the hell is that? I had never heard of it and I went right to google to find out more. Well the first page I clicked on was the fat disorders website and there it was —a picture of my legs.  There was the answer from over 20 years of searching, shameful emotions, and at that point in time, I realized I was misdiagnosed for years. My healthcare practitioners diagnosed me with lymphedema.  Lymphedema is the accumulation of fluid on a body part, commonly the legs and feet. My feet never swelled. I never had symptoms of lymphedema except I had BIG legs.   

My early journey with lipidema & triggering events

I was a slim child and very active. In my teen years I surely had hormonal issues as evidenced by heavy painful periods. I was on birth control (hormone trigger). After puberty (trigger again) my legs really filled out in areas that were not normal to fill out like fat around the knees and in the ankles. In college I gained the freshmen 30 and was able to lose it with sensible eating and exercise. In my 20’s, after the birth of my two children (hormone trigger), I had serious fat deposits on my legs (I also gained more than normal weight in my pregnancies-trigger). I sat down with my family MD and showed her my legs. She told me I had lymphedema (fluid accumulation in the legs) and prescribed compression stocking and a diuretic. The stockings helped some, the diuretic none so I stopped it. I continued another twenty plus years with my legs aching, hurting and these abnormal fat deposits. I had this very weird body, being a size 6 on top and 12 on the bottom.  Classic lipedema! 

I devoted most of my 20’s and 30’s to exercising, healthy eating, wraps, diets, you name it, I have probably done it.  I’ve worked on self love and acceptance for years.  That doesn’t change the stares from people in public, comments from friends and family members and comments from fitness instructors that I needed to diet and exercise more. So despite me trying to accept myself and my body, others around me didn’t. Battle that for 20 plus years!!

I realize now that is a societal problem.

However, this disease is not just obesity. I have lost so much weight that my ribs were showing, breast size was nearly training bra size and yet the fat pockets would not come off my legs. I worked out with trainers, committed to intensive exercise programs until a few years ago when my body told me to stop the insanity of restrictive diets and exercise. And stopping wasn’t hard when I didn’t see results after all the years of trying.

As my disease progressed, especially in my late 30’s and to recently, it was becoming more of a medical and emotional problem. I say problem because it cumbersome and affected nearly every activity in my daily life. Fatigue, heaviness, pain in legs and the need for frequent rest periods where my legs would be elevated. Lymphedema was certainly becoming a secondary problem. Clothes never fit properly.  My exercise and daily activities were slowing down. Despite EXTREME healthy eating and living, I still was very inflamed. And this was emotionally draining to be trying so hard and see my disease progressing in my legs.

Being the avid researcher that I am, I made connections, joined online support groups, networked, read hours of testimonials, started interviewing and meeting with physicians and surgeons.

I share with an open heart and vulnerability my journey to treat this disease with liposuction. I share with you the people who impacted and helped me on my journey.

Dr. Karen Herbst at University of Arizona.  Thankfully this women is driven and has a passion to study fat metabolism disorders like Lipidema, Dercum’s disease and others. I found her research, recommended supplements, diets and lifestyle recommendations that have been studied and shown to help slow disease progression. Fortunately, but unfortunately, I’ve been following her list to a “T” for at least 5 years. So I knew I needed to move on. And that meant I should consider Water Assisted Liposuction (WAL).  At this time, I just could not come to terms to consider a “cosmetic liposuction” surgery for myself. I am so conservative with treatments and lifestyle that I held so much fear of what the surgery would do to my immune system, my brain, would I be worse after? I pondered these thoughts and fears for months and put lipedema treatment on the back burner.  

I did not know it at this time but my life was full of fear…..

My patient and friend Carla was a catalyst for change. Carla and I were out on a river trail walk on a warm summer evening in 2017 having a conversation about doing some activity that involved wearing a bathing suit. I replied I would never go in public in a suit. She questioned my reasons and I told her about my legs. She looked at me and said “Well do something about that shit”.  She went on to encourage me to contact a plastic surgeon to discuss surgery. I thought for hours after our convo about liposuction and that perhaps I should consider this treatment option that many brave women have in the online support groups. Thank you Carla for your friendship, encouragement and pushing me outside my safety zone.  That day and conversation forever changed my life.

