09 Dez Für ein neues Leben
Lipödem – eine Krankheit, die körperliche Beschwerden verursacht, am Selbstbewusstsein nagt und sich allmählich in den Alltag der Patientinnen „hineinfrisst“.
Dr. Falk-Christian Heck, Chef der LipoClinic mit Standorten in Mülheim, Hamburg, Madrid und Salzburg, spricht im Interview mit der Salzburgerin über Therapiemöglichkeiten und die Frage, ob die Krankheit tatsächlich vollständig geheilt werden kann.
Herr Dr. Heck, Ihre LipoClinic ist spezialisiert auf das Lipödem. Was macht diese Krankheit so schwerwiegend?
Wir sprechen hier von einer Krankheit, die zunächst mit einer optischen Veränderung einhergeht – die Beine der betroffenen Patientinnen werden durch die Fettverteilungsstörung dicker und passen nicht mehr so recht zum restlichen Körper – und das durch den ersten Hormonschub meist genau dann, wenn Mädchen anfangen, ihren Körper anders wahrzunehmen: in der Pubertät.
Später kommen auch Schmerzen in den betroffenen Bereichen dazu, man wird berührungsempfindlich. Beispielsweise konnte eine Patientin es nicht aushalten, ihr Baby auf dem Schoß zu haben – eine enorme Einschränkung für eine junge Mutter. Dazu kommt, dass Sport und Diäten nicht weiterhelfen – die Lebensqualität sinkt. Manche meiner Patientinnen sind mit dreißig bereits völlig immobil. Oft entwickelt sich dann auch noch eine Adipositas.
Was für eine Therapie empfehlen Sie?
Wenn ein Lipödem festgestellt wird, ist zunächst immer eine konservative Therapie empfehlenswert: Das Tragen von flachgestrickten Kompressionsstrümpfen mildert die Symptome ab. Aber um gegen die Krankheit selbst vorzugehen, bedarf es einer Operation – der Lipo-Dekompression. Sie besteht aus einer großvolumigen Fettabsaugung, bei der alle krankhaften Fettzellen entfernt werden.
Eine rein „kosmetische“ Fettabsaugung führt nicht zum gewünschten Erfolg!
Dafür braucht es Chirurgen, die genau darauf spezialisiert sind. Unser Haus ist weltweit führend, was die Behandlung des Lipödems angeht – bei jährlich 2.500 Operationen blickt unser 10-köpfiges Chirurgen-Team auf eine Erfahrung von mehr als 15 Jahren zurück.
Wie sind die Erfolgschancen einer solchen Operation?
Tatsächlich sehr gut – wenn nach dem von uns entwickelten Operationsstandard, dem sog. „Heck-Protocol“, operiert wird. Dieser Standard unterscheidet sich grundsätzlich von der Fettabsaugung in der Schönheitschirurgie. Bei der Operation des Lipödems werden bisweilen mehr als 10 Liter krankhaftes Fettgewebe entfernt, sodass sich das Lipödem nicht wieder neu bilden kann. Tatsächlich sind unsere Ziele, die Krankheit zu stoppen, der Patientin Schmerzfreiheit ohne Kompressionsstrümpfe zu schenken und die Figur proportional stimmig zu machen.
Unsere Erfahrungen haben gezeigt, dass Patientinnen, die sich früh operieren lassen, in ihrem weiteren Leben komplett vom Lipödem verschont bleiben – auch zu den riskanteren Zeitpunkten wie beispielsweise nach einer Schwangerschaft. Zu erleben, dass diese Frauen nach der OP tatsächlich ein ganz neues Leben haben – das bedeutet mir sehr viel!
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. Falk-Christian Heck
Ordination im Medicent – Ärztezentrum
lnnsbrucker Bundestsraße 35