Omnia Lifestyle in Chiswick W4 supports people with lipoedema (lipedema in US spelling) using manual lymphatic drainage, Body Ballancer compression and LPG Endermologie, to help with comfort, heaviness and skin quality. We work alongside your GP or specialist. No treatment makes lipoedema go away, and ours do not remove lipoedema fat.
A plan can use one, two or all three treatments, and Omnia is the only clinic in London offering all three under one roof.
A very light, rhythmic massage. Lipoedema is fat rather than fluid, but PHIN notes that some people find MLD relieves pain and heaviness. £65 for 30 minutes, £90 for 60 minutes. More on MLD.
Air-filled garments apply waves of compression along the limbs. Lipoedema UK says this kind of device can ease pain, but not everyone tolerates it if limbs are tender. From £45. More on Body Ballancer.
Motorised rollers and controlled suction on the Cellu M6 Infinity, kept gentle on tender tissue, for skin quality and heaviness. £99 for your Discovery Session, then from £70. It is the least proven of the three.
There is no single lipoedema treatment. What suits you depends on how severe your symptoms are and how they affect you. This overview includes care we do not provide.
| Option | What it can do | Limits | Where and cost |
|---|---|---|---|
| Compression garments, including lipoedema compression leggings | Ease discomfort and heaviness, and support the tissues | Do not change limb size or shape. Need measuring by a trained person | NHS prescription or private. From about £30 for light garments, over £250 made to measure |
| Movement and a healthy weight | Support joints, mobility and overall health | Diet and exercise do not make lipoedema fat go away | Self-care, with physiotherapy on referral |
| Manual lymphatic drainage | Some people find it relieves pain and heaviness | Does not remove fat, and the benefit varies | Often private, around £60 to £120 a session |
| Specialist liposuction | Can reduce fat and pain for some people | Surgery with real risks, often several operations, and compression usually continues | Usually self-funded, several thousands of pounds |
| LPG Endermologie | Comfort and skin quality for some clients | No published trial in lipoedema | Omnia: £99 first visit, then from £70 |
The NHS also lists skin care with moisturisers and talking therapies, and the charities Lipoedema UK and Talk Lipoedema offer support.
Omnia does not offer liposuction, but you should have the full picture.
Liposuction is the only lipoedema treatment that takes the fat out. The NHS says it is for particularly severe symptoms, you may need more than one operation, and it may not be available on the NHS. PHIN says it is usually self-funded and likely to cost several thousands of pounds.
NICE guidance from 2022, now numbered HTG618, rated the evidence on safety and efficacy as inadequate, raised concerns about major adverse events and said the procedure should only be used in research, in specialist centres.
In September 2026 The Lancet published LIPLEG, a German trial of 410 women. At 12 months, 68% of those who had liposuction reported a meaningful drop in pain, against 8% who continued conservative care alone. Adverse events were more common after surgery, at 47% against 21%, most women needed several procedures, and longer-term results are not yet known. Lipoedema UK reports that NICE will now review its guidance.
That applies to the care we offer too: conservative care alone changed pain very little in that trial. If a surgical opinion would serve you better, we will say so.
We searched the medical literature in November 2026 and found no published clinical trial of LPG Endermologie for lipoedema. Neither the NHS nor Lipoedema UK lists it among lipoedema treatments.
Research on LPG is mostly about cellulite, where evidence is mixed. Read what the research says.
So any benefit for lipoedema rests on clinical experience, not trial evidence. Our team treats lipoedema, and we offer LPG as an optional extra for skin quality and comfort rather than a core treatment. Lipoedema tissue can be tender and bruise easily, so we start gently. If LPG is uncomfortable or is not helping, we will tell you and change the plan.
Searching for a lipoedema clinic near you? Start with your GP. There are no specific tests for lipoedema, so diagnosis rests on a clinical assessment.
Most people come weekly for a course, then monthly to maintain results. See how many Endermologie sessions you need.
You pay after your treatment, with nothing to pay upfront. Follow-up length depends on the areas treated.