Next. My life coach Carol DelMonico. Carol, thank you for holding space for me, for helping me to realize that my fear of the outside world and unknown was rooted in feeling betrayal of my own body.  For years, I felt like my body was never a reflection of how I lived, how much love I had for it. Carol helped me to realize that it was OK to pursue surgery and more importantly that I could continue to be authentic and share my journey. 

These two amazing women helped me realize I could do more, that I held the power to make the decision to change my life, that my belief system was not serving me. Without Carla and Carol’s encouragement, love, and support I would likely still be living in fear wondering what more I could do or just complaining about my legs. 

Now I was ready to move onto the next phase. 

In the later part of 2017 I spent much time on the forums, reviewing pics of before/after results, listening to stories. I am beyond grateful for social media and my loving, supporting community of Lipedema sisters.  In early 2018 I finally chose my surgeon and procedure: Vaser Liposuction with Dr. Michael Schwartz MD. The vaser ultrasound probe combined with the tumescent injects water into the tissue to break up the fat cells and then it’s sucked out. I was drawn to Dr. Michael Schwartz MD in Pasadena CA. because of his amazing results and because his approach was more aggressive to get all the diseased fat removed.  I met his assistant Cristina in a few online support groups. She provided such great insight as she had the disease and had surgery with Dr. Schwartz.  I am so thankful for Cristina as I wanted so badly to back out my surgical commitment several times. She held my hand, assured me I could do it. She has been an instrumental part of my pre, during and post operative care! 

On April 12th, 2018, I embarked on a 4+ hour surgery (number 1 of 2) with Dr. Michael Schwartz in Pasadena, California.

8 liters of fat was removed from the front of my legs.

That is 2 gallons.

That is 14#. 

I had 24 incisions from my groin to ankles. 

I cried the entire day. I should say sobbed. So much emotion gone with the physical fat. Years of shame, years of feeling like I wasn’t doing enough, years of comments from those around me who have no idea what it’s like to not be able to lose the fat. The fear of a progressing disease.

That day….I saw pictures from pre and post operation and for the first time since my teens I saw my knees and shin bone.

Here and daily I express gratitude for Dr. Michael Schwartz as he gave me back a part of my life that has been missing.

Despite the fear of surgery, the long recovery, and some of the horrid looking post op recovery photos I saw online in my support group, I did it.  My tribe lifted me up. I felt so much love and support for days after my surgery. Replies like “you are so brave and so much love for yourself to embark on this journey”.  Yes, that is exactly what this journey was.  I did it because it is the only other treatment option to slow the progression of the disease and perhaps stop it dead in it’s track. I did it because I do love my body and I knew the other option was continued inflammation, fat growth and all the emotional baggage that comes with it. I didn’t have the payment for surgery. I financed it and will make payments for years. An investment in my health at all levels.

And I got to participate in a Lipedema study!!!

When I checked in for surgery on the morning of April 12th the nurse asked if I wanted to participate in a study at the University of Arizona!  Hell yeah!  So I had two additional thigh biopsies taken and BEST part… my stool sample will be studied!  Now that is exciting news for a Nurse Practitioner who practices Integrative & Functional Medicine 🙂 Yep, I was so excited that I almost forgot I was going into surgery.

There’s more people who were instrumental in my journey and recovery.

My friend and colleague, Dr. Calley Asbill ND. I confided in Calley a few weeks prior to surgery, explained the common post operative ailments like severe inflammation, swelling, sharp nerve pain, my fear of prolonged anesthesia. Dr. Asbill recommended some homeopathic remedies and they were a lifesaver. Within minutes of using hypercumin, my nerve pain was gone. I was having trouble waking up from anesthesia and after getting some phosphorus pellets in, I was alert and clearing that anesthesia like a pro!  Of course, I followed healthy peri-operative recommendations as well. Grateful for Calley and my functional medicine training as I feel my recovery milestones were pretty darn good!

I could not have done this without my life partner, husband, and caretaker Steve. He refused to let me cancel my surgery two weeks prior.  He took the road trip and drove me to CA and back home. He met me after surgery with flowers. He cooked for me, gave me my meds on schedule, changed my dressings (yes 24 weeping wounds), washed my clothes and lastly he saved me from passing out several times—on the toilet, in the shower, in public restrooms-you name it, he was there by my side. But most importantly, he was by my side for over twenty years regardless of how I looked. While this is a personal journey, it really is our journey.

