Here is a breakdown of the different grades, how gyno affects your self-esteem, and what can be done to get you ready for your NS journey in full confidence.
January 23, 2026
Table of Contents
Lipedema is an abnormal fat build-up medical condition that usually affects women.
It is characterised by the uneven distribution and disproportionate accumulation of fat and its supporting connective tissues.
The areas most commonly affected include the legs, arms, and buttocks, causing an uneven appearance compared to the other parts of the body.
Lipedema is classified into four stages based on the severity of symptoms and appearance and is categorised into five types according to the location of the fat deposits.
Symptoms of lipedema in the arms and legs
What are the early signs of lipedema in the arms and legs?
The early signs of lipedema in the arms can include:
- disproportionate increases in arm circumference
- pain
- tenderness
- easy bruising
- sensitivity to touch or pressure
- heaviness in the affected areas
Early signs of lipedema in the legs may show:
- symmetrical swelling
- a "spongy" or cool sensation in the affected areas
- easy bruising
- upper body is much smaller than the affected legs
Checking for lipedema at home with the pinch test
The only way to self-diagnose lipedema is through a pinch test.
The pinch test for lipedema involves gently pinching the affected area.
The goal of the pinch test is to assess the skin texture, pain response, and how the tissue feels.
During the pinch test, if the affected area has any pain or feels different in texture compared to other areas of your body, you may be suffering from lipedema.
However, the pinch test should NOT be regarded as a definitive diagnosis.
Limitations of the Lipedema Pinch Test
The lipedema pinch test is easy to do at home, but it is not entirely reliable.
The symptoms of lipedema can also look like other skin concerns or medical conditions. Because of these limitations, you should not rely only on this test.
If the test suggests you might have lipedema, it is important to seek a professional opinion for further evaluation and an accurate diagnosis.
FAQ on lipedema in Singapore
How to self-care for lipedema at home?
To manage your lipedema at home, try the following:
- Focus on enhancing your blood circulation by doing light exercises such as walking and swimming
- Wear a compression garment regularly to bring down the swelling
- Adopt an anti-inflammatory diet by avoiding processed foods, high sugar, refined carbs, and unhealthy fats
- Consider going for regular manual lymphatic drainage (MLD) massage for detoxification, as well as to remove excess fluid and reduce swelling caused by injury
When should you seek urgent help for lipedema?
Get urgent help or visit the A&E immediately if you experience:
- Signs of cellulitis, a severe complication of advanced lipema
- Notice swollen limbs that are accompanied by redness and pain
- Skin on the affected sites is tender and hot to the touch
- Experiencing fever and flu-like symptoms
- Generally not feeling well overall
These symptoms may indicate a bacterial infection that requires prompt antibiotic treatment.
How quickly does lipedema get worse?
According to The International Lipoedema Association (ILA) in Denmark, the progression of lipedema varies in individuals.
It could either be slow and stable for decades or suddenly worsen quickly. However, uncontrolled inflammation and rapid weight gain may accelerate worsening of this medical condition.
How to choose a doctor for lipedema in Singapore
You may consult either a general physician, a vascular surgeon, or a dermatologist.
Dr Ivan Puah, an MOH-accredited liposuction doctor in Singapore, has years of experience treating patients with lipedema of all stages and types in Singapore and beyond.
What happens if lipedema is left untreated?
Lipedema can worsen if not treated, leading to complications such as pain and reduced mobility.
