Medial knee lipoedema involves abnormal fat accumulation on the inner side of the knees, resulting in prominent pads or bulges that alter knee shape, cause friction during gait, and produce symptoms such as pain on pressure, easy haematomas and a feeling of tightness. This localised fat resists reduction through diet or exercise and can worsen with hormonal changes.

Water-assisted liposuction is particularly suitable here due to its precision: tumescent fluid is first infiltrated to numb the area and reduce vascularity, followed by a fine cannula delivering a low-pressure water jet to loosen fat cells without aggressive manipulation of the thin skin or nearby joint structures. Mr Vasu Karri uses this approach to achieve subtle, even contouring that preserves natural knee definition and avoids over-correction.

Volume reduction in this small but symptomatic area often leads to improved leg symmetry, less chafing and decreased tenderness. Pre- and post-operative compression stockings or knee wraps, along with manual lymphatic drainage, support optimal healing and contour refinement.

The benefits of this procedure include:

• Precise removal of medial knee fat pads for slimmer inner knees
• Reduced inner knee pain, tenderness and bruising tendency
• Decreased rubbing or chafing between knees during movement
• Improved knee shape and leg proportions
• Greater comfort when sitting, walking or wearing certain clothing