“Lipedema is almost never the first diagnosis a woman receives. She is told she is overweight, or that she has lymphedema, or that the legs are simply ‘like that.’ The clinical signs are specific: the symmetry, the Cuff Sign at the ankle, the foot that stays normal. Naming the condition correctly is the first treatment.”
— Dr. Andrezza Silvia Guedes, Lipedema and Aesthetic Phlebology
Dr.
Andrezza Silvia Guedes
Lipedema, aesthetic phlebology and vascular diagnostics at Palazzo Manzoni in Brescia. Ultrasound-guided sclerotherapy, cryosclerotherapy, transdermal laser, carbossiterapia and mesoterapia.
Background and Clinical Practice
Background and
clinical practice
Dr. Guedes leads a dedicated lipedema pathway. Lipedema is most often misdiagnosed as obesity or as lymphedema; the clinical signs — symmetrical bilateral involvement, Cuff Sign at the ankle, foot sparing, pain on pressure — are specific, and naming the condition correctly is the first step of care.
Alongside the lipedema pathway, her aesthetic phlebology practice covers ultrasound-guided sclerotherapy, cryosclerotherapy and transdermal laser for capillaries, with carbossiterapia and mesoterapia where indicated.
At Palazzo Manzoni, she works under the department’s principle of single-surgeon continuity: the patient examined at the first consultation is the patient she treats and reviews at every follow-up.
Training and Qualifications
Training and
qualifications
Full credential details are being confirmed with Dr. Guedes and will be updated before this page goes live.
Specialist qualification
Vascular Surgery / Phlebology
Board certification
Italian medical board
Professional society memberships
To be confirmed
Hospital affiliations
Affiliations to be confirmed
How Dr. Guedes Approaches a Case
How Dr. Guedes
approaches a case
Dr. Guedes’s consultations begin with a thorough ecocolordoppler examination of the venous system — mapping which veins are competent and which are not — followed by a clear discussion of what the examination shows and what your options genuinely are.
The department emphasises:
Examination before recommendation
The venous map, established by ecocolordoppler, guides the choice of treatment, not the reverse.
Single-surgeon continuity
You see the same specialist at consultation, treatment, and all follow-up visits.
Anatomical clarity
Patients understand what their examination shows and why it matters for their options.
Honest candidacy
Patients are told plainly whether a procedure is right for them, or whether a different approach — or waiting — is more appropriate.
Areas of Clinical Practice
Areas of clinical practice
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Lipedema pathway
Dedicated diagnosis and conservative management of lipedema, distinguishing it from obesity and lymphedema.
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Aesthetic phlebology
Ultrasound-guided sclerotherapy, cryosclerotherapy and transdermal laser for capillaries and reticular veins.
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Vascular diagnostics
Ecocolordoppler assessment to guide aesthetic and conservative treatment.
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Carbossiterapia and mesoterapia
Adjunctive carbossiterapia and mesoterapia where clinically indicated.
The Rest of the Team
Also in the
vascular and phlebology department
Dr. Guedes is one of three specialists in the vascular and phlebology department at Palazzo Manzoni. Each has a distinct clinical focus. Your initial consultation determines who is the right match for your condition.
Prof. Edoardo Cervi
Vascular surgeon and phlebology lead. General and vascular surgery, ultrasound-guided sclerotherapy, endovenous laser, hemorrhoid treatment, vascular diagnostics.
Dr. Fabio Viotti
Phlebology consultation and endovenous laser. Careful venous mapping before and after every treatment.
Take the Next Step
Your next step starts
with a conversation
At Palazzo Manzoni in Brescia, every consultation is personal, unhurried, and designed to give you clarity about your next step.
Address
Via dei Mille 14, 25122 Brescia, Italia
Phone
Hours
Mon-Fri 8:30-18:30 · Sat 9:00-13:00
01
Get in touch
Call, email, WhatsApp, or book online.
02
Meet your specialist
A personal consultation to understand your situation.
03
Your plan, your pace
Together you decide the best path forward.