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Dr. Édouard Coeugniet, MD, MSc.

Lipedema Specialist

Specialized Lipedema Reduction Surgery in Montreal

Lipedema should not define you. Redefine your normal! My mission is to tear down the barriers to care so that every Lipedema patient can get the world-class care she deserves.

In recent years, there has been a growing awareness of a condition known as lipedema.

Lipedema is a common and chronic condition affecting women, and it is estimated to occur in approximately 1 in 9 women in Canada. This causes to significant fat accumulation, particularly around the thighs and legs. With most cases developing during hormonal changes like puberty, pregnancy, or menopause.

Understanding Lipedema - What is Lipedema?
Understanding Lipedema

What is Lipedema?

Lipedema is a condition caused by fat cells and the surrounding connective tissue and disproportionately distributed in the lower body, and sometimes in the arms, and almost exclusively affects women. Fat is disproportionately increased in the hips and legs while remaining significantly lower in the abdomen

It is distinguishable by five characteristics:

  • It can be inherited.
  • It occurs almost exclusively in women.
  • It can affect women of all sizes, whether they are severely underweight or morbidly obese; however, obesity increases its prevalence.
  • It involves the excess deposit and expansion of fat cells in an unusual and particular pattern bilateral and symmetrical and usually from the waist to a distinct line just above the ankles.
  • Unlike typical obesity fat, lipedema fat is generally more resistant to diet and exercise.
Understanding Lipedema

Signs & Symptoms of Lipedema

Lipedema is a progressive adipose disorder often mistaken for obesity or lymphedema, characterized by disproportionate fat accumulation. At Lipœdème Montréal, Dr. Edouard Coeugniet, MSc., specializes in diagnosing and treating Lipedema, helping patients recognize its distinct signs and symptoms for early intervention. Below are the key indicators of Lipedema:

  • Disproportionate Fat Distribution: Excess fat in the legs, hips, or arms that is resistant to diet and exercise, often creating an uneven body shape.
  • Symmetrical Appearance: Affected areas typically appear symmetrical, impacting both sides of the body equally.
  • Tenderness and Weight: Sensitivity or discomfort in affected areas, often worsened by touch or pressure.
  • Easy Bruising: Frequent or unexplained bruising in the areas with abnormal fat accumulation.
  • Heaviness or Fatigue: A sensation of heaviness or tiredness in the limbs, impacting daily activities.
  • Nodular Skin Texture: Skin may feel nodular or "bean-bag-like" due to underlying fat deposits.
  • Progressive Swelling: As Lipedema advances, swelling (edema) or mobility issues may develop, further affecting quality of life.
Signs & Symptoms of Lipedema
Lipedema Treatment in Montreal

Treating Lipedema With A Special Liposuction Technique

Lipedema Treatment in Montreal
Lymph Sparing Liposuction

A gentle technique of liposuction is a very effective treatment option for lipedema. It is indicated for patients who exhausted the merits of conservative treatment. It works by removing the lipedema fat while sparing the lymphatic vessels. At Lipœdème Montréal, Dr. Edouard Coeugniet, MSc. uses Water-Jet Assisted Liposuction (WAL). During this process, Dr. Coeugniet will use physiologic water (saline) as a pulsating jet that releases the adipose tissue for liposuction.

Water jet assisted liposuction (WAL technique) is a gentle procedure that doesn’t affect underlying organs and structures, such as muscles, nerves, and blood vessels. It’s also precise and doesn’t cause pain.

WAL technique is significantly gentler on the lymphatic system compared to traditional liposuction methods.

This video demonstrates how Body-Jet water-assisted liposuction works to break up unwanted fat for easy removal.

Water-Jet Assisted Liposuction

A Gentle Approach to Lipedema Treatment

Water-assisted liposuction offers a cutting-edge solution for those struggling with lipedema, It gently dislodges fat with a water-jet, preserving the delicate lymphatic vessels, blood vessels, and connective tissue. This minimizes trauma, reduces bruising, and helps alleviate the symptoms, swelling, and heaviness while improving mobility.


Benefits of WAL

  • Less traumatic
  • Less blood loss
  • Reduced recovery time
  • Tissue viability
  • Precision

SEE INSPIRING

Before and After Photos

*All photos and videos are the personal experience of our patients and represent individual body shapes and results. While the pictures in our gallery are representative of our actual results, it's important to remember each patient's experience and results are unique and your results may vary.

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