Buttock lipoedema involves abnormal fat deposition in the gluteal muscles and surrounding areas, leading to enlarged, padded buttocks with symptoms including chronic soreness, easy haematomas, cold tissue sensation and difficulty finding comfortable seating positions. This fat often extends to the upper posterior thighs, forming rolls that exacerbate discomfort.

Water-assisted liposuction targets the region by first delivering tumescent solution to numb and shrink blood vessels, then using a specialised cannula with a low-pressure water jet to loosen fibro-fatty deposits without aggressive pulling that could harm lymphatics. Mr Vasu Karri performs this with careful attention to preserving natural gluteal curves, avoiding over-resection that might flatten the area unnaturally.

Volume reduction helps restore better body proportions, decreases pressure-related pain and improves sitting tolerance. Pre-operative compression and manual lymphatic drainage prepare the tissue, while post-operative support continues to promote even healing and contour stability.

The benefits of this procedure include:

• Targeted removal of buttock lipoedema fat for reduced volume
• Significant decrease in gluteal pain, tenderness and bruising
• Improved comfort when sitting, walking or wearing fitted clothing
• Smoother buttock contours with less prominence of rolls
• Enhanced lower body mobility and overall confidence