If your goal is to reduce size or take fat away, our treatments will not do that. Ask your GP about a specialist surgical opinion.
See your GP first if you have heavy, painful legs or arms. These treatments should not delay an assessment.
If your legs are swollen, red, hot and painful with flu-like symptoms, ask for an urgent GP appointment or use NHS 111, as this may be cellulitis. Get same-day advice for one swollen, painful leg.
LPG is not used on the abdomen in pregnancy, or with active cancer, infection, phlebitis or a blood clot, open wounds or inflamed skin. With a circulatory or blood disorder, recent surgery, a pacemaker or an implanted device, get your doctor's or surgeon's advice first.
Sources checked 4 November 2026: NHS, Lipoedema; Lipoedema UK on compression and other treatments; NICE HTG618, formerly IPG721, 2022; British Lymphology Society, Investigating and Managing Lipoedema, 2018; PHIN, Lipoedema, 2026; Podda et al, LIPLEG, The Lancet, 2026, figures as reported by Lipoedema UK and The Limbic. Last updated 4 November 2026.
Experienced hands matter on this machine. Choose your practitioner when you book, or take the first available slot.
Manual Therapy Lead
Patrick has delivered Endermologie since 2011, including ten years as a clinic therapist at Nuffield Health. His background in deep tissue, myofascial and myoskeletal work means he reads how your tissue responds and adjusts the treatment as he goes.
Chartered Physiotherapist, HCPC, MCSP
Khushbu combines LPG Endermologie with manual lymphatic drainage, so treatment works on fluid, tissue and circulation together. Her physiotherapy background means every session is adapted to how your body moves and responds.
Ayurveda Doctor, BAMS, MPH
Dr Athira looks at your tissue, circulation and lifestyle first, then treats face and body on the Cellu M6 Infinity with a plan built around the cause, not just the surface.
Turnham Green is on both District line branches into West London, so most journeys need no change.
Omnia Lifestyle is at 8 to 9 Bedford Corner, The Avenue, Chiswick W4 1LZ, close to Turnham Green station, on bus routes 94, E3 and 272. Limited parking is available on request when booking. LPG sessions run Monday to Saturday. The clinic is open Monday, Friday and Saturday from 9:30am to 7pm, and Tuesday to Thursday from 9:30am to 7:30pm. Open in Google Maps.
In part. Your GP may refer you to a specialist, and compression garments are available on prescription. Referral is usually to a local lymphoedema clinic, and services vary by area. The NHS says liposuction may not be available.
No treatment makes lipoedema go away. Compression, movement, skin care and support help manage it, and diet and exercise do not make lipoedema fat go away. Liposuction can take fat out, but PHIN notes the fat build-up can return.
We found no published clinical trial of LPG for lipoedema, so the evidence is thin. We offer it as an optional extra for comfort and skin quality. It does not remove lipoedema fat.
No. Diagnosis comes from a GP or specialist. If you have a diagnosis, bring the details to your first visit.
They are the same condition. Lipoedema is the UK spelling and lipedema is the US spelling, so you will see both in treatment guides.
PHIN says liposuction for lipoedema is usually fully self-funded and likely to cost several thousands of pounds. Ask for a written quote that covers every operation and your aftercare.
They can reduce discomfort and heaviness and support the tissues, but they do not change the size or shape of your legs. Lipoedema UK advises being measured by an experienced professional. Ordinary activewear gives lighter support.
The NHS says lipoedema sometimes affects the arms. Tell us which areas are affected and your therapist will plan around them. The aim is comfort, not removing fat.
Book online in under a minute, call, or send us a WhatsApp and we will help you choose your first appointment. You pay after your treatment.
Related: lipoedema vs lymphoedema, manual lymphatic drainage, Body Ballancer compression, MLD, compression and LPG compared. Near you: LPG Endermologie in West London, Ealing, Hammersmith, Richmond. Or see the LPG Discovery Session.
LPG Endermologie is an aesthetic and wellbeing treatment. It does not replace medical care. If you have unexplained swelling, pain or a skin change, see your GP first.
