• ​​Disproportion between upper and lower body — the legs may appear larger while the waist, torso, hands, and feet remain relatively unaffected​​

​

• Tissue that feels soft, nodular, or uneven — affected fat may have a different texture compared with typical body fat

​​​

• Symmetrical enlargement of the legs — usually affecting both legs similarly, often from the hips through the thighs, calves, and ankles

​

• Pain or tenderness in affected areas — legs may feel sore, sensitive, or painful when touched​​

​

• Swelling that may worsen throughout the day — especially after standing, sitting, heat exposure, or activity

​

• Cuffing around the ankles — fat accumulation may stop above the feet, creating a noticeable transition at the ankle

​

• Heaviness or pressure sensation in the legs — many people describe their legs as feeling heavy, tired, or difficult to move

​

• Resistance to weight loss efforts in affected areas — the disproportionate fat distribution often does not respond like typical body fat to diet and exercise​​

​

• Cold or sensitive legs — some people experience increased sensitivity or discomfort in affected tissue

​

• Easy bruising — frequent unexplained bruises or bruising from minor bumps​​​​​​​

​

• Reduced mobility or discomfort with movement — as the condition progresses, enlarged and painful tissue may affect daily activities