Calf lipoedema involves abnormal fat accumulation in the lower legs, particularly around the gastrocnemius and soleus areas, leading to symmetrical enlargement, pain on palpation, easy haematomas and a loss of natural calf definition. This often extends to the ankles, creating a straight leg line without tapering.

Water-assisted liposuction addresses this by first infiltrating a tumescent solution to provide anaesthesia and vasoconstriction, then using a specialised cannula to deliver a fan-shaped water stream that separates fat from connective tissue and vessels with minimal trauma. This lymphatic-sparing approach is essential in the lower leg to prevent prolonged swelling or fluid accumulation. Mr Vasu Karri tailors the procedure to achieve even reduction, preserving muscle contours and improving the transition from calf to ankle.

Significant volume decrease is common, with improved leg shape that enhances mobility and reduces pressure on joints. Pre- and post-operative compression and manual drainage support optimal healing and contour stability.

The benefits of this procedure include:

• Targeted removal of lipoedema fat from the calves
• Decreased calf pain, tenderness and bruising tendency
• Smoother calf-to-ankle transition and better definition
• Easier fitting of footwear and lower leg clothing
• Reduced heaviness and improved walking comfort