The stages of lipoedema are essentially classified according to the externally visible features, for example on the thighs:
- Initially, the fat accumulates on the outer thighs and outer buttocks. This is also referred to as “saddlebags“. The skin is still smooth at first, but the subcutaneous tissue thickens. Small ball-like structures can be felt on the knees and inner thighs.
- At this stage, the saddlebags are much more pronounced. The skin surface is no longer smooth, but shows large dents and lumps. The subcutaneous tissue continues to thicken, but has not yet hardened.
- At this stage, there is a clear increase in the circumference of the legs. The heavily thickened subcutaneous tissue feels hard. Fat flaps form on the inner thighs, which can rub against each other. This can cause unpleasant chafing wounds, which can also lead to inflammation (erysipelas). The weight gain puts more strain on the joints, which can also lead to leg deformities.
Stage 3 of lipedema
