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Madelung Disease Treatment

Madelung Disease, also known as Multiple Symmetric Lipomatosis, or MSL, 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.


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.


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.

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

dr volshteyn

Dr. Volshteyn is a board certified Plastic Surgeon, who is specialized in reconstructive and plastic surgery.

About Dr. Volshteyn
dr daniels

Dr. Daniels is the Medical Director of Daniels Vein Center, and is a highly skilled vascular specialist.

About Dr. Daniels
dr parler

Janet P Parler MD is one of the most respected and experienced board certified plastic and reconstructive surgeons in New Jersey.

About Dr. Parler
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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.

107 Monmouth Road Suite 102 West Long Branch, NJ 07764 (732) 641-3350

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