My teen daughter McKenna who cooked me meals, drove me to therapy appointments and re-arranged her busy friend and work schedule to take care of her mommy so dad could go back to work!

My post op recovery and therapy team.

  • Shana Brooks PT and lymphedema specialist & Jennifer Kanyuch, PTA-both of these ladies are at Focus Physical Therapy.  Shana’s documentation helped me to get insurance coverage (yes Pacific Source found my surgery as medically necessary).
  • Shawn Axten PT for Cranial Sacral Therapy
  • Joanna Cashman RN, LMT
  • Sarah Allen LA.c, Acupuncturist at Mountain View Acupuncture. 
  • Massage by Dale Ann. 

I’ve learned the true definition of self care and love during this post op period.

My self care routine is 24 hours a day medical grade compression, morning and night self MLD (manual lymph drainage massage), Deep Diaphragmatic Breathing several times per day, walking, stretching, yoga, acutonics/vibration therapy, weekly acupuncture, 1-2 times per week professional MLD/Massage. 

As I write this, I am almost 6 weeks post op from surgery number one.

We are coming up to Lipedema Awareness Month (June).

And I’m 4 weeks away from surgery number 2 which will cover the backs of my legs and my upper arms (sadly, this is worsening too). I will then be done. I pray I’m done.  I have hope that all the work Dr. Herbst is doing will find the on/off switch for this genetic disease. For now, I did what I know is best. 

I debated on sharing my story. But Carol helped me realize I am authentic and there is hope and joy in my journey with a disease. My hope is that my journey and story helps increase recognition and earlier diagnosis of lipedema. Even for 1 person. My hope is that society stops judging people with fat as lazy and having poor diets. My story is proof.

With love and gratitude in Lipedema Awareness!


Jennifer Paulson

Author Jennifer Paulson

More posts by Jennifer Paulson

Join the discussion 28 Comments

  • Marsha says:

    In 12 step programs, we are encouraged to do what we need to do to take care of ourselves. Thank you for sharing your journey. Sharing your experience, strength & hope with your patients, with me, gives me courage to do the next right thing to take care of myself.
    Thank you & my thoughts & prayers are with you on your journey…..Marsha C

  • Jen,
    Thank you so much for sharing this story with us! Your story of self care and epiphany through this process brought tears to my eyes. I am so glad to be a patient of such an inspiring woman! Your vulnerability is commendable, as is your strength and courage for moving through this process!
    Christina W.

    • Gina M. says:

      Thank you for this blog. No one will ever understand the torment of lipedema if they do no have it. I pray to one day be able to afford the surgery on my legs and arms.

  • Alison Corey says:

    Your grace and courage are incredible! Thank you so much for sharing your story!

  • Debbie Agnew says:

    Jen – I’m so happy that you have found answers and so brave of you to share your story. Best of luck on your next surgery.

  • Peggy Hegg says:

    As a fellow-lipedema patient who is 5 weeks out from surgeries 3 and 4, and facing surgery 5 in several months’ time, I found that it made me feel better to read your story and realize that people like you and me have a lot of company. The process of having the lipedema removed is really insane and requires much fortitude. Thanks for sharing! Peggy in Colorado

  • Jaime Price Anderson says:

    Jennifer, is there an update on surgery number 2? I was just diagnosed and am contemplating surgery later this year. Thanks so much for sharing. My husband is an NP and he initially diagnosed me and I followed up with an internist who confirmed. He’s lived watching me working out, log everything that I eat and still fail. Our tribes are SO important!

    • Jennifer Paulson says:

      Hi Jaime, I’m coming up on my 1 year anniversary from surgery 1 and working on another blog. Stay tuned!

      • Teri says:

        Jennifer, Did you ever finish the update? We are curious if you went through with the second surgery and would still recommend your surgeon.

  • Desiree says:

    Hi Jennifer!

    I’m so glad you shared your story and that you have found self love in a long journey!

    I was wondering if you could email me as I think this may be something I have, I’m looking for some guidance.

