Trunk lipoedema involves abnormal fat deposition in the abdominal wall, flanks, lower back and sometimes bra-line regions, leading to a barrel-shaped torso, chronic tenderness, easy haematomas and restricted mobility from heaviness. Unlike typical obesity, this fat spares certain areas and resists standard weight loss.

Water-assisted liposuction is effective for trunk treatment by first infiltrating tumescent solution to numb and protect vessels, then employing a specialised cannula with a low-pressure water jet to loosen fibro-fatty deposits without excessive force on lymphatic networks. Mr Vasu Karri tailors the procedure to achieve even reduction across anterior and posterior trunk surfaces, often in stages to manage fluid balance and promote uniform healing.

Substantial volume removal is possible, improving body symmetry, reducing pressure on the spine and easing symptoms like aching or restricted breathing in seated positions. Pre-operative conservative management with compression and manual drainage prepares the tissue, while post-operative support continues to optimise contours and minimise complications.

The benefits of this procedure include:

• Comprehensive removal of lipoedema fat from abdomen, flanks and back
• Marked reduction in torso pain, tenderness and bruising
• Improved body proportions and reduced heaviness
• Better posture, breathing comfort and clothing fit
• Enhanced overall mobility and quality of life