A conservative study estimates that lipedema is an underrecognized fatty deposition disorder that affects approximately 25 million women in the United States alone. Unlike obesity, lipedema is a genetically-preprogramed deposit of fat cells that are less responsive to diet and exercise. The next time a physician recommends that you go on a diet to reduce your weight, you may consider a consult with board-certified plastic surgeon and board-certified lymphedema expert Dr. Raffy Karamanoukian and Dr. Hratch Karamanoukian.