Lipedema surgery in Bordeaux
Lipedema is a lipodystrophy, i.e. a disorder of fat distribution, which mainly affects the legs.
Written by Dr Maxence Thomas, plastic surgeon
RPPS 10101703519

- Type of anesthesia
- General or spinal anesthesia is required.
- Duration of the procedure
- The procedure takes about 2 hours.
- Hospitalization
- One night in hospital.
- Scars
- There are small scars of a few millimeters.
- Recovery
- A few weeks of recovery are needed after the procedure.
What is lipedema?
Lipedema is a lipodystrophy, i.e. a disorder of fat distribution: fat cells are found in areas where they do not usually proliferate.
It mainly affects the lower limbs (especially the calves and thighs), but the disease can also affect the upper limbs (arms and forearms).
The disease is frequently associated with pressure-like pain in the calves and thighs. A tendency to bruise easily on the legs is also common.
How does the procedure work?
The procedure is generally performed in 2 stages: first, liposuction of the calf and knee, then, in a second stage, liposuction of the thigh.
It is a tumescent liposuction, i.e. assisted by fluid infiltration (saline solution with adrenaline).
The aim is to preserve the lymphatic tissue in order to reduce lymphedema.


What is the recovery like?
Post-operative course
After the operation, walking is possible and recommended. Lymphatic drainage is very helpful to reduce swelling and the associated pain. Compression tights or stockings must be worn for one month.
What results can you expect?
Results can be assessed after a minimum of 3 months, and preferably after 6 months.
→ Reduced pain, thanks to lower tissue pressure and tension
→ A slimmer figure: the legs are refined
How much does it cost?
Approximately €7,000 to €9,000
A detailed quote is given after the consultation. For a cosmetic procedure, French law requires a cooling-off period of at least 15 days between the quote and the surgery.
FAQ
There are small scars less than one centimeter long. They are needed to insert the suction cannula.
General or spinal anesthesia is required.
The procedure takes about 2 hours.
One night in hospital is required.
Reduced lipedema pain and a slimmer figure.
There is some pain, which is treated with painkillers.
As with any surgery, there are risks and complications: anemia due to blood loss, skin irregularities, persistent pain, skin damage (compromised blood supply, necrosis), nerve damage (reduced or altered sensation), etc.
Any other questions? Dr Thomas will answer them during the consultation.
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What patients say
4.7/5 · 121 Google reviews« I recommend Dr. Thomas without hesitation. This is the second time he's performed my lip injections, and I'm once again delighted with the results. The work is meticulous, elegant, and above all, natural—exactly what I was looking for. He perfectly respects the facial structure, and the result is harmonious, without being overdone. I also want to thank his assistant, Béatrice, who is incredibly kind. Always smiling and welcoming, she makes you feel truly listened to and well taken care of from beginning to end. An excellent experience; I will definitely return. »
« One year after my breast augmentation surgery, I wanted to warmly thank Dr. Thomas for his professionalism and outstanding work. The result is very successful, natural, and completely met my expectations. During my stay at the cosmetic surgery clinic, the entire team was incredibly kind, caring, and reassuring. I experienced very little pain, which surprised and relieved me greatly. I also want to acknowledge the doctor's secretary, who called me the day after the procedure to check on me—a very thoughtful and genuine gesture. I wholeheartedly recommend Dr. Thomas and his entire team. »
« A huge thank you to surgeon Maxence Thomas, who took care of me. He's the best in the department. Excellent service. Special mention to surgeon Maxence Thomas and his team. Thank you for your kindness and for putting me at ease, and for the follow-up care you provided afterward. Very satisfied with the result, even after just one week. Impressive! I can't thank you enough. Thank you for this operation. So happy! Very welcoming. I highly recommend them. Highly professional and charming. I am extremely grateful. »
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