  • Rebecca Fitzgerald says:

    My name is Becky. Just in the past couple of months I finally discovered my legs condition has a name!! I’m not just fat! I have asked countless Drs what is wrong with me. “Just the way you are made up.” “Gotta stop eating.”
    Finally found out what’s wrong with me and then there are very few doctors that recognize it. Insurance doesn’t recognize it. I found one doctor near me that does recognize it but he said it would be multiple procedures that are $7,000 each. There is no way I can afford that!!
    I feel so defeated!!

    • Jess says:

      I too was just diagnosed with Lipolymphedema (by my physiotherapist) because she is the only person I can find in Toronto that has any idea what the hell is happening to me. I have been sitting here crying while I read your post. Thank you do much for sharing your story. I will definitely need to make my way to the states to see a doctor about having the liposuction procedures … which excites me… but also terrifies me. I would love to connect with some women who are struggling with this condition. NOone understands…. no one can relate! Thanks so much again, just hearing your story has given me some hope.
      I just have one question, how long is the recovery after each surgery??
      Cheers…. and all the best to you all who are suffering. #solidarity

      • Jennifer Paulson says:

        Jess, Thank you for your kind words. This is a hard disease to live with. The recovery was tough, I will not lie. My legs were swollen, black, and blue. However, due to the nature of my professional work as a functional medicine practitioner I used, many anti-inflammatory supplements and remedies, and my recovery was quick. Dr. Schwartz’s nurse, Cristina, had told me I likely would not be back to yoga kneeling for several weeks. I was by week 2 🙂 My husband cared for me and I limited my work hours with frequent breaks to do “legs up the wall yoga pose to help with circulation”. I would do it over again in a heartbeat! Best to you. xx, Jennifer

    • Crissy says:

      Rebecca, I had 3 surgeries for Lipedema in my legs. The 1st 2 I flew from Alabama to New York to a “Lipedema Specialist”. These surgeries didn’t give me the results I wanted so the search continued on a website called RealSelf. I found a plastic surgeon that performed liposuction on several Lipedema patients with real success. He did not claim to be a specialist & did not raise the price for Lipidema ladies. His name is Dr. Peter Fisher. He performed my 3rd & final surgery. The cost for my lower legs & small amount of saddlebags was around $5000. Dr. Fisher told me you do not need a Lipedema specialist but you do need a board certified plastic surgeon that has a lot of experience in the lower extremities. I wish that I would have found him sooner and saved the money & time lost from first 2 surgeries. My story is on RealSelf under christinal. Best of luck!

  • T Reuter says:

    Would love an update on how you are doing almost a year later. Are you still glad you had the surgery? Did you need a skin lift? Did the lipedema move to another site or did you start carrying fat in a different place?

    • Jennifer Paulson says:

      Hi, I am doing great 1 year out. My weight fluctuates about 5# and if I do not remain on my anti-inflammatory diet (no sugar, dairy, refined foods) I will put weight on in my belly which I did not before. No new fat growth in my legs thus far 🙂

  • mary jane says:

    I want to share my experience on how I was
    cured and free from DERCUMS/LIPEDEMA Disease . I was infected with DERCUMS disease
    and all my hands and leg where swollen and I was living in pain. I went to
    so many hospital but the doctor told me that there is no possible cure for
    DERCUMS disease but I was giving so many drugs but they never work. I saw a
    testimony on how Dr ABAKA herbal mixture has help In curing people from so
    many disease and I decided to contact him if he could help and he told me
    that he is going to help me get cured I believed him because I have read so
    much about him. Finally I got his herbal medicine and I used it for just
    one week and I was finally cured from DERCUMS/LIPEDEMA diseases and all my swollen
    body was normal. Thanks to Dr ABAKA for restoring my health. If you are
    suffering from any diseases of any kind you can reach out to him and he
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  • Stella says:

    Thank you for sharing your story. I’m considering having Lipo by Dr. Schwartz and I was wondering how you are feeling about your results one year later? Would you be interested in speaking to me live about your surgery? Thanks

    • Jennifer Paulson says:

      Hi Stella,
      I’m so happy with my results. I do have some loose skin but I look great in clothes and have no regrets on the investment. I feel like I have my life back. I highly recommend Dr. Schwartz in Pasadena CA. Best to you. xx Jennifer

  • Elizabeth Wood says:

    Dear Jennifer,
    I too was a skinny child, hit puberty, and then started that whole cycle you went through. I thought I could run the fat off my legs. I trained and ran a marathon, yet the fat never reduced! I just recently realized that I might have lipedema. I have a healthy body with an ugly fat armor on my legs and butt. Your story has inspired me. Thank you!

