Lower limb lipoedema causes abnormal fat deposits in the legs and thighs, leading to disproportionate enlargement, tenderness, easy bruising and a sensation of tightness or coldness in the tissue. In advanced stages fibrosis develops, making the skin nodular and limbs harder to move. Surgery involves specialised liposuction to extract these fibro-fatty deposits while preserving lymphatic function to avoid worsening fluid retention.

Water-assisted liposuction stands out for its precision: a tumescent solution numbs and firms the area first, then a fan-shaped water jet loosens fat without aggressive pulling. Mr Vasu Karri uses this technique exclusively for lipoedema, allowing circumferential treatment from groin to ankle in planned stages to manage swelling and promote even healing.

Volume reduction can be substantial, often improving leg shape, reducing pressure on joints and easing symptoms like pain on touch or prolonged standing. Pre-operative conservative measures such as compression and manual drainage prepare the tissue, while post-op support continues to optimise results.

The benefits of this procedure include:

• Significant debulking of abnormal fat across thighs, knees, calves and ankles
• Marked reduction in leg pain, tenderness and spontaneous bruising
• Improved mobility, walking endurance and balance
• Better leg proportions and easier fitting of trousers or boots
• Enhanced quality of life with less daily fatigue from heavy limbs