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Lipid Storage and Metabolism Disorders

Madelung Disease (Multiple Symmetric Lipomatosis – MSL)

Madelung Disease is a rare condition characterized by fat deposits or symmetrical growth of lipomas around the shoulders, neck, and upper body. Some may experience rapid growth of fatty deposits over the course of several months, while others may experience a slower progression over time. Madelung generally affects men with a history of alcohol abuse, those of Mediterranean descent, and individuals between the ages of 30-60 years old. However, non-alcoholics and women alike can also develop the disease. The exact cause of Madelung is unknown, but there may be a strong correlation between alcoholism and those who later develop the disease. Roughly 90% of those affected by Madelung have a history of alcohol abuse.

 

Symptoms

Like any other disease, Madelung signs and symptoms vary from person to person. One warning sign is the presence of fat deposits or lipomas on the left side of the body. These masses generally form on the left side of the body before the right, and are found near blood vessels and veins. The growth of these lipomas around the neck and shoulders can lead to excruciating pain and decreased mobility. Madelung Disease may also cause nerve damage and neurological complications such as difficulty swallowing, hoarseness or strained voice, fluctuations in heart rate and blood pressure, shortness of breath, and difficulty sleeping.

 

Diagnosis

Madelung Disease is diagnosed based on a thorough physical examination and medical history review. Imaging studies such as a computed tomography (CT scan) and/or magnetic resonance imaging (MRI) also prove to be helpful. A MRI scan is a preferred method to detect lipomas and possibly a biopsy to confirm diagnosis.

 

Treatment of Madelung Disease:

  • Historically, the removal of multiple fatty tumors result in multiple incisions, leaving the patient with a multitude of scars.

  • Liposuction has been a less invasive option, however it is difficult to remove the whole tumor which commonly causes it to return.

  • We have an innovative method, developed by Dr. Volshteyn to remove  the fatty tumor utilizing ultrasonic destruction with minimal incisions.  The tumor becomes a liquid consistency in this process and can be gently suctioned through the same small incisions.

    • Minimal scarring

    • Little to no discomfort or downtime

    • Ideal for removal of multiple lipomas

    • Can be done under local anesthesia

    • In many cases no sutures are needed

Call us today to schedule your consultation 732-641-3350




Dercum’s Disease

Dercum’s Disease is a rare condition characterized by painful lipomas, or benign fatty tumors, primarily located on the abdomen and legs. According to the National Organization for Rare Disorders, it occurs in more women than men. The cause of Dercum’s Disease is unknown, but research indicates that it may be an autoimmune disorder or a problem associated with metabolizing fat in the endocrine system.

 

Symptoms

The Four Primary Symptoms of Dercum’s Disease:

  1. Multiple painful fatty masses

  2. Obesity

  3. Weakness and fatigue

  4. Mental disturbances, emotional instability, depression, confusion, and dementia.

In addition, lipomas can further cause nerve compression resulting in weakness and pain.  

 

Diagnosis

The diagnosis is based on clinical criteria, physical examination, and by excluding differential diagnosis. MRI, CT scans, and biopsies can be helpful in identifying Dercum’s Disease. There is no current cure for the disease.

 

Treatment of Dercum’s Disease

  • Medication to relieve pain

  • Traditionally, surgical removal of the fatty tumor(s) is performed, however the patient is left with scarring and in cases of multiple fatty tumors, multiple scars are accrued.

  • A less invasive option has been liposuction, however it is difficult to remove the entire tumor resulting in future recurrence.

  • Dr. Volshteyn has developed an innovative method of removing the fatty tumor utilizing ultrasonic destruction with minimal incisions.  This process turns the tumor into a liquid consistency and then gently suctioned out through the same small incision.

    • Minimal scarring

    • Little to no discomfort or downtime

    • Ideal for removal of multiple lipomas

    • Can be done under local anesthesia

    • In many cases no sutures are needed

Call us today to schedule your consultation 732-641-3350

 


Familial Multiple Lipomatosis (FML)

Familial Multiple Lipomatosis is an extremely rare condition characterized by multiple lipomas, generally painless, distributed throughout the body and extremities. Diagnosis occurs when it is found in more than one family member, sometimes over numerous generations.

 

Symptoms

Lipomas found in areas not on the head or shoulders are a primary symptom of Familial Multiple Lipomatosis. The lipomas can occur on the hypodermis, the lower layer of the skin, and connective tissues. They tend to be painless, but can cause irritation. Progression of lipomas can lead to disfigurement, impaired mobility, or even disability.

 

Diagnosis

Physical examination and medical history review by a licensed physician specializing in lipid fat disorders

 

Treatment of Familial Multiple Lipomatosis

  • In the past, surgical removal was always the option, however patients end up with unsightly scarring.

  • Liposuction was utilized to minimize scarring, however it is very difficult to remove the entire tumor.  If the entire tumor is not removed, the risk of the mass recurring increases greatly.

  • We have a process that converts the tumor into a liquid consistency, and can be removed by suctioning through a small incision.  Dr. Volshteyn has contrived a cutting-edge method of removing these tumors with ultrasonic destruction with minimal incisions.

  • Minimal scarring

  • Little to no discomfort or downtime

  • Ideal for removal of multiple lipomas

  • Can be done under local anesthesia

  • In many cases no sutures are needed

Call us today to schedule your consultation 732-641-3350

 


 

Lipedema

Lipedema, also known as painful fat syndrome, is a chronic disease most common in females. The swelling and expansion of fatty tissue occurs mainly in the hip region and upper and lower extremities. Lipedema is extremely rare in males and is often misdiagnosed as Lymphedema, which is similar and can be present at birth or developed later on.

 

Symptoms

Symptoms vary for patients, but the enlargement of both legs is the primary indicator of Lipedema. The expansion of fat cells grows at the same rate on both sides of the body from the waist to the knees, or a distinct fat ring around the ankles. Accumulation of fat in the upper arms also affects 30-90% of those with lipedema. Other symptoms include hypersensitivity to touch and pain in soft tissue areas even while at rest. This can lead to gout and severe joint pain.

 

Diagnosis

The best way to diagnose lipedema is manual and visual examination by a trained physician. The healthcare physician will look and feel for abnormal tissue growth, or nodules. As the disease progresses the size and number of nodules does as well.

 

Treatment of Lipedema

  • Traditionally, surgical removal of the fatty tumor(s) is performed, however the patient is left with scarring and in cases of multiple fatty tumors, multiple scars are accrued.

  • A less invasive option has been liposuction, however it is difficult to remove the entire tumor resulting in future recurrence.

  • Dr. Volshteyn has developed an innovative method of removing the fatty tumor utilizing ultrasonic destruction with minimal incisions.  This process turns the tumor into a liquid consistency and then gently suctioned out through the same small incision.

    • Minimal Scarring

    • Little to no discomfort or downtime

    • Ideal for removal of multiple lipomas

    • Can be done under local anesthesia

    • In many cases no sutures are needed

Call us today to schedule your consultation 732-641-3350

 

 

 


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Dr. Boris Volshteyn is a plastic surgeon dedicated to excellence in plastic & reconstructive surgery such as breast augmentation, liposuction, and facelifts. Boris Volshteyn MD plastic surgery offices are located in New York and New Jersey. This website is a plastic surgery resource for viewing before and after photos, and learning about various procedures.

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