Lipodystrophy is a condition involving an abnormal absence or distribution of fat in the body. In particular, a patient living with HIV or AIDS can experience visible changes in the shape and appearance of their body caused by the HIV infection or the introduction of certain medicines used in treatment of AIDS such as protease inhibitors.
This form of lipodystrophy can often manifest as a rapid increase of hard fat behind the abdominal muscle known as truncal obesity, an abnormal enlargement of breast tissue, a fat pad or "buffalo hump" on the back of the neck or as lipomas (fatty growths affecting various parts of the body).
Some patients, particularly those with a "buffalo hump" have opted to undergo liposuction to remove the fat deposits associated with Lipodystrophy with varied results. Others facing breast enlargement issues have opted for breast reduction surgery. Unfortunately, liposuction for the treatment of central obesity behind the abdominal wall is not recommended.
If you are considering plastic surgery to correct changes in your body fat, you should consult with a plastic surgeon who has experience performing plastic surgery in HIV-positive patients with lipodystrophy related problems. In some cases, liposuction necessary for medical purposes may be covered by insurance. Your provider should contact your insurance company to confirm that the procedure is medically necessary to improve your quality-of-life.