The step into a new life!

LipoClinic Dr. Heck is specialised in the treatment of lipedema. We know the long period of suffering you have endured. A path that is often characterised by ignorance and lack of understanding of the disease. Those affected often feel alone and misunderstood. With our many years of experience, we would like to help you take the step into a new life.


Therapy: The effective treatment of lipedema

The first measure in the treatment of lipedema is the so-called conservative decongestive therapy; a treatment conducted by wearing flat-knitted compression garments and by performing manual lymphatic drainage. However, this therapy is not sufficient as the only form lipedema treatment. Wearing flat-knitted compression garments as well as normalising weight by exercising and eating healthy are essential factors in supporting surgical lipedema treatment. Flat-knitted compression and lymphatic drainage serve primarily to reduce fluid retention. Nevertheless, these treatments alone do not reduce the pathologically increased fatty tissue formed in the course of lipedema.

The surgery

The only sustainable and long-lasting treatment of lipedema is a large volume Lipo-decompression as part of a surgery. If the surgeries are performed consistently and competently, excellent results with very few complications can be expected.

With over 2,500 Lipo-decompressions per year, LipoClinic Dr. Heck is the world leader in lipedema surgery. 

Surgical techniques

WAL technique

Lipedema surgery (lipo-decompression) is usually performed using WAL or tumescent local anaesthesia (TLA). At the LipoClinic we give preference to the WAL technique, as this technique offers many advantages in terms of comfort and safety for the patient during treatment. WAL for lipedema has been used since 2006 and has since then proven to be the more convincing therapy.

A thin jet of water dissolves the fat cells from the tissue composite and rinses them out. The fatty tissue is simultaneously suctioned off in this surgery. Compared to the bulging of the tissue in case of TLA, the WAL technique uses very little infiltration solution. The legs or arms retain their shape during the procedure and can be optimally assessed by the surgeon at any time. This enables precise suction of the fatty tissue until the desired contour can be achieved. Furthermore, neither the prolonged time for the infiltration  of the tissue nor an exposure time is necessary with the WAL technique.

After the tumescent solution has been injected for local anaesthesia, suction of the fatty tissue can begin. This shortens the time of surgery considerably compared to the TLA technique.In addition, it prevents the drugs contained in the injection solution from entering the patient's circulatory system as only  small amounts are necessary. This considerably reduces the risk of drug-related side effects on the cardiovascular system. Compared to other liposuction methods, the procedure is very gentle on the tissue and the risk of damaging the vessels and nerves is very low. Furthermore, it has been proven that there is no possible damage to the lymphatic system.

Stop lipedema successfully

Studies have shown a reduction in pain caused by lipedema, using the WAL technique. By implementing this method, there are shorter recovery times and a reduced tendency to swelling. The vast majority of our patients becomes pain-free within a few days. Very often no further therapies such as compression garments or lymphatic drainages are necessary in the long term. In the case of a simultaneous illness with lipo-lymphoedema, the WAL procedure also tends to be successful. In these patients, however, the permanent need for wearing compression garments for life despite the surgery persists.

At the beginning of the 2000s, Dr. Falk-Christian Heck first came into contact with a previously unknown disease – lipedema. The clinical picture of the affected women was met with neither acceptance nor understanding by the doctors. Even today, in many cases lipedema is still misdiagnosed as overweight or obesity (adiposity). The disease often remains undetected for a long time. Those affected suffer from shame, self-reproach and frustration.

As an experienced surgeon, Dr. Heck developed a completely new and sustainably effective surgical method, the lipedema surgery (lipo-decompression), which

  • stops the lipedema
  • is a pain-free surgery
  • eliminates the need for compression garments
  • improves the quality of life

These are still our goals today at the LipoClinic!


What does pain feel like with lipedema

Which doctor can diagnose lipedema?

Why is MLD so important for lipedema?

Flat-knitted compression garment for lipedema? Part 1

Flat-knitted compression garment for lipedema? Part 2

Flat-knitted or circular-knitted compression garments for lipedema?

Lipedema & Pregnancy

Lipedema & Sport

Costs of a lipedema lipo-decompression

Since September 2019, health insurance companies have been covering the costs of medical lipo-decompression for very severe stage III cases. However, patients must meet certain requirements to obtain a coverage by the health insurance. Each patient is different and the treatment at the LipoClinic is individually tailored. The costs for a lipedema surgery therefore depends on the complexity of the surgery and the aftercare required.