The presented 70-year old lady has been frustrated with the size of her legs most of her life. She was not sure whether she had lipedema. She had lost 60 pounds of weight 2 years before coming to our office but the volume at her knees and lower legs was not getting better despite walking 5-10 miles daily. She underwent SAFE, lymphatic-sparing liposuction of her lower legs and knees. The patient can move much better with lighter compression now. She states she could not be happier with her results and is contemplating the second stage of her treatment involving the thighs and hips.