Revised Staging
DRAFT UNDER CONSTRUCTION
New Lipedema Stages
Based on Al-Ghadban, S.; Evancio, J.V.; Alfiscar, P.E.F.; Herbst, K.L. New Characterization of Lipedema Stages: Focus on Pain, Water, Fat and Skeletal Muscle. Life 2025, 15, 1397. https://doi.org/10.3390/life15091397
Table 2. Description of new half stages and classic lipedema stages
| Stage | Skin | Hypodermis |
|---|---|---|
| 1 | Smooth | Grainy to pearl-sized nodules |
| 1.5 | Grainy to pearl-sized nodules | Indentations in the skin that affect the upper ½ or lower ½ of the leg anterior, lateral and posterior |
| 2 | Grainy to pearl-to-walnut-sized nodules | Indentations in the skin of the entire thigh, anterior, lateral and posterior |
| 2.5 | Grainy, pearl-to-walnut-sized and larger nodules; lobules around the hips and knees; overhang over the elbow often present | Beginning of lobules in the tissue especially at the hip and around the knee; indentations in the skin of the entire thigh, anterior, lateral and posterior |
| 3 | Grainy, pearl-to-walnut-sized, and larger deformations; multiple lobules on upper arms, over elbows, on the abdomen, hips, thighs, knees and ankles | Skin folds on the upper arms, abdomen, hips and knees; indentations in the skin of the entire thigh, anterior, lateral and posterior |