We listen first
A 60 to 90 minute first session with the time to be properly heard: history, medications, sleep, digestion, energy, mood, and cycle. Pulse and tongue diagnosis follow, and you leave with a TCM working diagnosis you understand.
Concern
Lipoedema Treatment in Marylebone
If you've been told your leg shape is 'just weight', it may not be. Lipoedema is a chronic, often-missed condition affecting almost exclusively women: symmetrical, painful fat accumulation in the legs, hips, and sometimes arms. We support women managing lipoedema in Marylebone with MLD, anti-inflammatory nutrition, and movement coaching, alongside your specialist medical care.
Overview
Understanding lipoedema
Lipoedema is consistently misdiagnosed as obesity or lymphoedema, often for years. The clinical picture is distinctive: symmetrical, disproportionate fat deposition in the legs and hips, sometimes the arms, with pain on pressure, easy bruising, and a striking sparing of the feet (the "cuff sign"). Diet and exercise typically reduce upper-body weight without changing the lipoedema-affected areas.
There is no cure, but the condition can be managed over the long term. Conservative management combines:
- Compression garments, fitted with a specialist.
- Manual lymphatic drainage and anti-inflammatory nutrition.
- Graded, low-impact movement, aimed at day-to-day pain and heaviness.
Surgical management, such as water-jet liposuction and lymph-sparing techniques, is offered by a small number of UK specialists, and integrative care is central to recovery afterwards. Body Perfected provides the conservative pillars through lipoedema management and manual lymphatic drainage, coordinated with your medical team.
Excellent
From 4 five-star Google reviews
Source: Google
Claudia provides the best lymphatic drainage massage in London. She can scan your body like no one else. I almost fell asleep during my 90-minute session — the time flew by. Thank you Claudia!
Claudia is a true healer! I arrived very tense after a long flight and she was able to help calm and reset my nervous system. I highly recommend the 1-hour lymphatic massage.
I had a great lymphatic drainage session with Claudia. After having sinus surgery to remove polyps and dealing with congestion, I felt so much better after the session. Highly recommend!
Claudia is wonderful. Her treatments are incredibly relaxing. She is attentive and asks questions ahead of time to be more targeted during the sessions. Her treatment rooms promote a sense of calm. I would highly recommend her!
Conservative lipoedema care can help to:
Reduce day-to-day pain and heaviness
Manual lymphatic drainage eases the tenderness, heaviness, and any superimposed fluid that make the end of the day hard work. Frequency flexes with your condition: weekly during a flare, monthly for maintenance, agreed with you and reviewed as your symptoms change.
Manage the condition long term
Conservative care works as a combination: compression as prescribed by your specialist, regular MLD, anti-inflammatory nutrition, and graded movement. We bring those together in one coherent, long-term programme, reviewed with you as your symptoms change.
Calm the inflammation
Chronic low-grade inflammation in the affected tissue is part of the lipoedema picture. Anti-inflammatory nutritional therapy and herbal medicine target it from two directions, tailored to your symptoms and anything else you are managing alongside, and adjusted as your body responds.
Keep you moving comfortably
Graded, low-impact movement protects strength, mobility, and lymphatic flow without provoking the pain that harder exercise can bring. Coaching starts where you actually are, builds gently week by week, and stays honest about what movement can change in lipoedema and what it cannot.
Make sense of your diagnosis
Lipoedema is missed for years in many women, so understanding the condition is treatment in itself. We explain what the diagnosis means, why diet alone has not changed your legs, and how conservative care fits alongside whatever your specialist recommends.
Work alongside your specialist team
Care is coordinated with your vascular consultant, lymphology specialist, or lipoedema multidisciplinary team where you have one. For women choosing lipoedema surgery, we support both preparation and post-surgical recovery: the same MLD skills, applied to the window where they matter most.
Why it happens
What causes lipoedema?
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Genetic predisposition: first-degree female relatives often have the condition
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Hormonal triggers: symptoms typically appear or worsen at puberty, pregnancy, and perimenopause
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Hormonal contraception: initiation or change can flare symptoms in some women
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Chronic low-grade inflammation in adipose tissue
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Possible disordered lymphatic transport in affected tissue (subclinical)
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Bariatric or weight-loss surgery does not address lipoedema fat: sometimes even amplifies the disproportion
At your first appointment there is time to be properly heard
Your history, your cycle, your energy, and what matters to you. The first session runs 60 to 90 minutes depending on the service: medical history, current medications, sleep, digestion, energy, mood, and your menstrual cycle where relevant. Pulse and tongue diagnosis follow, and from this we arrive at a TCM working diagnosis you understand.
You leave with a written summary of what was done, why, and the plan for your next session.
