Full length lower limb lipoedema features abnormal fat accumulation spanning the thighs, knees, calves and ankles, creating disproportionate enlargement that spares the feet and often results in a straight leg silhouette without natural tapering. Symptoms include chronic tenderness, easy haematomas, cold sensation in the tissue and progressive fibrosis in later stages.

Water-assisted liposuction enables comprehensive treatment by first delivering a tumescent solution to anaesthetise and constrict vessels, followed by a low-pressure water jet that loosens fat cells while preserving critical lymphatic pathways essential in the lower extremities. Mr Vasu Karri performs this with meticulous attention to even extraction across all segments, preventing irregularities and promoting smooth contours from groin to ankle. The approach frequently requires staged sessions to manage fluid shifts and allow adequate recovery between treatments.

Considerable circumference reduction is achievable, leading to decreased pressure on joints, better mobility and relief from the dragging sensation that limits activity. Continued use of compression and manual lymphatic drainage pre- and post-operatively enhances outcomes and minimises complications.

The benefits of this procedure include:

• Comprehensive removal of lipoedema fat from thighs to ankles
• Substantial reduction in leg pain, bruising and heaviness
• Enhanced leg mobility, balance and endurance for daily tasks
• More proportionate leg shape with visible tapering
• Long-term improvement in quality of life and clothing fit