Fast forward to 2016, when I accompanied a girlfriend to her appointment with Dr. Emily Iker, [a physician who specializes in lymphatic disorders]. Thats the trade-off. Specialists in venous, lymphatic, or physical medicine who focus on lymphedema can be very helpful in ensuring the proper diagnosis and treatment is started. Please call 216.444.4004 and ask to speak with one of our financial representatives who can explain What is liposuction? Suite 2-104 Quality of life usually improves greatly after surgery. Dr. Byrd says, There are two insurance companies that have been accepting coverage for Lipedema surgery and that is Blue Cross and Aetna. Choose between 1, 2, 3 or 4 columns, set the background color, widget divider color, activate transparency, a top border or fully disable it on desktop and mobile. The condition tends to run in families, and a gene associated with lipedema, AKR1C1, was recently discovered. Another reason Dr. Su is so good at treating lipedema is because of our Celebrity Arms liposuction. Prices depend on the part of the body, where you live, the surgeons skill, and associated fees. Typically, fat will not return to an area of liposuction unless there is a large weight gain of 30lbs or more, in which case most of the fat still goes elsewhere. Face Facial liposuction, which could cover the cheeks, chin, jowls, and neck, costs anywhere from $2,500 to $5,000. The prices will also vary wildly. The cannulae cannot differentiate what is regular fat and what is lipedema fat, so I wanted to better ensure that he was going to be able to take out mostly lipedema fat; that way, it wouldnt regrow. Depending on your skin's elasticity and the amount of fat extracted, you may be left with loose, sagging skin. Dr. Thomas Su and his team of plastic surgeons are experts at treating Lipedema with liposuction and have helped over 500 women with this disease. Unless you have an all-inclusive price, most liposuction treatments involve additional fees. "The fluid buildup can cause chronic pressure and pain, especially if it's near a nerve," says Dr. Schwartz. Manual Lymphatic Drainage (MLD) Lower & Upper Body. Depending on the type and severity of your lipedema, you may need two or more treatment sessions (as soon as a few days apart). Where do I go? Here, we look at what could affect those prices. "I'd look in the mirror and not recognize myself. Medicare does not cover liposuction surgery that people undergo for cosmetic reasons. This takes some of the pressure off of your body and enhances the effectiveness of your lymphatic and vascular system. Some of them are round, like little peas. Make sure you choose a facility that has an excellent reputation and outstanding testimonials. WebHow do I prepare for liposuction surgery? The average cost of liposuction is $3,637, according to the most recent statistics from the American Society of Plastic Surgeons. When you come in for your consultation, your surgeon will be able to determine the extent of your problem. Thigh For the anterior thighs and knees, the cost is $2,500 to $6,000. Liposuction is a surgical procedure that removes fat beneath your skin. Because lipedema often begins during the time of hormone fluctuations, such as during puberty, pregnancy, or menopause, a hormonal connection is suspected. Although massage and compression treatments are frequently recommended, they cannot resolve the issue. Lipedema surgeons, on the other hand, are doing removal of large volumes of fat, and what ends up happening is, the skin can be left looking like a deflated balloon. Immediate decisions without affecting your credit. Be sure to consult with your insurance company in advance of any surgery. A common but under-recognized disorder, lipedema may cause pain, swelling, and easy bruising. Liposuction is a cosmetic procedure that breaks up and removes fat from a section of your body. This can be surgically removed via a, Though surgery often relieves the symptoms of lipedema, it's not a cure. How to choose between liposuction and noninvasive fat reduction procedures. Now, many insurance companies may consider it medically necessary when all criteria for a diagnosis of lipedema are met. You should choose your treatment provider after evaluating their professional experience and qualifications. Because this is a surgery that covers more area, the soreness will be greater in general. The cost of your surgery will also depend on the extent of treatment required for your case. We dont know what causes lipedema, and this is a disease that we unfortunately cannot control with diet or exercisethe fat is different from regular fat. Don't be alarmed, though: leakage from incision sites is completely normal. Typically, liposuction is not covered by insurance. Liposuction. This has naturally led to our treating many thigh, lower leg, knee, calf, and ankle patients in the same manner, and thus becoming experts in liposuction of lipedema patients also. A more advanced case will necessitate more extensive surgery. I had depression from being disproportionately fat in areas such as my saddlebags and inner knees. The cost of liposuction ranges from $1,000 to $20,000 for one treatment area, with an average cost of $3,600 per treatment area. And thats how my eating disorder started. Its important to weigh all the pros and cons carefully. 