Lipoedema stages and types

Stage describes how far the tissue has changed; type describes where the fat sits. Together they decide how we plan sessions, which compression class you need and whether the knee needs treatment.

Progression

Four stages

Stage 1

Skin smooth, subcutaneous tissue thickened and tender.

Stage 2

Uneven surface; nodules the size of a walnut can be felt.

Stage 3

Large overhanging folds of tissue; walking is affected.

Stage 4

Lymphatics overwhelmed — lipo-lymphoedema.

Distribution

Five types

Type I

Hips and buttocks only.

Type II

Buttocks to the knees, with pads on the inner knee.

Type III

Hip to ankle — the most common “trouser” pattern.

Type IV

Arms involved as well.

Type V

Below the knee only — rare.

Why it matters

Stage and type decide the plan

Stage 1–2: usually one or two sessions, fast recovery
Stage 3: staged surgery; skin tightening may be needed later
Stage 4: lymphatic care first, then careful, lymph-sparing removal
Type II–III: the inner knee is treated in the same operation
Type IV: arms planned as a separate session

Which stage are you?

Prof. Karacalar will tell you in person — in London or by video.

ik●noplasti

Lipoedema & leg aesthetic clinic in Istanbul, led by Prof. Dr. Ahmet Karacalar — Professor of Plastic, Reconstructive and Aesthetic Surgery.

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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.