Saddlebag lipoedema involves abnormal fat accumulation on the lateral thighs and upper hips, producing a characteristic flared or saddle-like appearance that contrasts with a narrower waist and creates functional issues like thigh chafing and restricted clothing choices. The tissue is often painful to touch, prone to haematomas and contributes to a sense of heaviness in the lower body.

Water-assisted liposuction targets this precisely by infiltrating tumescent solution to numb and shrink vessels, then using a specialised cannula with a water jet to loosen and remove the fibro-fatty deposits without aggressive suction that could disrupt lymphatics. Mr Vasu Karri performs this with emphasis on symmetry and smooth transitions from hip to thigh, avoiding over-resection that might cause irregularities.

Significant reduction in outer thigh circumference is typical, improving leg proportions, reducing friction during movement and alleviating pressure-related pain. Pre-operative compression and manual drainage prepare the area, while post-operative support continues to enhance contour stability and minimise swelling.

The benefits of this procedure include:

• Targeted removal of saddlebag fat for slimmer outer thighs and hips
• Reduced thigh chafing, irritation and discomfort during activity
• Decreased pain, tenderness and easy bruising in the saddlebag area
• Better fit for trousers, skirts and activewear
• Improved lower body mobility and confidence