Advanced Lipedema Treatment

❓ Will menopause cause lipedema to come back after surgery? It’s one of the questions we hear most often.

In this video, Dr. Smart explains the connection between menopause and lipedema, and why many patients worry about hormonal changes after lipedema reduction surgery.

Lipedema is closely tied to major hormonal shifts, including puberty, pregnancy, and menopause. While these changes can influence the disease, patients who have undergone thorough lipedema reduction surgery often experience a much smoother transition through menopause with significantly less swelling.

Navigating menopause with lipedema? We’d love to hear from you. Share your experience down below.

📲 424.333.9944
📧 [email protected]
👩‍💻 AdvancedLipedemaTreatment.com
📍 Los Angeles, CA • Salt Lake City, UT • Tucson, AZ
•
•
•

For years, Julie knew something wasn’t right.

Her symptoms began at just 12 years old, but after years of misdiagnosis, her pain, swelling, and heaviness continued to worsen.

Even after having weight loss surgery, her legs never changed, and eventually, walking and climbing stairs became difficult.
In 2024, Julie came to The Roxbury Institute and underwent four surgeries with Dr. Smart and Dr. Schmelzer.

Today, she’s gone from a size 20 to a size 14 and has experienced life-changing improvements in her mobility, swelling, pain, and overall quality of life. Best of all, she’s back to enjoying time with her grandchildren.

Comment 🎉 to celebrate her transformation.

📲 424.333.9944
📧 [email protected]
👩‍💻 AdvancedLipedemaTreatment.com
📍 Los Angeles, CA • Salt Lake City, UT • Tucson, AZ
•
•
•

🤔 How does the Quantum device tighten skin after liposuction? explains!

The Quantum device delivers controlled radiofrequency energy beneath the skin to create thermal contraction, helping the skin tighten as it heals after liposuction. During treatment, you can even see the tissue begin to contract in real time.

How does it compare to Renuvion J Plasma? Both technologies are designed to help tighten skin from the inside out. They simply differ in the way they utilize radiofrequency energy to achieve that goal.

Every patient is different, which is why there isn’t a one-size-fits-all approach. We take the time to choose the technology that’s best suited for each patient’s anatomy and goals, helping achieve the best possible outcome.

Interested in skin tightening? Let us know in the comments below! ⬇️

📲 424.333.9944
📧 [email protected]
👩‍💻 AdvancedLipedemaTreatment.com
📍 Los Angeles, CA • Salt Lake City, UT • Tucson, AZ
•
•
•

There’s no one-size-fits-all approach to exercise, especially for those living with lipedema.

The best workout is one that meets you where you are and keeps you moving consistently.

Strength training helps preserve muscle mass and support long-term health, while cardiovascular exercise keeps your heart healthy and can help stimulate lymphatic flow. Whether it’s walking, rebounding, swimming, or using a vibration plate, finding movement you enjoy is key to making it sustainable.

For those with more advanced lipedema, aquatic therapy can be an excellent low-impact option that reduces stress on the joints while allowing for effective exercise.

✨ What type of movement makes you feel your best? Tell us in the comments below!

📲 424.333.9944
📧 [email protected]
👩‍💻 AdvancedLipedemaTreatment.com
📍 Los Angeles, CA • Salt Lake City, UT • Tucson, AZ
•
•
•

This patient came to with Stage 3 lipedema and significant fibrosis that affected nearly every part of her daily life.

Walking and exercise was difficult. She often woke up with aching legs and hips and felt discouraged that, despite her efforts, she couldn’t lose weight.

Dr. Aria broke apart the fibrosis and removed diseased lipedema tissue in the legs in a two surgery treatment plan with a 360 degree circumferential approach.

Six months post-op, she’s moving with greater ease, and feeling more confident in her body. The improvements in her mobility, comfort, and quality of life have been life-changing.

Comment 💓 to share your support.

📲 424.333.9944
📧 [email protected]
👩‍💻 AdvancedLipedemaTreatment.com
📍 Los Angeles, CA • Salt Lake City, UT • Tucson, AZ
•
•
•

Introducing Daphna 👋

We’re excited to welcome Daphna as our new Nurse Manager at The Roxbury Institute’s California location.