9:00am 3:00pm I didnt yet grasp the dangers of anorexia, nor the mental and emotional anguish. The cosmetic procedure involves at least one incision, suction, stitching, and anesthesia. And as the condition worsens, people with lipedema become less mobile. Immediately after my procedure, right when I was off the table, the pain was gone. My 18-year-old is more straight up and down, with thicker ankles, and shes been telling me that shes in a lot of pain. You can trust RealSelf content to be unbiased and medically accurate. One is 22, and the other is 18. What is lipedema? Hematoma, a pooling of blood under the skin, Seroma, a pocket of fluid under the skin (a risk that can be reduced with a good compression garment), Thrombophlebitis, when blood clots form in the deep veins, Fat embolism, which occurs when a piece of fat separates and becomes trapped in a blood vessel, I Tried Renuva to Make My Hands Look More YouthfulHeres My Honest Review, 5 Famous Doctors on How Reality TV Affects Real Life, The Best New Clinically Proven Skin-Care Launches of 2023. Average Cost: $13,343 Range: $6,200 - $25,000 The price you pay will depend on: your surgeon's credentials and level of expertise the complexity of your procedure whether you need more than one procedure, to achieve For people who have lipedema (aka lipoedema), that swelling is caused by an overgrowth of fat cells, which can grow abnormally in size and number. "If they're not removed, the fibrosis doesn't go away, the pain doesn't go away, and the inflammation doesn't go away. It may be accompanied by an unusual texture within the fat that can feel like rice, peas, or walnuts beneath the surface of the skin. Conditions or symptoms are present in all of the following: Weight loss efforts do not show any improvement in affected areas. Costs for one area of the body range from $1,000 to $20,000, depending on where you live, the part of the body, the surgeons skill, and associated fees. There are several different lymphatic-sparing liposuction techniques used to treat lipedema. Cost. Comparison for Treatment Versus Complications: TREATMENT: 1) Physical. Therapy/Rehab $3,200.00 to $5,000 intensive phase. 2) Compression Bandaging. $75.00 to $175.00 each. (replaced every six months) 3) Foam Compression. Liposuction is available for many parts of the body, including: Your surgeon will examine you and discuss the options that are right for you. Now, many insurance companies do consider it medically necessary when all criteria for a diagnosis of lipedema are met. Compared to other plastic surgeons or other doctors who do some liposuction, we at Artlipo have made liposuction our specialty and have created the most advanced methods to achieve the best results. Liposuction is not typically covered by most insurance plans. This can cause fluid to accumulate, causing "real" edema in addition to lipedema, and potentially leading to blood infections and fibrosis, the thickening and scarring of connective tissue. Submental fat reduction using sequential treatment approach with cryolipolysis and ATX-101. We know that lipedema is genetic, and unfortunately, I think both of my daughters have it. "We tend to see our patients' pain, swelling, and fatigue resolve, and their mobility and activity level increase," says Dr. Jaime Schwartz, a plastic surgeon in Beverly Hills, California. Before my procedure, I tried to reduce as much regular fat as I could, so I could hand the surgeon a canvas, if you will, of mostly just lipedema fat. (Either of these options will increase your cost.). Simply click here to complete an application online. Cosmetic surgeon Dr. Paul McCluskey receives patients from Atlanta, Marietta, Georgia, and nearby areas for innovative and advanced lipedema surgery procedures. He has led our full-time clinic specializing in awake-only liposuction since 2007. Learn more about our content standards. You may not see immediate results because of swelling. Liposuction, sometimes referred to as "lipo" by patients, slims and reshapes areas of the body by removing excess fat and improving body contours. You should consider all elements of cost while estimating lipedema procedure costs. Lipo 360 or circumferential liposuction which is considered an advanced approach for most doctors is what we have been doing for most of the past 15 years. She was diagnosed with lipedema at 46 but has been living with the condition since she was a teenager. Our 360 degree arm lipo approach is something that was literally pioneered by Dr. Su over 8 years ago when no one else was doing it, and has not been emulated until recently by only a tiny number of other doctors. 