Compression for Lipedema | Why It Matters and How to Make It Work for You

What is Lipedema?

Lipedema is a chronic and progressive fat disorder, primarily affecting women. It causes a disproportionate accumulation of adipose tissue in the lower body – particularly in the hips, thighs, and legs – resulting in pain, swelling, tenderness, and reduced mobility. Often triggered or worsened by hormonal events like puberty, pregnancy, or menopause, Lipedema is frequently misdiagnosed as obesity or Lymphedema.

Though there is currently no cure, conservative treatments like compression for Lipedema can help manage symptoms and potentially slow the condition’s progression.

What are Compression Garments?

Compression garments are specially designed clothing that apply controlled pressure to specific areas of the body. While compression gear is widely used for sports recovery and poor circulation, compression garments for Lipedema are medically focused. These garments encourage healthy blood flow and lymphatic drainage, helping reduce swelling, pain, and tissue inflammation.

They come in various styles – leggings, stockings and sleeves – and compression levels, often measured in mmHg. Higher pressure (20–30 mmHg or more) typically requires a prescription and professional fitting. The flat knit compression garments I had to wear pre and post surgery had to be specially made and were measured by my Lymphedema nurse in the UK.

Compression for Lipedema

Compression therapy plays a key role in conservative management. It works by promoting the movement of fluid through the lymphatic system and reducing pressure build-up in affected limbs. With consistent use, compression for Lipedema can:

• Reduce pain and heaviness in the limbs
• Improve lymphatic drainage and circulation
• Prevent secondary Lymphedema
• Provide support to loose connective tissue
• Help reshape the body and improve mobility

Medical-grade flat knit compression garments are typically used for Lipedema, as they offer better support and customisation compared to circular knit types.

Different Types of Compression for Lipedema

The type and level of compression you need depend on the stage of your Lipedema, your lifestyle, and whether you’re undergoing surgery.

Flat Knit Compression

This is the gold standard for Lipedema. Custom-made flat knit garments offer uniform compression, are more durable, and can be tailored to fit your unique shape. They’re especially important for advanced stages or pre/post-operative care.

Off-the-Shelf Garments

Brands like Lipoelastic offer ready-to-wear options. While they don’t provide the same therapeutic pressure as flat knits, they’re a good alternative for light activity or gym sessions when full compression isn’t practical.

Arm Compression Garments

Though Lipedema most often affects the lower body, some women also experience symptoms in their arms. In such cases, compression sleeves can be added to your routine for full-body support.

Getting Measured: Why It Matters

Proper fit is essential. Compression garments that are too loose won’t offer therapeutic benefits, while those that are too tight can restrict circulation and cause discomfort.

Measurement should be done by a specialist – usually a Lymphedema nurse or vascular specialist – who will follow specific sizing charts provided by the manufacturer. If you change brands or notice any changes in your body, re-measuring is essential. Especially post surgery once the swelling has subsided.

Many UK-based services now offer postal prescription delivery, so once you’ve been measured, your garments can be delivered straight to your door. Some services even help with repeat prescriptions. I use Patient Choice for my compression garments and they’ve always provided a fantastic service.

Tips for Wearing Compression Garments

• Put them on first thing in the morning when swelling is minimal.
• Use tools like Arion Easy Slides or rubber gloves to help get garments on.
• Wear them daily – consistency is key for effectiveness.
• Replace them regularly, typically every 6 months depending on wear.
• Ease into it. Start with shorter periods if you’re new to compression and build up over time.

Compression for Surgery: Pre and Post-Op Requirements

If you’re preparing for Lipedema surgery, compression becomes even more important. Clinics like Lipemedical require patients to wear flat knit compression garments for 16 hours a day for at least 6-8 weeks before surgery. This helps soften fibrotic tissue and prepare the body for better surgical outcomes.

Post-surgery, the same garments are worn for another 8 weeks to support healing, reduce swelling, and shape the newly contoured limbs. Compression is vital for recovery to ensure you get the very best results post Lipedema Reduction Surgery.

My Personal Experience with Compression for Lipedema

Let’s be real – me and compression garments is a love-hate relationship. They take effort, and it’s easy to feel overwhelmed in the beginning. I booked my WAL liposuction surgery at the start of 2023 and had months to get used to wearing compression. Now it’s part of my daily routine.

In August 2023, I began wearing my flat knit garments daily. I was also introduced to a pair of sports compression leggings by Lipoelastic, which I now wear to the gym on days when my flat knits feel too restrictive. They aren’t medical grade, but they’re a helpful alternative when I need a break.

If you want to try them, use code LIPEDEMAANDME for 10% off the full Lipoelastic range here.

So, Is Compression for Lipedema Worth It?

Absolutely! Compression for Lipedema isn’t just about comfort – it’s a proven method to reduce symptoms, protect your lymphatic health, and slow the condition’s progression. Whether you’re in early stages or preparing for surgery, incorporating compression into your daily routine can be life-changing.

If you’re still unsure or struggling to find the right garments, speak to your specialist or reach out on

so****@li***********.com











– I’m always happy to help where I can.

Disclaimer: My blogs talk about Lipedema, diet, surgery and much more. I’m talking from my point of view to help women, and remind them they are not alone. I am not a medical professional, so the content above is from my own perspective with research I have done into the topic. It’s not meant as medical advice, you should always consult your doctor or a specialist for both your diagnosis, and a treatment plan. Also, this blog contains some affiliate links to products. I may receive a small commission for purchases made through these links. I only ever link to products that I use and recommend for the management of Lipedema symptoms. Thank you for your support.

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• Dry Brushing for Lipedema
• Does Lipedema go Away With Weight Loss
• Rebounding for Lipedema

Sophie

Sophie is the founder of Lipedema and Me and Find a Surgeon. A fellow Lipedema sufferer based in the UK, she’s experienced first-hand the challenges of getting diagnosed and accessing surgery. Today, her mission is to support other women with Lipedema – raising awareness, sharing resources, and helping others feel less alone on their journey.