  • Tracee Dock says:

    How do I find someone locally that will treat this condition? The embarrassment and shame is hard to bear not to mention the pain and debilitation.

    • Jennifer Paulson says:

      Tracee, I would travel across the US for the best doctor to do this type of surgery. Honestly, I investigated docs from all over the US! Connect with resources in Facebook Lipedema groups. Best, Jennifer

  • Yvette Waters says:

    I am from South Africa and from reading all the info I know for sure that I have lipedema and so does my sister. I have never been able to wear boots and that goes for ankle boots too. When i had a body massage years ago it was so sore when they did my legs but i thought that was normal. Thank you for switching my light bulb on!

  • Bett Union-Jakubek says:

    Jennifer, I am reading your blog and am grateful for your transparency and your ability to write about your experience.
    I am also on the Lipedema Project online support groups and the water tumescent liposuction is something I am considering but freaks me out.
    I should have never watched a video of the procedure. Why anyone would subject themselves to any kind of liposuction without having a chronic disease like lipedema is beyond me. I have slowly been building my “team” and have been “educating” my friends and finally my primary physician. It was one of my friends who splits her time between Alaska and Bend and who is a patient of yours , who shared your website with me. I am so glad I told her about my diagnosis.
    I am 64, obese with Stage 3 diagnosed by Dr. Purcell at OHSU. I am interested in your ND’s supportive suggestions for pre and post op. I receive my care in Portland because I have family there and there are limited resources here in Ketchikan, Alaska. I would appreciate an email correspondence if you are willing.
    Bett Union-Jakubek

  • Pamela Allen says:

    Well done Jen it takes some to go to surgery…Please assist by adding if it runs in your family, it does not have to be your parents but your grandparents or great grandparents. In early 1980 I met my then husband his Japanese mother lived with sever Lipedema know one knew what it was then she was always complaining of her ailments. I looked at what she ate it was healthy and reasonable in portion size I thought then this must be a genetic thing. One of her daughters is born with the condition as is my daughter, at the time she was born I noticed she had thickness above her ankles I thought due to my genes she would not get the condition, I was wrong. She was thin growing up as a child and as a teenager, her body size changed from a petite UK 8 to 14/16 around aged 19/20 last year of degree she too began taking contraceptive pill in her teens.
    None of my family has the condition, why I know it came from her fathers side (father did not have condition). Genetically she inherited similar features from her grandmother dark hair, high cheek bone, clear skin.

    Thankfully I can explain why her appearance has suddenly changed and it is not obesity, but the majority of the public remain unaware of the condition which is troubling.
    Awareness education is the key and acceptance is no bad thing.
    Wishing you all the best in your life king regards Pam

  • Lindsey says:

    I’m 28 and it just recently hit me that I have something wrong with my legs. I haven’t wore shorts since puberty 13 years ago!! Recently we went on a family vacation and I found myself sobbing in the bathroom prior to leaving due to a bathing suit. I looked into all kinds of treatments for cellulite. Because I honestly thought that’s what it was!! I’m so relieved that I found out the true issue. I’m waiting to get into my doctor but, I’m positive this is what is wrong. When I was 17 and the most active I’ve ever been in my life I was a size 9. My legs weren’t. They’ve always been big since puberty and through each pregnancy with my 3 children my legs got worse and worse. It actually affected part of my stomach and my arms by my 3rd pregnancy. I would cry constantly to my husband always saying, “I just want to wear shorts and be comfortable!!!” So I took a turn for the worse. Convinced I was just fat. I dropped an enormous amount of weight and went from approximately 200lbs all the way down to 150lbs in less than a year. All I wanted was to be comfortable with my body. My legs never got smaller. My legs remained a 12-13 while my waist went to a 9-10. I don’t think I’ll ever be a super small woman based on my genetics I would love for my whole body to be to a 9 though! I really think after studying this disease extensively liposuction might be my only option to ever be comfortable with my own body. Thank you for sharing your journey!! Reading it really inspired me to take the steps to correct my current weight, and make sure I get into my doctor. It’s time I take control of this instead of hiding from it.

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