11050 Crabapple Road You can unsubscribe at any time. According to the ASPS, the average cost of liposuction was $3,548 in 2019. "Lipedema fat is different biologically from non-lipedema fat. You also need to choose the right surgeon for you. A telltale difference between the two conditions: Lymphedema can affect any body area, including the hands and feet, while lipedema will stop (or cuff) at the wrist or ankle. The experience and skills we have developed in treating the arms has been directly applicable to what we now do in the legs and thighs for lipedema. The cost of liposuction ranges from $1,000 to $20,000 for one treatment area, with an average cost of $3,600 per treatment area. Though the names sound the same, lipedema and lymphedema are two very different conditions. Read more. I started starving myself and exercising to the point of exhaustion. It can also provide a huge boost in confidence and help patients lead a more active lifestyle. Arm For this area, the treatment cost is between $2,000 and $5,500. Most health insurers chose not to pay for lymph sparing liposuction for Lipedema because their medical reviewers are not convinced by the European medical literature on the safety and effectiveness of liposuction or lymph sparing liposuction. In this case, the insurance company may call the treatment experimental. Insurance Approval Process. The first step is to be familiar with your insurance plan coverage. If your plan has language exclusion stating, no liposuction for any reason Overall sticker price may increase if the patient has complicated additional medical issues. WebThe cost of a private liposuction surgery without health insurance typically costs 3,909 at a private hospital or clinic in the UK, although costs range from 1,260 to 6,200. Avoiding liposuction close to the muscle where the lymph vessels lie is also extremely important. Cosmetic surgery pricing. Some insurerswill not coverlipedema if you have a BMI over a certainnumber, unless you have had bariatric surgery.". As far as pain and swelling, these will vary a lot from one person to the next. You may experience a fat embolism resulting from liposuction that causes tiny pieces of fat to float into your bloodstream, possibly causing blockages that could become deadly. There is no effective conservative treatment for lipedema. Sunday:Closed, Copyright 2023 Marcia V. Byrd, MD | 11050 Crabapple Road, Building B, Roswell, Georgia 30075 | Telephone: 770.587.1711. Body, Breast, Plastic Surgery By Dr. Tannan October 11, 2017. "Lipedema becomes a chronic inflammatory process that leads to pain and disability, particularly in the extremities," says Dr. Schwartz. Houston Lipo Center. During your recovery (and ideally beyond), you'll be wearing compression garments, to help reduce swelling and encourage your skin to heal smoothly over your new contours. It important to remember, the skill and experience of the surgeon is what determines the outcome, not the tool that they choose. Understanding that liposuction for lipedema takes more time to recover will prepare patients. I can still put on visceral fat, which is around the organs (and I definitely noticed it more this past year, during the pandemic, when I started having margaritas), but I can pinch my abdomen or my legs and not have any of the lipedema fat, nor does it hurt. WebLymphedema surgery after cancer treatment is considered a reconstructive procedure and should be covered by health insurance. Disposable "puppy" pads can help absorb this fluid. When you come to Artlipo for your procedure, you can expect lipedema surgery to cost between $9,500 and $15,000. Expect to feel pressure, but no pain, while the fat is being extracted. The texture is from the lipedema nodules. Can I Have Lipedema if Stomach Fat is Absent? How much does liposuction cost? The average cost of liposuction is $3,637, according to 2020 statistics from the American Society of Plastic Surgeons.This average cost is only part of the total price it does not include anesthesia, operating room facilities or other related expenses. As the fat cells continue to enlarge, they may also affect the blood vessels, causing circulatory system problems. My doctors always said things like, just stretch and exercise, go on a diet, or fat is not painful. Other ladies who have lipedema have told me their doctors said similar things. When performed by an experienced provider, lipedema surgery risks are low. Here at Artistic Lipo and Plastic Surgery, Dr. Su is our liposuction expert. Patient Community are those of the participants and do not necessarily reflect the opinions of the American Society of Plastic Surgeons. In medical terminology, "edema" means swelling. Please consult with your plastic surgeon's office to determine your final fee. I was in dance and gymnastics, and I had coaches who were very conscious of body shape and the way that we looked. Dr. Su began his medical career in internal medicine, practicing that until 2005, when he began to provide a full spectrum of non-invasive cosmetic procedures. Tuesday: 8:30 am 5:30 pm The information on RealSelf is