Lipoedema is a chronic, symmetrical fat distribution disorder that mostly occurs on the thighs and lower legs, sometimes also on the arms, and practically only occurs in women. A genetic predisposition and hormonal influences are assumed to be the causes - factors that cannot be influenced. A lack of exercise and too many calories are not the real reasons for lipoedema, lipoedema does not arise as a result of increased calorie intake. During puberty or during pregnancy, the thickening occurs on the outside of the thighs (saddlebags) and on the inside of the knees. Over the years, the fat reaches the ankles, giving the legs a columnar shape. The cause of lipedema is unknown. There is a massive disproportion between the upper body and the legs, these patients are mostly very slim on the upper body, the increase in fat can only affect the thighs or lower legs in isolation, but can also be distributed homogeneously over the entire leg ("pillared leg"). The feet are usually free. In addition to the optics, those affected develop a feeling of tension and heaviness on the thighs and lower legs as well as a pronounced tenderness to touch and pressure. The pain is mainly described as dull, pressing and heavy. Lipoedema is not an aesthetic treatment, it is a disease. The psychological strain of these patients, who often suffer from the pathologically increased fat tissue at a young age, is enormous.