Diagnosis, Superdry 4D lymph-sparing surgery and the long game — explained without jargon by the surgeon who wrote the book on it.
Lipoedema treatment overview →Bow legs, knock knees, calves, ankles, knees and buttocks — shaped the way a sculptor shapes a figure.
Leg aesthetics overview →
Professor of Plastic, Reconstructive and Aesthetic Surgery. Sculptor. Author of Iconoplasty — the book this clinic is named after.
Biography →Bands, fat and skin — treated together, not one at a time. Fibrous bands tether the skin down while fat pushes up between them. Genetics and oestrogen set the stage; inflammation, poor lymph flow and sitting all day make it worse. Slim women get it too.
Visible only when the skin is pinched.
Visible standing; disappears lying down.
Visible in every position, with deep pits.
Most patients need a combined protocol, planned individually. Results typically hold one to three years; maintenance sessions are normal. Creams work on the surface only.
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Because the cause is structural and hormonal, not weight. Slim women get it too.
Subcision — releasing the fibrous bands — gives the quickest visible change.
Only on the surface, and only while you use them.
Movement helps circulation and lymph flow, but it cannot release the bands.
Typically one to three years; maintenance sessions keep them.
Send us photos standing and we will tell you what would work — and what would not.
Lipoedema & leg aesthetic clinic in Istanbul, led by Prof. Dr. Ahmet Karacalar — Professor of Plastic, Reconstructive and Aesthetic Surgery.
© 2026 Ikonoplasti · Prof. Dr. Ahmet Karacalar
Surgery carries risks and results differ from person to person. Content on this site is general information, not medical advice. Please seek an independent opinion before deciding on any procedure.