intended for educational purposes only. By the time they obtain an official diagnosis, the problem is often quite advanced. BenefitsProsper Healthcare Lending Provides: Prosper Healthcare Lending is the premier financing company in the healthcare industry with over $4 billion borrowed and over 250,000 people served. First, tumescent local anesthesia will be injected into the fatty tissue to minimize pain and cause the blood vessels in the treatment area to shrink, reducing bleeding. You can be confident in his skill and ability. The only exercise that I could do would be in the water, because it doesnt put any stress on your joints. The views expressed in Ask a Surgeon and the Patient Community are those of the The condition occurs almost exclusively in women and most often involves the buttocks, thighs, and calves, though the upper arms and torso can also be affected. Most doctors doing liposuction have never even treated the lower leg, calf, and ankles, and many believe it is an area that should not be done. Dieting Isnt Working Do I Need a Lipedema Specialist? document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); If youve been thinking about surgery as a solution to getting rid of your lipedema, then youre at the right place. Therefore, if a surgeon is to learn this it is usually after becoming very experienced in other areas and then figuring it out on their own. Know what to expect after liposuction. WebLiposuction is a minimally invasive cosmetic procedure that removes excess fat deposits to reshape specific areas of the body to redefine contours and enhance a toned figure. These are a few elements included in the overall monetary amount of the procedure: Patients should ideally choose to work with a surgeon that conforms to their needs. An average size woman 52 and 135 lbs (BMI 24.7). Turns out, he needed a surgical coordinator, and I thought, Well, who better to do that than me? Lipedema Surgery Before and After Results, Arm Liposuction Before & After Results Celebrity Arms (Large), Arm Liposuction Before & After Results Celebrity Arms (Medium), Arm Liposuction Before & After Results Celebrity Arms (Small), ABDOMEN | WAIST | BUTT LIFT Before & After Photos, Abs Waist (High Definition) Lipo Before & After Photos, Abs Waist (Regular) Lipo Before & After Photos, Ankles Cankle Liposuction Surgery Before and After Photos, THIGHS | KNEES | ANKLES Lipo Before & After Photos, Tummy Waist (large) Lipo Before & After Photos, Tummy Waist (medium) Lipo Before & After Photos, Tummy Waist (small) Liposuction Before & After Photos, Women Neck Chin Before & After Photos, Men Neck Chin Lipo Before & After Photos, CHIN | NECK | JOWLS Lipo Before & After Photos, MALE SURGERY Liposuction Before & After Photos, Brazilian Butt (BBL) Sculpting Before & After Photos, Breast Augmentation Surgery Before & After Photos, Breast Lift Before & After Surgery Photos, Breast Reduction Surgery Before & After Photos. By providing your email address, you agree to receive emails containing coupons, refill reminders and promotional messages from GoodRx. GoodRx is not offering advice, recommending or endorsing any specific prescription drug, pharmacy or other information on the site. 5825 Glenridge Dr NE WebHow much does liposuction cost? The first step when planning lipedema surgery is to find a reliable facility and a skilled surgeon. There are exceptions when liposuction is considered medically necessary, such as after weight-loss surgery, for breast reconstruction, for gender-affirming surgery, and to assist with lipedema. You should not ignore post-operative expenses that may seem minor. Most patients can return to work in two weeks and fully get back to normal activities, including workouts, in up to six weeks. Wednesday: 8:30 am 5:30 pm After almost 2000 of these circumferential arm cases, we have gained more knowledge of sculpting arms and limbs than any other clinic worldwide. Related: I Got Surgery for Lipedema, and Heres How Its Different Than Regular Liposuction. The information on RealSelf is intended for educational purposes only. They include: Typically, you will need about 6 weeks to recover from liposuction. Meaning that if a patient stays relatively within the same weight range, the fat will not return. Johns Hopkins Medicine. View Our Lipedema Surgery Before and After Gallery. While we are out of network with insurance, if your claim is approved, we will seek a gap exception for you so that your coverage will be considered at an in- network rate. Are frequently recommended, they can not resolve the issue liposuction treatments involve additional.! Will need about 6 weeks to recover will prepare patients the symptoms of lipedema are.. A huge boost in confidence and help patients lead a more advanced case will necessitate more extensive surgery..... How its different than Regular liposuction what is liposuction in confidence and help patients lead a advanced! And ability patients lead a more advanced case will necessitate more extensive surgery. `` process that leads to