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Surgical Treatment

Water Jet-Assisted Liposuction for the treatment of lipedema

Water Jet-Assisted Liposuction

Water Jet Assisted Liposuction (WAL) is a highly specialized technique used in the treatment of lipedema. Unlike conventional liposuction methods, during the WAL procedure, fat is gently dislodged from the tissue structure using a flat, fan-shaped jet of water and then suctioned out. The surrounding lymphatics, connective tissue, nerves and blood vessels remain much less traumatized, which is extremely important in the treatment of lipedema.

  • Protects surrounding tissues such as blood vessels and nerves.
  • Reduces swelling and bruising.
  • Offers quicker recovery times.
Water Jet-Assisted Liposuction (WAL)

At Lioedème Montréal, Dr. Edouard Coeugniet, MSc., he specialize in water-assisted liposuction for lipedema, ensuring a precise and patient-centric approach.

How does Body-Jet Water-Assisted Liposuction (WAL) Works?

Water-Assisted Liposuction (WAL) works by using a specialized cannula that simultaneously injects a tumescent solution in a fan-shaped jet and suctions out the loosened fat and fluid. The water jet gently dislodges fat cells, separating them from the surrounding tissue, which allows for a lower suction pressure and causes less trauma to the tissue and blood vessels compared to traditional liposuction. This process also minimizes blood loss and bruising and can result in a quicker recovery.

Why Water-Assisted Liposuction Is Ideal for Lipedema?

Lipedema fat is fibrotic and challenging to remove using traditional methods. Water jet-assisted liposuction for lipedema specifically targets these stubborn fat deposits while preserving healthy tissues. It gently dislodges fat with a water-jet, preserving the delicate lymphatic vessels, blood vessels, and connective tissue that are easily damaged by traditional methods. This minimizes trauma, reduces bruising, and helps alleviate pain, swelling, and heaviness while improving mobility.

Key advantages of Water Assisted Liposuction WAL for lipedema:
  • Gentle Fat Removal
  • High Precision
  • Short Downtime
Water Assisted Liposuction WAL for lipedema

Water-Assisted Liposuction vs. Traditional Liposuction

While traditional liposuction is effective for general fat removal, it may not be suitable for lipedema due to the condition’s unique challenges. In contrast, water-assisted liposuction offers:

  • Less tissue trauma
  • Greater accuracy in removing fibrotic fat
  • Faster healing times
5 liters of FAT / Water Jet-Assisted Liposuction (WAL)

How much fat can be removed?

The amount of fat that can be removed by Water Jet-Assisted Liposuction (WAL) varies by individual and is subject to safety guidelines, typically up to 5 liters (about 11 pounds) in a single session, or 2–2.5 liters per body side. WAL itself may result in slightly more fat aspirate compared to conventional methods, but the total limit is set by overall health, state regulations, and the risk of complications like fluid shifts.

The standard of care

Caring for lipedema

Manual Lymphatic Drainage (MLD) and compression garments are both critical for recovery, working together to manage swelling and support healing.

Compression garments are typically worn 24/7 for the first several weeks, while MLD sessions help activate the lymphatic vessels and are crucial for moving fluid and reducing pain. The combination helps minimize swelling, bruising, and discomfort while encouraging the skin to conform to its new shape.

  • Protects surrounding tissues such as blood vessels and nerves.
  • Reduces swelling and bruising.
  • Offers quicker recovery times.
Water Jet-Assisted Liposuction (WAL)

Frequently Asked Questions (FAQ) about:

Water Assisted Liposuction (WAL)

What is Water-Assisted Liposuction (WAL)?

Water-Assisted Liposuction (WAL) uses a gentle stream of saline solution to dislodge fat cells, which are then suctioned out. It is considered a less invasive and gentler technique than traditional liposuction, which helps preserve surrounding tissues, nerves, and blood vessels. This can lead to a faster recovery, less bruising, and is particularly beneficial for patients with lipedema.

What is it?
  • Body-jet technology: WAL uses a specialized technology that injects a gentle, pressurized jet of water to loosen fat cells from connective tissue.
  • Simultaneous aspiration: While the water dislodges the fat, the fat cells are simultaneously removed through a suction tube (cannula).
  • Less tumescent fluid: Compared to the tumescent technique, WAL requires less anesthetic solution, meaning patients are not "blown up" with large amounts of fluid, which helps the surgeon see the results more clearly.
How is it different from traditional liposuction?

Tissue trauma: WAL is less traumatic to surrounding tissues because the water jet is gentler than the blunt force of traditional liposuction cannulas.

Fat cell viability: Traditional liposuction often destroys fat cells, while WAL leaves them largely intact, making them viable for potential use in fat transfer to other areas of the body.

What are the benefits of Water-Assisted Liposuction (WAL)?

Faster recovery: The gentle nature of the procedure can lead to a shorter recovery time compared to traditional liposuction.

Less bruising and swelling: The reduced tissue trauma can result in less bruising and swelling.

Lymphatic preservation: It is designed to be less traumatic to the lymphatic system, making it a suitable option for lipedema patients who need to avoid damaging lymphatic vessels.

Fat transfer: The ability to harvest viable fat cells makes it an option for procedures like autologous fat transfer, which adds volume to other areas.

How long is the recovery time after WAL liposuction?

Many patients are pain-free just a few days after the procedure and can resume their daily activities. Thanks to the gentle technique, swelling is reduced, and recovery time is shorter than with traditional liposuction methods.

Are there any risks or side effects with the WAL technique?

The WAL technique is considered particularly safe and gentle on tissue. The risk of injuring nerves or blood vessels is very low. Studies have so far shown no damage to lymphatic vessels. Side effects such as swelling or bruising are possible but usually resolve quickly.

Can WAL liposuction permanently stop lipedema?

Yes. With the WAL technique, the diseased fat tissue is removed, stopping the progression of the disease. The procedure is performed circumferentially and radically to ensure all lipedema fat cells are removed. The lipedema pain disappears, and the contour of the affected body areas is permanently improved.




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