Types of Lipedema

Types of Lipedema

Lipedema is categorized into five different types, based on the areas of the body affected.

Type I: Pelvic Lipedema  (Buttocks & Hips Only) Fat accumulation primarily in the buttocks and hip area. Creates a pear-shaped appearance. Early signs include hip pain and discomfort when sitting for long periods. Common in: Women with wide hip structures or those who gain weight in the lower body first.
Type II: Upper Legs & Buttocks Lipedema Fat accumulates in buttocks, hips, and thighs down to the knees. Often leads to "saddlebag" fat deposits on the outer thighs. Knees may start to develop fat folds, causing discomfort while walking. Common in: Women with wider thigh structures or a history of leg swelling after standing for long periods.
Type III: Entire Legs (From Buttocks to Ankles, Sparing the Feet) Most common type of lipedema. Fat extends from the waist down to the ankles, sparing the feet. "Cuffing" effect at the ankles (sharp transition between swollen legs and normal feet). Can lead to difficulty wearing boots and shoes due to calf swelling. Common in: Women who notice symmetrical swelling in the lower legs, even if their upper body remains slim.
Type IV: Arms & Legs Lipedema Affects both arms and legs, leading to disproportionate fat accumulation in all four limbs. Arms may feel painful, heavy, and swollen, with fat deposits near the elbows and upper arms. Hands and feet remain unaffected (until later stages). Common in: Women with a family history of lipedema or those who experience worsening arm swelling during hormonal changes.
Type V: Lower Legs Only (Calves & Ankles) Fat accumulation is limited to the lower legs, from the knees to the ankles. Creates a "column-like" leg appearance, with no ankle definition. Feet are not affected until late stages. Common in: Women who develop swelling in the calves first and have thicker lower legs compared to their upper body.

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