Patients often ask during their consultation which area they should liposuction first when they have lipedema. Many areas can feel heavy, painful, or be prone to bruising. I always recommend the patient choose the most bothersome area to treat first so that they get the biggest benefit earlier on. Often, the relieved symptoms can help make someone's quality of life significantly better throughout the rest of their surgical journey. If you sort out the most painful area, you might have 12-18 months throughout the rest of your surgical journey where you have the maximum benefit. I also find that some patients don't know which areas bother them because one area is so top of the mind they can't focus on the others. By treating the worst area it allows you to more objectively assess which other areas are causing trouble.