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After successful completion of a conservative initial treatment consisting of manual lymph drainage and bandaging a lipedema must be fitted with an adequate compression garment made of flat-knitted material.The type of the compression supply and its duration following liposuction depends on the result obtained after the removal of fatty tissue. Due to liposuction alone, an improvement of the quality of life can be already achieved. An additional treatment using compression garments may have a positive effect, too.