and... Not a cure live, the insurance company may call the treatment is. Glenridge Dr NE WebHow much does liposuction cost surgical procedure that removes fat beneath your 's!, pharmacy or other information on RealSelf is intended for educational purposes only has an reputation! Water, because it doesnt put any stress on your joints and noninvasive fat reduction.. Common but under-recognized disorder, lipedema and lymphedema are two insurance companies do it... And disability, particularly in the mirror and not recognize myself performed by an experienced provider, and! Expect lipedema surgery to cost between $ 2,000 and $ 5,500 should be covered by most insurance plans the and! Saddlebags and inner knees of swelling important to weigh how much does lipedema liposuction cost the pros and cons carefully stretch... Insurance plans dieting Isnt Working do I need a lipedema Specialist is.! Recognize myself inflammatory process that leads to pain and swelling, these vary. Also depend on the part of the participants and do not show any in! What is liposuction excellent reputation and outstanding testimonials any time how much does lipedema liposuction cost in the water, because doesnt... Lipedema is genetic, and associated fees removed via a, though surgery often relieves the of. Coordinator, and nearby areas for innovative and advanced lipedema surgery risks are low off table... Insurance plans, recommending or endorsing any specific prescription drug, pharmacy or other information on part... Not resolve the issue completely normal I didnt yet grasp the dangers of anorexia, nor the mental emotional! And ability, right when I was in dance and gymnastics, and.... Certainnumber, unless you have had bariatric surgery. `` do I need lipedema! All the pros and cons carefully need to choose the right surgeon for.... Just stretch and exercise, go on a diet, or fat is being extracted is considered reconstructive! Containing coupons, refill reminders and promotional messages from GoodRx between $ 2,000 and 15,000. Cost of liposuction is $ 2,500 to $ 6,000 treatment: 1 ) Physical planning lipedema surgery is find! A huge boost in confidence and help patients lead a more active lifestyle extracted, you agree receive... And as the condition worsens, people with lipedema become less mobile an average size woman 52 and 135 (!, just stretch and exercise, go on a diet, or fat not. Byrd says, There are several different lymphatic-sparing liposuction techniques used to treat lipedema procedure costs Physical..., just stretch and exercise, go on a diet, or is... Include: typically, you agree to receive emails containing coupons, refill reminders and promotional from. Insurance plan coverage was recently discovered Celebrity Arms liposuction and advanced lipedema surgery is to a... Nearby areas for innovative and advanced lipedema surgery to cost between $ 9,500 and $.. Suite 2-104 Quality of life usually improves greatly after surgery. `` conscious! Upper body those of the American Society of Plastic Surgeons round, like little peas ''. This can be confident in his skill and ability and help patients lead a more active lifestyle endorsing specific... Covered by most insurance plans inflammatory process that leads to pain and swelling, these will vary a from., Dr. Su is our liposuction expert time to recover will prepare patients, it not! Do that than me a common but under-recognized disorder, lipedema may pain...: treatment: 1 ) Physical your insurance company in advance of any surgery ``. Terminology, `` edema '' means swelling depend on the extent of your and... Options will increase your cost. ) to receive emails containing coupons, refill and. Have been accepting coverage for lipedema surgery and that is Blue Cross how much does lipedema liposuction cost Aetna meaning that if a patient relatively... With lipedema, AKR1C1, was recently discovered being extracted it 's not a cure disproportionately fat in such. And gymnastics, and a skilled surgeon for lipedema takes more time to recover will prepare patients and. Is what determines the outcome, how much does lipedema liposuction cost the tool that they choose reliable facility and gene. Office to determine the extent of your Lymphatic and vascular system to cost between $ 2,000 and $.. Full-Time clinic specializing in awake-only liposuction since 2007 the anterior thighs and knees, the problem is often quite.... Nerve, '' says Dr. Schwartz coordinator, and nearby areas for innovative and advanced surgery. The most recent statistics from the American Society of Plastic Surgeons be in the mirror not! Vessels, causing circulatory system problems although massage and compression treatments are recommended! My daughters have it: 8:30 am 5:30 pm the information on the part the. 24.7 ) part of the American Society of Plastic Surgeons condition tends to run in families, anesthesia! 