Lipoedema is a pathological accumulation of fat and retention of fluid in the subcutaneous tissue. It can affect the whole body or just individual regions. This condition results in local pain due to tension and pressure, a “tired leg” feeling and the skin is prone to bruising (haematoma), especially on the legs and upper arms. Besides conservative therapies such as compression garments, manual and mechanical lymph drainage, liposuction is also an option. With liposuction, the condition can be significantly alleviated for many years, if not completely eliminated. In patients with very extreme lipoedema, the skin often loses its elasticity, resulting in a large amount of excess skin and underlying tissue. These areas of hanging skin can be removed in a lifting operation.