Visage Clinic: Dr. Marc DuPéré
101-133 Hazelton Avenue
Toronto, ON M5R 0A6
Phone: (416) 929-9800
Fax: (416) 368-3113
Toll Free: 1 (855) 8 VISAGE
Monday-Friday: 8:00 a.m.–5:00 p.m.

You Don’t Need to Live with Lipedema

Each year, I see a number of patients with disproportionately enlarged lower extremities. These patients commonly say the tendency to accumulate fat on the legs and hips “runs in the family.” This condition often involves the lower portion of the body such as the outer and inner thighs, knees, and lower areas. Occasionally it can involve the upper extremities and the buttocks. Typically, the trunk is thin and athletic. Often, these patients are people who live healthy lifestyles include proper nutrition and regular exercise. These patients likely suffer from a condition called lipedema.

My approach to treating lipedema at my Toronto clinic is with a special-type of liposuction called “lymph-sparing” liposuction; a larger than typical amount of tumescence solution is used to create more spaces for the aspiration cannula and to minimize injuries to lymphatics and veins.  Tumescence solution also contains adrenaline which minimizes blood loss and bruising.  Typically, a series of 1 to 3 liposuction procedures are required. I say “series” for 2 main reasons. The first one is safety. We can safely remove up to 5 litres of fat in one surgical session. The risk of complications increases beyond this volume.

It is not rare, over time, to remove 5 to 15 litres of fat in a single patient suffering from lipedema over several surgical procedures.

Recovery is similar to any large-volume liposuction. I recommend a compression garment for 3 to 4 weeks after surgery. I also recommend taking iron supplements for 3 to 6 weeks before surgery and then 4 weeks after—300 milligrams 3 times daily, if possible. Cost will also vary with the type of procedure required.

There are some recommendations I make to all body contouring patients: maintaining a healthy diet and good exercise protocol are paradigms of positive long-term results.

Dr. Marc DuPéré

25 Responses to You Don’t Need to Live with Lipedema

  • Lisa Chiarenza says:

    I would like to know what I would be looking at for Liposuction. My target areas are the thighs and knees area. Thank you.

    • Dr. Marc DuPéré says:

      HI Lisa, it is hard to give you a real number without seeing you. Are you in Toronto or around? If not, we do offer SKYPE and Facetime. Feel free to send us some pictures too. I perform several types of liposuction, including the S.A.F.E. technique to minimize chances of dimpling post-op. Dr. D.

  • Samia El-Roz says:

    Hello Dr Marc,
    I weigh 105 kilogram and I am 5.4”. Have recurring kidney stones and PFO (whole in the heart ), pre-diabetic and high bad cholesterol but with no meds for them. I am only taking Synthroid at .147 mg daily and 10 mg of Paxil daily. Can I start do the the liposuction or is it too risky?

    • Dr. Marc DuPéré says:

      Hi Samia, we are dedicated to safety and I would need to see you first in office. Your BMI is 39, and we do surgery if under 40. As for your PFO, my anesthesiologist would need some reports from your cardiologist: old ECGs, echocardiogram results, etc. It would be important to control your cholesterol and sugars. We will also test for those in the pre-op preparation. My assistants will email you shortly. Dr. D.

    • Dr. Marc DuPéré says:

      I do. Thank you for your enquiry. I look forward to meeting you. 416-929-9800 – Dr. D.

    • Dr. Marc DuPéré says:

      Hi Rhonda, thank you for your enquiry. My assistants will be emailing you shortly! It would be helpful if you could send me some pictures. Dr. D.

  • Linda Colley says:

    Hi there i have Lipedema and im wondering if i could come in abd see you…im looking for a consultaion price ect….Thanks Linda

    • Dr. Marc DuPéré says:

      Good morning Linda, my assistants will help in coordinating your consultation. I look forward to seeing you. Expect an email from them this morning. Dr. D.

  • Sonia malik says:

    Hi I would like to come in for a consaultation im interested in the treatment for legs and maybe arms
    I wanted to know if u were located in Toronto

    • Dr. Marc DuPéré says:

      Hi Sonia, yes I am in Toronto, in Yorkville, at 133 Hazelton Ave. Suite 101. This is my main location and this is where your surgery would take place. I also have a small satellite office in North Richmond Hill (Oak Ridges) where I see consultaitons and post-ops once a month or so, if closer to home. I look forward to meeting you. Feel free to call us: 416-929-9800 to book your consultation. Kind regards, Dr. DuPere.

  • Mandy Chopik says:

    Hi, I was wondering if you complete this surgery awake? It’s rare to find someone in Canada that treats lipedema.

    I’m looking to get an assessment done to see how much the procedure would cost.

  • Mandy says:

    Hi, I believe I am suffering from lipedema. I am a 26 year old female that has fatty issue on my ankles/calves thighs and upper arms. I’m slim to begin with, 110 pounds and am an active person. I was wondering if you complete the liposuction while the patient is awake?

    • Dr. Marc DuPéré says:

      Hi Mandy, my assistants will be emailing you today or tomorrow. I look forward to meeting you! Dr. D.

  • Mandy Chopik says:

    Hi Dr DuPéré,

    I haven’t received an email from your assistant yet. I’ve tried to navigate your site to email for a consultation, but the slide along bar to send it isn’t cooperatating with my iPhone. Hopefully I can talk to your assistant soon and get this started!

    Thank you

    • Dr. Marc DuPéré says:

      Hi Mandy, it may have ended in your spam box. I’ve asked my assistants to try again. But please, do give my ladies a call – 416-929-9800 – and they will be able to answer your questions and book your consultation. I look forward to meeting you! Dr. D.

    • Dr. Marc DuPéré says:

      Good morning, I have been treating patients with lipedema for several years. Sorry I do not count number of patients I treat for every condition I see in my office for 18 years but they have been many with lipedema of various severity. I look forward to meeting you. Dr. DuPéré

  • Emily says:

    Hi Dr!

    I was wondering if I would be able to get your e-mail for a rough estimate? My lipedema is mainly on my thighs, and a small amount on my calves.

    Thank you

    • Dr. Marc DuPéré says:

      Hi Emily. My office will be emailing you details. Are you in Toronto? if so, a quote would be more accurate once we meet and once I can assess you. Cost will depend on the amount of estimated time in surgery, including if I need to “flip” you during surgery, as often needed for lipedema to go all around. Lower legs also require more time to do (more meticulous work) than thighs. If you are not in Toronto, we do offer SKYPE and FaceTime…and you could send my office some pictures for the virtual consultation. I look forward to meeting you. Call us: 416-929-9800. Dr. DuPéré

  • Sam says:

    I think I may have lipedema but I’m not sure about getting diagnosed? My family GP doesn’t see any issue.
    Also is the lipo you perform water assisted ?

    • Dr. Marc DuPéré says:

      Good morning! Thank you for your interest. My assistants will be emailing you shortly. I do use the tumescence solution (super wet) technique and the gentle suction-assisted liposuction technique. Please know we offer SKYPE and FaceTime consultation if you live far away. Kind regards, Dr. DuPéré

  • Michelle says:

    Hello, I live in Ottawa and believe I have Lipedema in my arms and legs. Was wondering if I can receive more information regarding cost and if I am truly a candidate for Lipedema surgery.

    Looking forward to hearing from you


    • Dr. Marc DuPéré says:

      Good day, my assistants will be emailing you shortly with information. Please note we offer SKYPE and FaceTime consultation since you live outside Toronto. I look forward to meeting you. Kind regards, Dr. DuPéré

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