Schwartz Jaime S, Danesh Eva, Danesh Noah, Raghebi Arash, Danesh Jonah, West Justin
From the Private Practice, Total Lipedema Care, Beverly Hills, CA.
Division of Undergraduate Education, University of California, Los Angeles, Los Angeles, CA.
Plast Reconstr Surg Glob Open. 2024 Dec 5;12(12):e6367. doi: 10.1097/GOX.0000000000006367. eCollection 2024 Dec.
Routine cold-water immersion (CWI) is typically suggested to reduce inflammation, a hallmark property of lipedema. Lipedema is a connective tissue disorder with a genetic component that presents with a disproportionate distribution of nodules in the extremities. This case report explores the impact of routine CWI on the effectiveness of lipedema reduction surgery (LRS) and manual lipedema extraction, as part of the SMiLE technique (softening, mobilization, liposuction, and extraction). A 59-year-old woman with lipedema presented for LRS of the anterior legs. In the prior 5 months, the patient engaged in daily CWI. During LRS, there was a remarkable amount of lipedema nodules readily extracted compared with a typical patient. The patient's 5 months of routine CWI resulted in improved quality of life and decreased lipedema symptoms, and may have contributed to the quantity and ease of nodule extraction during LRS.
通常建议进行常规冷水浸泡（CWI）以减轻炎症，这是脂肪性水肿的一个标志性特征。脂肪性水肿是一种具有遗传因素的结缔组织疾病，其特征是四肢出现不成比例的结节分布。本病例报告探讨了常规CWI对脂肪性水肿减轻手术（LRS）和手动脂肪性水肿摘除术有效性的影响，这是SMiLE技术（软化、松动、抽脂和摘除）的一部分。一名患有脂肪性水肿的59岁女性前来接受前腿部的LRS。在之前的5个月里，该患者每天进行CWI。在LRS期间，与典型患者相比，有大量的脂肪性水肿结节很容易被摘除。该患者5个月的常规CWI改善了生活质量，减轻了脂肪性水肿症状，并且可能有助于在LRS期间结节摘除的数量和容易程度。