A registered nurse and midwife from Israel, Daphna brings years of experience in labor & delivery, internal medicine, and fertility. Her own fertility journey inspired a lifelong passion for advocating for women’s health and providing compassionate, patient-centered care.

After training alongside our Utah team, Daphna is ready to help guide patients through every step of their journey with the same empathy, education, and support that define The Roxbury Institute.

Please join us in giving Daphna a warm welcome in the comments! 👏

📲 424.333.9944
📧 [email protected]
👩‍💻 AdvancedLipedemaTreatment.com
📍 Los Angeles, CA • Salt Lake City, UT • Tucson, AZ
•
•
•

💗 Members of the Dercum’s Disease community surprised Dr. Herbst with a heartfelt gift basket to thank her for the dedication, compassion, and tireless work she’s poured into advancing research and supporting patients living with this rare disease.

They were met with exciting news: Dercum’s disease has officially been approved for its own ICD-10 code, with implementation expected in October 2027. Alongside the recently approved lipedema ICD-10 code, this milestone represents an important step toward greater recognition, more accurate diagnosis, and improved care for patients.

For those living with Dercum’s disease, having a dedicated diagnostic code means fewer barriers, better documentation of comorbidities, and increased awareness within the medical community.

Comment DERCUM’S to celebrate with us.

📲 424.333.9944
📧 [email protected]
👩‍💻 AdvancedLipedemaTreatment.com
📍 Los Angeles, CA • Salt Lake City, UT • Tucson, AZ
•
•
•

🇵🇷 Before she knew she had lipedema, Eileen believed her body was working against her.

A talented Puerto Rican actress with a career spanning theater, film, television, and radio, Eileen lived an active life. But around the age of 50, she began gaining weight without explanation. Her ankles disappeared, her calves enlarged, she bruised easily, and what she thought was cellulite continued to worsen.

For six years, she searched for answers. Instead, she was misdiagnosed with morbid obesity and even elephantiasis. She endured ineffective treatments, frustration, and the emotional toll of feeling misunderstood while her symptoms continued to progress.

Everything changed when Dr. Carmen López recognized what others had missed: Stage 4 lipedema. That diagnosis led Eileen to Dr. David Amron, where she underwent multiple surgeries that helped relieve her symptoms and restore her quality of life.

Today, Eileen is back to doing what she loves and is using her voice to raise awareness so others don’t have to endure years of misdiagnosis and unnecessary suffering. Comment 💜 to share your support.

📲 424.333.9944
📧 [email protected]
👩‍💻 AdvancedLipedemaTreatment.com
📍 Beverly Hills, CA • Salt Lake City, UT • Tucson, AZ

🦵 At just 28 years old, Dr. Aria’s patient was already living with Stage 4 lipedema.

Despite following a healthy diet, her symptoms continued to progress. Hormonal birth control contributed to weight gain and worsening lipedema, while ACL and meniscus injuries made mobility even more challenging.

Her lipedema affected her thighs, calves, and ankles, causing significant fullness, discomfort, and limitations in her daily life. To address the diseased tissue, she underwent circumferential lipedema surgery of the thighs, calves, and ankles, and the results have been life-changing.

For appropriately selected patients, surgery can significantly help reduce diseased tissue, improve function, and restore quality of life.

Comment TRANSFORMATION if you’d like to learn about your treatment options.

📲 424.333.9944
📧 [email protected]
👩‍💻 AdvancedLipedemaTreatment.com
📍 Los Angeles, CA • Salt Lake City, UT • Tucson, AZ
•
•
•

There’s a tremendous amount of work happening behind the scenes before a patient ever reaches surgery day.

From insurance verification and prior authorizations to appeals and ongoing communication with providers, our insurance coordinators help patients navigate one of the most stressful parts of the treatment process.

At The Roxbury Institute, advocacy is a critical part of patient care. We understand how important access to treatment can be for individuals living with Lipedema and other chronic conditions affecting mobility, pain, and quality of life.

Thank you, Jackie, for the persistence, compassion, and dedication you bring to our patients every single day. 💙

Lipedema surgery, Lipedema patient journey, insurance, patient support

📲 424.333.9944
📧 [email protected]
👩‍💻 AdvancedLipedemaTreatment.com
📍 Beverly Hills, CA • Salt Lake City, UT • Tucson, AZ