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Hi I am Silvia- Lipedema Mentor. I guide women preparing for Lipedema Reduction Surgery. Because surgery is not the first step - preparation is.

Lipedema patient myself. Book your introduction call.

16/10/2026

5 days to my 4th lipedema surgery.

At this point, preparation becomes very real.

It is no longer only about the surgery itself. It is about making sure that everything around me is organised before my body has to focus on recovery.

I want my medication ready.
My compression prepared.
My home organised.
My hospital bag packed.
My post-op care confirmed.
And even the small personal things taken care of in advance.

Because after surgery, energy is limited. Mobility can be limited. Even simple everyday tasks may suddenly require much more effort.

This is why I prepare before I actually need the help.

After several surgeries, one thing has become very clear to me: recovery does not begin when you leave the operating room. It begins with the preparation you do beforehand.

In 5 days, I will undergo my 4th lipedema surgery — thighs + cruroplasty — and I will continue sharing the preparation, surgery and recovery here.

If you are preparing for your own lipedema surgery and want to approach it with more intention, structure and support, send me “SURGERY” by DM.

With 💜
Silvia
Founder of Lipedema Rebel™️

11/10/2026

10 days to my 4th lipedema surgery.

One of the questions I receive most often is:
“Why so many surgeries?”

For me, the answer is simple: because lipedema surgery is not one single event. It is a process.

My treatment has been planned progressively, with each procedure focusing on specific areas and allowing my body time to recover before moving to the next stage.

That means accepting that this journey takes time.

It also means understanding that surgery is only one part of the process. Preparation, compression, lymphatic care, movement, nutrition, recovery and follow-up all matter just as much.

After three surgeries, I know how important it is to arrive prepared — physically, practically and mentally.

In 10 days, I will face my 4th surgery: thighs + cruroplasty.

And I will continue sharing the real journey here — not only the day of surgery, but everything that comes before and after it.

If you are preparing for lipedema surgery and want support through the process, send me “SURGERY” by DM.

04/10/2026

My legs before my 4th Lipedema surgery.

What you see today is not only the result of surgery.

It is also the result of physiotherapy, compression, lymphatic drainage, swimming, gym training, walking, consistency — and learning how to prepare my body before surgery and support it afterwards.

That is one of the biggest lessons of my own Lipedema journey:

Surgery is not one day.
It is a process.

And the way you prepare before surgery can have a huge impact on how you experience recovery afterwards.

My 4th surgery is coming, and this time I will be having my second thigh surgery together with a cruroplasty performed by Dr. Luigi Schiraldi like always.

I will continue sharing the real journey here — the preparation, the surgery, the recovery, the difficult moments and the progress.

So if you are preparing for Lipedema surgery, follow along.

And if you don’t want to figure everything out alone, this is exactly what I help women with as an International Lipedema Surgery Preparation Mentor.

Together, we work on your personal preparation plan — before surgery, through recovery and beyond — so you can arrive at surgery feeling more informed, organised and prepared.

If you have surgery coming up and would like me by your side, send me a DM with the word “SURGERY”.

Let’s talk about where you are in your journey and what kind of support you need.

02/10/2026

The abdomen and the pelvic floor are closely connected.

When there is significant volume in the lower abdomen — including Lipedema tissue and, in some women, visceral fat — the abdominal and pelvic system has to manage a greater load.

Visceral fat can increase intra-abdominal pressure, which is transmitted downward toward the pelvic organs and the pelvic floor.

Over time, this additional pressure may contribute to symptoms such as:

• pelvic heaviness or pressure
• urinary urgency, frequency or leakage
• constipation or difficulty emptying the bowel
• pelvic floor tension or pain
• a feeling of bulging or “something coming down”
• pelvic organ prolapse in some women

This does not mean that abdominal Lipedema directly causes prolapse. Pelvic floor disorders are multifactorial and can also be influenced by pregnancy, childbirth, menopause, hypermobility, connective-tissue laxity and chronic constipation.

However, when Lipedema and pelvic symptoms coexist, it can be important to look beyond the legs.

The abdomen, deep core, breathing, posture, bowel and bladder function, lymphatic system and pelvic floor all work together.

The body is connected.

When pelvic symptoms are present, working with a pelvic floor physiotherapist can help assess pressure management, muscle tension or weakness, breathing, posture, bladder and bowel function, and pelvic floor coordination.

Understanding these connections may help women seek the right evaluation sooner.

29/09/2026

If you suspect Lipedema, your journey should not start with another cream, supplement, detox or “miracle” programme.

It should start with understanding what is actually happening in your body.

Because without a diagnosis, you are trying to build a care plan without knowing exactly what you are treating.

And this is where so many women lose time.

Especially when symptoms are reduced only to weight.

Obesity and Lipedema can coexist.
One should not make the other invisible.

A diagnosis gives you a starting point.

From there, you can begin to build a personalised plan around your symptoms, your health, your lifestyle and your needs — with the right professionals around you.

Diagnosis first.
Plan second.
Then treatment.

I wrote a new article about why this first step matters so much, including diagnosis, multidisciplinary care, reimbursement and the difference between real support and miracle promises.

💜 Read the full article in the Rebel Journal — link in bio.

Save this post if you are still looking for answers.

26/09/2026

Yesterday, a conversation with a doctor reminded me why post like this matters.

When a woman with obesity reports painful, heavy legs, the answer should not automatically be:

“Lose weight first.”

Yes, nutrition, movement, metabolic health and weight management matter.

But Lipedema and obesity are different conditions — and they can coexist.

A woman may know she has excess weight, but not understand why her legs are painful, heavy, tender or disproportionate, or why some areas respond differently to weight loss.

That is why proper evaluation matters.

Treating obesity can improve overall health, while Lipedema may require its own diagnosis and management. Women should not have to choose between weight management and investigating their symptoms.

Both conditions deserve attention.

A woman’s weight should never replace listening, examination and differential diagnosis.

If your symptoms are repeatedly dismissed as “just weight,” seeking another qualified medical opinion may be reasonable.

Women deserve to be heard, correctly diagnosed and appropriately treated.

Lipedema is not simply normal fat.
And obesity should never make Lipedema invisible. 💜

Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC12796449/

23/09/2026

Post-Workout Compression Marks

This is what my legs look like after training in compression.

For sport, I wear Solidea | Gravity Free®️ compression, which has a textured fabric designed to provide a massaging effect while I move.

After exercise, that texture leaves these temporary marks on my skin — especially after a longer session.

And yes… the socks are dirty because today’s workout included running through the woods. 🌲😅

For me, compression is part of my movement routine, but every body is different and compression should always be chosen according to your individual needs.

I’m curious:

What do your legs look like after training in compression?
Do you get marks like these too?

22/09/2026

Part of my preparation for my 4th lipedema surgery on 20 October 2026. 💜

For me, surgery preparation is not only about exercise, compression or lymphatic care.

It also includes the medical and integrative support that is part of my individual pre- and post-operative protocol.

Ozone therapy is one of the supportive therapies I currently include in that journey, under professional supervision at Dr. Alessandro Limonta - Metabolic Center

My preparation is always personalised to my own health, medical history and surgical plan.

Because surgery is one day.

Preparation is a process.

And for me, the goal is to arrive at surgery feeling as physically and mentally prepared as possible.

Want to know more about my preparation protocol?
Send me a message. 💜

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