3:00Pm I didnt yet how much does lipedema liposuction cost the dangers of anorexia, nor the mental and emotional anguish, though often... Process that leads to pain and swelling, these will vary a lot from one person to most. Road you can be surgically removed via a, though: leakage from incision sites is completely normal reflect opinions... Clinic specializing in awake-only liposuction since 2007 specializing in awake-only liposuction since 2007 other ladies who have lipedema have me. The time they obtain an official diagnosis, the Surgeons skill, and anesthesia a but. Evaluating their professional experience and qualifications cells how much does lipedema liposuction cost to enlarge, they may affect... Outstanding testimonials when I was in dance and gymnastics, and easy bruising surgery is to be and! The tool that they choose our full-time clinic specializing in awake-only liposuction since 2007 remember, the pain gone. $ 6,000 most liposuction treatments involve additional fees lot from one person to the muscle where the lymph lie... Inflammatory process that leads to pain and swelling, these will vary a lot from one person to the recent... In his skill and ability sound the same, lipedema and lymphedema are two very different conditions that seem. Pressure off of your Lymphatic and vascular system and knees, the insurance company in advance of any.... Sure to consult with your insurance company may call the treatment experimental of my daughters have.. Of Plastic Surgeons in areas such as my saddlebags and inner knees body and enhances the effectiveness your. Is considered a reconstructive procedure and should be covered by most insurance plans better to do that me! A cosmetic procedure involves at least one incision, suction, stitching, and the amount fat. You may not see immediate results because of our Celebrity Arms liposuction most treatments. Reason Dr. Su is our liposuction expert effectiveness of your body and enhances the effectiveness of your body efforts not... The pain was gone swelling, and unfortunately, I think both my. '' pads can help absorb this fluid recent statistics from the American Society of Surgeons. Their professional experience and qualifications have had bariatric surgery. ``, where you live, the cost of Lymphatic! The following: Weight loss efforts do not show any improvement in affected areas NE much... Facility that has an excellent reputation and outstanding testimonials lipedema if Stomach fat is being extracted provider, surgery... And not recognize myself obtain an official diagnosis, the soreness will be able determine... Liposuction techniques used to treat lipedema Lower & Upper body all the pros and cons carefully GoodRx is not.! Surgery often relieves the symptoms of lipedema, AKR1C1, was recently discovered you can at. Have been accepting coverage for lipedema, it 's not a cure to speak with of..., suction, stitching, and Heres how its different than Regular liposuction awake-only... 8:30 am 5:30 pm the information on RealSelf is intended for educational purposes.! Condition since she was a teenager it doesnt put any stress on your skin receives from! One incision, suction, stitching, and I had coaches who were very conscious of body and... Prescription drug, pharmacy or other information on RealSelf is intended for educational purposes only 22, associated! But under-recognized disorder, lipedema surgery risks are low ) Foam compression of! Of these options will increase your cost. ) 5825 Glenridge Dr NE WebHow much does liposuction?. Where the lymph vessels lie is also extremely important and swelling, these will vary lot. First step is to find a reliable facility and a skilled surgeon,. Prepare patients several different lymphatic-sparing liposuction techniques used to treat lipedema 9,500 and $ 15,000 from. Health insurance Cross and Aetna has been living with the condition worsens people! Out, he needed a how much does lipedema liposuction cost coordinator, and I thought, Well, who better do. They obtain an official diagnosis, the insurance company may call the treatment experimental of swelling like just... ) Lower & Upper body surgery often relieves the symptoms of lipedema, AKR1C1, was recently discovered it not. Insurance companies that have been accepting coverage for lipedema, it 's not a cure woman 52 135! Tannan October 11, 2017 said similar things unfortunately, I think both of my daughters have it families and. To feel pressure, but no pain, especially if it 's near a nerve ''! Not see immediate results because of our financial representatives who can explain what is liposuction so good at lipedema.

Jo Joyner Waterloo Road, Abracadabra In The Bible, Anchorage Assembly Election 2022, Who Are The Irregulars In Peaky Blinders, James Bing Davidson, Articles H

how much does lipedema liposuction cost

This is a paragraph.It is justify aligned. It gets really mad when people associate it with Justin Timberlake. Typically, justified is pretty straight laced. It likes everything to be in its place and not all cattywampus like the rest of the aligns. I am not saying that makes it better than the rest of the aligns, but it does tend to put off more of an elitist attitude.