Integrative care that treats the cause of your symptoms. Rooted in 2,000 years of Chinese medicine, delivered for modern life, from Marylebone since 2010.
- You see the same practitioner at every visit, so your TCM diagnosis (pulse, tongue, history) carries forward and treatment evolves as the picture shifts.
- Over 20 years of clinical practice across 4 integrative pillars: acupuncture, nutritional therapy, Chinese herbal medicine, and manual lymphatic drainage.
- Rated 4.8 on Google from 68 reviews, at 1 Orchard Street: 3 minutes from Bond Street and Marble Arch tube stations.
- We work alongside conventional medicine: with your consent, treatment notes are shared with your GP, fertility clinic, or surgeon.
Fees and booking
Book by WhatsApp or phone on +44 7455 005 334. We agree a clear plan at your first session and reassess it at every visit, so you always know what your care involves and why.
- First consultations run 60 to 90 minutes depending on the service; follow-ups are 60 to 75 minutes
- Fertility acupuncture from £125 for the initial 90-minute consultation, with follow-ups at £85
- Lymphatic drainage from £130 for 60 minutes, or £160 for 90 minutes
- Programme, herbal, and block fees are confirmed at your first consultation
Your journey
with Body Perfected
Every plan starts with being properly heard. We find what is driving your picture, treat it with the right combination of pillars, and evolve the plan with you as your body responds.
Treatment, tailored to you
Acupuncture, moxibustion, cupping, tuina, manual lymphatic drainage, herbal formula: chosen for your TCM diagnosis, not by default. Sessions run 60 to 75 minutes, and you leave each one with a written summary of what was done and why.
We evolve with you
Pulse, tongue, and current symptoms are reassessed at every visit, and the toolkit and herbal formula adjust as the picture shifts. Plans are agreed in 6-week or 12-week blocks, so you always know where you are in the arc.
Care that lasts
As things settle, treatment moves to a maintenance frequency: keeping your cycle, energy, and recovery steady. Where you have a GP, fertility clinic, or surgeon involved, we coordinate with them throughout.
Fertility, acupuncture and lymphatic drainage
- Fertility acupuncture, timed to the phase of your cycle
- IVF, ICSI, IUI, and frozen-transfer support, including the Paulus Protocol
- The 12 Weeks Fertility Reset Protocol
- Traditional acupuncture, moxibustion, cupping, and tuina
- Chinese herbal medicine
- Nutritional therapy for fertility and women's health
- Manual lymphatic drainage for post-op recovery, lipoedema, and postpartum swelling
- Miscarriage and postpartum recovery care
Treatment approach
How do we treat lipoedema?
Lipoedema Management
Price on enquiryConservative management package: MLD, anti-inflammatory nutrition, herbal medicine for inflammation, and graded movement coaching. Designed for long-term care alongside any compression-garment regimen prescribed by a vascular or lymphology specialist.
See treatment detail →Lymphatic Drainage (MLD)
From £130For women whose specialist has recommended MLD as a discrete treatment: frequency-of-use varies from weekly during a flare to monthly maintenance.
See treatment detail →FAQ
Frequently asked
questions
How is lipoedema different from obesity?
Lipoedema is symmetrical, disproportionate (legs and arms heavier than the trunk), painful to firm pressure, easily bruised, and spares the feet. Obesity is more proportionate, generally non-tender, and includes the trunk and feet. Lipoedema fat does not respond to caloric restriction or cardiovascular exercise the way other fat does: diet shrinks the trunk while leaving the legs unchanged, the diagnostic giveaway many women describe.
How is lipoedema different from lymphoedema?
Lymphoedema is a primary failure of lymphatic transport: usually unilateral, can affect any limb, and includes pitting oedema and skin changes. Lipoedema is bilateral, painful, and primarily fat (not fluid), with normal lymphatic function in early stages. The two can co-exist (lipo-lymphoedema) in advanced disease.
Can MLD reduce lipoedema fat?
MLD does not reduce the lipoedema fat itself. It reduces day-to-day pain, heaviness, and any superimposed fluid build-up: particularly in advanced lipoedema with a lymphatic component. The combination of compression, MLD, anti-inflammatory nutrition, and graded movement is the foundation of long-term conservative management.
Should I have lipoedema surgery?
Water-jet liposuction performed by a lipoedema-trained surgeon offers meaningful improvement for many women but is not always indicated and carries risk. Specialist consultation (Lipoedema UK lists trained surgeons) is the right place for that decision. Body Perfected is not a surgical practice; we support both pre- and post-surgical recovery for clients who choose it.
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Body Perfected • 1 Orchard Street, London W1H 6HJ
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